HL7 FHIR Implementation Guide: Sri Lanka
0.1.0 - STU1

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:

- See above (Practitioner/GeneralPractitionerExample)
- See above (Organization/OrganizationExample)

title: Sri Lanka team to advise on title

## Risk Behaviour - Assessment of Physical Activity

To be added

- See above (Observation/RiskBehaviourPhysicalActivityExample)

## Risk Behaviour - Tobacco smoking Assessment

To be added

- See above (Observation/RiskBehaviourTobaccoSmokerExample)

## Blood Pressure

To be added

- See above (Observation/BloodPressureExample)

## Patient Weight

To be added

- See above (Observation/WeightExample)

## Patient Height

To be added

- See above (Observation/HeightExample)

## Patient BMI

To be added

- See above (Observation/BMIExample)

## Bloodwork

To be added

- See above (Observation/RandomBloodSugarExample)
- See above (Observation/FastingBloodSugarExample)
- See above (Observation/TotalCholesterolExample)

## Risk Assessment Report

To be added

- See above (RiskAssessment/CVDRiskCategoryExample)

## Referral Requests

To be added

- See above (ServiceRequest/FollowUpPlanServiceRequestExample)

## Treatment and Care

To be added

- See above (CarePlan/FollowUpAtHLCExample)

## Previous, pre-existing and new conditions

To be added

- See above (Condition/MedicalHistoryExample)

## 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:

> - See above (Organization/OrganizationExample)
> - See above (Practitioner/GeneralPractitionerExample)

> 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:

> - See above (Organization/OrganizationExample)
> - See above (Practitioner/GeneralPractitionerExample)

> 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:

> - See above (Organization/OrganizationExample)
> - See above (Practitioner/GeneralPractitionerExample)

> > 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:

> - See above (Organization/OrganizationExample)
> - See above (Practitioner/GeneralPractitionerExample)

> 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:

> - See above (Organization/OrganizationExample)
> - See above (Practitioner/GeneralPractitionerExample)

> 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:

> - See above (Organization/OrganizationExample)
> - See above (Practitioner/GeneralPractitionerExample)

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

> derivedFrom:

> - See above (Observation/WeightExample)
> - See above (Observation/HeightExample)

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:

> - See above (Organization/OrganizationExample)
> - See above (Practitioner/GeneralPractitionerExample)

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

> interpretation: High (ObservationInterpretation#H)

> ### ReferenceRanges

> - | Low | High | Type
> * | 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:

> - See above (Organization/OrganizationExample)
> - See above (Practitioner/GeneralPractitionerExample)

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

> interpretation: Normal (ObservationInterpretation#N)

> ### ReferenceRanges

> - | Low | High | Type
> * | 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:

> - See above (Organization/OrganizationExample)
> - See above (Practitioner/GeneralPractitionerExample)

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

> interpretation: High (ObservationInterpretation#H)

> ### ReferenceRanges

> - | High | Type
> * | 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:

> - See above (Patient/HIMSPatientExample)
> - See above (Observation/RiskBehaviourTobaccoSmokerExample)
> - See above (Observation/TotalCholesterolExample)
> - See above (Observation/BloodPressureExample)
> - See above (Observation/RandomBloodSugarExample)
> - See above (Observation/FastingBloodSugarExample)

> ### Predictions

> - | Outcome | Probability[x] | QualitativeRisk | When[x]
> * | Risk of heart attack (SNOMED CT#395112001) | 0.02 | Risk 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