MediRecords FHIR Implementation Guide
1.4.1 - release
{
"resourceType" : "Bundle",
"id" : "1a3f436e-4899-4fb0-b775-cf681cfce160",
"meta" : {
"lastUpdated" : "2024-02-23T01:43:30Z"
},
"type" : "collection",
"entry" : [
{
"fullUrl" : "urn:uuid:0291f306-e786-4ac4-be26-44b47714d85f",
"resource" : {
"resourceType" : "Encounter",
"id" : "0291f306-e786-4ac4-be26-44b47714d85f",
"meta" : {
"lastUpdated" : "2021-10-25T01:43:30Z",
"profile" : [
🔗 "https://fhir.medirecords.com/StructureDefinition/mr-encounter-admission"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_0291f306-e786-4ac4-be26-44b47714d85f\"> </a><p><b>Generated Narrative: Encounter</b><a name=\"0291f306-e786-4ac4-be26-44b47714d85f\"> </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 Encounter "0291f306-e786-4ac4-be26-44b47714d85f" Updated "2021-10-25 01:43:30+0000" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-encounter-admission.html\">MR Encounter Admission</a></p></div><p><b>Encounter plannedStartDate</b>: 2023-10-20 01:00:00+0000</p><p><b>Encounter plannedEndDate</b>: 2023-12-22</p><p><b>MR Comment Note Extension</b>: Planned Encounter for a Patient who has been admitted to a Hospital</p><p><b>Encounter Mode Of Arrival</b>: Public Transport (Details: http://terminology.hl7.org/CodeSystem/v2-0430 code P = 'Public Transport', stated as 'Public Transport')</p><p><b>identifier</b>: Visit number/ADM-27</p><p><b>status</b>: in-progress</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>subject</b>: <a href=\"#Patient_1e5cae20-85bf-11e8-b401-ffccd711ad9c\">See above (Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c)</a></p><blockquote><p><b>participant</b></p><p><b>type</b>: referrer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#REF)</span></p><p><b>individual</b>: <a href=\"PractitionerRole-b27fc609-efcb-4c43-a296-5908787de413.html\">PractitionerRole/b27fc609-efcb-4c43-a296-5908787de413: Dr David Jones</a></p></blockquote><blockquote><p><b>participant</b></p><p><b>type</b>: anaesthetist <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#88189002)</span></p><p><b>individual</b>: <a href=\"Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40052.html\">Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40052: Dr Helen Mayo</a> " MAYO"</p></blockquote><blockquote><p><b>participant</b></p><p><b>type</b>: attender <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#ATND)</span></p><p><b>individual</b>: <a href=\"#Practitioner_6d6d7ce8-65c2-11e6-a20e-7b5deed40054\">See above (Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054: John Smith)</a></p></blockquote><blockquote><p><b>participant</b></p><p><b>type</b>: General physician <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#59058001)</span></p><p><b>individual</b>: <a href=\"PractitionerRole-b27fc609-efcb-4c43-a296-5908787de413.html\">PractitionerRole/b27fc609-efcb-4c43-a296-5908787de413: Dr David Jones</a></p></blockquote><p><b>period</b>: 2023-12-20 00:34:00+0000 --> (ongoing)</p><p><b>reasonCode</b>: Ischaemic foot <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#301755001)</span></p><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td><td><b>PhysicalType</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#Location_981171dc-64ee-4b0f-80b6-4d69be265d69\">See above (Location/981171dc-64ee-4b0f-80b6-4d69be265d69: Red Room 1)</a></td><td>Room <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-location-physical-type.html\">Location type</a>#ro)</span></td></tr></table><p><b>serviceProvider</b>: <a href=\"#Organization_ade47c8c-9eed-11ea-a6fa-3f7e286deed9\">See above (Organization/ade47c8c-9eed-11ea-a6fa-3f7e286deed9: Practice FHIR)</a></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedStartDate",
"valueDateTime" : "2023-10-20T01:00:00Z"
},
{
