{ "resourceType": "Bundle", "type": "batch", "entry": [ { "resource": { "resourceType": "Patient", "id": "example_fred", "identifier": [ { "system": "http://hospital.org/mrn", "value": "p1" } ], "name": [ { "use": "official", "family": "Flintstone", "given": [ "Fred" ] } ], "gender": "male" }, "request": { "method": "PUT", "url": "Patient/example_fred" } }, { "resource": { "resourceType": "Patient", "id": "example_eddie", "identifier": [ { "system": "http://hospital.org/mrn", "value": "p2" } ], "name": [ { "use": "official", "family": "Van Halen", "given": [ "Eddie" ] } ], "gender": "male" }, "request": { "method": "PUT", "url": "Patient/example_eddie" } }, { "resource": { "resourceType": "Observation", "id": "obs1", "meta": { "profile": [ "http://hl7.org/fhir/StructureDefinition/vitalsigns" ] }, "text": { "status": "generated", "div": "
Blood pressure of Fred Flintstone. Below low normal
" }, "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281" } ], "basedOn": [ { "identifier": { "system": "https://acme.org/identifiers", "value": "1234" } } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital Signs" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "85354-9", "display": "Blood pressure panel with all children optional" } ], "text": "Blood pressure systolic & diastolic" }, "subject": { "reference": "Patient/example-fred" }, "effectiveDateTime": "2012-09-17", "performer": [ { "reference": "Practitioner/example" } ], "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "L", "display": "low" } ], "text": "Below low normal" } ], "bodySite": { "coding": [ { "system": "http://snomed.info/sct", "code": "368209003", "display": "Right arm" } ] }, "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "8480-6", "display": "Systolic blood pressure" } ] }, "valueQuantity": { "value": 107, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" }, "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "N", "display": "normal" } ], "text": "Normal" } ] }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "8462-4", "display": "Diastolic blood pressure" } ] }, "valueQuantity": { "value": 60, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" }, "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "L", "display": "low" } ], "text": "Below low normal" } ] } ] }, "request": { "method": "PUT", "url": "Observation/obs1" } }, { "resource": { "resourceType": "Observation", "id": "obs2", "text": { "status": "generated", "div": "

Generated Narrative with Details

id: 1minute-apgar-score

contained:

status: final

category: Survey (Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'survey' = 'Survey', given as 'Survey'})

code: 1 minute Apgar Score (Details : {LOINC code '9272-6' = '1 minute Apgar Score', given as '1 minute Apgar Score'}; {SNOMED CT code '169895004' = 'Apgar at 1 minute', given as 'Apgar at 1 minute'})

subject: id: newborn; 12345; active; Peter James Chalmers ; gender: male; birthDate: 18/05/2016

effective: 18/05/2016 10:33:22 PM

performer: Practitioner/example

value: 0 {score} (Details: UCUM code {score} = '{score}')

component

code: Apgar color score (Details : {LOINC code '32406-1' = '1 minute Apgar Color', given as '1 minute Apgar Color'}; {SNOMED CT code '249227004' = 'Apgar color score', given as 'Apgar color score'})

value: 0. The baby's whole body is completely bluish-gray or pale (Details : {LOINC code 'LA6722-8' = 'The baby's whole body is completely bluish-gray or pale', given as 'The baby's whole body is completely bluish-gray or pale'}; {http://acme.ped/apgarcolor code '0' = '0)

component

code: Apgar respiratory effort score (Details : {LOINC code '32407-9' = '1 minute Apgar Heart rate', given as '1 minute Apgar Heart Rate'}; {SNOMED CT code '249223000' = 'Apgar heart rate score', given as 'Apgar heart rate score'})

value: 0. No heart rate (Details : {LOINC code 'LA6716-0' = 'No heart rate', given as 'No heart rate'}; {http://acme.ped/apgarheartrate code '0' = '0)

component

code: Apgar response to stimulus score (Details : {LOINC code '32409-5' = '1 minute Apgar Reflex irritability', given as '1 minute Apgar Reflex Irritability'}; {SNOMED CT code '249226008' = 'Apgar response to stimulus score', given as 'Apgar response to stimulus score'})

