From 7e76c10b5239032f35db57a3bbd0c9d23b7e4bc5 Mon Sep 17 00:00:00 2001 From: Rob Scanlon Date: Wed, 17 Jun 2026 16:09:16 -0400 Subject: [PATCH 1/2] Add resources to support client tests and server demo for us quality core. --- resources/us_quality_core_bundle_patient.json | 8571 +++++++++++++++++ ...quality_core_bundle_search_parameters.json | 299 + 2 files changed, 8870 insertions(+) create mode 100644 resources/us_quality_core_bundle_patient.json create mode 100644 resources/us_quality_core_bundle_search_parameters.json diff --git a/resources/us_quality_core_bundle_patient.json b/resources/us_quality_core_bundle_patient.json new file mode 100644 index 0000000..63f93e5 --- /dev/null +++ b/resources/us_quality_core_bundle_patient.json @@ -0,0 +1,8571 @@ +{ + "type": "transaction", + "resourceType": "Bundle", + "entry": [ + { + "request": { + "method": "PUT", + "url": "Endpoint/usqualitycore-r4-endpoint" + }, + "resource": { + "resourceType": "Endpoint", + "id": "usqualitycore-r4-endpoint", + "status": "active", + "connectionType": { + "system": "http://terminology.hl7.org/CodeSystem/endpoint-connection-type", + "code": "direct-project", + "display": "Direct Project" + }, + "payloadType": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/endpoint-payload-type", + "code": "any", + "display": "Any" + } + ], + "text": "Any" + } + ], + "address": "mailto:Willena258.Oberbrunner298@example.com", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-r4-endpoint
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Media/usqualitycore-r4-media" + }, + "resource": { + "resourceType": "Media", + "id": "usqualitycore-r4-media", + "status": "completed", + "content": { + "contentType": "application/dicom", + "link": "http://imaging.acme.com/wado/server?requestType=WADO&contentType=application%2Fdicom&studyUid=1.2.840.113619.2.21.848.34082.0.538976288.3&seriesUid=1.2.840.113619.2.21.3408.700.0.757923840.3.0&objectUid=1.2.840.11361907579238403408700.3.1.04.19970327150033" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-r4-media
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Specimen/usqualitycore-specimen" + }, + "resource": { + "resourceType": "Specimen", + "id": "usqualitycore-specimen", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen|6.1.0" + ] + }, + "type": { + "coding": [ + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108", + "code": "119364003", + "display": "Serum sample" + }, + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0487", + "code": "SER", + "display": "Serum" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "collection": { + "collectedDateTime": "2022-09-27T18:07:12Z" + }, + "container": [ + { + "type": { + "text": "Serum Separator Tube" + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-specimen
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "DocumentReference/usqualitycore-document-reference" + }, + "resource": { + "resourceType": "DocumentReference", + "id": "usqualitycore-document-reference", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|6.1.0" + ] + }, + "identifier": [ + { + "system": "https://github.com/inferno-framework/us-quality-core-test-kit/document-reference", + "value": "usqualitycore-document-reference" + } + ], + "status": "current", + "type": { + "coding": [ + { + "system": "http://loinc.org", + "code": "34117-2", + "display": "History and physical note" + } + ], + "text": "History and physical note" + }, + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category", + "code": "clinical-note", + "display": "Clinical Note" + } + ], + "text": "Clinical Note" + } + ], + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "date": "2015-02-15T16:30:00Z", + "author": [ + { + "reference": "Practitioner/usqualitycore-practitioner" + } + ], + "custodian": { + "reference": "Organization/usqualitycore-organization" + }, + "description": "History and physical note for the US Quality Core test kit encounter.", + "content": [ + { + "attachment": { + "contentType": "text/plain", + "data": "VVMgUXVhbGl0eSBDb3JlIHRlc3Qga2l0IERvY3VtZW50UmVmZXJlbmNlIGNsaW5pY2FsIG5vdGUu", + "url": "https://www.w3.org/WAI/ER/tests/xhtml/testfiles/resources/pdf/dummy.pdf", + "title": "US Quality Core test kit clinical note", + "creation": "2015-02-15T16:30:00Z" + }, + "format": { + "system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode", + "code": "urn:hl7-org:sdwg:ccda-structuredBody:2.1", + "display": "For documents following C-CDA 2.1 constraints using a structured body." + } + } + ], + "context": { + "encounter": [ + { + "reference": "Encounter/usqualitycore-encounter" + } + ], + "period": { + "start": "2015-02-15T14:30:00+01:00", + "end": "2015-02-15T16:30:00+01:00" + } + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-document-reference
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-us-core-observation-pregnancyintent" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-us-core-observation-pregnancyintent", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-pregnancyintent|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "social-history", + "display": "Social History" + } + ], + "text": "Social History" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "86645-9", + "display": "Pregnancy intention in the next year - Reported" + } + ], + "text": "Pregnancy intention in the next year - Reported" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "2022-09-23T22:39:43Z", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "version": "http://snomed.info/sct/731000124108", + "code": "454381000124105", + "display": "Not sure of desire to become pregnant (finding)" + } + ], + "text": "Not sure of desire to become pregnant (finding)" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-us-core-observation-pregnancyintent
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-us-core-observation-pregnancystatus" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-us-core-observation-pregnancystatus", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-pregnancystatus|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "social-history", + "display": "Social History" + } + ], + "text": "Social History" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "82810-3", + "display": "Pregnancy status" + } + ], + "text": "Pregnancy status" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "2022-08-24T10:39:52Z", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "77386006", + "display": "Pregnant" + } + ], + "text": "Pregnant" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-us-core-observation-pregnancystatus
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-us-core-smokingstatus" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-us-core-smokingstatus", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "social-history", + "display": "Social History" + } + ], + "text": "Social History" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "72166-2", + "display": "Tobacco smoking status" + } + ], + "text": "Tobacco smoking status" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "2016-03-18T05:27:04Z", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "428041000124106", + "display": "Occasional tobacco smoker" + } + ], + "text": "Occasional tobacco smoker" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-us-core-smokingstatus
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-us-core-observation-occupation" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-us-core-observation-occupation", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "social-history", + "display": "Social History" + } + ], + "text": "Social History" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "11341-5", + "display": "History of Occupation" + } + ], + "text": "History of Occupation" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectivePeriod": { + "start": "2015-04-24" + }, + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH", + "code": "31-1014.00.007136", + "display": "Certified Nursing Assistant (CNA) [Nursing Assistants]" + } + ], + "text": "Certified Nursing Assistant (CNA) [Nursing Assistants]" + }, + "component": [ + { + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "86188-0", + "display": "History of Occupation Industry" + } + ], + "text": "History of Occupation Industry" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH", + "code": "621610.008495", + "display": "Home nursing services" + } + ], + "text": "Home nursing services" + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-us-core-observation-occupation
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-us-core-blood-pressure" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-us-core-blood-pressure", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "vital-signs", + "display": "Vital Signs" + } + ], + "text": "Vital Signs" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "85354-9", + "display": "Blood pressure panel with all children optional" + } + ], + "text": "Blood pressure panel with all children optional" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "1999-07-02", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "component": [ + { + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "8480-6", + "display": "Systolic blood pressure" + } + ], + "text": "Systolic blood pressure" + }, + "valueQuantity": { + "value": 109, + "unit": "mmHg", + "system": "http://unitsofmeasure.org", + "code": "mm[Hg]" + } + }, + { + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "8462-4", + "display": "Diastolic blood pressure" + } + ], + "text": "Diastolic blood pressure" + }, + "valueQuantity": { + "value": 44, + "unit": "mmHg", + "system": "http://unitsofmeasure.org", + "code": "mm[Hg]" + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-us-core-blood-pressure
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-us-core-bp-data-absent-reason" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-us-core-bp-data-absent-reason", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "vital-signs", + "display": "Vital Signs" + } + ], + "text": "Vital Signs" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "85354-9", + "display": "Blood pressure panel with all children optional" + } + ], + "text": "Blood pressure panel with all children optional" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "1999-07-03", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "component": [ + { + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "8480-6", + "display": "Systolic blood pressure" + } + ], + "text": "Systolic blood pressure" + }, + "dataAbsentReason": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", + "code": "unknown", + "display": "Unknown" + } + ], + "text": "Unknown" + } + }, + { + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "8462-4", + "display": "Diastolic blood pressure" + } + ], + "text": "Diastolic blood pressure" + }, + "dataAbsentReason": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", + "code": "unknown", + "display": "Unknown" + } + ], + "text": "Unknown" + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-us-core-bp-data-absent-reason
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-us-core-bmi" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-us-core-bmi", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "vital-signs", + "display": "Vital Signs" + } + ], + "text": "Vital Signs" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "39156-5", + "display": "Body mass index (BMI) [Ratio]" + } + ], + "text": "Body mass index (BMI) [Ratio]" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "1999-07-02", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "valueQuantity": { + "value": 16.2, + "unit": "kg/m2", + "system": "http://unitsofmeasure.org", + "code": "kg/m2" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-us-core-bmi
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-pediatric-bmi-for-age" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-pediatric-bmi-for-age", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "vital-signs", + "display": "Vital Signs" + } + ], + "text": "Vital Signs" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "59576-9", + "display": "Body mass index (BMI) [Percentile] Per age and sex" + } + ], + "text": "Body mass index (BMI) [Percentile] Per age and sex" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "2019-05-04T12:12:29-07:00", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "valueQuantity": { + "value": 65, + "unit": "%", + "system": "http://unitsofmeasure.org", + "code": "%" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-pediatric-bmi-for-age
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-us-core-body-height" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-us-core-body-height", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "vital-signs", + "display": "Vital Signs" + } + ], + "text": "Vital Signs" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "8302-2", + "display": "Body height" + } + ], + "text": "Body height" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "1999-07-02", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "valueQuantity": { + "value": 111.506, + "unit": "cm", + "system": "http://unitsofmeasure.org", + "code": "cm" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-us-core-body-height
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-us-core-body-temperature" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-us-core-body-temperature", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-temperature|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "vital-signs", + "display": "Vital Signs" + } + ], + "text": "Vital Signs" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "8310-5", + "display": "Body temperature" + } + ], + "text": "Body temperature" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "1999-07-02", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "valueQuantity": { + "value": 36.6, + "unit": "Cel", + "system": "http://unitsofmeasure.org", + "code": "Cel" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-us-core-body-temperature
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-us-core-body-weight" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-us-core-body-weight", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "vital-signs", + "display": "Vital Signs" + } + ], + "text": "Vital Signs" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "29463-7", + "display": "Body Weight" + } + ], + "text": "Body Weight" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "1999-07-02", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "valueQuantity": { + "value": 20.09, + "unit": "kg", + "system": "http://unitsofmeasure.org", + "code": "kg" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-us-core-body-weight
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-head-circumference-percentile" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-head-circumference-percentile", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "vital-signs", + "display": "Vital Signs" + } + ], + "text": "Vital Signs" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "8289-1", + "display": "Head Occipital-frontal circumference Percentile" + } + ], + "text": "Head Occipital-frontal circumference Percentile" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "2020-07-01", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "valueQuantity": { + "value": 82, + "unit": "%", + "system": "http://unitsofmeasure.org", + "code": "%" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-head-circumference-percentile
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-us-core-heart-rate" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-us-core-heart-rate", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "vital-signs", + "display": "Vital Signs" + } + ], + "text": "Vital Signs" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "8867-4", + "display": "Heart Rate" + } + ], + "text": "Heart Rate" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "1999-07-02", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "valueQuantity": { + "value": 44, + "unit": "beats/min", + "system": "http://unitsofmeasure.org", + "code": "/min" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-us-core-heart-rate
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-us-core-pulse-oximetry" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-us-core-pulse-oximetry", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "vital-signs", + "display": "Vital Signs" + } + ], + "text": "Vital Signs" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "59408-5", + "display": "Oxygen saturation in Arterial blood by Pulse oximetry" + }, + { + "system": "http://loinc.org", + "code": "2708-6", + "display": "Oxygen saturation in Arterial blood" + } + ], + "text": "Oxygen saturation in Arterial blood by Pulse oximetry" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "1999-07-02", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "valueQuantity": { + "value": 99, + "unit": "%O2", + "system": "http://unitsofmeasure.org", + "code": "%" + }, + "component": [ + { + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "3151-8", + "display": "Inhaled oxygen flow rate" + } + ], + "text": "Inhaled oxygen flow rate" + }, + "valueQuantity": { + "value": 2, + "unit": "L/min", + "system": "http://unitsofmeasure.org", + "code": "L/min" + } + }, + { + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "3150-0", + "display": "Inhaled oxygen concentration" + } + ], + "text": "Inhaled oxygen concentration" + }, + "valueQuantity": { + "value": 21, + "unit": "%", + "system": "http://unitsofmeasure.org", + "code": "%" + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-us-core-pulse-oximetry
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-us-core-respiratory-rate" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-us-core-respiratory-rate", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "vital-signs", + "display": "Vital Signs" + } + ], + "text": "Vital Signs" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "9279-1", + "display": "Respiratory rate" + } + ], + "text": "Respiratory rate" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "1999-07-02", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "valueQuantity": { + "value": 26, + "unit": "breaths per minute", + "system": "http://unitsofmeasure.org", + "code": "/min" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-us-core-respiratory-rate
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-pediatric-weight-for-height" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-pediatric-weight-for-height", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height|6.1.0" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "vital-signs", + "display": "Vital Signs" + } + ], + "text": "Vital Signs" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "77606-2", + "display": "Weight-for-length Per age and sex" + } + ], + "text": "Weight-for-length Per age and sex" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "2020-07-02", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "valueQuantity": { + "value": 65, + "unit": "%", + "system": "http://unitsofmeasure.org", + "code": "%" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-pediatric-weight-for-height
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Provenance/usqualitycore-provenance" + }, + "resource": { + "resourceType": "Provenance", + "id": "usqualitycore-provenance", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance|6.1.0" + ] + }, + "target": [ + { + "reference": "Patient/usqualitycore-patient" + }, + { + "reference": "Specimen/usqualitycore-specimen" + }, + { + "reference": "DocumentReference/usqualitycore-document-reference" + }, + { + "reference": "Observation/usqualitycore-us-core-observation-pregnancyintent" + }, + { + "reference": "Observation/usqualitycore-us-core-observation-pregnancystatus" + }, + { + "reference": "Observation/usqualitycore-us-core-smokingstatus" + }, + { + "reference": "Observation/usqualitycore-us-core-observation-occupation" + }, + { + "reference": "Observation/usqualitycore-us-core-blood-pressure" + }, + { + "reference": "Observation/usqualitycore-us-core-bp-data-absent-reason" + }, + { + "reference": "Observation/usqualitycore-us-core-bmi" + }, + { + "reference": "Observation/usqualitycore-pediatric-bmi-for-age" + }, + { + "reference": "Observation/usqualitycore-us-core-body-height" + }, + { + "reference": "Observation/usqualitycore-us-core-body-temperature" + }, + { + "reference": "Observation/usqualitycore-us-core-body-weight" + }, + { + "reference": "Observation/usqualitycore-head-circumference-percentile" + }, + { + "reference": "Observation/usqualitycore-us-core-heart-rate" + }, + { + "reference": "Observation/usqualitycore-us-core-pulse-oximetry" + }, + { + "reference": "Observation/usqualitycore-us-core-respiratory-rate" + }, + { + "reference": "Observation/usqualitycore-pediatric-weight-for-height" + }, + { + "reference": "AdverseEvent/usqualitycore-adverse-event" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup1" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup10" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup11" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup12" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup13" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup14" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup15" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup16" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup17" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup18" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup19" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup2" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup20" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup3" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup4" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup5" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup6" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup7" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup8" + }, + { + "reference": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup9" + }, + { + "reference": "CarePlan/usqualitycore-care-plan" + }, + { + "reference": "CareTeam/usqualitycore-care-team" + }, + { + "reference": "Condition/usqualitycore-condition-encounter-diagnosis" + }, + { + "reference": "Condition/usqualitycore-condition-problems-health-concerns" + }, + { + "reference": "Coverage/usqualitycore-coverage" + }, + { + "reference": "Device/usqualitycore-device" + }, + { + "reference": "DeviceRequest/usqualitycore-devicenotrequested" + }, + { + "reference": "DeviceRequest/usqualitycore-devicerequest" + }, + { + "reference": "DiagnosticReport/usqualitycore-diagnostic-report-lab" + }, + { + "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note" + }, + { + "reference": "Encounter/usqualitycore-encounter" + }, + { + "reference": "FamilyMemberHistory/usqualitycore-family-member-history" + }, + { + "reference": "Goal/usqualitycore-goal" + }, + { + "reference": "Group/usqualitycore-group" + }, + { + "reference": "Immunization/usqualitycore-immunization" + }, + { + "reference": "Immunization/usqualitycore-immunizationnotdone" + }, + { + "reference": "Immunization/usqualitycore-immunizationnotdone-2" + }, + { + "reference": "MedicationAdministration/usqualitycore-medicationadministration" + }, + { + "reference": "MedicationAdministration/usqualitycore-medicationadministrationnotdone" + }, + { + "reference": "MedicationDispense/usqualitycore-medicationdispense" + }, + { + "reference": "MedicationDispense/usqualitycore-medicationdispensedeclined" + }, + { + "reference": "MedicationRequest/usqualitycore-medicationnotrequested" + }, + { + "reference": "MedicationRequest/usqualitycore-medicationrequest" + }, + { + "reference": "Observation/usqualitycore-observation-clinical-result" + }, + { + "reference": "Observation/usqualitycore-observation-clinical-result-2" + }, + { + "reference": "Observation/usqualitycore-observation-clinical-result-3" + }, + { + "reference": "Observation/usqualitycore-observation-clinical-result-4" + }, + { + "reference": "Observation/usqualitycore-observation-lab" + }, + { + "reference": "Observation/usqualitycore-observation-lab-2" + }, + { + "reference": "Observation/usqualitycore-observation-lab-3" + }, + { + "reference": "Observation/usqualitycore-observation-lab-4" + }, + { + "reference": "Observation/usqualitycore-observation-screening-assessment" + }, + { + "reference": "Observation/usqualitycore-observation-screening-assessment-2" + }, + { + "reference": "Observation/usqualitycore-observation-screening-assessment-3" + }, + { + "reference": "Observation/usqualitycore-observation-screening-assessment-4" + }, + { + "reference": "Observation/usqualitycore-observationcancelled" + }, + { + "reference": "Procedure/usqualitycore-procedure" + }, + { + "reference": "Procedure/usqualitycore-procedurenotdone" + }, + { + "reference": "QuestionnaireResponse/usqualitycore-questionnaire-response" + }, + { + "reference": "RelatedPerson/usqualitycore-related-person" + }, + { + "reference": "ServiceRequest/usqualitycore-servicenotrequested" + }, + { + "reference": "ServiceRequest/usqualitycore-servicerequest" + }, + { + "reference": "Observation/usqualitycore-simple-observation" + }, + { + "reference": "Observation/usqualitycore-simple-observation-2" + }, + { + "reference": "Observation/usqualitycore-simple-observation-3" + }, + { + "reference": "Observation/usqualitycore-simple-observation-4" + }, + { + "reference": "Task/usqualitycore-task" + }, + { + "reference": "Task/usqualitycore-taskrejected" + }, + { + "reference": "Task/usqualitycore-taskrejected-2" + } + ], + "recorded": "2015-02-15T16:30:00Z", + "agent": [ + { + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type", + "code": "author", + "display": "Author" + } + ] + }, + "who": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "onBehalfOf": { + "reference": "Organization/usqualitycore-organization" + } + }, + { + "type": { + "coding": [ + { + "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type", + "code": "transmitter", + "display": "Transmitter" + } + ] + }, + "who": { + "reference": "Organization/usqualitycore-organization" + } + } + ], + "entity": [ + { + "role": "source", + "what": { + "reference": "DocumentReference/usqualitycore-document-reference" + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-provenance
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AdverseEvent/usqualitycore-adverse-event" + }, + "resource": { + "resourceType": "AdverseEvent", + "id": "usqualitycore-adverse-event", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-adverseevent" + ] + }, + "identifier": { + "system": "https://github.com/inferno-framework/ids/patients/risks", + "value": "49476534" + }, + "actuality": "actual", + "event": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "725119006", + "display": "Generalized rash (disorder)" + } + ] + }, + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/adverse-event-category", + "code": "clinical-research", + "display": "Clinical Research" + } + ] + } + ], + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "detected": "2017-01-29T12:34:56+00:00", + "recordedDate": "2017-01-29T12:34:56+00:00", + "date": "2017-01-29T12:34:56+00:00", + "resultingCondition": [ + { + "reference": "Condition/usqualitycore-condition-problems-health-concerns" + } + ], + "seriousness": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/adverse-event-seriousness", + "code": "non-serious", + "display": "Non-serious" + } + ] + }, + "location": { + "reference": "Location/usqualitycore-location" + }, + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "suspectEntity": [ + { + "instance": { + "reference": "Medication/usqualitycore-medication" + }, + "causality": [ + { + "assessment": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/adverse-event-causality-assess", + "code": "possible", + "display": "Possible" + } + ] + } + } + ] + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-adverse-event
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "id": "usqualitycore-allergy-intolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "identifier": [ + { + "system": "https://github.com/inferno-framework/ids/patients/risks", + "value": "49476534" + } + ], + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "note": [ + { + "text": "The criticality is high becasue of the observed anaphylactic reaction when challenged with cashew extract." + } + ], + "reaction": [ + { + "substance": { + "coding": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "code": "1160593", + "display": "cashew nut allergenic extract Injectable Product" + } + ] + }, + "manifestation": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "39579001", + "display": "Anaphylactic reaction" + } + ] + } + ], + "description": "Challenge Protocol. Severe reaction to subcutaneous cashew extract. Epinephrine administered", + "onset": "2012-06-12", + "severity": "severe", + "exposureRoute": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "34206005", + "display": "Subcutaneous route" + } + ] + } + }, + { + "manifestation": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "122003", + "display": "Choroidal hemorrhage" + } + ] + } + ], + "onset": "2004", + "severity": "moderate", + "note": [ + { + "text": "The patient reports that the onset of urticaria was within 15 minutes of eating cashews." + } + ] + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup1" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "id": "usqualitycore-allergy-intolerance-dup1", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup1
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup10" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup10", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup10
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup11" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup11", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup11
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup12" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup12", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup12
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup13" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup13", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup13
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup14" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup14", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup14
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup15" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup15", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup15
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup16" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup16", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup16
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup17" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup17", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup17
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup18" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup18", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup18
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup19" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup19", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup19
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup2" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "id": "usqualitycore-allergy-intolerance-dup2", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup2
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup20" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup20", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup20
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup3" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "id": "usqualitycore-allergy-intolerance-dup3", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup3
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup4" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup4", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup4
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup5" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup5", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup5
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup6" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup6", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup6
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup7" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup7", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup7
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup8" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup8", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup8
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "AllergyIntolerance/usqualitycore-allergy-intolerance-dup9" + }, + "resource": { + "resourceType": "AllergyIntolerance", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance" + ] + }, + "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": "high", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "227493005", + "display": "Cashew nuts" + } + ] + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2004", + "recordedDate": "2014-10-09T14:58:00+11:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "asserter": { + "reference": "Patient/usqualitycore-patient" + }, + "lastOccurrence": "2012-06-02T01:45:31+00:00", + "id": "usqualitycore-allergy-intolerance-dup9", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-allergy-intolerance-dup9
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "CarePlan/usqualitycore-care-plan" + }, + "resource": { + "resourceType": "CarePlan", + "id": "usqualitycore-care-plan", + "text": { + "status": "generated", + "div": "

