Primjer dokumenta Opći nalaz na internu uputnicu
{ "resourceType": "Bundle", "id": "2195", "meta": { "versionId": "9", "lastUpdated": "03/09/2023 12:54:20", "source": "#134c91ef4b8c705f" }, "identifier": { "system": "urn:ietf:rfc:3986", "value": "urn:oid:2.16.840.1.113883.2.7.50.2.1.300300" }, "type": "document", "timestamp": "02/28/2023 22:12:21", "entry": [ { "fullUrl": "urn:uuid:3c7ec950-36aa-4f57-b5aa-7ba887e87720", "resource": { "resourceType": "Composition", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>status</b>: final</p><p><b>type</b>: Opći nalaz na internu uputnicu <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-document-type.html\">Tip dokumenta</a>#004)</span></p><p><b>encounter</b>: <a href=\"#urnuuidcba9c71f-606c-40bb-be34-1199c0a74b22\">See above (urn:uuid:cba9c71f-606c-40bb-be34-1199c0a74b22)</a></p><p><b>date</b>: 2022-05-25 12:30:02+0000</p><p><b>author</b>: </p><ul><li><a href=\"#urnuuid5f28feb8-c293-4070-9289-27848582393a\">See above (urn:uuid:5f28feb8-c293-4070-9289-27848582393a: Doktor Davor)</a></li><li><a href=\"#urnuuidfd6107ba-ad82-4fe0-a2bd-f6c3e59a844d\">See above (urn:uuid:fd6107ba-ad82-4fe0-a2bd-f6c3e59a844d: Bolnica 1)</a></li></ul><p><b>title</b>: Opći nalaz na internu uputnicu</p><blockquote><p><b>attester</b></p><p><b>mode</b>: professional</p><p><b>party</b>: <a href=\"#urnuuid5f28feb8-c293-4070-9289-27848582393a\">See above (urn:uuid:5f28feb8-c293-4070-9289-27848582393a: Doktor Davor)</a></p></blockquote><blockquote><p><b>attester</b></p><p><b>mode</b>: official</p><p><b>party</b>: <a href=\"#urnuuidfd6107ba-ad82-4fe0-a2bd-f6c3e59a844d\">See above (urn:uuid:fd6107ba-ad82-4fe0-a2bd-f6c3e59a844d: Bolnica 1)</a></p></blockquote></div>" }, "status": "final", "type": { "coding": [ { "system": "http://fhir.cezih.hr/specifikacije/CodeSystem/document-type", "code": "004", "display": "Opći nalaz na internu uputnicu" } ] }, "subject": { "reference": "urn:uuid:235b0a21-52f9-4303-9532-151228c792b6", "display": "Ivo Ivić" }, "encounter": { "reference": "urn:uuid:cba9c71f-606c-40bb-be34-1199c0a74b22" }, "date": "05/25/2022 12:30:02", "author": [ { "reference": "urn:uuid:5f28feb8-c293-4070-9289-27848582393a", "display": "Doktor Davor" }, { "reference": "urn:uuid:fd6107ba-ad82-4fe0-a2bd-f6c3e59a844d", "display": "Bolnica 1" } ], "title": "Opći nalaz na internu uputnicu", "attester": [ { "mode": "professional", "party": { "reference": "urn:uuid:5f28feb8-c293-4070-9289-27848582393a", "display": "Doktor Davor" } }, { "mode": "official", "party": { "reference": "urn:uuid:fd6107ba-ad82-4fe0-a2bd-f6c3e59a844d", "display": "Bolnica 1" } } ], "section": [ { "title": "Djelatnost", "code": { "coding": [ { "system": "http://fhir.cezih.hr/specifikacije/CodeSystem/document-section", "code": "12", "display": "Djelatnost" } ] }, "entry": [ { "reference": "urn:uuid:1fdcaabb-3066-4097-941a-c93560eff0aa" } ] }, { "title": "Referencirani dokumenti", "code": { "coding": [ { "system": "http://fhir.cezih.hr/specifikacije/CodeSystem/document-section", "code": "17", "display": "Referencirani dokumenti" } ] }, "entry": [ { "reference": "urn:uuid:58f8c56f-3c9c-4905-b1a7-1f2356ee4dfe" } ] }, { "title": "Priloženi dokumenti", "code": { "coding": [ { "system": "http://fhir.cezih.hr/specifikacije/CodeSystem/document-section", "code": "16", "display": "Priloženi dokumenti" } ] }, "entry": [ { "reference": "urn:uuid:de0e998d-6772-4d25-8baa-44bac06e368f" } ] }, { "title": "Medicinska informacija", "code": { "coding": [ { "system": "http://fhir.cezih.hr/specifikacije/CodeSystem/document-section", "code": "18", "display": "Medicinska informacija" } ] }, "entry": [ { "reference": "urn:uuid:0e90129e-9b6c-4a30-8815-bd385ddcbd70" } ] } ] } }, { "fullUrl": "urn:uuid:cba9c71f-606c-40bb-be34-1199c0a74b22", "resource": { "resourceType": "Encounter", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>identifier</b>: id: cl3lnsp4o000009mhcuac4j0u</p><p><b>status</b>: in-progress</p><p><b>class</b>: Interna uputnica (Details: http://fhir.cezih.hr/specifikacije/CodeSystem/nacin-prijema code 9 = 'Interna uputnica', stated as 'Interna uputnica')</p><p><b>type</b>: Pacijent prisutan <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vrsta-posjete.html\">Vrsta posjete</a>#1)</span></p><p><b>priority</b>: routine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActPriority.html\">ActPriority</a>#R)</span></p><p><b>subject</b>: <span/></p><blockquote><p><b>participant</b></p><p><b>individual</b>: <span/></p></blockquote><blockquote><p><b>participant</b></p><p><b>individual</b>: <span/></p></blockquote><p><b>period</b>: 2022-01-20 12:30:02+0000 --> 2022-02-01 12:30:02+0000</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><span/></td></tr></table><p><b>serviceProvider</b>: <span/></p></div>" }, "identifier": [ { "system": "http://fhir.cezih.hr/specifikacije/identifikatori/identifikator-posjete", "value": "cl3lnsp4o000009mhcuac4j0u" } ], "status": "in-progress", "class": { "system": "http://fhir.cezih.hr/specifikacije/CodeSystem/nacin-prijema", "code": "9", "display": "Interna uputnica" }, "type": [ { "coding": [ { "system": "http://fhir.cezih.hr/specifikacije/CodeSystem/vrsta-posjete", "code": "1", "display": "Pacijent prisutan" } ] } ], "priority": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ActPriority", "code": "R" } ] }, "subject": { "type": "Patient", "identifier": { "system": "http://fhir.cezih.hr/specifikacije/identifikatori/MBO", "value": "180223069" } }, "participant": [ { "individual": { "type": "Practitioner", "identifier": { "system": "http://fhir.cezih.hr/specifikacije/identifikatori/HZJZ-broj-zdravstvenog-djelatnika", "value": "1234567" } } }, { "individual": { "type": "Practitioner", "identifier": { "system": "http://fhir.cezih.hr/specifikacije/identifikatori/HZJZ-broj-zdravstvenog-djelatnika", "value": "7654321" } } } ], "period": { "start": "01/20/2022 12:30:02", "end": "02/01/2022 12:30:02" }, "diagnosis": [ { "condition": { "type": "Condition", "identifier": { "system": "http://fhir.cezih.hr/specifikacije/identifikatori/slucaj", "value": "cl3lndh7u000009l6hhzya349" } } } ], "serviceProvider": { "type": "Organization", "identifier": { "system": "http://fhir.cezih.hr/specifikacije/identifikatori/HZZO-sifra-zdravstvene-organizacije", "value": "1234" } } } }, { "fullUrl": "urn:uuid:5f28feb8-c293-4070-9289-27848582393a", "resource": { "resourceType": "Practitioner", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>identifier</b>: id: 1234567</p><p><b>name</b>: Doktor Davor </p></div>" }, "identifier": [ { "system": "http://fhir.cezih.hr/specifikacije/identifikatori/HZJZ-broj-zdravstvenog-djelatnika", "value": "1234567" } ], "name": [ { "family": "Davor", "given": [ "Doktor" ] } ] } }, { "fullUrl": "urn:uuid:fd6107ba-ad82-4fe0-a2bd-f6c3e59a844d", "resource": { "resourceType": "Organization", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>identifier</b>: id: 1234</p><p><b>name</b>: Bolnica 1</p></div>" }, "identifier": [ { "system": "http://fhir.cezih.hr/specifikacije/identifikatori/HZZO-sifra-zdravstvene-organizacije", "value": "1234" } ], "name": "Bolnica 1" } }, { "fullUrl": "urn:uuid:235b0a21-52f9-4303-9532-151228c792b6", "resource": { "resourceType": "Patient", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>180223069</td></tr></tbody></table></div>" }, "identifier": [ { "system": "http://fhir.cezih.hr/specifikacije/identifikatori/MBO", "value": "180223069" } ] } }, { "fullUrl": "urn:uuid:1fdcaabb-3066-4097-941a-c93560eff0aa", "resource": { "resourceType": "HealthcareService", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: HealthcareService</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>identifier</b>: id: 3030000</p><p><b>providedBy</b>: <a href=\"#urnuuidfd6107ba-ad82-4fe0-a2bd-f6c3e59a844d\">See above (urn:uuid:fd6107ba-ad82-4fe0-a2bd-f6c3e59a844d)</a></p><p><b>name</b>: Onkologija</p></div>" }, "identifier": [ { "system": "http://fhir.cezih.hr/specifikacije/identifikatori/ID-djelatnosti", "value": "3030000" } ], "providedBy": { "reference": "urn:uuid:fd6107ba-ad82-4fe0-a2bd-f6c3e59a844d" }, "name": "Onkologija" } }, { "fullUrl": "urn:uuid:58f8c56f-3c9c-4905-b1a7-1f2356ee4dfe", "resource": { "resourceType": "DocumentReference", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DocumentReference</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>masterIdentifier</b>: id: cleo8r05d000008mg3xmv1kf0</p><p><b>status</b>: current</p><p><b>type</b>: Crvena uputnica <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-document-type.html\">Tip dokumenta</a>#008)</span></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>hr</td></tr></table></blockquote></div>" }, "masterIdentifier": { "system": "http://fhir.cezih.hr/specifikacije/identifikatori/ID-uputnice", "value": "cleo8r05d000008mg3xmv1kf0" }, "status": "current", "type": { "coding": [ { "system": "http://fhir.cezih.hr/specifikacije/CodeSystem/document-type", "code": "008", "display": "Crvena uputnica" } ] }, "content": [ { "attachment": { "language": "hr" } } ] } }, { "fullUrl": "urn:uuid:de0e998d-6772-4d25-8baa-44bac06e368f", "resource": { "resourceType": "DocumentReference", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DocumentReference</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>status</b>: current</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td>-</td><td><b>ContentType</b></td><td><b>Data</b></td><td><b>Title</b></td></tr><tr><td>*</td><td>application/pdf</td><td>UERGIG5hbGF6IGJhc2U2NCBlbmtvZGlyYW4u</td><td>Neki dokument</td></tr></table></blockquote></div>" }, "status": "current", "content": [ { "attachment": { "contentType": "application/pdf", "data": "UERGIG5hbGF6IGJhc2U2NCBlbmtvZGlyYW4u", "title": "Neki dokument" } } ] } }, { "fullUrl": "urn:uuid:0e90129e-9b6c-4a30-8815-bd385ddcbd70", "resource": { "resourceType": "Observation", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>status</b>: final</p><p><b>code</b>: Tekstualni nalaz <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-observations.html\">Observacije</a>#19)</span></p><p><b>subject</b>: <span/></p><p><b>value</b>: Tekstualni opis nalaza.</p></div>" }, "status": "final", "code": { "coding": [ { "system": "http://fhir.cezih.hr/specifikacije/CodeSystem/observations", "code": "19", "display": "Tekstualni nalaz" } ] }, "subject": { "type": "Patient", "identifier": { "system": "http://fhir.cezih.hr/specifikacije/identifikatori/MBO", "value": "180223069" } }, "valueString": "Tekstualni opis nalaza." } } ], "signature": { "type": [ { "system": "urn:iso-astm:E1762-95:2013", "code": "1.2.840.10065.1.12.1.1", "display": "Author's Signature" } ], "when": "02/28/2023 11:28:17", "who": { "reference": "urn:uuid:5f28feb8-c293-4070-9289-27848582393a", "display": "Doktor Davor" }, "data": "cG90cGlz" } }
Napomena o korištenju: poduzeti su svi napori kako bi se osiguralo da su primjeri točni i korisni, ali oni nisu normativni dio specifikacije.