HL7中国FHIR Connectathon测试实施指南
V20230304 - release
HL7中国FHIR Connectathon测试实施指南 - Local Development build (vV20230304). See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "DischargeSummaryDocumentExample01",
"meta" : {
"profile" : [
"http://hl7.org.cn/fhir/StructureDefinition/profile-ClinicalDocumentBundle"
]
},
"type" : "document",
"entry" : [
{
"fullUrl" : "urn:uuid:112312312-12-31-23-12-31-23-12-312",
"resource" : {
"resourceType" : "Composition",
"id" : "DischargeSummaryCompositionExampleInline01",
"meta" : {
"profile" : [
"http://hl7.org.cn/fhir/StructureDefinition/profile-discharge-summary-document"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: N123455</p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://hl7.org.cn/fhir/CodeSystem/emr-document-type C0053}\">出院小结</span></p><p><b>category</b>: <span title=\"Codes: {http://hl7.org.cn/fhir/CodeSystem/document-category EMR}\">电子病历共享文档</span></p><p><b>encounter</b>: <a href=\"#Encounter_EncounterExampleInline01\">See above (Encounter/EncounterExampleInline01)</a></p><p><b>date</b>: 2002年8月24日 上午5:45:50</p><p><b>author</b>: <a href=\"#Practitioner_PractitionerExample01\">赵勇. Generated Summary: 赵勇; gender: male</a></p><p><b>title</b>: 出院小结</p><p><b>custodian</b>: <a href=\"#Organization_OrganizationExample03\">北大人民医院. Generated Summary: name: 北大人民医院</a></p></div>"
},
"identifier" : {
"system" : "urn:oid:1.2.10093.1.23.24.3454354",
"value" : "N123455"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://hl7.org.cn/fhir/CodeSystem/emr-document-type",
"code" : "C0053",
"display" : "出院小结"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://hl7.org.cn/fhir/CodeSystem/document-category",
"code" : "EMR",
"display" : "电子病历共享文档"
}
]
}
],
"subject" : {
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-314",
"display" : "张三"
},
"encounter" : {
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-313"
},
"date" : "2002-08-23T16:45:50.597-05:00",
"author" : [
{
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-315",
"display" : "赵勇"
}
],
"title" : "出院小结",
"custodian" : {
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-316",
"display" : "北大人民医院"
},
"section" : [
{
"title" : "入院原因",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29299-5",
"display" : "Reason for visit"
}
]
},
"entry" : [
{
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-317",
"display" : "发热"
}
]
},
{
"title" : "出院诊断",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11535-2",
"display" : "Hospital discharge diagnosis"
}
]
},
"entry" : [
{
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-318",
"display" : "新冠肺炎"
}
]
},
{
"title" : "出院用药",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10183-2",
"display" : "Hospital discharge medications"
}
]
},
"entry" : [
{
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-319",
"display" : "洛匹那韦"
}
]
},
{
"title" : "过敏和不良反应",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Allergies and adverse reactions"
}
]
},
"entry" : [
{
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-320",
"display" : "麻疹"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:112312312-12-31-23-12-31-23-12-313",
"resource" : {
"resourceType" : "Encounter",
"id" : "EncounterExampleInline01",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">住院诊疗</span></p><p><b>type</b>: <span title=\"Codes: \">新冠肺炎入院</span></p><p><b>subject</b>: <a href=\"#Patient_PatientExample01\">张三. Generated Summary: active; 张三; Phone: 010-1234567; gender: female; birthDate: 1955-10-25</a></p><p><b>period</b>: 2021年5月7日 下午12:30:02 --> 2002年8月20日 下午4:45:50</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td>*</td><td><a href=\"#Condition_DischargeDiagnosisExampleInline01\">新冠肺炎. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">诊断</span>; <span title=\"Codes: {http://hl7.org/fhir/sid/icd-10 J12.82}\">新冠肺炎</span></a></td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/diagnosis-role DD}\">出院诊断</span></td></tr></table><p><b>serviceProvider</b>: <a href=\"#Organization_OrganizationExample03\">北大人民医院. Generated Summary: name: 北大人民医院</a></p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "住院诊疗"
