MediRecords FHIR Implementation Guide
1.4.1 - release
{
"resourceType" : "Bundle",
"id" : "cf42da8e-edf5-49c4-bb1e-313b023bb616",
"meta" : {
"lastUpdated" : "2022-03-04T01:43:30Z"
},
"type" : "collection",
"entry" : [
{
"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:a01f4a6d-e102-4b1b-b08d-bfd4e1fe585d",
"resource" : {
"resourceType" : "Encounter",
"id" : "a01f4a6d-e102-4b1b-b08d-bfd4e1fe585d",
"meta" : {
"lastUpdated" : "2021-10-25T01:43:30Z",
"profile" : [
🔗 "https://fhir.medirecords.com/StructureDefinition/mr-encounter-core"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_a01f4a6d-e102-4b1b-b08d-bfd4e1fe585d\"> </a><p><b>Generated Narrative: Encounter</b><a name=\"a01f4a6d-e102-4b1b-b08d-bfd4e1fe585d\"> </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 "a01f4a6d-e102-4b1b-b08d-bfd4e1fe585d" Updated "2021-10-25 01:43:30+0000" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-encounter-core.html\">MR Encounter</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>subject</b>: <a href=\"#Patient_1e5cae20-85bf-11e8-b401-ffccd711ad9c\">See above (Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td>primary performer <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>#PPRF)</span></td><td><a href=\"#Practitioner_6d6d7ce8-65c2-11e6-a20e-7b5deed40054\">See above (Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054)</a></td></tr></table><p><b>period</b>: 2021-10-25 01:43:30+0000 --> 2021-10-25 02:21:30+0000</p><p><b>reasonCode</b>: unwellness <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>serviceProvider</b>: <a href=\"#Organization_ade47c8c-9eed-11ea-a6fa-3f7e286deed9\">See above (Organization/ade47c8c-9eed-11ea-a6fa-3f7e286deed9)</a></p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"subject" : {
🔗 "reference" : "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"
},
"participant" : [
{
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "PPRF",
"display" : "primary performer"
}
]
}
],
"individual" : {
🔗 "reference" : "Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054"
}
}
],
"period" : {
"start" : "2021-10-25T01:43:30Z",
"end" : "2021-10-25T02:21:30Z"
},
"reasonCode" : [
{
"text" : "unwellness"
}
],
"serviceProvider" : {
🔗 "reference" : "Organization/ade47c8c-9eed-11ea-a6fa-3f7e286deed9"
}
}
},
{
"fullUrl" : "urn:uuid:404b8a60-eb5d-425e-9f85-1e65e37e7e46",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "404b8a60-eb5d-425e-9f85-1e65e37e7e46",
"meta" : {
"lastUpdated" : "2021-12-17T01:43:30Z",
"profile" : [
🔗 "https://fhir.medirecords.com/StructureDefinition/mr-medication-request"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_404b8a60-eb5d-425e-9f85-1e65e37e7e46\"> </a><p><b>Generated Narrative: MedicationRequest</b><a name=\"404b8a60-eb5d-425e-9f85-1e65e37e7e46\"> </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 MedicationRequest "404b8a60-eb5d-425e-9f85-1e65e37e7e46" Updated "2021-12-17 01:43:30+0000" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mr-medication-request.html\">MR MedicationRequest</a></p></div><p><b>Prescription Approval Status Extension</b>: Approval Required (Details: https://fhir.medirecords.com/CodeSystem/mr-prescription-approval-status code pending = 'Approval Required', stated as 'Approval Required')</p><p><b>Prescription Type Extension</b>: Manual (Details: https://fhir.medirecords.com/CodeSystem/mr-prescription-type code 1 = 'Manual', stated as 'Manual')</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a name=\"1\"> </a></p><blockquote><p/><p><a name=\"1\"> </a></p><p><b>Medication Strength</b>: 250 mg</p><p><b>Medication Generic Drug Name</b>: Clarithromycin</p><p><b>Medication Brand Name</b>: Klacid</p><p><b>MediRecords Medication Pack Size</b>: 100</p><p><b>code</b>: Klacid 250 mg Tablet, 