Generated Narrative: CarePlan example

instantiatesCanonical: http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule

status: Active

intent: Plan

category: Assessment and Plan of Treatment

subject: Eve Everywoman

period: 2019-05-24 --> 2020-02-24

careTeam: CareTeam: status = active

addresses: pregnancy

goal: pregnancy goal

activity

outcomeReference: First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01

Details

-KindInstantiatesCanonicalCodeStatusPerformerDescription
*ServiceRequesthttp://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contactAntenatal careIn ProgressMabel MidwifeFirst antenatal care contact

activity

Details

-KindInstantiatesCanonicalCodeStatusScheduled[x]PerformerDescription
*ServiceRequesthttp://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contactAntenatal careScheduled2019-07-26 --> (ongoing)Mabel MidwifeSecond contact to occur at 20 weeks of gestational age

activity

Details

-KindInstantiatesCanonicalCodeStatusScheduled[x]PerformerDescription
*ServiceRequesthttp://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contactAntenatal careNot Started2019-09-06 --> (ongoing)Mabel MidwifeThird contact to occur at 26 weeks of gestational age

activity

Details

-KindInstantiatesCanonicalCodeStatusScheduled[x]PerformerDescription
*ServiceRequesthttp://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contactAntenatal careNot Started2019-10-04 --> (ongoing)Mabel MidwifeFourth contact to occur at 30 weeks of gestational age

activity

Details

-KindInstantiatesCanonicalCodeStatusScheduled[x]PerformerDescription
*ServiceRequesthttp://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contactAntenatal careNot Started2019-11-01 --> (ongoing)Mabel MidwifeFifth contact to occur at 34 weeks of gestational age

activity

Details

-KindInstantiatesCanonicalCodeStatusScheduled[x]PerformerDescription
*ServiceRequesthttp://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contactAntenatal careNot Started2019-11-15 --> (ongoing)Mabel MidwifeSixth contact to occur at 36 weeks of gestational age

activity

Details

-KindInstantiatesCanonicalCodeStatusScheduled[x]PerformerDescription
*ServiceRequesthttp://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contactAntenatal careNot Started2019-11-29 --> (ongoing)Mabel MidwifeSeventh contact to occur at 38 weeks of gestational age

activity

Details

-KindInstantiatesCanonicalCodeStatusScheduled[x]PerformerDescription
*ServiceRequesthttp://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contactAntenatal careNot Started2019-12-13 --> (ongoing)Mabel MidwifeEighth contact to occur at 40 weeks of gestational age

