The raw content of the file is shown because it could not be parsed as a FHIR resource
{ "id": "progress-note-001", "resourceType": "Bundle", "type": "document", "meta": { "lastUpdated": "2024-09-18T12:30:00+00:00", "profile": [ "http://hl7.org/fhir/us/ccda/StructureDefinition-Progress-Note" ] }, "identifier": { "system": "https://cteam.gr/OIS", "value": "progress-note-uuid" }, "timestamp": "2024-09-13T23:59:59+03:00", "language": "el", "entry": [ { "fullUrl": "urn:uuid:12345678-1234-1234-1234-1234567890ab", "resource": { "resourceType": "Composition", "meta": { "lastUpdated": "2024-05-07T13:28:17.000+00:00", "profile": [ "http://hl7.org/fhir/us/ccda/StructureDefinition/Progress-Note" ] }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\">\n <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n <tbody>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Document Id</span>\n </td>\n <td class=\"td_header_role_value\">12345</td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Document Created:</span>\n </td>\n <td class=\"td_header_role_value\">June 15, 2016, 16:14, PST </td>\n </tr>\n </tbody>\n </table>\n <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n <tbody>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Care Provision</span>\n </td>\n <td class=\"td_header_role_value\">Progress Note for Amy Shaw</td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Performer </span>\n </td>\n <td class=\"td_header_role_value\">Ronald Boone, MD</td>\n </tr>\n </tbody>\n </table>\n <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n <tbody>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Author</span>\n </td>\n <td class=\"td_header_role_value\">Ronald Boone, MD</td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Contact info</span>\n </td>\n <td class=\"td_header_role_value\">1003 Healthcare Drive\n\t\t\t\t\t\t\t\t\t\t\n <br/>Amherst MA 01002,\u00a0US \n <br/>Tel: +1(555)555-1003\n\t\t\t\t\t\t\t\t\t\t\n <br/>\n </td>\n </tr>\n </tbody>\n </table>\n <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n <tbody>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Encounter Id</span>\n </td>\n <td class=\"td_header_role_value\">9937012\n 2.16.840.1.113883.19</td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Event Type</span>\n </td>\n <td class=\"td_header_role_value\">Progress Assessment</td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Event Date</span>\n </td>\n <td class=\"td_header_role_value\">\u00a0From\u00a0June 15, 2016, 16:20 to\n Sept 18, 2016, 18:20 </td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Encounter Location</span>\n </td>\n <td class=\"td_header_role_value\">Inpatient Unit at Community\n Health and Hospitals</td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Responsible party</span>\n </td>\n <td class=\"td_header_role_value\">Ronald Boone, MD</td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Contact info</span>\n </td>\n <td class=\"td_header_role_value\">1003 Healthcare Drive\n\t\t\t\t\t\t\t\t\t\t\n <br/>Amherst MA 01002,\u00a0US \n <br/>Tel: +1(555)555-1003\n\t\t\t\t\t\t\t\t\t\t\n <br/>\n </td>\n </tr>\n </tbody>\n </table>\n <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n <tbody>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Assigned entity</span>\n </td>\n <td class=\"td_header_role_value\">Community Health and Hospitals\n\t\t\t\t\t\t\t\t\t\t\n <br/>\n </td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Emergency contact</span>\n </td>\n <td class=\"td_header_role_value\">Michael Shaw \n <br/>\n <br/>\n </td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Contact info</span>\n </td>\n <td class=\"td_header_role_value\">49 Meadow St \n <br/>Amherst MA\n 01003,\u00a0US \n <br/>Tel: (555)555-1212 \n <br/>\n </td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Care giver</span>\n </td>\n <td class=\"td_header_role_value\">Mrs. Lillian White \n <br/>\n </td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Contact info</span>\n </td>\n <td class=\"td_header_role_value\">49 Meadow St \n <br/>Amherst MA\n 01003,\u00a0US \n <br/>Tel: (555)555-1215 \n <br/>\n </td>\n </tr>\n </tbody>\n </table>\n <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n <tbody>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Entered by</span>\n </td>\n <td class=\"td_header_role_value\">Sally Jones</td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Contact info</span>\n </td>\n <td class=\"td_header_role_value\">1003 Healthcare Drive\n\t\t\t\t\t\t\t\t\t\t\n <br/>Amherst MA 01002,\u00a0US \n <br/>Tel: +1(555)555-1003\n\t\t\t\t\t\t\t\t\t\t\n <br/>\n </td>\n </tr>\n </tbody>\n </table>\n <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n <tbody>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Signed </span>\n </td>\n <td class=\"td_header_role_value\">Ronald Boone at June 15, 2016\n\t\t\t\t\t\t\t\t\t</td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Contact info</span>\n </td>\n <td class=\"td_header_role_value\">1003 Healthcare Drive\n\t\t\t\t\t\t\t\t\t\t\n <br/>Amherst MA 01002,\u00a0US \n <br/>Tel: +1(555)555-1003\n\t\t\t\t\t\t\t\t\t\t\n <br/>\n </td>\n </tr>\n </tbody>\n </table>\n <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n <tbody>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Informant</span>\n </td>\n <td class=\"td_header_role_value\">Henry Vincent, CPh</td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Contact info</span>\n </td>\n <td class=\"td_header_role_value\">1007 Pharmacy Drive\n\t\t\t\t\t\t\t\t\t\t\n <br/>Portland,\u00a0OR\u00a099123,\u00a0US \n <br/>Tel: +1(555)555-1215\n\t\t\t\t\t\t\t\t\t\t\n <br/>\n </td>\n </tr>\n </tbody>\n </table>\n <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n <tbody>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Information recipient:</span>\n </td>\n <td class=\"td_header_role_value\">Primary Physician, MD</td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Contact info</span>\n </td>\n <td class=\"td_header_role_value\">1005 St. Clair Avenue\n\t\t\t\t\t\t\t\t\t\t\n <br/>Amherst MA 01002,\u00a0US \n <br/>Tel: +1(555)555-1666\n\t\t\t\t\t\t\t\t\t\t\n <br/>\n </td>\n </tr>\n </tbody>\n </table>\n <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n <tbody>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Legal authenticator</span>\n </td>\n <td class=\"td_header_role_value\">Ronald Boone, MD signed at June\n 15, 2016 </td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Contact info</span>\n </td>\n <td class=\"td_header_role_value\">1003 Healthcare Drive\n\t\t\t\t\t\t\t\t\t\t\n <br/>Amherst MA 01002,\u00a0US \n <br/>Tel: +1(555)555-1003\n\t\t\t\t\t\t\t\t\t\t\n <br/>\n </td>\n </tr>\n </tbody>\n </table>\n <table style=\"border: 1pt inset #00008b; line-height: 10pt; width: 100%;\" class=\"header_table\">\n <tbody>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Document maintained by</span>\n </td>\n <td class=\"td_header_role_value\">Community Health and\n Hospitals</td>\n </tr>\n <tr>\n <td style=\"width: 20%; background-color: #3399ff; padding: 0.1cm 0.2cm; vertical-align: top; background-color: #ffffcc;\" class=\"td_header_role_name\">\n <span class=\"td_label\">Contact info</span>\n </td>\n <td class=\"td_header_role_value\">1003 Healthcare Drive\n\t\t\t\t\t\t\t\t\t\t\n <br/>Amherst MA 01002,\u00a0US \n <br/>Tel: +1(555)555-1003\n\t\t\t\t\t\t\t\t\t\t\n <br/>\n </td>\n </tr>\n </tbody>\n </table>\n </div>" }, "type": { "coding": [ { "system": "http://loinc.org", "code": "78482-7" // Oncology Progres Note } ], "text": "Oncology Progress note" }, "identifier": { "system": "https://cteam.gr/OIS", "value": "877ce63a-c17c-464b-b56d-d37b430febe2" }, "status": "final", "date": "2024-09-18T12:00:00+00:00", "subject": { "reference": "urn:uuid:58642cc4-6fd3-41bd-afcf-c5be2a9383b1", "display": "Georgios Papadopoulos" }, "author": [ { "reference": "urn:uuid:c45dd310-51ee-43cd-8a33-a4fe64faba76", "display": "Ioannis Papageorgiou" } ], "title": "Progress Note for Georgios Papadopoulos", "attester": [ { "mode": "legal", "time": "2024-09-13", "party": { "reference": "urn:uuid:c45dd310-51ee-43cd-8a33-a4fe64faba76", "display": "Ioannis Papageorgiou" } } ], "custodian": { "reference": "urn:uuid:59b12c6a-1a7b-4b35-890c-e92bb83aeb23", "display": "Αντικαρκινικό Νοσοκομείο Θεσσαλονίκης ΘΕΑΓΕΝΕΙΟ" }, "section": [ { "title": "Assessment Section", "code": { "coding": [ { "system": "http://loinc.org", "code": "51848-0", // or 96137-5 "display": "Evaluation note" // Oncology Evaluation Note } ] }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Obesity.