example-SPOClinicalInformationResponse-Bundle-general

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An example of Bundle used in an SPOClinicalInformationResponse - General message.
{
    "resourceType": "Bundle",
    "id": "example-SPOClinicalInformationResponse-Bundle-general",
    "meta": {
        "lastUpdated": "2021-04-20T18:40:37.1138961+00:00"
    },
    "type": "message",
    "timestamp": "2021-04-20T18:41:51.1138961+00:00",
    "entry":  [
        {
            "resource": {
                "resourceType": "MessageHeader",
                "id": "example-SPOClinicalInformationResponse-MessageHeader-general",
                "eventCoding": {
                    "system": "http://surescripts.net/fhir/spo/message-events",
                    "code": "search-query"
                },
                "source": {
                    "name": "Acme Patient Medical Record System",
                    "software": "Acme Electronic Health Record",
                    "endpoint": "b71baa6a-8186-4403-a150-edf279afba0d"
                }
            }
        },
        {
            "resource": {
                "resourceType": "AllergyIntolerance",
                "id": "example-SPOClinicalInformationResponse-AllergyIntolerance-food",
                "clinicalStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                            "code": "active"
                        }
                    ]
                },
                "verificationStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
                            "code": "confirmed"
                        }
                    ]
                },
                "type": "allergy",
                "category":  [
                    "food"
                ],
                "criticality": "low",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "227493005",
                            "display": "Cashew nuts"
                        }
                    ],
                    "text": "Cashew nuts"
                },
                "patient": {
                    "reference": "Patient/799999"
                },
                "onsetDateTime": "2003",
                "recordedDate": "2014-10-09T14:58:00+11:00",
                "lastOccurrence": "2012-06",
                "reaction":  [
                    {
                        "manifestation":  [
                            {
                                "coding":  [
                                    {
                                        "system": "http://snomed.info/sct",
                                        "code": "64305001",
                                        "display": "Urticaria"
                                    }
                                ]
                            }
                        ]
                    }
                ]
            }
        },
        {
            "resource": {
                "resourceType": "AllergyIntolerance",
                "id": "example-SPOClinicalInformationResponse-AllergyIntolerance-medication",
                "clinicalStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                            "code": "active",
                            "display": "Active"
                        }
                    ]
                },
                "verificationStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
                            "code": "unconfirmed",
                            "display": "Unconfirmed"
                        }
                    ]
                },
                "category":  [
                    "medication"
                ],
                "criticality": "high",
                "code": {
                    "coding":  [
                        {
                            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                            "code": "7980",
                            "display": "Penicillin G"
                        }
                    ]
                },
                "patient": {
                    "reference": "Patient/example"
                },
                "recordedDate": "2010-03-01",
                "reaction":  [
                    {
                        "manifestation":  [
                            {
                                "coding":  [
                                    {
                                        "system": "http://snomed.info/sct",
                                        "code": "247472004",
                                        "display": "Hives"
                                    }
                                ]
                            }
                        ]
                    }
                ]
            }
        },
        {
            "resource": {
                "resourceType": "MedicationStatement",
                "id": "example-SPOClinicalInformationResponse-MedicationStatement-acetaminophen",
                "status": "active",
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                            "code": "307696",
                            "display": "acetaminophen 80 MG Chewable Tablet"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/799999"
                },
                "dateAsserted": "2020-04-09"
            }
        },
        {
            "resource": {
                "resourceType": "MedicationStatement",
                "id": "example-SPOClinicalInformationResponse-MedicationStatement-amoxicillin",
                "status": "active",
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "27658006",
                            "display": "Amoxicillin (product)"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/799999"
                },
                "effectiveDateTime": "2014-01-23",
                "dateAsserted": "2015-02-22",
                "reasonCode":  [
                    {
                        "coding":  [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "65363002",
                                "display": "Otitis Media"
                            }
                        ]
                    }
                ],
                "note":  [
                    {
                        "text": "Patient indicates they miss the occasional dose"
                    }
                ],
                "dosage":  [
                    {
                        "text": "one capsule three times daily",
                        "timing": {
                            "repeat": {
                                "frequency": 3,
                                "period": 1,
                                "periodUnit": "d"
                            }
                        },
                        "asNeededBoolean": false,
                        "route": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "260548002",
                                    "display": "Oral"
                                }
                            ]
                        },
                        "maxDosePerPeriod": {
                            "numerator": {
                                "value": 3,
                                "unit": "capsules",
                                "system": "http://snomed.info/sct",
                                "code": "385055001"
                            },
                            "denominator": {
                                "value": 1,
                                "system": "http://unitsofmeasure.org",
                                "code": "d"
                            }
                        }
                    }
                ]
            }
        },
        {
            "resource": {
                "resourceType": "MedicationStatement",
                "id": "example-SPOClinicalInformationResponse-MedicationStatement-lipitor",
                "status": "active",
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                            "code": "617318",
                            "display": "Lipitor 20 MG Oral Tablet"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/799999"
                },
                "effectiveDateTime": "2020-02-02T00:00:00+00:00",
                "dateAsserted": "2020-02-01",
                "reasonCode":  [
                    {
                        "coding":  [
                            {
                                "system": "http://hl7.org/fhir/sid/icd-10-cm",
                                "code": "E78.00",
                                "display": "Pure hypercholesterolemia, unspecified"
                            }
                        ]
                    }
                ],
                "dosage":  [
                    {
                        "text": "1 tab PO qd",
                        "route": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "26643006",
                                    "display": "Oral Route"
                                }
                            ]
                        },
                        "doseAndRate":  [