activity

Details

-KindCodeStatusScheduled[x]PerformerDescription
*ServiceRequestDelivery procedureNot Started2019-12-13 --> 2019-12-27Mabel MidwifeDelivery
" + }, + "instantiatesCanonical": [ + "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact-schedule" + ], + "status": "active", + "intent": "plan", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category", + "code": "assess-plan", + "display": "Assessment and Plan of Treatment" + } + ] + } + ], + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "period": { + "start": "2019-05-24", + "end": "2020-02-24" + }, + "careTeam": [ + { + "reference": "CareTeam/usqualitycore-care-team" + } + ], + "addresses": [ + { + "display": "pregnancy" + } + ], + "goal": [ + { + "display": "pregnancy goal" + } + ], + "activity": [ + { + "outcomeReference": [ + { + "display": "First contact, occurred at about 12 weeks based on gestational age from LMP of 2019-03-01" + } + ], + "detail": { + "kind": "ServiceRequest", + "instantiatesCanonical": [ + "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact" + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "424525001", + "display": "Antenatal care (regime/therapy)" + } + ], + "text": "Antenatal care" + }, + "status": "in-progress", + "performer": [ + { + "display": "Mabel Midwife" + } + ], + "description": "First antenatal care contact" + } + }, + { + "detail": { + "kind": "ServiceRequest", + "instantiatesCanonical": [ + "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact" + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "424525001", + "display": "Antenatal care (regime/therapy)" + } + ], + "text": "Antenatal care" + }, + "status": "scheduled", + "scheduledPeriod": { + "start": "2019-07-26" + }, + "performer": [ + { + "display": "Mabel Midwife" + } + ], + "description": "Second contact to occur at 20 weeks of gestational age" + } + }, + { + "detail": { + "kind": "ServiceRequest", + "instantiatesCanonical": [ + "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact" + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "424525001", + "display": "Antenatal care (regime/therapy)" + } + ], + "text": "Antenatal care" + }, + "status": "not-started", + "scheduledPeriod": { + "start": "2019-09-06" + }, + "performer": [ + { + "display": "Mabel Midwife" + } + ], + "description": "Third contact to occur at 26 weeks of gestational age" + } + }, + { + "detail": { + "kind": "ServiceRequest", + "instantiatesCanonical": [ + "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact" + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "424525001", + "display": "Antenatal care (regime/therapy)" + } + ], + "text": "Antenatal care" + }, + "status": "not-started", + "scheduledPeriod": { + "start": "2019-10-04" + }, + "performer": [ + { + "display": "Mabel Midwife" + } + ], + "description": "Fourth contact to occur at 30 weeks of gestational age" + } + }, + { + "detail": { + "kind": "ServiceRequest", + "instantiatesCanonical": [ + "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact" + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "424525001", + "display": "Antenatal care (regime/therapy)" + } + ], + "text": "Antenatal care" + }, + "status": "not-started", + "scheduledPeriod": { + "start": "2019-11-01" + }, + "performer": [ + { + "display": "Mabel Midwife" + } + ], + "description": "Fifth contact to occur at 34 weeks of gestational age" + } + }, + { + "detail": { + "kind": "ServiceRequest", + "instantiatesCanonical": [ + "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact" + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "424525001", + "display": "Antenatal care (regime/therapy)" + } + ], + "text": "Antenatal care" + }, + "status": "not-started", + "scheduledPeriod": { + "start": "2019-11-15" + }, + "performer": [ + { + "display": "Mabel Midwife" + } + ], + "description": "Sixth contact to occur at 36 weeks of gestational age" + } + }, + { + "detail": { + "kind": "ServiceRequest", + "instantiatesCanonical": [ + "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact" + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "424525001", + "display": "Antenatal care (regime/therapy)" + } + ], + "text": "Antenatal care" + }, + "status": "not-started", + "scheduledPeriod": { + "start": "2019-11-29" + }, + "performer": [ + { + "display": "Mabel Midwife" + } + ], + "description": "Seventh contact to occur at 38 weeks of gestational age" + } + }, + { + "detail": { + "kind": "ServiceRequest", + "instantiatesCanonical": [ + "http://fhir.org/guides/who/anc-cds/PlanDefinition/anc-contact" + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "424525001", + "display": "Antenatal care (regime/therapy)" + } + ], + "text": "Antenatal care" + }, + "status": "not-started", + "scheduledPeriod": { + "start": "2019-12-13" + }, + "performer": [ + { + "display": "Mabel Midwife" + } + ], + "description": "Eighth contact to occur at 40 weeks of gestational age" + } + }, + { + "detail": { + "kind": "ServiceRequest", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "236973005", + "display": "Delivery procedure (procedure)" + } + ], + "text": "Delivery procedure" + }, + "status": "not-started", + "scheduledPeriod": { + "start": "2019-12-13", + "end": "2019-12-27" + }, + "performer": [ + { + "display": "Mabel Midwife" + } + ], + "description": "Delivery" + } + } + ] + } + }, + { + "request": { + "method": "PUT", + "url": "CareTeam/usqualitycore-care-team" + }, + "resource": { + "resourceType": "CareTeam", + "id": "usqualitycore-care-team", + "status": "active", + "subject": { + "reference": "Patient/usqualitycore-patient", + "display": "Eve Everywoman" + }, + "participant": [ + { + "role": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction", + "code": "MDWF", + "display": "midwife" + } + ] + } + ], + "member": { + "reference": "Practitioner/usqualitycore-practitioner" + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-care-team
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Condition/usqualitycore-condition-encounter-diagnosis" + }, + "resource": { + "resourceType": "Condition", + "id": "usqualitycore-condition-encounter-diagnosis", + "meta": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-name", + "valueString": "Encounter Diagnosis Example" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-description", + "valueMarkdown": "This example of a US Quality Core Condition Encounter Diagnosis Profile illustrates its use to capture information about a patient's encounter diagnosis." + } + ], + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis" + ] + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/condition-assertedDate", + "valueDateTime": "2007-12-14" + } + ], + "clinicalStatus": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", + "code": "inactive", + "display": "Inactive" + } + ], + "text": "Inactive" + }, + "verificationStatus": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", + "code": "confirmed", + "display": "Confirmed" + } + ], + "text": "Confirmed" + }, + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/condition-category", + "code": "problem-list-item" + } + ] + }, + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/condition-category", + "code": "encounter-diagnosis" + } + ] + } + ], + "severity": { + "coding": [ + { + "system": "http://www.snomed.org/", + "code": "255604002", + "display": "Mild" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "247824007", + "display": "Fear of becoming fat" + } + ], + "text": "Fear of becoming fat" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2007-12-14", + "abatementDateTime": "2007-12-21", + "recordedDate": "2007-12-14T07:15:07-08:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-condition-encounter-diagnosis
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Condition/usqualitycore-condition-problems-health-concerns" + }, + "resource": { + "resourceType": "Condition", + "id": "usqualitycore-condition-problems-health-concerns", + "meta": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-name", + "valueString": "Health Concern Example" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-description", + "valueMarkdown": "This example of a US Quality Core Condition Problems and Health Concerns Profile illustrates its use to capture information about a patient's health concern." + } + ], + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns" + ] + }, + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/condition-assertedDate", + "valueDateTime": "2007-12-14" + } + ], + "clinicalStatus": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", + "code": "inactive", + "display": "Inactive" + } + ], + "text": "Inactive" + }, + "verificationStatus": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", + "code": "confirmed", + "display": "Confirmed" + } + ], + "text": "Confirmed" + }, + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/condition-category", + "code": "problem-list-item" + } + ] + }, + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/condition-category", + "code": "encounter-diagnosis" + } + ] + }, + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-category", + "code": "functional-status", + "display": "Functional Status" + } + ], + "text": "Functional Status" + } + ], + "severity": { + "coding": [ + { + "system": "http://www.snomed.org/", + "code": "255604002", + "display": "Mild" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "247824007", + "display": "Fear of becoming fat" + } + ], + "text": "Fear of becoming fat" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "onsetDateTime": "2007-12-14", + "abatementDateTime": "2007-12-21", + "recordedDate": "2007-12-14T07:15:07-08:00", + "recorder": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-condition-problems-health-concerns
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Coverage/usqualitycore-coverage" + }, + "resource": { + "resourceType": "Coverage", + "id": "usqualitycore-coverage", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-coverage" + ] + }, + "identifier": [ + { + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0203", + "code": "MB" + } + ] + } + } + ], + "status": "active", + "type": { + "coding": [ + { + "system": "https://nahdo.org/sopt", + "code": "59", + "display": "Other Private Insurance" + } + ] + }, + "policyHolder": { + "reference": "Patient/usqualitycore-patient" + }, + "subscriber": { + "reference": "Patient/usqualitycore-patient" + }, + "subscriberId": "12191", + "beneficiary": { + "reference": "Patient/usqualitycore-patient" + }, + "dependent": "0", + "relationship": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship", + "code": "self" + } + ] + }, + "period": { + "start": "2011-05-23", + "end": "2012-05-23" + }, + "payor": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "class": [ + { + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/coverage-class", + "code": "group", + "display": "Group" + } + ] + }, + "value": "Group", + "name": "US Quality Core Test Coverage Group" + }, + { + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/coverage-class", + "code": "plan", + "display": "Plan" + } + ] + }, + "value": "Plan", + "name": "US Quality Core Test Coverage Plan" + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-coverage
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Device/usqualitycore-device" + }, + "resource": { + "resourceType": "Device", + "id": "usqualitycore-device", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-device" + ] + }, + "identifier": [ + { + "system": "http://goodcare.org/devices/id", + "value": "345675" + }, + { + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0203", + "code": "SNO" + } + ], + "text": "Serial Number" + }, + "value": "AMID-342135-8464" + } + ], + "udiCarrier": [ + { + "deviceIdentifier": "09504000059118", + "carrierHRF": "(01)09504000059118(17)141120(10)7654321D(21)10987654d321" + } + ], + "status": "active", + "manufacturer": "Acme Devices, Inc", + "lotNumber": "43453424", + "modelNumber": "AB 45-J", + "type": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "86184003", + "display": "Electrocardiographic monitor and recorder" + } + ], + "text": "ECG" + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "contact": [ + { + "system": "phone", + "value": "ext 4352" + } + ], + "note": [ + { + "authorReference": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "time": "2015-06-28T14:03:32+10:00", + "text": "QA Checked" + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-device
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "DeviceRequest/usqualitycore-devicenotrequested" + }, + "resource": { + "resourceType": "DeviceRequest", + "id": "usqualitycore-devicenotrequested", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-devicenotrequested" + ] + }, + "extension": [ + { + "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "410534003", + "display": "Not indicated (qualifier value)" + } + ] + } + } + ], + "modifierExtension": [ + { + "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform", + "valueBoolean": true + } + ], + "status": "completed", + "intent": "original-order", + "codeCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "86184003", + "display": "Electrocardiographic monitor and recorder" + } + ], + "text": "ECG" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "authoredOn": "2015-03-25T19:32:52-05:00", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-devicerequest
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "DeviceRequest/usqualitycore-devicerequest" + }, + "resource": { + "resourceType": "DeviceRequest", + "id": "usqualitycore-devicerequest", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-devicerequest" + ] + }, + "modifierExtension": [ + { + "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform", + "valueBoolean": false + } + ], + "status": "completed", + "intent": "original-order", + "codeCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "86184003", + "display": "Electrocardiographic monitor and recorder" + } + ], + "text": "ECG" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "authoredOn": "2015-03-25T19:32:52-05:00", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-devicerequest
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "DiagnosticReport/usqualitycore-diagnostic-report-lab" + }, + "resource": { + "resourceType": "DiagnosticReport", + "id": "usqualitycore-diagnostic-report-lab", + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0074", + "code": "LAB", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "58410-2", + "display": "CBC panel - Blood by Automated count" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient", + "display": "Peter Chalmers" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "2005-07-05", + "issued": "2005-07-06T11:45:33+11:00", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "resultsInterpreter": [ + { + "reference": "Practitioner/usqualitycore-practitioner" + } + ], + "result": [ + { + "reference": "Observation/usqualitycore-observation-lab" + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-diagnostic-report-lab
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "DiagnosticReport/usqualitycore-diagnostic-report-note" + }, + "resource": { + "resourceType": "DiagnosticReport", + "id": "usqualitycore-diagnostic-report-note", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-diagnosticreport-note" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://loinc.org", + "code": "LP29684-5", + "display": "Radiology" + }, + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0074", + "code": "RAD", + "display": "Radiology" + } + ], + "text": "Radiology" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "30746-2", + "display": "Portable XR Chest Views" + } + ], + "text": "Portable XR Chest Views" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "2005-07-05", + "issued": "2005-07-06T11:45:33+11:00", + "performer": [ + { + "reference": "Organization/usqualitycore-organization" + } + ], + "resultsInterpreter": [ + { + "reference": "Practitioner/usqualitycore-practitioner" + } + ], + "result": [ + { + "reference": "Observation/usqualitycore-observation-lab" + } + ], + "media": [ + { + "link": { + "reference": "Media/usqualitycore-r4-media" + } + } + ], + "presentedForm": [ + { + "contentType": "application/xhtml", + "data": "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" + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-diagnostic-report-note
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Encounter/usqualitycore-encounter" + }, + "resource": { + "resourceType": "Encounter", + "id": "usqualitycore-encounter", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter" + ] + }, + "identifier": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", + "value": "IMP" + } + ], + "status": "in-progress", + "class": { + "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", + "code": "IMP", + "display": "inpatient encounter" + }, + "type": [ + { + "coding": [ + { + "system": "http://www.ama-assn.org/go/cpt", + "code": "99223", + "display": "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded." + } + ] + } + ], + "priority": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ActPriority", + "code": "R", + "display": "routine" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "period": { + "start": "2015-02-15T14:30:00+01:00", + "end": "2015-02-15T16:30:00+01:00" + }, + "individual": { + "reference": "Practitioner/usqualitycore-practitioner" + } + } + ], + "period": { + "start": "2015-02-15T14:30:00+01:00", + "end": "2015-02-15T16:30:00+01:00" + }, + "reasonCode": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "247824007", + "display": "Fear of becoming fat" + } + ] + } + ], + "reasonReference": [ + { + "reference": "Condition/usqualitycore-condition-problems-health-concerns" + } + ], + "hospitalization": { + "dischargeDisposition": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition", + "code": "home", + "display": "Home" + } + ] + } + }, + "location": [ + { + "location": { + "reference": "Location/usqualitycore-location" + }, + "period": { + "start": "2015-02-15T14:30:00+01:00", + "end": "2015-02-15T16:30:00+01:00" + } + } + ], + "serviceProvider": { + "reference": "Organization/usqualitycore-organization" + }, + "diagnosis": [ + { + "extension": [ + { + "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter-diagnosisPresentOnAdmission", + "valueCodeableConcept": { + "coding": [ + { + "system": "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding", + "code": "Y" + } + ] + } + } + ], + "condition": { + "reference": "Condition/usqualitycore-condition-problems-health-concerns" + }, + "use": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role", + "code": "DD", + "display": "Discharge diagnosis" + } + ] + }, + "rank": 1 + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-encounter
