{ "resourceType" : "Bundle", "id" : "HIMS-CVS-Risk-Factor-Bundle", "type" : "transaction", "entry" : [{ "fullUrl" : "RiskAssessment/CVDRiskCategoryExample", "resource" : { "resourceType" : "RiskAssessment", "id" : "CVDRiskCategoryExample", "meta" : { "profile" : ["http://openhie.org/fhir/sri-lanka/StructureDefinition/cvd-risk-category"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: RiskAssessment

Resource RiskAssessment "CVDRiskCategoryExample"

Profile: Cardiovascular Risk Assessment

status: final

code: Assessment for risk of cardiovascular disease (SNOMED CT#441829007)

subject: See above (Patient/HIMSPatientExample)

encounter: See above (Encounter/TargetFacilityEncounterExample)

occurrence: 2023-10-06 13:28:17-0500

performer: See above (Practitioner/GeneralPractitionerExample)

basis:

Predictions

-OutcomeProbability[x]QualitativeRiskWhen[x]
*Risk of heart attack (SNOMED CT#395112001)0.02Risk Category (Cardiovascular Risk Categories#Critical)39-49 years
" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "441829007" }], "text" : "Assessment for risk of cardiovascular disease" }, "subject" : { "reference" : "Patient/HIMSPatientExample" }, "encounter" : { "reference" : "Encounter/TargetFacilityEncounterExample" }, "occurrenceDateTime" : "2023-10-06T13:28:17-05:00", "performer" : { "reference" : "Practitioner/GeneralPractitionerExample" }, "basis" : [{ "reference" : "Patient/HIMSPatientExample" }, { "reference" : "Observation/RiskBehaviourTobaccoSmokerExample" }, { "reference" : "Observation/TotalCholesterolExample" }, { "reference" : "Observation/BloodPressureExample" }, { "reference" : "Observation/RandomBloodSugarExample" }, { "reference" : "Observation/FastingBloodSugarExample" }], "prediction" : [{ "outcome" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "395112001" }], "text" : "Risk of heart attack" }, "probabilityDecimal" : 0.02, "qualitativeRisk" : { "coding" : [{ "system" : "http://openhie.org/fhir/sri-lanka/CodeSystem/cs-cvd-risk-category", "code" : "Critical" }], "text" : "Risk Category" }, "whenRange" : { "low" : { "value" : 39, "unit" : "years", "system" : "http://unitsofmeasure.org", "code" : "a" }, "high" : { "value" : 49, "unit" : "years", "system" : "http://unitsofmeasure.org", "code" : "a" } } }] }, "request" : { "method" : "PUT", "url" : "RiskAssessment/CVDRiskCategoryExample" } }, { "fullUrl" : "Patient/HIMSPatientExample", "resource" : { "resourceType" : "Patient", "id" : "HIMSPatientExample", "meta" : { "profile" : ["http://openhie.org/fhir/sri-lanka/StructureDefinition/hims-patient"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient

Resource Patient "HIMSPatientExample"

Profile: HIMS Patient

identifier: Personal Health Number:\u00a0personal health number, Passport number:\u00a0Passport-1, Passport number:\u00a0Passport-2, Driver's license number:\u00a0Drivers license-1, Driver's license number:\u00a0Drivers license-2, National identity number:\u00a0National identity number-1, National identity number:\u00a0National identity number-2, Senior Citizen Number:\u00a0Senior citizen number-1, Senior Citizen Number:\u00a0Senior citizen number-2

name: Mr. Mike John Smith (OFFICIAL)