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Encounter.plannedEndDate",
"valueDateTime" : "2023-12-22"
},
{
"url" : "https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext",
"valueString" : "Planned Encounter for a Patient who has been admitted to a Hospital"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0430",
"code" : "P",
"display" : "Public Transport"
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "VN",
"display" : "Visit number"
}
]
},
"system" : "urn:uuid:ecbc56b9-7c0d-4268-abc4-6048bcbac17f",
"value" : "ADM-27"
}
],
"status" : "in-progress",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"subject" : {
🔗 "reference" : "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"
},
"participant" : [
{
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "REF",
"display" : "referrer"
}
]
}
],
"individual" : {
🔗 "reference" : "PractitionerRole/b27fc609-efcb-4c43-a296-5908787de413",
"display" : "Dr David Jones"
}
},
{
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "88189002",
"display" : "anaesthetist"
}
]
}
],
"individual" : {
🔗 "reference" : "Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40052",
"display" : "Dr Helen Mayo"
}
},
{
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "ATND",
"display" : "attender"
}
]
}
],
"individual" : {
🔗 "reference" : "Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054",
"display" : "John Smith"
}
},
{
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "59058001",
"display" : "General physician"
}
]
}
],
"individual" : {
🔗 "reference" : "PractitionerRole/b27fc609-efcb-4c43-a296-5908787de413",
"display" : "Dr David Jones"
}
}
],
"period" : {
"start" : "2023-12-20T00:34:00Z"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "301755001",
"display" : "Ischaemic foot"
}
],
"text" : "Ischaemic foot"
}
],
"location" : [
{
"location" : {
🔗 "reference" : "Location/981171dc-64ee-4b0f-80b6-4d69be265d69",
"display" : "Red Room 1"
},
"physicalType" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code" : "ro",
"display" : "Room"
}
]
}
}
],
"serviceProvider" : {
🔗 "reference" : "Organization/ade47c8c-9eed-11ea-a6fa-3f7e286deed9",
"display" : "Practice FHIR"
}
}
},
{
"fullUrl" : "urn:uuid:1e5cae20-85bf-11e8-b401-ffccd711ad9c",
"resource" : {
"resourceType" : "Patient",
"id" : "1e5cae20-85bf-11e8-b401-ffccd711ad9c",
"meta" : {
"lastUpdated" : "2021-10-11T01:43:30Z",
"profile" : [
🔗 "https://fhir.medirecords.com/StructureDefinition/mr-patient-core"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_1e5cae20-85bf-11e8-b401-ffccd711ad9c\"> </a><p><b>Generated Narrative: Patient</b><a name=\"1e5cae20-85bf-11e8-b401-ffccd711ad9c\"> </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 Patient "1e5cae20-85bf-11e8-b401-ffccd711ad9c" Updated "2021-10-11 01:43:30+0000" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-patient-core.html\">MR Patient</a></p></div><p><b>English As Second Language Indicator Extension</b>: false</p><p><b>Ethnicity</b>: Scottish <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-mr-patient-ethnicity-code.html\">MediRecords Patient Ethnicity CodeSystem</a>#155)</span></p><p><b>identifier</b>: Medicare Number/32788511952\u00a0(period:\u00a0(?) --> 2025-02)</p><p><b>name</b>: Mila Grey (OFFICIAL), Mila, Don Mila(OLD)</p><p><b>telecom</b>: ph: 0410999999(MOBILE), <a href=\"mailto:mila.grey@xyz.com\">mila.grey@xyz.com</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1990-11-29</p><p><b>address</b>: </p><ul><li>abc lane Sydney NSW 2000 AU (HOME)</li><li>12 MLK BLVD Tampa FL 33131 US (WORK)</li></ul><p><b>generalPractitioner</b>: <a href=\"#Practitioner_6d6d7ce8-65c2-11e6-a20e-7b5deed40054\">See above (Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054)</a></p><p><b>managingOrganization</b>: <a href=\"#Organization_ade47c8c-9eed-11ea-a6fa-3f7e286deed9\">See above (Organization/ade47c8c-9eed-11ea-a6fa-3f7e286deed9)</a></p></div>"