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "FamilyMemberHistory/usqualitycore-family-member-history" + }, + "resource": { + "resourceType": "FamilyMemberHistory", + "id": "usqualitycore-family-member-history", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-familymemberhistory" + ] + }, + "status": "completed", + "patient": { + "reference": "Patient/usqualitycore-patient", + "display": "Peter Patient" + }, + "date": "2011-03-18T17:49:10+00:00", + "relationship": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode", + "code": "FTH", + "display": "FATHER" + } + ] + }, + "condition": [ + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "399166001", + "display": "Fatal" + } + ] + } + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "122003", + "display": "Choroidal hemorrhage" + } + ], + "text": "Choroidal hemorrhage" + }, + "outcome": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "520004", + "display": "Congenital bent nose" + } + ] + }, + "onsetAge": { + "value": 74, + "unit": "yr", + "system": "http://unitsofmeasure.org", + "code": "a" + }, + "note": [ + { + "text": "Was fishing at the time. At least he went doing something he loved." + } + ] + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-family-member-history
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Goal/usqualitycore-goal" + }, + "resource": { + "resourceType": "Goal", + "id": "usqualitycore-goal", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-goal" + ] + }, + "identifier": [ + { + "value": "123" + } + ], + "lifecycleStatus": "on-hold", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/goal-category", + "code": "dietary" + } + ] + } + ], + "priority": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/goal-priority", + "code": "high-priority", + "display": "High Priority" + } + ], + "text": "high" + }, + "description": { + "coding": [ + { + "system": "http://loinc.org", + "code": "50064-5", + "display": "Ideal body weight" + } + ], + "text": "Target body weight is 160 to 180 lbs." + }, + "subject": { + "reference": "Patient/usqualitycore-patient", + "display": "Peter James Chalmers" + }, + "startDate": "2015-04-05", + "target": [ + { + "measure": { + "coding": [ + { + "system": "http://loinc.org", + "code": "3141-9", + "display": "Weight Measured" + } + ] + }, + "detailRange": { + "low": { + "value": 160, + "unit": "lbs", + "system": "http://unitsofmeasure.org", + "code": "[lb_av]" + }, + "high": { + "value": 180, + "unit": "lbs", + "system": "http://unitsofmeasure.org", + "code": "[lb_av]" + } + }, + "dueDate": "2016-04-05" + } + ], + "statusDate": "2016-02-14", + "statusReason": "Patient wants to defer weight loss until after honeymoon.", + "expressedBy": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "addresses": [ + { + "display": "obesity condition" + } + ], + "outcomeReference": [ + { + "reference": "Observation/usqualitycore-observation-lab", + "display": "Body Weight Measured" + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-goal
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Group/usqualitycore-group" + }, + "resource": { + "resourceType": "Group", + "id": "usqualitycore-group", + "active": true, + "type": "person", + "actual": true, + "name": "US Quality Core Test Patient Group", + "quantity": 1, + "member": [ + { + "entity": { + "reference": "Patient/usqualitycore-patient" + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-group
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Immunization/usqualitycore-immunization" + }, + "resource": { + "resourceType": "Immunization", + "id": "usqualitycore-immunization", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunization" + ] + }, + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234" + } + ], + "status": "completed", + "statusReason": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason", + "code": "IMMUNE", + "display": "immunity" + } + ] + }, + "vaccineCode": { + "coding": [ + { + "system": "http://hl7.org/fhir/sid/cvx", + "code": "197", + "display": "Influenza, high-dose, quadrivalent, PF" + }, + { + "system": "http://hl7.org/fhir/sid/ndc", + "code": "49281012165", + "display": "FLUZONE High-Dose Quadrivalent Northern Hemisphere, 10 SYRINGE, GLASS in 1 PACKAGE (49281-121-65) > .7 mL in 1 SYRINGE, GLASS (49281-121-88) (package)" + } + ], + "text": "Influenza, high-dose, quadrivalent, PF" + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "occurrenceDateTime": "2013-01-01", + "recorded": "2013-01-10", + "primarySource": true, + "location": { + "reference": "Location/usqualitycore-location" + }, + "manufacturer": { + "reference": "Organization/usqualitycore-organization" + }, + "lotNumber": "AAJN11K", + "expirationDate": "2015-02-15", + "site": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ActSite", + "code": "LA", + "display": "left arm" + } + ] + }, + "route": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration", + "code": "IM", + "display": "Injection, intramuscular" + } + ] + }, + "doseQuantity": { + "value": 5, + "system": "http://unitsofmeasure.org", + "code": "mg" + }, + "performer": [ + { + "function": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0443", + "code": "OP" + } + ] + }, + "actor": { + "reference": "Practitioner/usqualitycore-practitioner" + } + }, + { + "function": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0443", + "code": "AP" + } + ] + }, + "actor": { + "reference": "Practitioner/usqualitycore-practitioner" + } + } + ], + "note": [ + { + "text": "Notes on adminstration of vaccine" + } + ], + "reasonCode": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "429060002" + } + ] + } + ], + "reaction": [ + { + "date": "2013-01-10", + "detail": { + "reference": "Observation/usqualitycore-observation-lab" + }, + "reported": true + } + ], + "protocolApplied": [ + { + "series": "Vaccination Series 1", + "authority": { + "reference": "Organization/usqualitycore-organization" + }, + "targetDisease": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1857005" + } + ] + } + ], + "doseNumberPositiveInt": 1, + "seriesDosesPositiveInt": 2 + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-immunization
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Immunization/usqualitycore-immunizationnotdone" + }, + "resource": { + "resourceType": "Immunization", + "id": "usqualitycore-immunizationnotdone", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunizationnotdone" + ] + }, + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234" + } + ], + "status": "not-done", + "statusReason": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason", + "code": "MEDPREC", + "display": "medical precaution" + } + ] + }, + "vaccineCode": { + "extension": [ + { + "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet", + "valueCanonical": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1254" + } + ], + "text": "Not Done Value Set: Influenza vaccine" + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "occurrenceDateTime": "2013-01-01", + "recorded": "2013-01-10", + "primarySource": true, + "location": { + "reference": "Location/usqualitycore-location" + }, + "manufacturer": { + "reference": "Organization/usqualitycore-organization" + }, + "lotNumber": "AAJN11K", + "expirationDate": "2015-02-15", + "site": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ActSite", + "code": "LA", + "display": "left arm" + } + ] + }, + "route": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration", + "code": "IM", + "display": "Injection, intramuscular" + } + ] + }, + "doseQuantity": { + "value": 5, + "system": "http://unitsofmeasure.org", + "code": "mg" + }, + "performer": [ + { + "function": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0443", + "code": "OP" + } + ] + }, + "actor": { + "reference": "Practitioner/usqualitycore-practitioner" + } + }, + { + "function": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0443", + "code": "AP" + } + ] + }, + "actor": { + "reference": "Practitioner/usqualitycore-practitioner" + } + } + ], + "note": [ + { + "text": "Notes on adminstration of vaccine" + } + ], + "reasonCode": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "429060002" + } + ] + } + ], + "reaction": [ + { + "date": "2013-01-10", + "detail": { + "reference": "Observation/usqualitycore-observation-lab" + }, + "reported": true + } + ], + "protocolApplied": [ + { + "series": "Vaccination Series 1", + "authority": { + "reference": "Organization/usqualitycore-organization" + }, + "targetDisease": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1857005" + } + ] + } + ], + "doseNumberPositiveInt": 1, + "seriesDosesPositiveInt": 2 + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-immunizationnotdone
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Immunization/usqualitycore-immunizationnotdone-2" + }, + "resource": { + "resourceType": "Immunization", + "id": "usqualitycore-immunizationnotdone-2", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-immunizationnotdone" + ] + }, + "identifier": [ + { + "system": "urn:ietf:rfc:3986", + "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234" + } + ], + "status": "not-done", + "statusReason": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason", + "code": "MEDPREC", + "display": "medical precaution" + } + ] + }, + "vaccineCode": { + "coding": [ + { + "system": "http://hl7.org/fhir/sid/cvx", + "code": "197", + "display": "Influenza, high-dose, quadrivalent, PF" + }, + { + "system": "http://hl7.org/fhir/sid/ndc", + "code": "49281012165", + "display": "FLUZONE High-Dose Quadrivalent Northern Hemisphere, 10 SYRINGE, GLASS in 1 PACKAGE (49281-121-65) > .7 mL in 1 SYRINGE, GLASS (49281-121-88) (package)" + } + ], + "text": "Influenza, high-dose, quadrivalent, PF" + }, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "occurrenceDateTime": "2013-01-01", + "recorded": "2013-01-10", + "primarySource": true, + "location": { + "reference": "Location/usqualitycore-location" + }, + "manufacturer": { + "reference": "Organization/usqualitycore-organization" + }, + "lotNumber": "AAJN11K", + "expirationDate": "2015-02-15", + "site": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ActSite", + "code": "LA", + "display": "left arm" + } + ] + }, + "route": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration", + "code": "IM", + "display": "Injection, intramuscular" + } + ] + }, + "doseQuantity": { + "value": 5, + "system": "http://unitsofmeasure.org", + "code": "mg" + }, + "performer": [ + { + "function": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0443", + "code": "OP" + } + ] + }, + "actor": { + "reference": "Practitioner/usqualitycore-practitioner" + } + }, + { + "function": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0443", + "code": "AP" + } + ] + }, + "actor": { + "reference": "Practitioner/usqualitycore-practitioner" + } + } + ], + "note": [ + { + "text": "Notes on adminstration of vaccine" + } + ], + "reasonCode": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "429060002" + } + ] + } + ], + "reaction": [ + { + "date": "2013-01-10", + "detail": { + "reference": "Observation/usqualitycore-observation-lab" + }, + "reported": true + } + ], + "protocolApplied": [ + { + "series": "Vaccination Series 1", + "authority": { + "reference": "Organization/usqualitycore-organization" + }, + "targetDisease": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1857005" + } + ] + } + ], + "doseNumberPositiveInt": 1, + "seriesDosesPositiveInt": 2 + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-immunizationnotdone-2
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Location/usqualitycore-location" + }, + "resource": { + "resourceType": "Location", + "id": "usqualitycore-location", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-location" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "http://exampleoflocation.com", + "value": "B1-S.F2" + } + ], + "status": "active", + "name": "South Wing, second floor", + "alias": [ + "Mean Joe Greene University Medical Center, South Wing, second floor", + "BU MC, SW, F2" + ], + "description": "Second floor of the Old South Wing, formerly in use by Psychiatry", + "mode": "instance", + "type": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode", + "code": "HOSP", + "display": "Hospital" + } + ] + } + ], + "telecom": [ + { + "system": "phone", + "value": "2328", + "use": "work" + }, + { + "system": "fax", + "value": "2329", + "use": "work" + }, + { + "system": "email", + "value": "secondwing@meanjoegreeneuniversitymedicalcenter.com" + }, + { + "system": "url", + "value": "http://sampleorg.com/southwing", + "use": "work" + } + ], + "address": { + "use": "work", + "line": [ + "Iron Curtain 75, Building A" + ], + "city": "Pittsburgh", + "state": "PA", + "postalCode": "15016", + "country": "US" + }, + "physicalType": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/location-physical-type", + "code": "wi", + "display": "Wing" + } + ] + }, + "position": { + "longitude": -83.6945691, + "latitude": 42.25475478, + "altitude": 0 + }, + "managingOrganization": { + "reference": "Organization/usqualitycore-organization" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-location
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Medication/usqualitycore-medication" + }, + "resource": { + "resourceType": "Medication", + "id": "usqualitycore-medication", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medication" + ] + }, + "contained": [ + { + "resourceType": "Organization", + "id": "org6", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-organization" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "http://hl7.org/fhir/sid/us-npi", + "value": "8635143786" + } + ], + "active": true, + "name": "Genzyme", + "telecom": [ + { + "system": "url", + "value": "https://www.sanofigenzyme.com/", + "use": "work" + } + ], + "address": [ + { + "use": "work", + "city": "Cambridge", + "state": "MA", + "country": "USA" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "code": "1594660", + "display": "alemtuzumab 10 MG/ML [Lemtrada]" + } + ] + }, + "manufacturer": { + "reference": "#org6" + }, + "form": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "385219001", + "display": "Conventional release solution for injection (dose form)" + } + ] + }, + "ingredient": [ + { + "itemCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "129472003", + "display": "Alemtuzumab (substance)" + } + ] + }, + "strength": { + "numerator": { + "value": 12, + "system": "http://unitsofmeasure.org", + "code": "mg" + }, + "denominator": { + "value": 1.2, + "system": "http://unitsofmeasure.org", + "code": "mL" + } + } + } + ], + "batch": { + "lotNumber": "9494788", + "expirationDate": "2017-05-22" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-medication
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "MedicationAdministration/usqualitycore-medicationadministration" + }, + "resource": { + "resourceType": "MedicationAdministration", + "id": "usqualitycore-medicationadministration", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationadministration" + ] + }, + "extension": [ + { + "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded", + "valueDateTime": "2017-01-17" + } + ], + "status": "completed", + "medicationCodeableConcept": { + "coding": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "code": "1594660", + "display": "alemtuzumab 10 MG/ML [Lemtrada]" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient", + "display": "Donald Duck" + }, + "supportingInformation": [ + { + "reference": "Condition/usqualitycore-condition-problems-health-concerns" + } + ], + "effectivePeriod": { + "start": "2015-01-15T14:30:00+01:00", + "end": "2015-01-15T14:30:00+01:00" + }, + "request": { + "reference": "MedicationRequest/usqualitycore-medicationrequest" + }, + "dosage": { + "route": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "47625008", + "display": "Intravenous route (qualifier value)" + } + ] + }, + "dose": { + "value": 3, + "unit": "mg", + "system": "http://unitsofmeasure.org", + "code": "mg" + } + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-medicationadministration