</p>\n <p>Uncontrolled brittle Type II diabetic.</p>\n <p>Shortness of breath, mild wheezing.</p>\n <p>Pressure ulder on left knee.</p>\n </div>" } }, { "title": "Chief Complaint Section", "code": { "coding": [ { "system": "http://loinc.org", "code": "10154-3", "display": "Chief complaint Narrative - Reported" } ] }, "text": { "status": "generated", "div": "<div>Ο ασθενής αναφέρει δύσπνοια και πόνο στο στήθος</div>" } }, { "title": "Instructions Section", "code": { "coding": [ { "system": "http://loinc.org", "code": "69730-0", "display": "Instructions" } ] }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Patient may have low grade fever, mild joint pain and injection area\n tenderness.</p>\n </div>" } }, { "title": "Nutrition Section", "code": { "coding": [ { "system": "http://loinc.org", "code": "61144-2", "display": "Diet and nutrition Narrative" } ] }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td>\n <b>Date</b>\n </td>\n <td>\n <b>Nutritional Status</b>\n </td>\n <td>\n <b>Diet</b>\n </td>\n </tr>\n <tr>\n <td>2005/12/29</td>\n <td>Well nourished</td>\n <td>Low sodium diet, excessive carbohydrate</td>\n </tr>\n <tr>\n <td>2010/05/26</td>\n <td>Slight dehydration</td>\n <td>High protein, low fibre</td>\n </tr>\n </table>\n </div>" }, "entry": [ { "reference": "urn:uuid:Observation/..." // missing example. tried to find here: https://hl7.org/fhir/R4/observation-examples.html or https://hl7.org/fhir/resourcelist.html or ..?? } ] }, { "title": "Physical Exam Section", "code": { "coding": [ { "system": "http://loinc.org", "code": "29545-1", "display": "Physical findings Narrative" } ] }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>HEENT: All normal to examination.</p>\n <p>>HEART: RRR, no murmur.</p>\n <p>THORAX & LUNGS: Clear without rhonchi or wheeze.</p>\n <p>ABDOMEN: Marked distension and tenderness, slightly obese, pos\n bowelsounds.</p>\n <p>BACK: Normal to inspection and palpation, without tenderness; no\n presacral edema.</p>\n <p>EXTREMITIES: Doughy edema bilaterally, chronic stasis changes, no\n asymmetrical swelling.</p>\n </div>" }, "entry": [ { "reference": "urn:uuid:Observation/observation-exam" } ] }, { "title": "Vital Signs Section", "code": { "coding": [ { "system": "http://loinc.org", "code": "8716-3", "display": "Vital signs" } ] }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td>\n <b>Vital Sign</b>\n </td>\n <td>\n <b>Date</b>\n </td>\n <td>\n <b>Value</b>\n </td>\n </tr>\n <tr>\n <td>Temperature</td>\n <td>2016/06/15</td>\n <td>39 Degrees Celcius</td>\n </tr>\n </table>\n </div>" }, "entry": [ { "reference": "urn:uuid:Observation/observation-vitals-temp" } ] } // if needed? , { "title": "Medication Section", "code": { "coding": [ { "system": "http://loinc.org", "code": "10160-0", "display": "History of Medication use Narrative" } ] }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td>\n <b>Medication</b>\n </td>\n <td>\n <b>Directions</b>\n </td>\n <td>\n <b>Start Date</b>\n </td>\n <td>\n <b>Status</b>\n </td>\n <td>\n <b>Indications</b>\n </td>\n <td>\n <b>Fill Instructions</b>\n </td>\n </tr>\n <tr>\n <td>Amoxicillin</td>\n <td>Amoxicillin Powder, for Suspension 250mg/5ml</td>\n <td>20160401</td>\n <td>Active</td>\n <td>Pneumonia</td>\n <td>Generic substitution allowed</td>\n </tr>\n </table>\n </div>" }, "entry": [ { "reference": "urn:uuid:fc2251fe-de40-4ee2-9a15-f29cc1c6671e" }, { "reference": "urn:uuid:d85916eb-be43-46d9-991f-f806e06ea3f2" } ] } ] } }, { "fullUrl": "urn:uuid:58642cc4-6fd3-41bd-afcf-c5be2a9383b1", "resource": { "resourceType": "Patient", "identifier": [ { "use": "official", "type": { "text": "AMKA", "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "NIIP" } ] }, "system": "https://www.amka.gr/", "value": "280261505575" }, { "use": "official", "type": { "text": "Medical record number", "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MR" } ] }, "system": "https://cteam.gr/OIS", "value": "1234567890" } ], "name": [ { "family": "Papadopoulos", "given": [ "Georgios" ] } ], "telecom": [ { "system": "email", "value": "georgios@gmail.com", "use": "home" }, { "system": "phone", "value": "2311234567", "use": "home" } ], "gender": "male", "birthDate": "1961-02-28", "address": [ { "use": "home", "line": [ "Αλ. Συμεωνίδη 2" ], "city": "Θεσσαλονίκη", "postalCode": "54639" } ] } }, { "fullUrl": "urn:uuid:c45dd310-51ee-43cd-8a33-a4fe64faba76", "resource": { "resourceType": "Practitioner", "identifier": [ { "system": "https://ehealth.gov.gr/", "value": "dr-123-456", "use": "official" } ], "name": [ { "family": "Papageorgiou", "given": [ "Ioannis" ], "prefix": [ "Dr" ] } ], "telecom": [ { "system": "email", "value": "i.papageorgiou@theagenio.gov.gr", "use": "work" }, { "system": "phone", "value": "2313301111", "use": "work" } ] } }, { "fullUrl": "urn:uuid:59b12c6a-1a7b-4b35-890c-e92bb83aeb23", "resource": { "resourceType": "Organization", "identifier": [ { "system": "https://ehealth.gov.gr/", "value": "org-987-654", "use": "official" } ], "name": "Αντικαρκινικό Νοσοκομείο Θεσσαλονίκης ΘΕΑΓΕΝΕΙΟ", "telecom": [ { "system": "email", "value": "info@theagenio.gov.gr", "use": "work" }, { "system": "phone", "value": "2313301111", "use": "work" } ] } }, { "fullUrl": "urn:uuid:Observation/observation-vitals-temp", // used https://hl7.org/fhir/us/core/STU4/Observation-temperature.json.html or could be this? https://hl7.org/fhir/observation-example-f202-temperature.json.html "resource": { "resourceType": "Observation", "id": "temperature", "meta": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/instance-name", "valueString": "Temperature Example" }, { "url": "http://hl7.org/fhir/StructureDefinition/instance-description", "valueMarkdown": "This is a temperature example for the *Vitalsigns Profile*." } ], "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-temperature" ] }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 8310-5}\">temperature</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Amy Shaw. Generated Summary: Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; Phone: 555-555-5555, amy.shaw@example.com; gender: female; birthDate: 1987-02-20</a></p><p><b>encounter</b>: <span>GP Visit</span></p><p><b>effective</b>: 1999-07-02</p><p><b>value</b>: 36.55556 Cel</p></div>" }, "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": "temperature" }, "subject": { "reference": "urn:uuid:58642cc4-6fd3-41bd-afcf-c5be2a9383b1" }, "encounter": { "display": "GP Visit" }, "effectiveDateTime": "1999-07-02", "valueQuantity": { "value": 36.55556, "unit": "Cel", "system": "http://unitsofmeasure.org", "code": "Cel" } } }, { "fullUrl": "urn:uuid:Observation/observation-exam", // https://hl7.org/fhir/observation-example-abdo-tender.json "resource": { "resourceType": "Observation", "id": "abdo-tender", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"abdo-tender\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "abdo-tender" </p></div><p><b>status</b>: final</p><p><b>category</b>: Exam <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#exam)</span></p><p><b>code</b>: Abdominal tenderness <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#43478001 "Abdominal tenderness (finding)")</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>encounter</b>: <a href=\"encounter-example.html\">Encounter/example</a></p><p><b>effective</b>: 2018-04-02T10:30:10+01:00 --> (ongoing)</p><p><b>issued</b>: 4 Apr 2018, 12:30:10 am</p><p><b>value</b>: true</p><p><b>interpretation</b>: Abnormal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#A)</span></p></div>" }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "exam", "display": "Exam" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "43478001", "display": "Abdominal tenderness (finding)" } ], "text": "Abdominal tenderness" }, "subject": { "reference": "Patient/example" }, "encounter": { "reference": "Encounter/example" }, "effectivePeriod": { "start": "2018-04-02T10:30:10+01:00" }, "issued": "2018-04-03T15:30:10+01:00", "valueBoolean": true, "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "A", "display": "Abnormal" } ], "text": "Abnormal" } ] } } // if needed?? ,{ "fullUrl": "urn:uuid:d85916eb-be43-46d9-991f-f806e06ea3f2", "resource": { "resourceType": "MedicationRequest", "status": "active", "intent": "plan", "subject": { "reference": "urn:uuid:58642cc4-6fd3-41bd-afcf-c5be2a9383b1" }, "requester": { "reference": "urn:uuid:c45dd310-51ee-43cd-8a33-a4fe64faba76" }, "note": [ { "text": "Cisplatin 60-80 mg/m², ημέρα 1 + Etoposide 100-120 mg/m², μέρες 1-3, IV\nΚύκλοι 21 ημερών, για 4-6 κύκλους" } ], "medicationCodeableConcept": { "coding": [ { "system": "http://www.nlm.nih.gov/research/umls/rxnorm", "code": "4179", "display": "etoposide" }, { "system": "http://www.whocc.no/atc", "code": "L01CB01", "display": "etoposide" } ] }, "reasonCode": [ { "coding": [ { "code": "C34.0", "system": "http://hl7.org/fhir/sid/icd-10-GrM", "display": "Κύριου βρόγχου" } ] } ], "dosageInstruction": [ { "sequence": 1, "timing": { "event": [ "2024-09-15" ], "repeat": { "count": 3, "frequency": 1, "period": 3, "periodUnit": "d" } }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 100, "unit": "mg/m2", "system": "http://unitsofmeasure.org", "code": "mg/m2" } } ], "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "47625008", "display": "Intravenous use" } ] } }, { "sequence": 2, "timing": { "event": [ "2024-10-10" ], "repeat": { "count": 3, "frequency": 1, "period": 3, "periodUnit": "d" } }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 100, "unit": "mg/m2", "system": "http://unitsofmeasure.org", "code": "mg/m2" } } ], "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "47625008", "display": "Intravenous use" } ] } }, { "sequence": 3, "timing": { "event": [ "2024-11-03" ], "repeat": { "count": 3, "frequency": 1, "period": 3, "periodUnit": "d" } }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 100, "unit": "mg/m2", "system": "http://unitsofmeasure.org", "code": "mg/m2" } } ], "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "47625008", "display": "Intravenous use" } ] } }, { "sequence": 4, "timing": { "event": [ "2024-12-27" ], "repeat": { "count": 3, "frequency": 1, "period": 3, "periodUnit": "d" } }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 100, "unit": "mg/m2", "system": "http://unitsofmeasure.org", "code": "mg/m2" } } ], "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "47625008", "display": "Intravenous use" } ] } } ] } }, { "fullUrl": "urn:uuid:fc2251fe-de40-4ee2-9a15-f29cc1c6671e", "resource": { "resourceType": "MedicationRequest", "status": "active", "intent": "plan", "subject": { "reference": "urn:uuid:58642cc4-6fd3-41bd-afcf-c5be2a9383b1" }, "requester": { "reference": "urn:uuid:c45dd310-51ee-43cd-8a33-a4fe64faba76" }, "note": [ { "text": "Cisplatin 60-80 mg/m², ημέρα 1 + Etoposide 100-120 mg/m², μέρες 1-3, IV\nΚύκλοι 21 ημερών, για 4-6 κύκλους" } ], "medicationCodeableConcept": { "coding": [ { "system": "http://www.nlm.nih.gov/research/umls/rxnorm", "code": "2555", "display": "CISplatin" }, { "system": "http://www.whocc.no/atc", "code": "L01XA01", "display": "cisplatin" } ] }, "reasonCode": [ { "coding": [ { "code": "C34.0", "system": "http://hl7.org/fhir/sid/icd-10-GrM", "display": "Κύριου βρόγχου" } ] } ], "dosageInstruction": [ { "sequence": 1, "timing": { "event": [ "2024-09-15" ] }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 60, "unit": "mg/m2", "system": "http://unitsofmeasure.org", "code": "mg/m2" } } ], "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "47625008", "display": "Intravenous use" } ] } }, { "sequence": 2, "timing": { "event": [ "2024-10-10" ] }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 60, "unit": "mg/m2", "system": "http://unitsofmeasure.org", "code": "mg/m2" } } ], "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "47625008", "display": "Intravenous use" } ] } }, { "sequence": 3, "timing": { "event": [ "2024-11-03" ] }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 60, "unit": "mg/m2", "system": "http://unitsofmeasure.org", "code": "mg/m2" } } ], "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "47625008", "display": "Intravenous use" } ] } }, { "sequence": 4, "timing": { "event": [ "2024-12-27" ] }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 60, "unit": "mg/m2", "system": "http://unitsofmeasure.org", "code": "mg/m2" } } ], "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "47625008", "display": "Intravenous use" } ] } } ] } } ] }