LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide
0.1.0 - STU1

LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Example Bundle: HIMS Transactional Bundle

Profile: HIMS Transactional Bundle

Bundle HIMSTransactionalBundleExample of type transaction

Entry 1 - fullUrl = http://hapi-fhir:8080/fhir/Patient/PatientExample

Resource Patient:

> Profile: Patient

> Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> Other Ids: | Passport number/Passport-1 Passport number/Passport-2 Driver's license number/Drivers license-1 Driver's license number/Drivers license-2 National identity number/National identity number-1 National identity number/National identity number-2 Senior Citizen Number/Senior citizen number-1 Senior Citizen Number/Senior citizen number-2
> Contact Detail | +27829999999 someone@something.com someone2@something.com 177 Nawala Road Nugegoda Colombo 32350 LK
> Patient Registration System Information | Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

Request:

    PUT Patient/PatientExample

Entry 2 - fullUrl = http://hapi-fhir:8080/fhir/Encounter/TargetFacilityEncounterExample

Resource Encounter:

> Profile: Target Facility Encounter

> status: completed

> class: ambulatory

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> > participant

> ### Locations

> - | Location
> * | Location Name for the location

Request:

    PUT Encounter/TargetFacilityEncounterExample

Entry 3 - fullUrl = http://hapi-fhir:8080/fhir/Condition/MedicalHistoryExample

Resource Condition:

> Profile: Medical History

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Problem List Item

> code: Type I diabetes mellitus without complication

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

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

Request:

    PUT Condition/MedicalHistoryExample

Entry 4 - fullUrl = http://hapi-fhir:8080/fhir/Observation/WeightExample

Resource Observation:

> Profile: Patient Weight Observation

> status: Final

> category: Vital Signs

> code: Body Weight

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

> effective: 2022-11-30

> performer:

> - Organization Some Health Facility
> - Practitioner Tom Junes Smith

> value: 110 kg (Details: UCUM codekg = 'kg')

> device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

Request:

    PUT Observation/WeightExample

Entry 5 - fullUrl = http://hapi-fhir:8080/fhir/Observation/RiskBehaviourTobaccoSmokerExample

Resource Observation:

> Profile: Tobacco Smoker Observation

> status: Final

> category: Social History

> code: Tobacco smoking status for tobacco smoker

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

> effective: 2022-11-30

> performer:

> - Organization Some Health Facility
> - Practitioner Tom Junes Smith

> value: Light tobacco smoker

> device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

Request:

    PUT Observation/RiskBehaviourTobaccoSmokerExample

Entry 6 - fullUrl = http://hapi-fhir:8080/fhir/Observation/RiskBehaviourPhysicalActivityExample

Resource Observation:

> Profile: Physical Activity Status Observation

> status: Final

> category: Activity

> code: Physical Activity

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

> effective: 2022-11-30

> performer:

> - Organization Some Health Facility
> - Practitioner Tom Junes Smith

> value: Physically not active

> device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

Request:

    PUT Observation/RiskBehaviourPhysicalActivityExample

Entry 7 - fullUrl = http://hapi-fhir:8080/fhir/Observation/BloodPressureExample

Resource Observation:

> Profile: Blood Pressure Observation

> status: Final

> category: Vital Signs

> code: Blood Pressure

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

> effective: 2022-11-30

> performer:

> - Organization Some Health Facility
> - Practitioner Tom Junes Smith

> device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

> > component

> > code: Systolic blood pressure

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

> > component

> > code: Diastolic blood pressure

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

Request:

    PUT Observation/BloodPressureExample

Entry 8 - fullUrl = http://hapi-fhir:8080/fhir/Observation/HeightExample

Resource Observation:

> Profile: Patient Height Observation

> status: Final

> category: Vital Signs

> code: Body Height

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

> effective: 2022-11-30

> performer:

> - Organization Some Health Facility
> - Practitioner Tom Junes Smith

> value: 185 cm (Details: UCUM codecm = 'cm')

> device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

Request:

    PUT Observation/HeightExample

Entry 9 - fullUrl = http://hapi-fhir:8080/fhir/Observation/BMIExample

Resource Observation:

> Profile: Patient BMI Observation

> status: Final

> category: Vital Signs

> code: Body mass index (BMI)

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

> effective: 2022-11-30

> performer:

> - Organization Some Health Facility
> - Practitioner Tom Junes Smith

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

> device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

> derivedFrom:

> - Observation Body weight
> - Observation Body height

Request:

    PUT Observation/BMIExample

Entry 10 - fullUrl = http://hapi-fhir:8080/fhir/Observation/RandomBloodSugarExample

Resource Observation:

> Profile: Random Blood Sugar Observation

> status: Final

> category: Laboratory

> code: Glucose

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

> effective: 2022-11-30

> performer:

> - Organization Some Health Facility
> - Practitioner Tom Junes Smith

> value: 6.3 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

> interpretation: High

> device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

> ### ReferenceRanges

> - | Low | High | Type
> * | 3.1 mmol/L (Details: UCUM codemmol/L = 'mmol/L') | 6.2 mmol/L (Details: UCUM codemmol/L = 'mmol/L') | Type

Request:

    PUT Observation/RandomBloodSugarExample

Entry 11 - fullUrl = http://hapi-fhir:8080/fhir/Observation/FastingBloodSugarExample

Resource Observation:

> Profile: Fasting Blood Sugar Observation

> status: Final

> category: Laboratory

> code: Fasting glucose

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

> effective: 2022-11-30

> performer:

> - Organization Some Health Facility
> - Practitioner Tom Junes Smith

> value: 5.4 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

> interpretation: Normal

> device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

> ### ReferenceRanges

> - | Low | High | Type
> * | 3.9 mmol/L (Details: UCUM codemmol/L = 'mmol/L') | 5.6 mmol/L (Details: UCUM codemmol/L = 'mmol/L') | Type

Request:

    PUT Observation/FastingBloodSugarExample

Entry 12 - fullUrl = http://hapi-fhir:8080/fhir/Observation/TotalCholesterolExample

Resource Observation:

> Profile: Total Cholesterol Observation

> status: Final

> category: Laboratory

> code: Cholesterol

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

> effective: 2022-11-30

> performer:

> - Organization Some Health Facility
> - Practitioner Tom Junes Smith

> value: 6.3 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

> interpretation: High

> device: Device: identifier = http://fhir.health.gov.lk/ips/identifier/system-id#OpenMRS-1234-1; status = active; type = Medical record

> ### ReferenceRanges

> - | High | Type
> * | 5 mmol/L (Details: UCUM codemmol/L = 'mmol/L') | Type

Request:

    PUT Observation/TotalCholesterolExample

Entry 13 - fullUrl = http://hapi-fhir:8080/fhir/AllergyIntolerance/NoAllergiesExample

Resource AllergyIntolerance:

> Profile: Allergy Intolerance

> clinicalStatus: Inactive

> type: Allergy

> code: No information about allergies

> patient: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

Request:

    PUT AllergyIntolerance/NoAllergiesExample

Entry 14 - fullUrl = http://hapi-fhir:8080/fhir/MedicationRequest/NoPrescriptionsExample

Resource MedicationRequest:

> Profile: Medication Request

> status: Completed

> intent: Order

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

> authoredOn: 2023-10-06 13:28:17-0500

> note: By Organization/OrganizationExample @2023-10-11 17:21:33-0800

> > Additional information

Request:

    PUT MedicationRequest/NoPrescriptionsExample

Entry 15 - fullUrl = http://hapi-fhir:8080/fhir/RiskAssessment/CVDRiskCategoryExample

Resource RiskAssessment:

> Profile: Cardiovascular Risk Assessment

> status: Final

> code: Assessment for risk of cardiovascular disease

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

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

> performer: Practitioner Tom Junes Smith

> basis:

> - Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)
> - Observation Tobacco smoking status for tobacco smoker
> - Observation Cholesterol [Mass/volume] in Serum or Plasma
> - Observation Blood pressure panel with all children optional
> - Observation Glucose [Moles/volume] in Blood
> - Observation Fasting glucose [Moles/volume] in Blood

> ### Predictions

> - | Outcome | Probability[x] | QualitativeRisk | When[x]
> * | Risk of heart attack | 0.02 | Risk Category | 39-49 years

Request:

    PUT RiskAssessment/CVDRiskCategoryExample

Entry 16 - fullUrl = http://hapi-fhir:8080/fhir/CarePlan/FollowUpAtHLCExample

Resource CarePlan:

> Profile: Follow-up at HLC

> status: Active

> intent: Order

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

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

> contributor: Organization Some Health Facility

> > activity

Request:

    PUT CarePlan/FollowUpAtHLCExample

Entry 17 - fullUrl = http://hapi-fhir:8080/fhir/ServiceRequest/FollowUpPlanServiceRequestExample

Resource ServiceRequest:

> Profile: Referral Request For Follow-up Plan

> status: Completed

> intent: Order

> code: No display for ServiceRequest.code (concept: Wellness health teaching, guidance, and counselling)

> subject: Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number)

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

> occurrence: Count 1 times, Duration 3?? , Once

> requester: Practitioner Tom Junes Smith

Request:

    PUT ServiceRequest/FollowUpPlanServiceRequestExample

Entry 18 - fullUrl = http://hapi-fhir:8080/fhir/Practitioner/GeneralPractitionerExample

Resource Practitioner:

> Profile: Practitioner

> name: Tom Junes Smith

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

Request:

    PUT Practitioner/GeneralPractitionerExample

Entry 19 - fullUrl = http://hapi-fhir:8080/fhir/Location/ProvidersLocationExample

Resource Location:

> Profile: Providers Location

> identifier: Provider location identifier/Location-ID-1, Provider location identifier/Location-ID-2

> status: Active

> name: Name for the location

> address: 177 Nawala Road Nugegoda Colombo 32350 LK

> managingOrganization: Organization Some Health Facility

Request:

    PUT Location/ProvidersLocationExample

Entry 20 - fullUrl = http://hapi-fhir:8080/fhir/Organization/OrganizationExample

Resource Organization:

> Profile: Organization

> identifier: Organization identifier/facility1

> name: Some Health Facility

Request:

    PUT Organization/OrganizationExample

Entry 21 - fullUrl = http://hapi-fhir:8080/fhir/Device/DeviceInformationExample

Resource Device:

> Profile: Device Information

> identifier: `http://fhir.health.gov.lk/ips/identifier/system-id`/OpenMRS-1234-1

> status: Active

> type: Medical record

> ### Versions

> - | Type | Value
> * | OpenMRS | 2.5.0

> owner: Organization Some Health Facility

> location: Location Name for the location

Request:

    PUT Device/DeviceInformationExample