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "MedicationAdministration/usqualitycore-medicationadministrationnotdone" + }, + "resource": { + "resourceType": "MedicationAdministration", + "id": "usqualitycore-medicationadministrationnotdone", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationadministrationnotdone" + ] + }, + "extension": [ + { + "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded", + "valueDateTime": "2017-01-17" + } + ], + "status": "not-done", + "statusReason": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "183966005", + "display": "Drug treatment not indicated (situation)" + } + ] + } + ], + "medicationCodeableConcept": { + "coding": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "code": "1594660", + "display": "alemtuzumab 10 MG/ML [Lemtrada]" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient", + "display": "Donald Duck" + }, + "supportingInformation": [ + { + "reference": "Condition/usqualitycore-condition-problems-health-concerns" + } + ], + "effectivePeriod": { + "start": "2015-01-15T14:30:00+01:00", + "end": "2015-01-15T14:30:00+01:00" + }, + "request": { + "reference": "MedicationRequest/usqualitycore-medicationrequest" + }, + "dosage": { + "route": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "47625008", + "display": "Intravenous route (qualifier value)" + } + ] + }, + "dose": { + "value": 3, + "unit": "mg", + "system": "http://unitsofmeasure.org", + "code": "mg" + } + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-medicationadministration
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "MedicationDispense/usqualitycore-medicationdispense" + }, + "resource": { + "resourceType": "MedicationDispense", + "id": "usqualitycore-medicationdispense", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationdispense" + ] + }, + "extension": [ + { + "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded", + "valueDateTime": "2017-01-17" + } + ], + "status": "completed", + "medicationCodeableConcept": { + "coding": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "code": "1594660", + "display": "alemtuzumab 10 MG/ML [Lemtrada]" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "context": { + "reference": "Encounter/usqualitycore-encounter" + }, + "performer": [ + { + "actor": { + "reference": "Practitioner/usqualitycore-practitioner" + } + }, + { + "actor": { + "reference": "Organization/usqualitycore-organization" + } + } + ], + "authorizingPrescription": [ + { + "reference": "MedicationRequest/usqualitycore-medicationrequest" + } + ], + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", + "code": "DF", + "display": "Daily Fill" + } + ] + }, + "quantity": { + "value": 100, + "unit": "ml", + "system": "http://unitsofmeasure.org", + "code": "ml" + }, + "daysSupply": { + "value": 30, + "unit": "Day", + "system": "http://unitsofmeasure.org", + "code": "d" + }, + "whenPrepared": "2012-05-30T16:20:00+00:00", + "whenHandedOver": "2012-05-31T10:20:00+00:00", + "destination": { + "reference": "Location/usqualitycore-location" + }, + "receiver": [ + { + "reference": "Patient/usqualitycore-patient" + } + ], + "dosageInstruction": [ + { + "text": "1 tablet 3 times daily", + "timing": { + "repeat": { + "frequency": 3, + "period": 1, + "periodUnit": "d" + } + }, + "route": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "394899003", + "display": "oral administration of treatment" + } + ] + }, + "doseAndRate": [ + { + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", + "code": "ordered", + "display": "Ordered" + } + ] + }, + "doseQuantity": { + "value": 5, + "unit": "ml", + "system": "http://unitsofmeasure.org", + "code": "ml" + } + } + ] + } + ], + "substitution": { + "wasSubstituted": false, + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution", + "code": "N", + "display": "none" + } + ], + "text": "No substitution occurred or is permitted." + } + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-medicationdispense
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "MedicationDispense/usqualitycore-medicationdispensedeclined" + }, + "resource": { + "resourceType": "MedicationDispense", + "id": "usqualitycore-medicationdispensedeclined", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationdispensedeclined" + ] + }, + "extension": [ + { + "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded", + "valueDateTime": "2017-01-17" + } + ], + "status": "declined", + "statusReasonCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "397745006", + "display": "Medical contraindication" + } + ] + }, + "medicationCodeableConcept": { + "extension": [ + { + "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet", + "valueCanonical": "http://cts.nlm.nih.gov/fhir/1.3.6.1.4.1.6997.4.1.2.268.13.35211.1.13.1.999.321" + } + ], + "text": "Not Done Value Set: Ophthalmic Antihistamines" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "context": { + "reference": "Encounter/usqualitycore-encounter" + }, + "performer": [ + { + "actor": { + "reference": "Practitioner/usqualitycore-practitioner" + } + }, + { + "actor": { + "reference": "Organization/usqualitycore-organization" + } + } + ], + "authorizingPrescription": [ + { + "reference": "MedicationRequest/usqualitycore-medicationrequest" + } + ], + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", + "code": "DF", + "display": "Daily Fill" + } + ] + }, + "quantity": { + "value": 100, + "unit": "ml", + "system": "http://unitsofmeasure.org", + "code": "ml" + }, + "daysSupply": { + "value": 30, + "unit": "Day", + "system": "http://unitsofmeasure.org", + "code": "d" + }, + "whenPrepared": "2012-05-30T16:20:00+00:00", + "whenHandedOver": "2012-05-31T10:20:00+00:00", + "destination": { + "reference": "Location/usqualitycore-location" + }, + "receiver": [ + { + "reference": "Patient/usqualitycore-patient" + } + ], + "dosageInstruction": [ + { + "text": "1 tablet 3 times daily", + "timing": { + "repeat": { + "frequency": 3, + "period": 1, + "periodUnit": "d" + } + }, + "route": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "394899003", + "display": "oral administration of treatment" + } + ] + }, + "doseAndRate": [ + { + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", + "code": "ordered", + "display": "Ordered" + } + ] + }, + "doseQuantity": { + "value": 5, + "unit": "ml", + "system": "http://unitsofmeasure.org", + "code": "ml" + } + } + ] + } + ], + "substitution": { + "wasSubstituted": false, + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution", + "code": "N", + "display": "none" + } + ], + "text": "No substitution occurred or is permitted." + } + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-medicationdispense
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "MedicationRequest/usqualitycore-medicationnotrequested" + }, + "resource": { + "resourceType": "MedicationRequest", + "id": "usqualitycore-medicationnotrequested", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationnotrequested" + ] + }, + "status": "active", + "intent": "order", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category", + "code": "inpatient", + "display": "Inpatient" + } + ] + } + ], + "doNotPerform": true, + "medicationCodeableConcept": { + "extension": [ + { + "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet", + "valueCanonical": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.39" + } + ], + "text": "Not Done Value Set: Low Dose Unfractionated Heparin for VTE Prophylaxis" + }, + "reportedReference": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "authoredOn": "2015-03-25T19:32:52-05:00", + "requester": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "reasonCode": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "151811000119109", + "display": "Health condition feared but not present" + } + ] + } + ], + "reasonReference": [ + { + "reference": "Condition/usqualitycore-condition-problems-health-concerns" + } + ], + "dosageInstruction": [ + { + "text": "1 tablet 3 times daily", + "timing": { + "repeat": { + "boundsPeriod": { + "start": "2014", + "end": "2015" + }, + "frequency": 3, + "frequencyMax": 3, + "period": 1, + "periodMax": 1, + "periodUnit": "d" + } + }, + "asNeededBoolean": false, + "route": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "394899003", + "display": "oral administration of treatment" + } + ] + }, + "doseAndRate": [ + { + "doseQuantity": { + "value": 5, + "unit": "ml", + "system": "http://unitsofmeasure.org", + "code": "ml" + } + } + ] + } + ], + "dispenseRequest": { + "numberOfRepeatsAllowed": 3, + "quantity": { + "value": 100, + "unit": "ml", + "system": "http://unitsofmeasure.org", + "code": "ml" + } + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-medicationrequest
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "MedicationRequest/usqualitycore-medicationrequest" + }, + "resource": { + "resourceType": "MedicationRequest", + "id": "usqualitycore-medicationrequest", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationrequest" + ] + }, + "status": "active", + "intent": "order", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category", + "code": "inpatient", + "display": "Inpatient" + } + ] + } + ], + "doNotPerform": false, + "reportedReference": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "medicationCodeableConcept": { + "coding": [ + { + "system": "http://www.nlm.nih.gov/research/umls/rxnorm", + "code": "1594660", + "display": "alemtuzumab 10 MG/ML [Lemtrada]" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "authoredOn": "2015-03-25T19:32:52-05:00", + "requester": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "reasonCode": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "151811000119109", + "display": "Health condition feared but not present" + } + ] + } + ], + "reasonReference": [ + { + "reference": "Condition/usqualitycore-condition-problems-health-concerns" + } + ], + "dosageInstruction": [ + { + "text": "1 tablet 3 times daily", + "timing": { + "repeat": { + "boundsPeriod": { + "start": "2014", + "end": "2015" + }, + "frequency": 3, + "frequencyMax": 3, + "period": 1, + "periodMax": 1, + "periodUnit": "d" + } + }, + "asNeededBoolean": false, + "route": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "394899003", + "display": "oral administration of treatment" + } + ] + }, + "doseAndRate": [ + { + "doseQuantity": { + "value": 5, + "unit": "ml", + "system": "http://unitsofmeasure.org", + "code": "ml" + } + } + ] + } + ], + "dispenseRequest": { + "validityPeriod": { + "start": "2019-05-24", + "end": "2020-02-24" + }, + "numberOfRepeatsAllowed": 3, + "quantity": { + "value": 100, + "unit": "ml", + "system": "http://unitsofmeasure.org", + "code": "ml" + }, + "expectedSupplyDuration": { + "value": 5, + "unit": "days", + "system": "http://unitsofmeasure.org", + "code": "d" + } + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-medicationrequest
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-observation-clinical-result" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-observation-clinical-result", + "meta": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-name", + "valueString": "Heart rate rhythm Example" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-description", + "valueMarkdown": "This is a Heart rate rhythm Example for the *Clinical Result Observation Profile*." + } + ], + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-clinical-result" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "exam", + "display": "Exam" + } + ], + "text": "Exam" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "8884-9", + "display": "Heart rate rhythm" + } + ], + "text": "Heart rate rhythm" + }, + "valueString": "Regular (R)", + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "display": "Cardiology Consult" + }, + "effectiveDateTime": "2021-11-10T16:48:57.246958-08:00", + "performer": [ + { + "reference": "Practitioner/usqualitycore-practitioner", + "display": "Practitioner" + } + ], + "component": [ + { + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "101692-2", + "display": "Maximum heart rate" + } + ] + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-observation-clinical-result
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-observation-clinical-result-2" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-observation-clinical-result-2", + "meta": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-name", + "valueString": "Heart rate rhythm Example" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-description", + "valueMarkdown": "This is a Heart rate rhythm Example for the *Clinical Result Observation Profile*." + } + ], + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-clinical-result" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "exam", + "display": "Exam" + } + ], + "text": "Exam" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "2339-0", + "display": "Glucose Bld-mCnc" + } + ], + "text": "Glucose Bld-mCnc" + }, + "valueQuantity": { + "value": 76, + "unit": "mg/dL", + "system": "http://unitsofmeasure.org" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "display": "Cardiology Consult" + }, + "effectiveDateTime": "2021-11-10T16:48:57.246958-08:00", + "performer": [ + { + "reference": "Practitioner/usqualitycore-practitioner", + "display": "Practitioner" + } + ], + "component": [ + { + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "101692-2", + "display": "Maximum heart rate" + } + ] + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-observation-clinical-result-2
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-observation-clinical-result-3" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-observation-clinical-result-3", + "meta": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-name", + "valueString": "Heart rate rhythm Example" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-description", + "valueMarkdown": "This is a Heart rate rhythm Example for the *Clinical Result Observation Profile*." + } + ], + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-clinical-result" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "exam", + "display": "Exam" + } + ], + "text": "Exam" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "8884-9", + "display": "Heart rate rhythm" + } + ], + "text": "Heart rate rhythm" + }, + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "260385009", + "display": "Negative" + } + ], + "text": "Negative for Chlamydia Trachomatis rRNA" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "display": "Cardiology Consult" + }, + "effectiveDateTime": "2021-11-10T16:48:57.246958-08:00", + "performer": [ + { + "reference": "Practitioner/usqualitycore-practitioner", + "display": "Practitioner" + } + ], + "component": [ + { + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "101692-2", + "display": "Maximum heart rate" + } + ] + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-observation-clinical-result-3
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-observation-clinical-result-4" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-observation-clinical-result-4", + "meta": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-name", + "valueString": "Heart rate rhythm Example" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-description", + "valueMarkdown": "This is a Heart rate rhythm Example for the *Clinical Result Observation Profile*." + } + ], + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-clinical-result" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "exam", + "display": "Exam" + } + ], + "text": "Exam" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "8884-9", + "display": "Heart rate rhythm" + } + ], + "text": "Heart rate rhythm" + }, + "dataAbsentReason": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", + "code": "unknown", + "display": "Unknown" + } + ], + "text": "Unknown" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "display": "Cardiology Consult" + }, + "effectiveDateTime": "2021-11-10T16:48:57.246958-08:00", + "performer": [ + { + "reference": "Practitioner/usqualitycore-practitioner", + "display": "Practitioner" + } + ], + "component": [ + { + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "101692-2", + "display": "Maximum heart rate" + } + ] + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-observation-clinical-result-4
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-observation-lab" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-observation-lab", + "meta": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-name", + "valueString": "Blood Glucose Example" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-description", + "valueMarkdown": "This is a blood glucose example for the *US Quality Core Observation Lab Profile*." + } + ], + "versionId": "1165", + "lastUpdated": "2016-03-09T15:29:58.328+00:00", + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-lab" + ] + }, + "status": "final", + "issued": "2013-04-03T15:30:10+01:00", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ], + "text": "Laboratory" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "2339-0", + "display": "Glucose Bld-mCnc" + } + ], + "text": "Glucose Bld-mCnc" + }, + "subject": { + "reference": "Patient/usqualitycore-patient", + "display": "Amy Shaw" + }, + "effectiveDateTime": "2005-07-05", + "performer": [ + { + "reference": "Organization/usqualitycore-organization", + "display": "Hendricks Country Hospital" + } + ], + "valueQuantity": { + "value": 76, + "unit": "mg/dL", + "system": "http://unitsofmeasure.org" + }, + "specimen": { + "reference": "Specimen/usqualitycore-specimen" + }, + "referenceRange": [ + { + "low": { + "value": 40, + "unit": "mg/dL", + "system": "http://unitsofmeasure.org", + "code": "mg/dL" + }, + "high": { + "value": 109, + "unit": "mg/dL", + "system": "http://unitsofmeasure.org", + "code": "mg/dL" + }, + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning", + "code": "normal", + "display": "Normal Range" + } + ], + "text": "Normal Range" + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-observation-lab
