HL7 FHIR Implementation Guide: Sri Lanka
0.1.0 - STU1 International flag

HL7 FHIR Implementation Guide: Sri Lanka, published by Jembi Health Systems. This is not an authorized publication; it is the continuous build for version 0.1.0. This version is based on the current content of https://github.com/jembi/Sri-Lanka and changes regularly. See the Directory of published versions

Example Bundle: HIMS Document Bundle

Mr. Mike John Smith (OFFICIAL) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

Generated Narrative: Composition

Resource Composition "HIMSCompositionExample"

Profile: HIMS Composition

identifier: id: PAT0001-v1

status: FINAL

type: 11502-2 (LOINC#11502-2)

encounter: See above (Encounter/TargetFacilityEncounterExample)

date: 2023-08-22

author:

title: Sri Lanka team to advise on title

Risk Behaviour - Assessment of Physical Activity

To be added

Risk Behaviour - Tobacco smoking Assessment

To be added

Blood Pressure

To be added

Patient Weight

To be added

Patient Height

To be added

Patient BMI

To be added

Bloodwork

To be added

Risk Assessment Report

To be added

Referral Requests

To be added

Treatment and Care

To be added

Previous, pre-existing and new conditions

To be added

Additional Document Content

2. Patient/HIMSPatientExample (Patient/HIMSPatientExample)

Mr. Mike John Smith (OFFICIAL) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

3. Patient/HHIMSPatientExample (Patient/HHIMSPatientExample)

Mr. Mike John Smith (OFFICIAL) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

4. Observation/RiskBehaviourPhysicalActivityExample (Observation/RiskBehaviourPhysicalActivityExample)

Generated Narrative: Observation

Resource Observation "RiskBehaviourPhysicalActivityExample"

Profile: Physical Activity Status Observation

status: FINAL

code: Physical Activity (SNOMED CT#106020009)

subject: See above (Patient/HIMSPatientExample)

encounter: See above (Encounter/TargetFacilityEncounterExample)

effective: 2022-11-30

performer:

value: Physically not active (SNOMED CT#9011000175102)

5. Practitioner/GeneralPractitionerExample (Practitioner/GeneralPractitionerExample)

Generated Narrative: Practitioner

Resource Practitioner "GeneralPractitionerExample"

Profile: Practitioner

name: Tom Junes Smith

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

6. Organization/OrganizationExample (Organization/OrganizationExample)

Generated Narrative: Organization

Resource Organization "OrganizationExample"

Profile: Organization

identifier: Organization identifier: facility1

name: Some Health Facility

7. Encounter/TargetFacilityEncounterExample (Encounter/TargetFacilityEncounterExample)

Not done yet

8. Observation/RiskBehaviourTobaccoSmokerExample (Observation/RiskBehaviourTobaccoSmokerExample)

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)

9. Observation/BloodPressureExample (Observation/BloodPressureExample)

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]')

10. Observation/WeightExample (Observation/WeightExample)

Generated Narrative: Observation

Resource Observation "WeightExample"

Profile: Patient Weight Observation

status: FINAL

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

code: Body Weight (LOINC#29463-7)

subject: See above (Patient/HIMSPatientExample)

encounter: See above (Encounter/TargetFacilityEncounterExample)

effective: 2022-11-30

performer:

value: 110 kg (Details: UCUM code kg = 'kg')

11. Observation/HeightExample (Observation/HeightExample)

Generated Narrative: Observation

Resource Observation "HeightExample"

Profile: Patient Height Observation

status: FINAL

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

code: Body Height (LOINC#8302-2)

subject: See above (Patient/HIMSPatientExample)

encounter: See above (Encounter/TargetFacilityEncounterExample)

effective: 2022-11-30

performer:

value: 185 cm (Details: UCUM code cm = 'cm')

12. Observation/BMIExample (Observation/BMIExample)

Generated Narrative: Observation

Resource Observation "BMIExample"

Profile: Patient BMI Observation

status: FINAL

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

code: Body mass index (BMI) (LOINC#39156-5)

subject: See above (Patient/HIMSPatientExample)

encounter: See above (Encounter/TargetFacilityEncounterExample)

effective: 2022-11-30

performer:

value: 16.2 kg/m2 (Details: UCUM code kg/m2 = 'kg/m2')

derivedFrom:

13. Observation/RandomBloodSugarExample (Observation/RandomBloodSugarExample)

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)

14. Observation/FastingBloodSugarExample (Observation/FastingBloodSugarExample)

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)

15. Observation/TotalCholesterolExample (Observation/TotalCholesterolExample)

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)

16. RiskAssessment/CVDRiskCategoryExample (RiskAssessment/CVDRiskCategoryExample)

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

17. ServiceRequest/FollowUpPlanServiceRequestExample (ServiceRequest/FollowUpPlanServiceRequestExample)

Generated Narrative: ServiceRequest

Resource ServiceRequest "FollowUpPlanServiceRequestExample"

Profile: Referral Request For Follow-up Plan

status: COMPLETED

intent: ORDER

code: Follow up at HLC (SNOMED CT#410321003)

subject: See above (Patient/HIMSPatientExample)

encounter: See above (Encounter/TargetFacilityEncounterExample)

occurrence: Count 1 times, Duration 3?ngen-7?, Once

requester: See above (Practitioner/GeneralPractitionerExample)

18. CarePlan/FollowUpAtHLCExample (CarePlan/FollowUpAtHLCExample)

Generated Narrative: CarePlan

Resource CarePlan "FollowUpAtHLCExample"

Profile: Follow-up at HLC

status: ACTIVE

intent: ORDER

subject: See above (Patient/HIMSPatientExample)

encounter: See above (Encounter/TargetFacilityEncounterExample)

period: 2022-12-01 --> (ongoing)

contributor: See above (Organization/OrganizationExample)

activity

19. Condition/MedicalHistoryExample (Condition/MedicalHistoryExample)

Generated Narrative: Condition

Resource Condition "MedicalHistoryExample"

Profile: Medical History

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Encounter Diagnosis (Condition Category Codes#encounter-diagnosis)

code: 313435000 (SNOMED CT#313435000)

subject: See above (Patient/HIMSPatientExample)

encounter: See above (Encounter/TargetFacilityEncounterExample)

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