},
"extension" : [
{
"url" : "https://fhir.medirecords.com/StructureDefinition/mr-eng-secondlang-ind-extn",
"valueBoolean" : false
},
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/ethnicity",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.medirecords.com/CodeSystem/mr-patient-ethnicity-code",
"code" : "155",
"display" : "Scottish"
}
]
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MC",
"display" : "Patient's Medicare Number"
}
],
"text" : "Medicare Number"
},
"system" : "http://ns.electronichealth.net.au/id/medicare-number",
"value" : "32788511952",
"period" : {
"end" : "2025-02"
}
}
],
"name" : [
{
"use" : "official",
"family" : "Grey",
"given" : [
"Mila"
],
"prefix" : [
"Mrs"
]
},
{
"use" : "usual",
"text" : "Mila"
},
{
"use" : "old",
"text" : "Don Mila"
}
],
"telecom" : [
{
"system" : "phone",
"value" : "0410999999",
"use" : "mobile",
"rank" : 1
},
{
"system" : "email",
"value" : "mila.grey@xyz.com",
"use" : "home"
}
],
"gender" : "female",
"birthDate" : "1990-11-29",
"_birthDate" : {
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator",
"valueCoding" : {
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/date-accuracy-indicator-1",
"code" : "AAA",
"display" : "Day, month and year are accurate"
}
}
]
},
"address" : [
{
"extension" : [
{
"url" : "https://fhir.medirecords.com/StructureDefinition/mr-address-isprimary-extn",
"valueBoolean" : true
}
],
"use" : "home",
"type" : "physical",
"line" : [
"abc lane"
],
"city" : "Sydney",
"state" : "NSW",
"postalCode" : "2000",
"country" : "AU"
},
{
"extension" : [
{
"url" : "https://fhir.medirecords.com/StructureDefinition/mr-address-isprimary-extn",
"valueBoolean" : false
}
],
"use" : "work",
"type" : "physical",
"line" : [
"12 MLK BLVD"
],
"city" : "Tampa",
"state" : "FL",
"postalCode" : "33131",
"country" : "US"
}
],
"generalPractitioner" : [
{
🔗 "reference" : "Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054"
}
],
"managingOrganization" : {
🔗 "reference" : "Organization/ade47c8c-9eed-11ea-a6fa-3f7e286deed9"
}
}
},
{
"fullUrl" : "urn:uuid:6d6d7ce8-65c2-11e6-a20e-7b5deed40054",
"resource" : {
"resourceType" : "Practitioner",
"id" : "6d6d7ce8-65c2-11e6-a20e-7b5deed40054",
"meta" : {
"profile" : [
🔗 "https://fhir.medirecords.com/StructureDefinition/mr-practitioner-core"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_6d6d7ce8-65c2-11e6-a20e-7b5deed40054\"> </a><p><b>Generated Narrative: Practitioner</b><a name=\"6d6d7ce8-65c2-11e6-a20e-7b5deed40054\"> </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 Practitioner "6d6d7ce8-65c2-11e6-a20e-7b5deed40054" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-practitioner-core.html\">MR Practitioner</a></p></div><p><b>identifier</b>: HPI-I/8003610833334085</p><p><b>active</b>: true</p><p><b>name</b>: John Smith </p><p><b>telecom</b>: ph: 0410999888(MOBILE), <a href=\"mailto:john.smith@gpexample.com\">john.smith@gpexample.com</a>, ph: 0212450987(WORK)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1978-04-08</p><blockquote><p><b>qualification</b></p><p><b>code</b>: Doctor of Medicine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v2-0360.html\">degreeLicenseCertificate</a>#MD)</span></p></blockquote><blockquote><p><b>qualification</b></p><p><b>code</b>: MB chB(Hons) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NPI"
}
],
"text" : "HPI-I"
},
"system" : "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
"value" : "8003610833334085"
}
],
"active" : true,
"name" : [
{
"use" : "usual",
"family" : "Smith",
"given" : [
"John"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "0410999888",
"use" : "mobile"
},
{
"system" : "email",
"value" : "john.smith@gpexample.com",
"use" : "work"
},
{
"system" : "phone",