},
"type" : [
{
"text" : "新冠肺炎入院"
}
],
"subject" : {
"reference" : "Patient/PatientExample01",
"display" : "张三"
},
"period" : {
"start" : "2021-05-07T12:30:02+08:00",
"end" : "2002-08-20T16:45:50+08:00"
},
"diagnosis" : [
{
"condition" : {
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-318",
"display" : "新冠肺炎"
},
"use" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
"code" : "DD",
"display" : "出院诊断"
}
]
}
}
],
"serviceProvider" : {
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-316",
"display" : "北大人民医院"
}
}
},
{
"fullUrl" : "urn:uuid:112312312-12-31-23-12-31-23-12-314",
"resource" : {
"resourceType" : "Patient",
"id" : "PatientExample01",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>active</b>: true</p><p><b>name</b>: 张三</p><p><b>telecom</b>: ph: 010-1234567(WORK)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1955-10-25</p><p><b>address</b>: 北京市东城区某某小区10号楼9单999室 (HOME)</p></div>"
},
"active" : true,
"name" : [
{
"text" : "张三",
"family" : "张",
"given" : [
"三"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "010-1234567",
"use" : "work"
}
],
"gender" : "female",
"birthDate" : "1955-10-25",
"address" : [
{
"use" : "home",
"line" : [
"北京市东城区某某小区10号楼9单999室"
]
}
]
}
},
{
"fullUrl" : "urn:uuid:112312312-12-31-23-12-31-23-12-315",
"resource" : {
"resourceType" : "Practitioner",
"id" : "PractitionerExample01",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>name</b>: 赵勇</p><p><b>gender</b>: male</p></div>"
},
"name" : [
{
"text" : "赵勇",
"family" : "赵",
"given" : [
"勇"
]
}
],
"gender" : "male"
}
},
{
"fullUrl" : "urn:uuid:112312312-12-31-23-12-31-23-12-316",
"resource" : {
"resourceType" : "Organization",
"id" : "OrganizationExample03",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>name</b>: 北大人民医院</p></div>"
},
"name" : "北大人民医院"
}
},
{
"fullUrl" : "urn:uuid:112312312-12-31-23-12-31-23-12-317",
"resource" : {
"resourceType" : "Observation",
"id" : "SymptomExampleInline01",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/sid/icd-10 R50}\">发热</span></p><p><b>subject</b>: <a href=\"#Patient_PatientExample01\">张三. Generated Summary: active; 张三; Phone: 010-1234567; gender: female; birthDate: 1955-10-25</a></p><p><b>encounter</b>: <a href=\"#Encounter_EncounterExampleInline01\">See above (Encounter/EncounterExampleInline01)</a></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "R50",
"display" : "发热"
}
]
},
"subject" : {
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-314",
"display" : "张三"
},
"encounter" : {
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-313"
}
}
},
{
"fullUrl" : "urn:uuid:112312312-12-31-23-12-31-23-12-318",
"resource" : {
"resourceType" : "Condition",
"id" : "DischargeDiagnosisExampleInline01",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">诊断</span></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/sid/icd-10 J12.82}\">新冠肺炎</span></p><p><b>subject</b>: <a href=\"#Patient_PatientExample01\">张三. Generated Summary: active; 张三; Phone: 010-1234567; gender: female; birthDate: 1955-10-25</a></p><p><b>encounter</b>: <a href=\"#Encounter_EncounterExampleInline01\">See above (Encounter/EncounterExampleInline01)</a></p></div>"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "诊断"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "J12.82",
"display" : "Pneumonia due to COVID-19"
}
],
"text" : "新冠肺炎"
},
"subject" : {
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-314",
"display" : "张三"
},
"encounter" : {
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-313"
}
}
},
{