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-observation-lab-2" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-observation-lab-2", + "meta": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-name", + "valueString": "Blood Glucose Example" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-description", + "valueMarkdown": "This is a blood glucose example for the *US Quality Core Observation Lab Profile*." + } + ], + "versionId": "1165", + "lastUpdated": "2016-03-09T15:29:58.328+00:00", + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-lab" + ] + }, + "status": "final", + "issued": "2013-04-03T15:30:10+01:00", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ], + "text": "Laboratory" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "2339-0", + "display": "Glucose Bld-mCnc" + } + ], + "text": "Glucose Bld-mCnc" + }, + "subject": { + "reference": "Patient/usqualitycore-patient", + "display": "Amy Shaw" + }, + "effectiveDateTime": "2005-07-05", + "performer": [ + { + "reference": "Organization/usqualitycore-organization", + "display": "Hendricks Country Hospital" + } + ], + "valueString": "Test", + "specimen": { + "reference": "Specimen/usqualitycore-specimen" + }, + "interpretation": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", + "code": "A", + "display": "Abnormal" + } + ] + } + ], + "referenceRange": [ + { + "low": { + "value": 40, + "unit": "mg/dL", + "system": "http://unitsofmeasure.org", + "code": "mg/dL" + }, + "high": { + "value": 109, + "unit": "mg/dL", + "system": "http://unitsofmeasure.org", + "code": "mg/dL" + }, + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning", + "code": "normal", + "display": "Normal Range" + } + ], + "text": "Normal Range" + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-observation-lab-2
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-observation-lab-3" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-observation-lab-3", + "meta": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-name", + "valueString": "Blood Glucose Example" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-description", + "valueMarkdown": "This is a blood glucose example for the *US Quality Core Observation Lab Profile*." + } + ], + "versionId": "1165", + "lastUpdated": "2016-03-09T15:29:58.328+00:00", + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-lab" + ] + }, + "status": "final", + "issued": "2013-04-03T15:30:10+01:00", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ], + "text": "Laboratory" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "2339-0", + "display": "Glucose Bld-mCnc" + } + ], + "text": "Glucose Bld-mCnc" + }, + "subject": { + "reference": "Patient/usqualitycore-patient", + "display": "Amy Shaw" + }, + "effectiveDateTime": "2005-07-05", + "performer": [ + { + "reference": "Organization/usqualitycore-organization", + "display": "Hendricks Country Hospital" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "260385009", + "display": "Negative" + } + ], + "text": "Negative for Chlamydia Trachomatis rRNA" + }, + "specimen": { + "reference": "Specimen/usqualitycore-specimen" + }, + "referenceRange": [ + { + "low": { + "value": 40, + "unit": "mg/dL", + "system": "http://unitsofmeasure.org", + "code": "mg/dL" + }, + "high": { + "value": 109, + "unit": "mg/dL", + "system": "http://unitsofmeasure.org", + "code": "mg/dL" + }, + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning", + "code": "normal", + "display": "Normal Range" + } + ], + "text": "Normal Range" + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-observation-lab-3
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-observation-lab-4" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-observation-lab-4", + "meta": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-name", + "valueString": "Blood Glucose Example" + }, + { + "url": "http://hl7.org/fhir/StructureDefinition/instance-description", + "valueMarkdown": "This is a blood glucose example for the *US Quality Core Observation Lab Profile*." + } + ], + "versionId": "1165", + "lastUpdated": "2016-03-09T15:29:58.328+00:00", + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-lab" + ] + }, + "status": "final", + "issued": "2013-04-03T15:30:10+01:00", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ], + "text": "Laboratory" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "2339-0", + "display": "Glucose Bld-mCnc" + } + ], + "text": "Glucose Bld-mCnc" + }, + "subject": { + "reference": "Patient/usqualitycore-patient", + "display": "Amy Shaw" + }, + "effectiveDateTime": "2005-07-05", + "performer": [ + { + "reference": "Organization/usqualitycore-organization", + "display": "Hendricks Country Hospital" + } + ], + "dataAbsentReason": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", + "code": "unknown", + "display": "Unknown" + } + ], + "text": "Unknown" + }, + "specimen": { + "reference": "Specimen/usqualitycore-specimen" + }, + "referenceRange": [ + { + "low": { + "value": 40, + "unit": "mg/dL", + "system": "http://unitsofmeasure.org", + "code": "mg/dL" + }, + "high": { + "value": 109, + "unit": "mg/dL", + "system": "http://unitsofmeasure.org", + "code": "mg/dL" + }, + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning", + "code": "normal", + "display": "Normal Range" + } + ], + "text": "Normal Range" + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-observation-lab-4
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-observation-screening-assessment" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-observation-screening-assessment", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "survey", + "display": "Survey" + } + ], + "text": "Survey" + }, + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "social-history", + "display": "Social History" + }, + { + "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-category", + "code": "functional-status", + "display": "Functional Status" + } + ], + "text": "Functional Status" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "28139-4", + "display": "Blood pressure alteration [CCC]" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient", + "display": "Amy Shaw" + }, + "component": [ + { + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "101692-2", + "display": "Maximum heart rate" + } + ] + } + } + ], + "effectiveDateTime": "2005-07-05", + "performer": [ + { + "reference": "Organization/usqualitycore-organization", + "display": "Hendricks Country Hospital" + } + ], + "valueQuantity": { + "value": 76, + "unit": "mg/dL", + "system": "http://unitsofmeasure.org" + }, + "hasMember": [ + { + "reference": "QuestionnaireResponse/usqualitycore-questionnaire-response" + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-observation-screening-assessment
" + }, + "derivedFrom": [ + { + "reference": "QuestionnaireResponse/usqualitycore-questionnaire-response" + } + ] + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-observation-screening-assessment-2" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-observation-screening-assessment-2", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "survey", + "display": "Survey" + } + ], + "text": "Survey" + }, + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "social-history", + "display": "Social History" + }, + { + "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-category", + "code": "functional-status", + "display": "Functional Status" + } + ], + "text": "Functional Status" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "28139-4", + "display": "Blood pressure alteration [CCC]" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient", + "display": "Amy Shaw" + }, + "effectiveDateTime": "2005-07-05", + "performer": [ + { + "reference": "Organization/usqualitycore-organization", + "display": "Hendricks Country Hospital" + } + ], + "valueString": "Test", + "hasMember": [ + { + "reference": "QuestionnaireResponse/usqualitycore-questionnaire-response" + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-observation-screening-assessment-2
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-observation-screening-assessment-3" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-observation-screening-assessment-3", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "survey", + "display": "Survey" + } + ], + "text": "Survey" + }, + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "social-history", + "display": "Social History" + }, + { + "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-category", + "code": "functional-status", + "display": "Functional Status" + } + ], + "text": "Functional Status" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "28139-4", + "display": "Blood pressure alteration [CCC]" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient", + "display": "Amy Shaw" + }, + "effectiveDateTime": "2005-07-05", + "performer": [ + { + "reference": "Organization/usqualitycore-organization", + "display": "Hendricks Country Hospital" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "260385009", + "display": "Negative" + } + ], + "text": "Negative for Chlamydia Trachomatis rRNA" + }, + "hasMember": [ + { + "reference": "QuestionnaireResponse/usqualitycore-questionnaire-response" + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-observation-screening-assessment-3
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-observation-screening-assessment-4" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-observation-screening-assessment-4", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observation-screening-assessment" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "survey", + "display": "Survey" + } + ], + "text": "Survey" + }, + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "social-history", + "display": "Social History" + }, + { + "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-category", + "code": "functional-status", + "display": "Functional Status" + } + ], + "text": "Functional Status" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "28139-4", + "display": "Blood pressure alteration [CCC]" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient", + "display": "Amy Shaw" + }, + "effectiveDateTime": "2005-07-05", + "performer": [ + { + "reference": "Organization/usqualitycore-organization", + "display": "Hendricks Country Hospital" + } + ], + "dataAbsentReason": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", + "code": "unknown", + "display": "Unknown" + } + ], + "text": "Unknown" + }, + "hasMember": [ + { + "reference": "QuestionnaireResponse/usqualitycore-questionnaire-response" + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-observation-screening-assessment-4
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-observationcancelled" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-observationcancelled", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-observationcancelled" + ] + }, + "extension": [ + { + "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneReason", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "410536001", + "display": "Contraindicated (qualifier value)" + } + ] + } + } + ], + "status": "cancelled", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "activity", + "display": "Activity" + } + ], + "text": "Activity" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "99354-3", + "display": "Mobility device or aid is regularly used" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectivePeriod": { + "start": "2013-04-02T10:30:10+01:00", + "end": "2013-04-05T10:30:10+01:00" + }, + "issued": "2013-04-03T15:30:10+01:00", + "performer": [ + { + "reference": "Practitioner/usqualitycore-practitioner", + "display": "Practitioner" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "105503008", + "display": "Dependence on wheelchair (finding)" + } + ] + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-simple-observation
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Organization/usqualitycore-organization" + }, + "resource": { + "resourceType": "Organization", + "id": "usqualitycore-organization", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-organization" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "http://hl7.org/fhir/sid/us-npi", + "value": "1000000004" + }, + { + "use": "temp", + "system": "http://terminology.hl7.org/NamingSystem/CMSCertificationNumber", + "value": "8635143786" + }, + { + "use": "temp", + "system": "urn:oid:2.16.840.1.113883.4.4", + "value": "8635143786" + } + ], + "active": true, + "type": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/organization-type", + "code": "team", + "display": "Organizational team" + } + ] + } + ], + "name": "Health Level Seven International", + "telecom": [ + { + "system": "phone", + "value": "(+1) 734-677-7777" + }, + { + "system": "fax", + "value": "(+1) 734-677-6622" + }, + { + "system": "email", + "value": "hq@HL7.org" + } + ], + "address": [ + { + "line": [ + "3300 Washtenaw Avenue, Suite 227" + ], + "city": "Ann Arbor", + "state": "MI", + "postalCode": "48104", + "country": "USA" + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-organization
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Patient/usqualitycore-patient" + }, + "resource": { + "resourceType": "Patient", + "id": "usqualitycore-patient", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient" + ] + }, + "extension": [ + { + "extension": [ + { + "url": "ombCategory", + "valueCoding": { + "system": "urn:oid:2.16.840.1.113883.6.238", + "code": "2106-3", + "display": "White" + } + }, + { + "url": "ombCategory", + "valueCoding": { + "system": "urn:oid:2.16.840.1.113883.6.238", + "code": "1002-5", + "display": "American Indian or Alaska Native" + } + }, + { + "url": "ombCategory", + "valueCoding": { + "system": "urn:oid:2.16.840.1.113883.6.238", + "code": "2028-9", + "display": "Asian" + } + }, + { + "url": "detailed", + "valueCoding": { + "system": "urn:oid:2.16.840.1.113883.6.238", + "code": "1586-7", + "display": "Shoshone" + } + }, + { + "url": "detailed", + "valueCoding": { + "system": "urn:oid:2.16.840.1.113883.6.238", + "code": "2036-2", + "display": "Filipino" + } + }, + { + "url": "text", + "valueString": "Mixed" + } + ], + "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race|6.1.0" + }, + { + "extension": [ + { + "url": "ombCategory", + "valueCoding": { + "system": "urn:oid:2.16.840.1.113883.6.238", + "code": "2135-2", + "display": "Hispanic or Latino" + } + }, + { + "url": "text", + "valueString": "Hispanic or Latino" + } + ], + "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity|6.1.0" + }, + { + "extension": [ + { + "url": "tribalAffiliation", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS", + "code": "187", + "display": "Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada" + } + ], + "text": "Shoshone" + } + }, + { + "url": "isEnrolled", + "valueBoolean": false + } + ], + "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation|6.1.0" + }, + { + "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex", + "valueCode": "248152002" + }, + { + "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "446141000124107", + "display": "Identifies as female gender (finding)" + } + ] + } + } + ], + "identifier": [ + { + "use": "usual", + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0203", + "code": "MR" + } + ] + }, + "system": "urn:oid:1.2.36.146.595.217.0.1", + "value": "12345", + "period": { + "start": "2001-05-06" + }, + "assigner": { + "display": "Acme Healthcare" + } + } + ], + "active": true, + "name": [ + { + "use": "official", + "family": "Chalmers", + "suffix": [ + "Jr" + ], + "given": [ + "Peter", + "James" + ] + }, + { + "use": "usual", + "family": "Chalmers", + "given": [ + "Jim" + ] + }, + { + "use": "maiden", + "family": "Windsor", + "given": [ + "Peter", + "James" + ], + "period": { + "end": "2002" + } + } + ], + "telecom": [ + { + "system": "phone", + "value": "(03) 5555 6473", + "use": "work", + "rank": 1 + }, + { + "system": "phone", + "value": "(03) 3410 5613", + "use": "mobile", + "rank": 2 + }, + { + "system": "phone", + "value": "(03) 5555 8834", + "use": "old", + "period": { + "end": "2014" + } + } + ], + "gender": "male", + "birthDate": "1974-12-25", + "_birthDate": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/patient-birthTime", + "valueDateTime": "1974-12-25T14:35:45-05:00" + } + ] + }, + "deceasedBoolean": false, + "address": [ + { + "use": "home", + "type": "both", + "text": "534 Erewhon St PeasantVille, Utah 84414", + "line": [ + "534 Erewhon St" + ], + "city": "PleasantVille", + "district": "Rainbow", + "state": "UT", + "postalCode": "84414", + "period": { + "start": "1974-12-25" + } + } + ], + "communication": [ + { + "language": { + "coding": [ + { + "system": "urn:ietf:bcp:47", + "code": "es", + "display": "Spanish" + } + ] + }, + "preferred": true + } + ], + "contact": [ + { + "relationship": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0131", + "code": "N" + } + ] + } + ], + "name": { + "family": "du Marché", + "_family": { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix", + "valueString": "VV" + } + ] + }, + "given": [ + "Bénédicte" + ] + }, + "telecom": [ + { + "system": "phone", + "value": "+33 (237) 998327" + } + ], + "address": { + "use": "home", + "type": "both", + "line": [ + "534 Erewhon St" + ], + "city": "PleasantVille", + "district": "Rainbow", + "state": "VT", + "postalCode": "3999", + "period": { + "start": "1974-12-25" + } + }, + "gender": "female", + "period": { + "start": "2012" + } + } + ], + "managingOrganization": { + "reference": "Organization/usqualitycore-organization" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-patient