100 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#13738011000036100)</span></p><p><b>form</b>: Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>subject</b>: <a href=\"#Patient_1e5cae20-85bf-11e8-b401-ffccd711ad9c\">See above (Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c)</a></p><p><b>encounter</b>: <a href=\"#Encounter_a01f4a6d-e102-4b1b-b08d-bfd4e1fe585d\">See above (Encounter/a01f4a6d-e102-4b1b-b08d-bfd4e1fe585d)</a></p><p><b>authoredOn</b>: 2021-12-17 01:43:30+0000</p><p><b>requester</b>: <a href=\"#Practitioner_6d6d7ce8-65c2-11e6-a20e-7b5deed40054\">See above (Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054)</a></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>AdditionalInstruction</b></td><td><b>Timing</b></td><td><b>AsNeeded[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1 Before Bed\nAfter meals\nAs directed</td><td>After meals <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#311504000 "With or after food")</span></td><td>, before sleeping</td><td>false</td></tr></table><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>0</td><td>100</td></tr></table><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>false</td></tr></table><hr/><blockquote><p><b>Generated Narrative: Medication #1</b><a name=\"1\"> </a></p><p><b>Medication Strength</b>: 250 mg</p><p><b>Medication Generic Drug Name</b>: Clarithromycin</p><p><b>Medication Brand Name</b>: Klacid</p><p><b>MediRecords Medication Pack Size</b>: 100</p><p><b>code</b>: Klacid 250 mg Tablet, 100 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#13738011000036100)</span></p><p><b>form</b>: Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Medication",
"id" : "1",
"meta" : {
"profile" : [
🔗 "https://fhir.medirecords.com/StructureDefinition/mr-medication"
]
},
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/medication-strength",
"valueString" : "250 mg"
},
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/medication-generic-name",
"valueString" : "Clarithromycin"
},
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/medication-brand-name",
"valueString" : "Klacid"
},
{
"url" : "https://fhir.medirecords.com/StructureDefinition/mr-medication-pack-size",
"valueString" : "100"
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "13738011000036100",
"display" : "Klacid 250 mg Tablet, 100"
}
]
},
"form" : {
"text" : "Tablet"
}
}
],
"extension" : [
{
"url" : "https://fhir.medirecords.com/StructureDefinition/mr-prescription-approval-status",
"valueCoding" : {
"system" : "https://fhir.medirecords.com/CodeSystem/mr-prescription-approval-status",
"code" : "pending",
"display" : "Approval Required"
}
},
{
"url" : "https://fhir.medirecords.com/StructureDefinition/mr-prescription-type",
"valueCoding" : {
"system" : "https://fhir.medirecords.com/CodeSystem/mr-prescription-type",
"code" : "1",
"display" : "Manual"
}
}
],
"status" : "active",
"intent" : "order",
"medicationReference" : {
"reference" : "#1"
},
"subject" : {
🔗 "reference" : "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"
},
"encounter" : {
🔗 "reference" : "Encounter/a01f4a6d-e102-4b1b-b08d-bfd4e1fe585d"
},
"authoredOn" : "2021-12-17T01:43:30Z",
"requester" : {
🔗 "reference" : "Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054"
},
"dosageInstruction" : [
{
"text" : "1 Before Bed\nAfter meals\nAs directed",
"additionalInstruction" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "311504000",
"display" : "With or after food"
}
],
"text" : "After meals"
}
],
"timing" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d",
"when" : [
"HS"
]
}
},
"asNeededBoolean" : false
}
],
"dispenseRequest" : {
"numberOfRepeatsAllowed" : 0,
"quantity" : {
"value" : 100
}
},
"substitution" : {
"allowedBoolean" : false
}
}
}
]
}