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 IPS Bundle

Document Details

Profile: HIMS IPS Bundle

Final Document at 2024-02-20 by Practitioner Tom Junes Smith , Organization Some Health Facility for Mike John Smith (official) Male, DoB: 1983-05-22 ( Personal Health Number: personal health number) in encounter Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2022-12-01 --> 2023-01-20; reasonCode = Myalgia

Document Subject

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

Document Content

## Medication Summary section

Generated Narrative: MedicationRequest

Resource MedicationRequest "NoPrescriptionsExample"

Profile: Prescription Not Available

status: completed

intent: order

medication: No information about medications (Absent and Unknown Data - IPS#no-medication-info)

subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)

encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)

note: Additional information (By Organization-OrganizationExample @Oct 12, 2023, 1:21:33)

## IPS Allergies and Intolerances Section

Generated Narrative: AllergyIntolerance

Resource AllergyIntolerance "NoAllergiesExample"

Profile: Allergy Intolerance

clinicalStatus: Inactive (AllergyIntolerance Clinical Status Codes#inactive)

type: allergy

code: No information about allergies (Absent and Unknown Data - IPS#no-allergy-info)

patient: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)

encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)

## IPS Problems Section

Generated Narrative: Condition MedicalHistoryExample

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

recorder: Practitioner Tom Junes Smith

asserter: Practitioner Tom Junes Smith

## IPS Vital Signs Section

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 (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)

encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)

effective: 2022-11-30

performer:

- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)
- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)

> component

> code: BP sys ( LOINC#8480-6)

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

> component

> code: BP dias ( LOINC#8462-4)

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

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 (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)

encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)

effective: 2022-11-30

performer:

- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)
- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)

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

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 (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)

encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)

effective: 2022-11-30

performer:

- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)
- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)

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

derivedFrom:

- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Observation-WeightExample)
- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Observation-HeightExample)

## Physical Activities Summary section

Generated Narrative: Observation

Resource Observation "RiskBehaviourPhysicalActivityExample"

Profile: Physical Activity Status Observation

status: final

category: Activity (Observation Category Codes#activity)

code: Physical Activity (SNOMED CT#106020009)

subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)

encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)

effective: 2022-11-30

performer:

- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)
- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)

value: Physically not active (SNOMED CT#9011000175102)

## IPS Results Section

Generated Narrative: Observation

Resource Observation "RandomBloodSugarExample"

Profile: Random Blood Sugar Observation

status: final

category: Laboratory (Observation Category Codes#laboratory)

code: Glucose (LOINC#15074-8)

subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)

encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)

effective: 2022-11-30

performer:

- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)
- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/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)

Generated Narrative: Observation

Resource Observation "FastingBloodSugarExample"

Profile: Fasting Blood Sugar Observation

status: final

category: Laboratory (Observation Category Codes#laboratory)

code: Fasting glucose (LOINC#76629-5)

subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)

encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)

effective: 2022-11-30

performer:

- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)
- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/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)

Generated Narrative: Observation

Resource Observation "TotalCholesterolExample"

Profile: Total Cholesterol Observation

status: final

category: Laboratory (Observation Category Codes#laboratory)

code: Cholesterol (LOINC#2093-3)

subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)

encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)

effective: 2022-11-30

performer:

- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)
- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/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)

Generated Narrative: Observation

Resource Observation "RiskBehaviourTobaccoSmokerExample"

Profile: Tobacco Smoker Observation

status: final

category: Social History (Observation Category Codes#social-history)

code: Tobacco smoking status for tobacco smoker (LOINC#81229-7)

subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)

encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)

effective: 2022-11-30

performer:

- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)
- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)

value: Light tobacco smoker (LOINC#LA18982-1)

## Risk Assessments Summary section

Generated Narrative: RiskAssessment

Resource RiskAssessment "CVDRiskCategoryExample"

Profile: Cardiovascular Risk Assessment

status: final

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

subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)

encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)

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

performer: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)

basis:

- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)
- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Observation-RiskBehaviourTobaccoSmokerExample)
- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Observation-TotalCholesterolExample)
- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Observation-BloodPressureExample)
- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Observation-RandomBloodSugarExample)
- See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/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

## Referrals Summary section

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 (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)

encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)

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

requester: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Practitioner-GeneralPractitionerExample)

locationReference: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Location/ProvidersLocationExample)

reasonCode: Followed in 6 months at HLC (Follow up at HLC#Followed-in-3-years-at-hlc)

## IPS Plan of Care Section

Generated Narrative: CarePlan

Resource CarePlan "FollowUpAtHLCExample"

Profile: Follow-up at HLC

status: active

intent: order

subject: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Patient-PatientExample)

encounter: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Encounter-TargetFacilityEncounter)

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

contributor: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)

### Activities

- | Reference
* | See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/ServiceRequest/FollowUpPlanServiceRequestExample)

## List of Encounter Locations section

Generated Narrative: Location

Resource Location "ProvidersLocationExample"

Profile: Providers Location

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

status: active

name: Name for the location

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

address: 177 Nawala Road Nugegoda Colombo 32350 LK

managingOrganization: See (https://lk-gov-health-hiu.github.io/lk-nehr-fhir-ips/Organization-OrganizationExample)

## List of Used Devices section

Generated Narrative: Device

Resource Device "DeviceInformationExample"

Profile: Device Information

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

status: active

type: Medical record (SNOMED CT#129465004)

### Versions

- | Type | Value
* | OpenMRS (Device Classification Codes#OpenMRS) | 2.5.0

owner: Organization/OrganizationExample "Some Health Facility"

location: Location/ProvidersLocationExample "Name for the location"

## Additional Resources Included in Document

Entry 2 - 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

Entry 3 - 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

Entry 4 - 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

Entry 5 - 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

Entry 6 - 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

Entry 7 - 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

Entry 8 - 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]')

Entry 9 - 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

Entry 10 - 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

Entry 11 - 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

Entry 12 - 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

Entry 13 - 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

Entry 14 - 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

Entry 15 - 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

Entry 16 - 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

Entry 17 - 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

Entry 18 - 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

Entry 19 - fullUrl = http://hapi-fhir:8080/fhir/Practitioner/GeneralPractitionerExample

Resource Practitioner:

> Profile: Practitioner

> name: Tom Junes Smith

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

Entry 20 - 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

Entry 21 - fullUrl = http://hapi-fhir:8080/fhir/Organization/OrganizationExample

Resource Organization:

> Profile: Organization

> identifier: Organization identifier/facility1

> name: Some Health Facility

Entry 22 - 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