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Practitioner/usqualitycore-practitioner" + }, + "resource": { + "resourceType": "Practitioner", + "id": "usqualitycore-practitioner", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-practitioner" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "urn:oid:2.16.840.1.113883.4.4", + "value": "Practitioner-23" + }, + { + "system": "http://hl7.org/fhir/sid/us-npi", + "value": "9941339100" + } + ], + "active": true, + "name": [ + { + "family": "Careful", + "given": [ + "Adam" + ], + "prefix": [ + "Dr" + ] + } + ], + "telecom": [ + { + "extension": [ + { + "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct", + "valueBoolean": true + } + ], + "system": "email", + "value": "adam.careful@example.com", + "use": "work" + } + ], + "address": [ + { + "use": "home", + "line": [ + "534 Erewhon St" + ], + "city": "PleasantVille", + "state": "UT", + "country": "USA", + "postalCode": "84414" + } + ], + "qualification": [ + { + "identifier": [ + { + "system": "http://mitre.org/UniversityIdentifier", + "value": "12345" + } + ], + "code": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0360|2.0.0", + "code": "BS", + "display": "Bachelor of Science" + } + ], + "text": "Bachelor of Science" + }, + "period": { + "start": "1995" + }, + "issuer": { + "display": "Example University" + } + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-practitioner
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "PractitionerRole/usqualitycore-practitioner-role" + }, + "resource": { + "resourceType": "PractitionerRole", + "id": "usqualitycore-practitioner-role", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-practitionerrole" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://github.com/inferno-framework/practitionerroles", + "value": "31" + } + ], + "active": true, + "period": { + "start": "1995" + }, + "practitioner": { + "reference": "Practitioner/usqualitycore-practitioner", + "display": "Dr Adam Careful" + }, + "organization": { + "reference": "Organization/usqualitycore-organization" + }, + "code": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "106289002", + "display": "Dentist (occupation)" + } + ] + } + ], + "specialty": [ + { + "coding": [ + { + "system": "http://nucc.org/provider-taxonomy", + "code": "122300000X", + "display": "Dentist" + } + ] + } + ], + "location": [ + { + "reference": "Location/usqualitycore-location" + } + ], + "telecom": [ + { + "system": "phone", + "value": "801-123-4567" + } + ], + "endpoint": [ + { + "reference": "Endpoint/usqualitycore-r4-endpoint" + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-practitioner-role
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Procedure/usqualitycore-procedure" + }, + "resource": { + "resourceType": "Procedure", + "id": "usqualitycore-procedure", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-procedure" + ] + }, + "extension": [ + { + "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded", + "valueDateTime": "2013-04-05T09:35:00-04:00" + } + ], + "basedOn": [ + { + "reference": "ServiceRequest/usqualitycore-servicerequest" + } + ], + "partOf": [ + { + "reference": "Observation/usqualitycore-observation-lab" + } + ], + "status": "completed", + "statusReason": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason", + "code": "MEDPREC", + "display": "medical precaution" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "80146002", + "display": "Excision of appendix (procedure)" + } + ], + "text": "Excision of appendix (procedure)" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "performedDateTime": "2013-04-05T09:20:00-04:00", + "performer": [ + { + "actor": { + "reference": "Practitioner/usqualitycore-practitioner", + "display": "Dr Cecil Surgeon" + } + } + ], + "reasonCode": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "21522001", + "display": "Abdominal pain (finding)" + } + ] + } + ], + "reasonReference": [ + { + "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note" + } + ], + "bodySite": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "66754008", + "display": "Appendix structure" + } + ] + } + ], + "report": [ + { + "reference": "DiagnosticReport/usqualitycore-diagnostic-report-lab" + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-procedure
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Procedure/usqualitycore-procedurenotdone" + }, + "resource": { + "resourceType": "Procedure", + "id": "usqualitycore-procedurenotdone", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-procedurenotdone" + ] + }, + "extension": [ + { + "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-recorded", + "valueDateTime": "2013-04-05T09:35:00-04:00" + } + ], + "basedOn": [ + { + "reference": "ServiceRequest/usqualitycore-servicerequest" + } + ], + "partOf": [ + { + "reference": "Observation/usqualitycore-observation-lab" + } + ], + "status": "not-done", + "statusReason": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "183932001", + "display": "Procedure contraindicated" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "80146002", + "display": "Excision of appendix (procedure)" + } + ], + "text": "Excision of appendix (procedure)" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "performedDateTime": "2013-04-05T09:20:00-04:00", + "performer": [ + { + "actor": { + "reference": "Practitioner/usqualitycore-practitioner", + "display": "Dr Cecil Surgeon" + } + } + ], + "reasonCode": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "21522001", + "display": "Abdominal pain (finding)" + } + ] + } + ], + "reasonReference": [ + { + "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note" + } + ], + "bodySite": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "66754008", + "display": "Appendix structure" + } + ] + } + ], + "report": [ + { + "reference": "DiagnosticReport/usqualitycore-diagnostic-report-lab" + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-procedure
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "QuestionnaireResponse/usqualitycore-questionnaire-response" + }, + "resource": { + "resourceType": "QuestionnaireResponse", + "id": "usqualitycore-questionnaire-response", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-questionnaireresponse" + ] + }, + "questionnaire": "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-PHQ9", + "status": "completed", + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "authored": "2022-07-31T22:14:07.387Z", + "author": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "item": [ + { + "linkId": "H1/T1", + "text": "Over the last two weeks, how often have you been bothered by any of the following problems?", + "item": [ + { + "linkId": "H1/T1/Q1", + "text": "Little interest or pleasure in doing things?", + "answer": [ + { + "valueCoding": { + "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9", + "code": "Not-at-all", + "display": "Not at all" + } + } + ] + }, + { + "linkId": "H1/T1/Q2", + "text": "Feeling down, depressed, or hopeless?", + "answer": [ + { + "valueCoding": { + "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9", + "code": "Not-at-all", + "display": "Not at all" + } + } + ] + }, + { + "linkId": "H1/T1/Q3", + "text": "Trouble falling or staying asleep, or sleeping too much?", + "answer": [ + { + "valueCoding": { + "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9", + "code": "Not-at-all", + "display": "Not at all" + } + } + ] + }, + { + "linkId": "H1/T1/Q4", + "text": "Feeling tired or having little energy?", + "answer": [ + { + "valueCoding": { + "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9", + "code": "Several-days", + "display": "Several days" + } + } + ] + }, + { + "linkId": "H1/T1/Q5", + "text": "Poor appetite or overeating?", + "answer": [ + { + "valueCoding": { + "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9", + "code": "More than half the days", + "display": "More than half the days" + } + } + ] + }, + { + "linkId": "H1/T1/Q6", + "text": "Feeling bad about yourself - or that you are a failure or have let yourself or your family down?", + "answer": [ + { + "valueCoding": { + "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9", + "code": "Several-days", + "display": "Several days" + } + } + ] + }, + { + "linkId": "H1/T1/Q7", + "text": "Trouble concentrating on things, such as reading the newspaper or watching television?", + "answer": [ + { + "valueCoding": { + "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9", + "code": "Nearly every day", + "display": "Nearly every day" + } + } + ] + }, + { + "linkId": "H1/T1/Q8", + "text": "Moving or speaking so slowly that other people could gave noticed? Or so fidgety or restless that you have been moving a lot more than usual?", + "answer": [ + { + "valueCoding": { + "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9", + "code": "More than half the days", + "display": "More than half the days" + } + } + ] + }, + { + "linkId": "H1/T1/Q9", + "text": "Thoughts that you would be better off dead, or thoughts of hurting yourself in some way?", + "answer": [ + { + "valueCoding": { + "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9", + "code": "Several-days", + "display": "Several days" + } + } + ] + }, + { + "linkId": "H1/TS", + "text": "Patient health questionnaire 9 item total score", + "answer": [ + { + "valueQuantity": { + "value": 13, + "unit": "{score}" + } + } + ] + } + ] + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-questionnaire-response
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "RelatedPerson/usqualitycore-related-person" + }, + "resource": { + "resourceType": "RelatedPerson", + "id": "usqualitycore-related-person", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-relatedperson" + ] + }, + "active": true, + "patient": { + "reference": "Patient/usqualitycore-patient" + }, + "relationship": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0131", + "code": "C" + } + ] + } + ], + "name": [ + { + "use": "official", + "family": "Chalmers", + "given": [ + "Peter", + "James" + ] + } + ], + "telecom": [ + { + "system": "phone", + "value": "(03) 5555 6473", + "use": "work" + } + ], + "gender": "male", + "address": [ + { + "use": "home", + "line": [ + "534 Erewhon St" + ], + "city": "PleasantVille", + "state": "UT", + "postalCode": "84414" + } + ], + "photo": [ + { + "contentType": "image/jpeg", + "url": "Binary/f012" + } + ], + "period": { + "start": "2012-03-11" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-related-person
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "ServiceRequest/usqualitycore-servicenotrequested" + }, + "resource": { + "resourceType": "ServiceRequest", + "id": "usqualitycore-servicenotrequested", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested" + ] + }, + "extension": [ + { + "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "416406003", + "display": "Procedure discontinued (situation)" + } + ] + } + } + ], + "status": "completed", + "intent": "order", + "category": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "387713003", + "display": "Surgical Procedure" + } + ] + }, + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-category", + "code": "functional-status", + "display": "Functional Status" + } + ], + "text": "Functional Status" + } + ], + "priority": "urgent", + "doNotPerform": true, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "80146002", + "display": "Excision of appendix (procedure)" + } + ], + "text": "Excision of appendix (procedure)" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "occurrencePeriod": { + "start": "2013-04-05", + "end": "2013-04-05" + }, + "asNeededBoolean": true, + "authoredOn": "2013-04-04", + "requester": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "reasonCode": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "21522001", + "display": "Abdominal pain (finding)" + } + ] + } + ], + "reasonReference": [ + { + "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note" + } + ], + "bodySite": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "66754008", + "display": "Appendix structure" + } + ] + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-servicerequest
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "ServiceRequest/usqualitycore-servicerequest" + }, + "resource": { + "resourceType": "ServiceRequest", + "id": "usqualitycore-servicerequest", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicerequest" + ] + }, + "status": "completed", + "intent": "order", + "category": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "387713003", + "display": "Surgical Procedure" + } + ] + }, + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-category", + "code": "functional-status", + "display": "Functional Status" + } + ], + "text": "Functional Status" + } + ], + "priority": "urgent", + "doNotPerform": false, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "80146002", + "display": "Excision of appendix (procedure)" + } + ], + "text": "Excision of appendix (procedure)" + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "occurrencePeriod": { + "start": "2013-04-05", + "end": "2013-04-05" + }, + "asNeededBoolean": true, + "authoredOn": "2013-04-04", + "requester": { + "reference": "Practitioner/usqualitycore-practitioner" + }, + "reasonCode": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "21522001", + "display": "Abdominal pain (finding)" + } + ] + } + ], + "reasonReference": [ + { + "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note" + } + ], + "bodySite": [ + { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "66754008", + "display": "Appendix structure" + } + ] + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-servicerequest
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-simple-observation" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-simple-observation", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "activity", + "display": "Activity" + } + ], + "text": "Activity" + }, + { + "coding": [ + { + "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-category", + "code": "functional-status", + "display": "Functional Status" + } + ], + "text": "Functional Status" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "99354-3", + "display": "Mobility device or aid is regularly used" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectivePeriod": { + "start": "2013-04-02T10:30:10+01:00", + "end": "2013-04-05T10:30:10+01:00" + }, + "issued": "2013-04-03T15:30:10+01:00", + "performer": [ + { + "reference": "Practitioner/usqualitycore-practitioner", + "display": "Practitioner" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "105503008", + "display": "Dependence on wheelchair (finding)" + } + ] + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-simple-observation
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-simple-observation-2" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-simple-observation-2", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "activity", + "display": "Activity" + } + ], + "text": "Activity" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "99354-3", + "display": "Mobility device or aid is regularly used" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectivePeriod": { + "start": "2013-04-02T10:30:10+01:00", + "end": "2013-04-05T10:30:10+01:00" + }, + "issued": "2013-04-03T15:30:10+01:00", + "performer": [ + { + "reference": "PractitionerRole/usqualitycore-practitioner-role", + "display": "Practitioner Role" + } + ], + "interpretation": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", + "code": "A", + "display": "Abnormal" + } + ] + } + ], + "valueBoolean": true, + "derivedFrom": [ + { + "reference": "Observation/usqualitycore-simple-observation" + } + ], + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-simple-observation-2
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-simple-observation-3" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-simple-observation-3", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "activity", + "display": "Activity" + } + ], + "text": "Activity" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "99354-3", + "display": "Mobility device or aid is regularly used" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "2013-04-03T10:30:10+01:00", + "issued": "2013-04-03T15:30:10+01:00", + "performer": [ + { + "reference": "Organization/usqualitycore-organization", + "display": "Hendricks Country Hospital" + } + ], + "valueQuantity": { + "value": 1, + "unit": "score", + "system": "http://unitsofmeasure.org", + "code": "{score}" + }, + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-simple-observation-3
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Observation/usqualitycore-simple-observation-4" + }, + "resource": { + "resourceType": "Observation", + "id": "usqualitycore-simple-observation-4", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation" + ] + }, + "status": "final", + "category": [ + { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/observation-category", + "code": "activity", + "display": "Activity" + } + ], + "text": "Activity" + } + ], + "code": { + "coding": [ + { + "system": "http://loinc.org", + "code": "99354-3", + "display": "Mobility device or aid is regularly used" + } + ] + }, + "subject": { + "reference": "Patient/usqualitycore-patient" + }, + "encounter": { + "reference": "Encounter/usqualitycore-encounter" + }, + "effectiveDateTime": "2013-04-04T10:30:10+01:00", + "issued": "2013-04-04T15:30:10+01:00", + "performer": [ + { + "reference": "Practitioner/usqualitycore-practitioner", + "display": "Practitioner" + } + ], + "valueString": "Uses a mobility device daily", + "text": { + "status": "generated", + "div": "
Generated Narrative: usqualitycore-simple-observation-4
" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Task/usqualitycore-task" + }, + "resource": { + "resourceType": "Task", + "id": "usqualitycore-task", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-task" + ] + }, + "text": { + "status": "generated", + "div": "