value: 0. No response to airways being suctioned (Details : {LOINC code 'LA6719-4' = 'No response to airways being suctioned', given as 'No response to airways being suctioned'}; {http://acme.ped/apgarreflexirritability code '0' = '0)

component

code: Apgar muscle tone score (Details : {LOINC code '32408-7' = '1 minute Apgar Muscle tone', given as '1 minute Apgar Muscle Tone'}; {SNOMED CT code '249225007' = 'Apgar muscle tone score', given as 'Apgar muscle tone score'})

value: 0. Limp; no movement (Details : {LOINC code 'LA6713-7' = 'Limp; no movement', given as 'Limp; no movement'}; {http://acme.ped/apgarmuscletone code '0' = '0)

component

code: Apgar respiratory effort score (Details : {LOINC code '32410-3' = '1 minute Apgar Respiratory effort', given as '1 minute Apgar Respiratory effort'}; {SNOMED CT code '249224006' = 'Apgar respiratory effort score', given as 'Apgar respiratory effort score'})

value: 0. Not breathing (Details : {LOINC code 'LA6725-1' = 'Not breathing', given as 'Not breathing'}; {http://acme.ped/apgarrespiratoryeffort code '0' = '0)

" }, "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "survey", "display": "Survey" } ], "text": "Survey" } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "9272-6", "display": "1 minute Apgar Score" }, { "system": "http://snomed.info/sct", "code": "169895004", "display": "Apgar at 1 minute" } ], "text": "1 minute Apgar Score" }, "subject": { "reference": "Patient/example-eddie" }, "effectiveDateTime": "2016-05-18T22:33:22Z", "performer": [ { "reference": "Practitioner/example" } ], "valueQuantity": { "value": 0, "system": "http://unitsofmeasure.org", "code": "{score}" }, "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "32406-1", "display": "1 minute Apgar Color" }, { "system": "http://snomed.info/sct", "code": "249227004", "display": "Apgar color score" } ], "text": "Apgar color score" }, "valueCodeableConcept": { "coding": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "system": "http://loinc.org", "code": "LA6722-8", "display": "The baby's whole body is completely bluish-gray or pale" }, { "system": "http://acme.ped/apgarcolor", "code": "0" } ], "text": "0. The baby's whole body is completely bluish-gray or pale" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "32407-9", "display": "1 minute Apgar Heart Rate" }, { "system": "http://snomed.info/sct", "code": "249223000", "display": "Apgar heart rate score" } ], "text": "Apgar respiratory effort score" }, "valueCodeableConcept": { "coding": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "system": "http://loinc.org", "code": "LA6716-0", "display": "No heart rate" }, { "system": "http://acme.ped/apgarheartrate", "code": "0" } ], "text": "0. No heart rate" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "32409-5", "display": "1 minute Apgar Reflex Irritability" }, { "system": "http://snomed.info/sct", "code": "249226008", "display": "Apgar response to stimulus score" } ], "text": "Apgar response to stimulus score" }, "valueCodeableConcept": { "coding": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "system": "http://loinc.org", "code": "LA6719-4", "display": "No response to airways being suctioned" }, { "system": "http://acme.ped/apgarreflexirritability", "code": "0" } ], "text": "0. No response to airways being suctioned" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "32408-7", "display": "1 minute Apgar Muscle Tone" }, { "system": "http://snomed.info/sct", "code": "249225007", "display": "Apgar muscle tone score" } ], "text": "Apgar muscle tone score" }, "valueCodeableConcept": { "coding": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "system": "http://loinc.org", "code": "LA6713-7", "display": "Limp; no movement" }, { "system": "http://acme.ped/apgarmuscletone", "code": "0" } ], "text": "0. Limp; no movement" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "32410-3", "display": "1 minute Apgar Respiratory effort" }, { "system": "http://snomed.info/sct", "code": "249224006", "display": "Apgar respiratory effort score" } ], "text": "Apgar respiratory effort score" }, "valueCodeableConcept": { "coding": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "system": "http://loinc.org", "code": "LA6725-1", "display": "Not breathing" }, { "system": "http://acme.ped/apgarrespiratoryeffort", "code": "0" } ], "text": "0. Not breathing" } } ] }, "request": { "method": "PUT", "url": "Observation/obs2" } } ] }