"fullUrl" : "urn:uuid:112312312-12-31-23-12-31-23-12-319",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "MedicationRequestExampleInline01",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <span title=\"Codes: {http://snomed.info/sct XXXXXX}\">洛匹那韦</span></p><p><b>subject</b>: <a href=\"#Patient_PatientExample01\">张三. Generated Summary: active; 张三; Phone: 010-1234567; gender: female; birthDate: 1955-10-25</a></p><p><b>encounter</b>: <a href=\"#Encounter_EncounterExampleInline01\">See above (Encounter/EncounterExampleInline01)</a></p><p><b>authoredOn</b>: 2002年8月20日 下午4:45:50</p><p><b>requester</b>: <a href=\"#Practitioner_PractitionerExample01\">赵勇. Generated Summary: 赵勇; gender: male</a></p><p><b>reasonReference</b>: <a href=\"#Condition_DischargeDiagnosisExampleInline01\">新冠肺炎. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">诊断</span>; <span title=\"Codes: {http://hl7.org/fhir/sid/icd-10 J12.82}\">新冠肺炎</span></a></p><p><b>groupIdentifier</b>: id: pres123456</p><p><b>note</b>: 药品用法,备注说明等</p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><h3>DispenseRequests</h3><table class=\"grid\"><tr><td>-</td><td><b>Quantity</b></td></tr><tr><td>*</td><td>20 盒</td></tr></table></div>"
},
"status" : "active",
"intent" : "order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "XXXXXX",
"display" : "洛匹那韦"
}
],
"text" : "洛匹那韦"
},
"subject" : {
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-314",
"display" : "张三"
},
"encounter" : {
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-313"
},
"authoredOn" : "2002-08-20T16:45:50+08:00",
"requester" : {
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-315",
"display" : "赵勇"
},
"reasonReference" : [
{
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-318",
"display" : "新冠肺炎"
}
],
"groupIdentifier" : {
"system" : "http://xxxxxx.com.cn/org-xxxx/prescription",
"value" : "pres123456"
},
"note" : [
{
"text" : "药品用法,备注说明等"
}
],
"dosageInstruction" : [
{
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2002-08-20T16:45:50+08:00",
"end" : "2002-09-20T16:45:50+08:00"
}
},
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
"code" : "BID",
"display" : "每日两次"
}
]
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "26643006",
"display" : "口服"
}
]
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 2,
"system" : "http://unitsofmeasure.org",
"code" : "片"
}
}
]
}
],
"dispenseRequest" : {
"quantity" : {
"value" : 20,
"system" : "http://unitsofmeasure.org",
"code" : "盒"
}
}
}
},
{
"fullUrl" : "urn:uuid:112312312-12-31-23-12-31-23-12-320",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "AllergiesExampleInline01",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>clinicalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical resolved}\">已解决</span></p><p><b>verificationStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}\">已确认</span></p><p><b>type</b>: allergy</p><p><b>criticality</b>: high</p><p><b>code</b>: <span title=\"Codes: \">青霉素</span></p><p><b>patient</b>: <a href=\"#Patient_PatientExample01\">张三. Generated Summary: active; 张三; Phone: 010-1234567; gender: female; birthDate: 1955-10-25</a></p><p><b>encounter</b>: <a href=\"#Encounter_EncounterExampleInline01\">See above (Encounter/EncounterExampleInline01)</a></p><p><b>recordedDate</b>: 2021-08-20</p><h3>Reactions</h3><table class=\"grid\"><tr><td>-</td><td><b>Manifestation</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://example.org/system xxx}\">麻疹</span></td></tr></table></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "resolved",
"display" : "已解决"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed",
"display" : "已确认"
}
]
},
"type" : "allergy",
"criticality" : "high",
"code" : {
"text" : "青霉素"
},
"patient" : {
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-314",
"display" : "张三"
},
"encounter" : {
"reference" : "urn:uuid:112312312-12-31-23-12-31-23-12-313"
},
"recordedDate" : "2021-08-20",
"reaction" : [
{
"manifestation" : [
{
"coding" : [
{
"system" : "http://example.org/system",
"code" : "xxx",
"display" : "Hives"
}
],
"text" : "麻疹"
}
]
}
]
}
}
]
}