Generated Narrative: Task example

Profile: US Quality Core Task

identifier: http://www.acme.org/tasks/19009

status: Draft

intent: proposal

priority: Routine

code: Medication Reconciliation

for: Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

executionPeriod: 2018-06-11 --> 2018-06-11

" + }, + "identifier": [ + { + "system": "https://github.com/inferno-framework/ids/tasks", + "value": "19009" + } + ], + "status": "accepted", + "statusReason": { + "text": "Missing" + }, + "reasonCode": { + "text": "Cancellation" + }, + "intent": "proposal", + "priority": "routine", + "code": { + "coding": [ + { + "system": "http://hl7.org/fhir/CodeSystem/task-code", + "code": "approve", + "display": "Activate/approve the focal resource" + } + ] + }, + "for": { + "reference": "Patient/usqualitycore-patient" + }, + "basedOn": [ + { + "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note" + } + ], + "focus": { + "reference": "Immunization/usqualitycore-immunization" + }, + "executionPeriod": { + "start": "2018-06-11", + "end": "2018-06-11" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Task/usqualitycore-taskrejected" + }, + "resource": { + "resourceType": "Task", + "id": "usqualitycore-taskrejected", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-taskrejected" + ] + }, + "text": { + "status": "generated", + "div": "

Generated Narrative: Task example

Profile: US Quality Core Task

identifier: http://www.acme.org/tasks/19009

status: Draft

intent: proposal

priority: Routine

code: Medication Reconciliation

for: Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

executionPeriod: 2018-06-11 --> 2018-06-11

" + }, + "identifier": [ + { + "system": "https://github.com/inferno-framework/ids/tasks", + "value": "19009" + } + ], + "status": "rejected", + "statusReason": { + "text": "Missing" + }, + "reasonCode": { + "text": "Cancellation" + }, + "intent": "proposal", + "priority": "routine", + "code": { + "coding": [ + { + "system": "http://hl7.org/fhir/CodeSystem/task-code", + "code": "approve", + "display": "Activate/approve the focal resource" + } + ] + }, + "for": { + "reference": "Patient/usqualitycore-patient" + }, + "basedOn": [ + { + "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note" + } + ], + "focus": { + "reference": "Immunization/usqualitycore-immunization" + }, + "executionPeriod": { + "start": "2018-06-11", + "end": "2018-06-11" + } + } + }, + { + "request": { + "method": "PUT", + "url": "Task/usqualitycore-taskrejected-2" + }, + "resource": { + "resourceType": "Task", + "id": "usqualitycore-taskrejected-2", + "meta": { + "profile": [ + "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-taskrejected" + ] + }, + "text": { + "status": "generated", + "div": "

Generated Narrative: Task example

Profile: US Quality Core Task

identifier: http://www.acme.org/tasks/19009

status: Draft

intent: proposal

priority: Routine

code: Medication Reconciliation

for: Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

executionPeriod: 2018-06-11 --> 2018-06-11

" + }, + "identifier": [ + { + "system": "https://github.com/inferno-framework/ids/tasks", + "value": "19009" + } + ], + "status": "rejected", + "statusReason": { + "text": "Missing" + }, + "reasonCode": { + "text": "Cancellation" + }, + "intent": "proposal", + "priority": "routine", + "code": { + "extension": [ + { + "url": "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet", + "valueCanonical": "http://cts.nlm.nih.gov/fhir/2.16.840.1.113883.3.117.1.7.1.214" + } + ] + }, + "for": { + "reference": "Patient/usqualitycore-patient" + }, + "basedOn": [ + { + "reference": "DiagnosticReport/usqualitycore-diagnostic-report-note" + } + ], + "focus": { + "reference": "Immunization/usqualitycore-immunization" + }, + "executionPeriod": { + "start": "2018-06-11", + "end": "2018-06-11" + } + } + } + ] +} diff --git a/resources/us_quality_core_bundle_search_parameters.json b/resources/us_quality_core_bundle_search_parameters.json new file mode 100644 index 0000000..c1ab518 --- /dev/null +++ b/resources/us_quality_core_bundle_search_parameters.json @@ -0,0 +1,299 @@ +{ + "resourceType": "Bundle", + "type": "transaction", + "entry": [ + { + "request": { + "method": "PUT", + "url": "SearchParameter/us-quality-core-adverseevent-recorded-date" + }, + "resource": { + "resourceType": "SearchParameter", + "id": "us-quality-core-adverseevent-recorded-date", + "text": { + "status": "generated", + "div": "

Generated Narrative: SearchParameter us-quality-core-adverseevent-recorded-date

UsQualityCoreAdverseeventRecordedDate

Parameter recorded-date:date

US Quality Core AdverseEvent recorded-date Search Parameter

\n
ResourceAdverseEvent
ExpressionAdverseEvent.recordedDate
Processing ModeNormal
Multiples
  • multipleAnd: The parameter may repeat in order to specify multiple values that must all be true
  • multipleOr: The parameter may have multiple values (separated by comma) where at least one must be true
ComparatorsAllowed: eq, ne, gt, ge, lt, le, sa, eb, ap
" + }, + "url": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-adverseevent-recorded-date", + "version": "0.5.0", + "name": "UsQualityCoreAdverseeventRecordedDate", + "status": "active", + "date": "2026-05-15", + "publisher": "ONC", + "contact": [ + { + "telecom": [ + { + "system": "url", + "value": "https://www.healthit.gov/" + } + ] + } + ], + "description": "US Quality Core AdverseEvent recorded-date Search Parameter", + "jurisdiction": [ + { + "coding": [ + { + "system": "urn:iso:std:iso:3166", + "code": "US", + "display": "United States of America" + } + ], + "text": "USA" + } + ], + "code": "recorded-date", + "base": [ + "AdverseEvent" + ], + "type": "date", + "expression": "AdverseEvent.recordedDate", + "xpathUsage": "normal", + "multipleOr": true, + "multipleAnd": true, + "comparator": [ + "eq", + "ne", + "gt", + "ge", + "lt", + "le", + "sa", + "eb", + "ap" + ], + "_comparator": [ + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", + "valueCode": "MAY" + } + ] + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", + "valueCode": "MAY" + } + ] + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", + "valueCode": "SHALL" + } + ] + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", + "valueCode": "SHALL" + } + ] + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", + "valueCode": "SHALL" + } + ] + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", + "valueCode": "SHALL" + } + ] + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", + "valueCode": "MAY" + } + ] + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", + "valueCode": "MAY" + } + ] + }, + { + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation", + "valueCode": "MAY" + } + ] + } + ] + } + }, + { + "request": { + "method": "PUT", + "url": "SearchParameter/us-quality-core-devicerequest-do-not-perform" + }, + "resource": { + "resourceType": "SearchParameter", + "id": "us-quality-core-devicerequest-do-not-perform", + "text": { + "status": "generated", + "div": "

Generated Narrative: SearchParameter us-quality-core-devicerequest-do-not-perform

UsQualityCoreDevicerequestDoNotPerform

Parameter do-not-perform:token

US Quality Core DeviceRequest do-not-perform Search Parameter

\n
ResourceDeviceRequest
ExpressionDeviceRequest.modifierExtension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform').value
Processing ModeNormal
Multiples
  • multipleAnd: The parameter may repeat in order to specify multiple values that must all be true
  • multipleOr: The parameter may have multiple values (separated by comma) where at least one must be true
" + }, + "url": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-devicerequest-do-not-perform", + "version": "0.5.0", + "name": "UsQualityCoreDevicerequestDoNotPerform", + "status": "active", + "date": "2026-05-15", + "publisher": "ONC", + "contact": [ + { + "telecom": [ + { + "system": "url", + "value": "https://www.healthit.gov/" + } + ] + } + ], + "description": "US Quality Core DeviceRequest do-not-perform Search Parameter", + "jurisdiction": [ + { + "coding": [ + { + "system": "urn:iso:std:iso:3166", + "code": "US", + "display": "United States of America" + } + ], + "text": "USA" + } + ], + "code": "do-not-perform", + "base": [ + "DeviceRequest" + ], + "type": "token", + "expression": "DeviceRequest.modifierExtension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform').value", + "xpathUsage": "normal", + "multipleOr": true, + "multipleAnd": true + } + }, + { + "request": { + "method": "PUT", + "url": "SearchParameter/us-quality-core-medicationrequest-do-not-perform" + }, + "resource": { + "resourceType": "SearchParameter", + "id": "us-quality-core-medicationrequest-do-not-perform", + "text": { + "status": "generated", + "div": "

Generated Narrative: SearchParameter us-quality-core-medicationrequest-do-not-perform

UsQualityCoreMedicationrequestDoNotPerform

Parameter do-not-perform:token

US Quality Core MedicationRequest do-not-perform Search Parameter

\n
ResourceMedicationRequest
ExpressionMedicationRequest.doNotPerform
Processing ModeNormal
Multiples
  • multipleAnd: The parameter may repeat in order to specify multiple values that must all be true
  • multipleOr: The parameter may have multiple values (separated by comma) where at least one must be true
" + }, + "url": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-medicationrequest-do-not-perform", + "version": "0.5.0", + "name": "UsQualityCoreMedicationrequestDoNotPerform", + "status": "active", + "date": "2026-05-15", + "publisher": "ONC", + "contact": [ + { + "telecom": [ + { + "system": "url", + "value": "https://www.healthit.gov/" + } + ] + } + ], + "description": "US Quality Core MedicationRequest do-not-perform Search Parameter", + "jurisdiction": [ + { + "coding": [ + { + "system": "urn:iso:std:iso:3166", + "code": "US", + "display": "United States of America" + } + ], + "text": "USA" + } + ], + "code": "do-not-perform", + "base": [ + "MedicationRequest" + ], + "type": "token", + "expression": "MedicationRequest.doNotPerform", + "xpathUsage": "normal", + "multipleOr": true, + "multipleAnd": true + } + }, + { + "request": { + "method": "PUT", + "url": "SearchParameter/us-quality-core-servicerequest-do-not-perform" + }, + "resource": { + "resourceType": "SearchParameter", + "id": "us-quality-core-servicerequest-do-not-perform", + "text": { + "status": "generated", + "div": "

Generated Narrative: SearchParameter us-quality-core-servicerequest-do-not-perform

UsQualityCoreServicerequestDoNotPerform

Parameter do-not-perform:token

US Quality Core ServiceRequest do-not-perform Search Parameter

\n
ResourceServiceRequest
ExpressionServiceRequest.doNotPerform
Processing ModeNormal
Multiples
  • multipleAnd: The parameter may repeat in order to specify multiple values that must all be true
  • multipleOr: The parameter may have multiple values (separated by comma) where at least one must be true
" + }, + "url": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-servicerequest-do-not-perform", + "version": "0.5.0", + "name": "UsQualityCoreServicerequestDoNotPerform", + "status": "active", + "date": "2026-05-15", + "publisher": "ONC", + "contact": [ + { + "telecom": [ + { + "system": "url", + "value": "https://www.healthit.gov/" + } + ] + } + ], + "description": "US Quality Core ServiceRequest do-not-perform Search Parameter", + "jurisdiction": [ + { + "coding": [ + { + "system": "urn:iso:std:iso:3166", + "code": "US", + "display": "United States of America" + } + ], + "text": "USA" + } + ], + "code": "do-not-perform", + "base": [ + "ServiceRequest" + ], + "type": "token", + "expression": "ServiceRequest.doNotPerform", + "xpathUsage": "normal", + "multipleOr": true, + "multipleAnd": true + } + } + ] +} From 8a151c9c665c6ca00714d7f66052e35049f94ac7 Mon Sep 17 00:00:00 2001 From: Rob Scanlon Date: Thu, 18 Jun 2026 10:48:18 -0400 Subject: [PATCH 2/2] Remove QI-Core reference to real org. --- resources/us_quality_core_bundle_patient.json | 4 ++-- 1 file changed, 2 insertions(+), 2 deletions(-) diff --git a/resources/us_quality_core_bundle_patient.json b/resources/us_quality_core_bundle_patient.json index 63f93e5..8a49432 100644 --- a/resources/us_quality_core_bundle_patient.json +++ b/resources/us_quality_core_bundle_patient.json @@ -5012,11 +5012,11 @@ } ], "active": true, - "name": "Genzyme", + "name": "Example Org", "telecom": [ { "system": "url", - "value": "https://www.sanofigenzyme.com/", + "value": "https://example.com/", "use": "work" } ],