                            {
                                "doseQuantity": {
                                    "value": 1,
                                    "unit": "TAB"
                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "resource": {
                "resourceType": "MedicationStatement",
                "id": "example-SPOClinicalInformationResponse-MedicationStatement-methotrexate",
                "status": "active",
                "medicationCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://hl7.org/fhir/sid/ndc",
                            "code": "54436-010-01",
                            "display": "0.4 ML Methotrexate 25 MG/ML Auto-Injector [Otrexup]"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/799999"
                },
                "effectiveDateTime": "2020-01-02T00:00:00-08:00",
                "dateAsserted": "2020-01-01",
                "reasonCode":  [
                    {
                        "coding":  [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "69896004",
                                "display": "Rheumatoid arthritis (disorder)"
                            }
                        ]
                    }
                ]
            }
        },
        {
            "resource": {
                "resourceType": "Condition",
                "id": "example-SPOClinicalInformationResponse-Condition-yellowFever",
                "clinicalStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                            "code": "active"
                        }
                    ]
                },
                "verificationStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                            "code": "confirmed"
                        }
                    ]
                },
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://hl7.org/fhir/condition-category",
                                "code": "problem-list-item"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "407538006",
                            "display": "Yellow Fever virus group (organism)"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/799999"
                }
            }
        },
        {
            "resource": {
                "resourceType": "Condition",
                "id": "example-SPOClinicalInformationResponse-Condition-bacterialSepsis",
                "clinicalStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                            "code": "active"
                        }
                    ]
                },
                "verificationStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                            "code": "confirmed"
                        }
                    ]
                },
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://hl7.org/fhir/condition-category",
                                "code": "problem-list-item"
                            }
                        ]
                    }
                ],
                "severity": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "371924009",
                            "display": "Moderate to severe"
                        }
                    ]
                },
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "10001005",
                            "display": "Bacterial sepsis"
                        }
                    ]
                },
                "bodySite":  [
                    {
                        "coding":  [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "281158006",
                                "display": "Pulmonary vascular structure"
                            }
                        ]
                    }
                ],
                "subject": {
                    "reference": "Patient/799999"
                },
                "recordedDate": "2013-03-11"
            }
        },
        {
            "resource": {
                "resourceType": "Condition",
                "id": "example-SPOClinicalInformationResponse-Condition-ulcerativeColitis",
                "clinicalStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                            "code": "resolved"
                        }
                    ]
                },
                "verificationStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                            "code": "confirmed"
                        }
                    ]
                },
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                                "code": "problem-list-item"
                            }
                        ]
                    }
                ],
                "severity": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "6736007",
                            "display": "Moderate"
                        }
                    ]
                },
                "code": {
                    "coding":  [
                        {
                            "system": "http://hl7.org/fhir/sid/icd-9-cm",
                            "code": "556.9",
                            "display": "Ulcerative colitis, unspecified"
                        }
                    ],
                    "text": "Colitis"
                },
                "subject": {
                    "reference": "Patient/799999"
                },
                "onsetString": "While in college at Stanford",
                "abatementString": "true",
                "recordedDate": "2020-02-20"
            }
        },
        {
            "resource": {
                "resourceType": "Observation",
                "id": "example-SPOClinicalInformationResponse-Observation-bodyHeight",
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "vital-signs"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8302-2",
                            "display": "Body height"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/799999"
                },
                "effectiveDateTime": "2021-04-20T18:41:51.1568132Z",
                "valueQuantity": {
                    "value": 78,
                    "unit": "inches",
                    "system": "http://unitsofmeasure.org",
                    "code": "[in_i]"
                }
            }
        },
        {
            "resource": {
                "resourceType": "Observation",
                "id": "example-SPOClinicalInformationResponse-Observation-bodyWeight",
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "vital-signs"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "29463-7"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/799999"
                },
                "effectiveDateTime": "2021-04-20T18:41:51.1588122Z",
                "valueQuantity": {
                    "value": 112.74,
                    "unit": "pounds",
                    "system": "http://unitsofmeasure.org",
                    "code": "[lb_av]"
                }
            }
        },
        {
            "resource": {
                "resourceType": "DocumentReference",
                "id": "example-SPOClinicalInformationResponse-DocumentReference-clinicalNote",
                "contained":  [
                    {
                        "resourceType": "Practitioner",
                        "id": "a2",
                        "name":  [
                            {
                                "family": "Smitty",
                                "given":  [
                                    "Gerald"
                                ]
                            }
                        ]
                    }
                ],
                "masterIdentifier": {
                    "system": "urn:ietf:rfc:3986",
                    "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7"
                },
                "identifier":  [
                    {
                        "system": "urn:ietf:rfc:3986",
                        "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
                    }
                ],
                "status": "current",
                "docStatus": "preliminary",
                "type": {
                    "coding":  [
                        {
                            "system": "http://loinc.org",
                            "code": "34117-2",
                            "display": "History & Physical"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/799999"
                },
                "date": "2005-12-24T09:43:41+11:00",
                "author":  [
                    {
                        "reference": "#a2"
                    }
                ],
                "content":  [
                    {
                        "attachment": {
                            "contentType": "application/pdf",
                            "language": "en",
                            "data": "x35="
                        }
                    }
                ]
            }
        }
    ]
}