telecom: +27829999999, someone@something.com, someone2@something.com

gender: male

birthDate: 1983-05-22

address: 177 Nawala Road Nugegoda Colombo 32350 Sri Lanka

" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://openhie.org/fhir/sri-lanka/CodeSystem/cs-identifier-types", "code" : "PHN" }], "text" : "Personal Health Number" }, "system" : "http://openhie.org/fhir/sri-lanka/identifier/phn", "value" : "personal health number" }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PPN" }], "text" : "Passport number" }, "system" : "http://openhie.org/fhir/sri-lanka/identifier/passport", "value" : "Passport-1" }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PPN" }], "text" : "Passport number" }, "system" : "http://openhie.org/fhir/sri-lanka/identifier/passport", "value" : "Passport-2" }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "DL" }], "text" : "Driver's license number" }, "system" : "http://openhie.org/fhir/sri-lanka/identifier/drivers", "value" : "Drivers license-1" }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "DL" }], "text" : "Driver's license number" }, "system" : "http://openhie.org/fhir/sri-lanka/identifier/drivers", "value" : "Drivers license-2" }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "NNLKA" }], "text" : "National identity number" }, "system" : "http://openhie.org/fhir/sri-lanka/identifier/nic", "value" : "National identity number-1" }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "NNLKA" }], "text" : "National identity number" }, "system" : "http://openhie.org/fhir/sri-lanka/identifier/nic", "value" : "National identity number-2" }, { "type" : { "coding" : [{ "system" : "http://openhie.org/fhir/sri-lanka/CodeSystem/cs-identifier-types", "code" : "SCN" }], "text" : "Senior Citizen Number" }, "system" : "http://openhie.org/fhir/sri-lanka/identifier/scn", "value" : "Senior citizen number-1" }, { "type" : { "coding" : [{ "system" : "http://openhie.org/fhir/sri-lanka/CodeSystem/cs-identifier-types", "code" : "SCN" }], "text" : "Senior Citizen Number" }, "system" : "http://openhie.org/fhir/sri-lanka/identifier/scn", "value" : "Senior citizen number-2" }], "name" : [{ "use" : "official", "family" : "Smith", "given" : ["Mr.", "Mike", "John"] }], "telecom" : [{ "system" : "phone", "value" : "+27829999999" }, { "system" : "email", "value" : "someone@something.com" }, { "system" : "email", "value" : "someone2@something.com" }], "gender" : "male", "birthDate" : "1983-05-22", "address" : [{ "type" : "postal", "line" : ["177", "Nawala Road"], "city" : "Nugegoda", "district" : "Ampara", "state" : "Colombo", "postalCode" : "32350", "country" : "Sri Lanka" }] }, "request" : { "method" : "PUT", "url" : "Patient/HIMSPatientExample" } }, { "fullUrl" : "Encounter/TargetFacilityEncounterExample", "resource" : { "resourceType" : "Encounter", "id" : "TargetFacilityEncounterExample", "meta" : { "profile" : ["http://openhie.org/fhir/sri-lanka/StructureDefinition/target-facility-encounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter

Resource Encounter "TargetFacilityEncounterExample"

Profile: Target Facility Encounter

status: finished

class: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')

subject: See above (Patient/HIMSPatientExample)

Participants

-Individual
*See above (Practitioner/GeneralPractitionerExample)

period: 2022-12-01 --> 2023-01-20

reasonCode: 140004 (SNOMED CT#140004)

Locations

-Location
*Location/ProvidersLocationExample "Name for the location"
" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "AMB" }, "subject" : { "reference" : "Patient/HIMSPatientExample" }, "participant" : [{ "individual" : { "reference" : "Practitioner/GeneralPractitionerExample" } }], "period" : { "start" : "2022-12-01", "end" : "2023-01-20" }, "reasonCode" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "140004" }] }], "location" : [{ "location" : { "reference" : "Location/ProvidersLocationExample" } }] }, "request" : { "method" : "PUT", "url" : "Encounter/TargetFacilityEncounterExample" } }, { "fullUrl" : "Practitioner/GeneralPractitionerExample", "resource" : { "resourceType" : "Practitioner", "id" : "GeneralPractitionerExample", "meta" : { "profile" : ["http://openhie.org/fhir/sri-lanka/StructureDefinition/practitioner"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner

Resource Practitioner "GeneralPractitionerExample"

Profile: Practitioner

name: Tom Junes Smith

telecom: ph: 27537652509(WORK), someone@something.org

" }, "name" : [{ "family" : "Smith", "given" : ["Tom", "Junes"], "prefix" : ["Dr"] }], "telecom" : [{ "system" : "phone", "value" : "27537652509", "use" : "work" }, { "system" : "email", "value" : "someone@something.org", "use" : "home" }] }, "request" : { "method" : "PUT", "url" : "Practitioner/GeneralPractitionerExample" } }, { "fullUrl" : "Observation/RiskBehaviourTobaccoSmokerExample", "resource" : { "resourceType" : "Observation", "id" : "RiskBehaviourTobaccoSmokerExample", "meta" : { "profile" : ["http://openhie.org/fhir/sri-lanka/StructureDefinition/risk-behaviour-tobacco-smoker"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation

Resource Observation "RiskBehaviourTobaccoSmokerExample"

Profile: Tobacco Smoker Observation

status: final

code: Tobacco smoking (LOINC#72166-2)

subject: See above (Patient/HIMSPatientExample)

encounter: See above (Encounter/TargetFacilityEncounterExample)

effective: 2022-11-30

performer:

value: Moderate cigarette smoker (10-19 cigs/day) (SNOMED CT#160604004)

" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "72166-2" }], "text" : "Tobacco smoking" }, "subject" : { "reference" : "Patient/HIMSPatientExample" }, "encounter" : { "reference" : "Encounter/TargetFacilityEncounterExample" }, "effectiveDateTime" : "2022-11-30", "performer" : [{ "reference" : "Organization/OrganizationExample" }, { "reference" : "Practitioner/GeneralPractitionerExample" }], "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "160604004" }], "text" : "Moderate cigarette smoker (10-19 cigs/day)" } }, "request" : { "method" : "PUT", "url" : "Observation/RiskBehaviourTobaccoSmokerExample" } }, { "fullUrl" : "Observation/TotalCholesterolExample", "resource" : { "resourceType" : "Observation", "id" : "TotalCholesterolExample", "meta" : { "profile" : ["http://openhie.org/fhir/sri-lanka/StructureDefinition/total-cholesterol"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation

Resource Observation "TotalCholesterolExample"

Profile: Total Cholesterol Observation

status: final

code: Cholesterol (LOINC#2093-3)

subject: See above (Patient/HIMSPatientExample)

encounter: See above (Encounter/TargetFacilityEncounterExample)

effective: 2022-11-30

performer:

value: 6.3 mmol/l (Details: UCUM code mmol/l = 'mmol/l')

interpretation: High (ObservationInterpretation#H)

ReferenceRanges

-HighType
*5 mmol/l (Details: UCUM code mmol/l = 'mmol/l')Type (Observation Reference Range Meaning Codes#type)
" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "2093-3" }], "text" : "Cholesterol" }, "subject" : { "reference" : "Patient/HIMSPatientExample" }, "encounter" : { "reference" : "Encounter/TargetFacilityEncounterExample" }, "effectiveDateTime" : "2022-11-30", "performer" : [{ "reference" : "Organization/OrganizationExample" }, { "reference" : "Practitioner/GeneralPractitionerExample" }], "valueQuantity" : { "value" : 6.3, "unit" : "mmol/l", "system" : "http://unitsofmeasure.org", "code" : "mmol/l" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "high" : { "value" : 5, "unit" : "mmol/l", "system" : "http://unitsofmeasure.org", "code" : "mmol/l" }, "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning", "code" : "type" }] } }] }, "request" : { "method" : "PUT", "url" : "Observation/TotalCholesterolExample" } }, { "fullUrl" : "Observation/BloodPressureExample", "resource" : { "resourceType" : "Observation", "id" : "BloodPressureExample", "meta" : { "profile" : ["http://openhie.org/fhir/sri-lanka/StructureDefinition/blood-pressure"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation

Resource Observation "BloodPressureExample"

Profile: Blood Pressure Observation

status: final

category: Vital Signs (Observation Category Codes#vital-signs)

code: Blood Pressure (LOINC#85354-9)

subject: See above (Patient/HIMSPatientExample)

encounter: See above (Encounter/TargetFacilityEncounterExample)

effective: 2022-11-30

performer:

component

code: 8480-6 (LOINC#8480-6)

value: 106 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')

component

code: 8462-4 (LOINC#8462-4)

value: 60 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "85354-9" }], "text" : "Blood Pressure" }, "subject" : { "reference" : "Patient/HIMSPatientExample" }, "encounter" : { "reference" : "Encounter/TargetFacilityEncounterExample" }, "effectiveDateTime" : "2022-11-30", "performer" : [{ "reference" : "Organization/OrganizationExample" }, { "reference" : "Practitioner/GeneralPractitionerExample" }], "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8480-6" }] }, "valueQuantity" : { "value" : 106, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8462-4" }] }, "valueQuantity" : { "value" : 60, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" } }] }, "request" : { "method" : "PUT", "url" : "Observation/BloodPressureExample" } }, { "fullUrl" : "Observation/RandomBloodSugarExample", "resource" : { "resourceType" : "Observation", "id" : "RandomBloodSugarExample", "meta" : { "profile" : ["http://openhie.org/fhir/sri-lanka/StructureDefinition/random-blood-sugar"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation

Resource Observation "RandomBloodSugarExample"

Profile: Random Blood Sugar Observation

status: final

code: Glucose (LOINC#15074-8)

subject: See above (Patient/HIMSPatientExample)

encounter: See above (Encounter/TargetFacilityEncounterExample)

effective: 2022-11-30

performer:

value: 6.3 mmol/l (Details: UCUM code mmol/l = 'mmol/l')

interpretation: High (ObservationInterpretation#H)

ReferenceRanges

-LowHighType
*3.1 mmol/l (Details: UCUM code mmol/l = 'mmol/l')6.2 mmol/l (Details: UCUM code mmol/l = 'mmol/l')Type (Observation Reference Range Meaning Codes#type)
" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "15074-8" }], "text" : "Glucose" }, "subject" : { "reference" : "Patient/HIMSPatientExample" }, "encounter" : { "reference" : "Encounter/TargetFacilityEncounterExample" }, "effectiveDateTime" : "2022-11-30", "performer" : [{ "reference" : "Organization/OrganizationExample" }, { "reference" : "Practitioner/GeneralPractitionerExample" }], "valueQuantity" : { "value" : 6.3, "unit" : "mmol/l", "system" : "http://unitsofmeasure.org", "code" : "mmol/l" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }] }], "referenceRange" : [{ "low" : { "value" : 3.1, "unit" : "mmol/l", "system" : "http://unitsofmeasure.org", "code" : "mmol/l" }, "high" : { "value" : 6.2, "unit" : "mmol/l", "system" : "http://unitsofmeasure.org", "code" : "mmol/l" }, "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning", "code" : "type" }] } }] }, "request" : { "method" : "PUT", "url" : "Observation/RandomBloodSugarExample" } }, { "fullUrl" : "Observation/FastingBloodSugarExample", "resource" : { "resourceType" : "Observation", "id" : "FastingBloodSugarExample", "meta" : { "profile" : ["http://openhie.org/fhir/sri-lanka/StructureDefinition/fasting-blood-sugar"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation

Resource Observation "FastingBloodSugarExample"

Profile: Fasting Blood Sugar Observation

status: final

code: Fasting glucose (LOINC#76629-5)

subject: See above (Patient/HIMSPatientExample)

encounter: See above (Encounter/TargetFacilityEncounterExample)

effective: 2022-11-30

performer:

value: 5.4 mmol/l (Details: UCUM code mmol/l = 'mmol/l')

interpretation: Normal (ObservationInterpretation#N)

ReferenceRanges

-LowHighType
*3.9 mmol/l (Details: UCUM code mmol/l = 'mmol/l')5.6 mmol/l (Details: UCUM code mmol/l = 'mmol/l')Type (Observation Reference Range Meaning Codes#type)
" }, "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "76629-5" }], "text" : "Fasting glucose" }, "subject" : { "reference" : "Patient/HIMSPatientExample" }, "encounter" : { "reference" : "Encounter/TargetFacilityEncounterExample" }, "effectiveDateTime" : "2022-11-30", "performer" : [{ "reference" : "Organization/OrganizationExample" }, { "reference" : "Practitioner/GeneralPractitionerExample" }], "valueQuantity" : { "value" : 5.4, "unit" : "mmol/l", "system" : "http://unitsofmeasure.org", "code" : "mmol/l" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "N" }] }], "referenceRange" : [{ "low" : { "value" : 3.9, "unit" : "mmol/l", "system" : "http://unitsofmeasure.org", "code" : "mmol/l" }, "high" : { "value" : 5.6, "unit" : "mmol/l", "system" : "http://unitsofmeasure.org", "code" : "mmol/l" }, "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning", "code" : "type" }] } }] }, "request" : { "method" : "PUT", "url" : "Observation/FastingBloodSugarExample" } }] }