"value" : "0212450987",
"use" : "work"
}
],
"gender" : "male",
"birthDate" : "1978-04-08",
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0360",
"code" : "MD",
"display" : "Doctor of Medicine"
}
]
}
},
{
"code" : {
"text" : "MB chB(Hons)"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:ade47c8c-9eed-11ea-a6fa-3f7e286deed9",
"resource" : {
"resourceType" : "Organization",
"id" : "ade47c8c-9eed-11ea-a6fa-3f7e286deed9",
"meta" : {
"profile" : [
🔗 "https://fhir.medirecords.com/StructureDefinition/mr-organisation-core"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ade47c8c-9eed-11ea-a6fa-3f7e286deed9\"> </a><p><b>Generated Narrative: Organization</b><a name=\"ade47c8c-9eed-11ea-a6fa-3f7e286deed9\"> </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 Organization "ade47c8c-9eed-11ea-a6fa-3f7e286deed9" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-organisation-core.html\">MR Organisation</a></p></div><p><b>identifier</b>: HPI-O/8003627500000328</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-organization-type.html\">Organization type</a>#prov)</span></p><p><b>name</b>: Healthy Live Clinic</p><p><b>telecom</b>: ph: 1234567890(WORK), <a href=\"mailto:sarahstone@c.com\">sarahstone@c.com</a></p><p><b>address</b>: Johnson Street Sydney NSW 1200 </p></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
"code" : "NOI",
"display" : "National Organisation Identifier"
}
],
"text" : "HPI-O"
},
"system" : "http://ns.electronichealth.net.au/id/hi/hpio/1.0",
"value" : "8003627500000328"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "Healthy Live Clinic",
"telecom" : [
{
"system" : "phone",
"value" : "1234567890",
"use" : "work"
},
{
"system" : "email",
"value" : "sarahstone@c.com",
"use" : "work"
}
],
"address" : [
{
"type" : "physical",
"line" : [
"Johnson Street"
],
"city" : "Sydney",
"state" : "NSW",
"postalCode" : "1200"
}
]
}
},
{
"fullUrl" : "urn:uuid:981171dc-64ee-4b0f-80b6-4d69be265d69",
"resource" : {
"resourceType" : "Location",
"id" : "981171dc-64ee-4b0f-80b6-4d69be265d69",
"meta" : {
"profile" : [
🔗 "https://fhir.medirecords.com/StructureDefinition/mr-location-admission"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_981171dc-64ee-4b0f-80b6-4d69be265d69\"> </a><p><b>Generated Narrative: Location</b><a name=\"981171dc-64ee-4b0f-80b6-4d69be265d69\"> </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 Location "981171dc-64ee-4b0f-80b6-4d69be265d69" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-location-admission.html\">MR Location Admission</a></p></div><p><b>identifier</b>: <code>https://fhir.medirecords.com/location-scoped/094e3a90-4eb7-4921-9727-20078b3a74ca</code>/R198</p><p><b>status</b>: active</p><p><b>name</b>: Red Room</p><p><b>description</b>: Red Room 1</p><p><b>mode</b>: instance</p><p><b>physicalType</b>: Room <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-location-physical-type.html\">Location type</a>#ro)</span></p><p><b>managingOrganization</b>: <a href=\"Organization-5ae12958-6291-4101-a6f5-45ed8bbbcb34.html\">Organization/5ae12958-6291-4101-a6f5-45ed8bbbcb34</a> "Practice FHIR"</p><p><b>partOf</b>: <a href=\"Location-094e3a90-4eb7-4921-9727-20078b3a74ca.html\">Location/094e3a90-4eb7-4921-9727-20078b3a74ca</a> "Emergency Ward"</p></div>"
},
"identifier" : [
{
"system" : "https://fhir.medirecords.com/location-scoped/094e3a90-4eb7-4921-9727-20078b3a74ca",
"value" : "R198"
}
],
"status" : "active",
"name" : "Red Room",
"description" : "Red Room 1",
"mode" : "instance",
"physicalType" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code" : "ro",
"display" : "Room"
}
]
},
"managingOrganization" : {
🔗 "reference" : "Organization/5ae12958-6291-4101-a6f5-45ed8bbbcb34"
},
"partOf" : {
🔗 "reference" : "Location/094e3a90-4eb7-4921-9727-20078b3a74ca"
}
}
}
]
}