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<!doctype html>
<!--
FHIR Drills
Copyright 2016 Australian Digital Health Agency. All rights reserved.
Licensed under the Apache License, Version 2.0 (the "License");
you may not use this file except in compliance with the License.
You may obtain a copy of the License at
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<title>Sam's FHIR journey | FHIR® exercises</title>
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<h4>Sam's FHIR journey</h4>
<p>This exercise will help you practice your FHIR skills by having you create resources that follow our Sam Fhirman's small journey through the healthcare system.</p>
<ul class="toc">
<h4>Contents</h4>
<a href="#sam-description">Step 1: Exercise description</a>
<a href="#step2">Step 2: Create a ValueSet</a>
<a href="#step3">Step 3: Perform an $expand on your ValueSet</a>
<a href="#step4">Step 4: Create a ConceptMap mapping</a>
<a href="#step5">Step 5: Perform a $translate on your ConceptMap</a>
</ul>
<h5 id="sam-description">Step 1: Exercise description</h5>
<p>Sam, our <a href="http://hl7.org/fhir/R4/patient.html">Patient</a> with a known allergy (<a href="http://hl7.org/fhir/R4/allergyintolerance.html">AllergyIntolerance</a>) has an <a href="http://hl7.org/fhir/R4/appointment.html">Appointment</a> at a hospital (<a href="http://hl7.org/implement/standards/fhir/R4/organization.html">Organization</a>) which results in a hospital <a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a>. The doctor (<a href="http://hl7.org/fhir/R4/practitioner.html">Practitioner</a>), who previously recorded Sams allergy, examines Sam and notices an allergy to fish, so he orders a test to be done (<a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a>) at the pathology lab (<a href="http://hl7.org/implement/standards/fhir/R4/organization.html">Organization</a>). The hospitals system tracks this request using a <a href="http://hl7.org/fhir/R4/task.html">Task</a>, so the doctor can check the task at any time to see if there's been any progress made. When the pathology lab performs its analysis, it records 'Hemoglobin' result as an <a href="http://hl7.org/fhir/R4/observation.html">Observation</a> in its 'Complete blood count' <a href="http://hl7.org/fhir/R4/diagnosticreport.html">DiagnosticReport</a> which is send to the FHIR server of the hospital. The pathology lab system updates the Task with the DiagnosticReport and notifies the doctor that results are available.</p>
<p>Ok, so maybe this doctor and pathology lab have no idea about healthcare, a 'Complete blood count' with only a single 'Hemoglobin' result for a Fish allergy. Sounds very fishy to me!</p>
<p>We need you to model this scenario as FHIR resources. You will need to create a Patient, AllergyIntolerance, Appointment, Encounter, Practitioner, ServiceRequest, Task, DiagnosticReport, Observation, and two Organization resources and have them reference each other appropriately. Try working as a group to split the load, or just work through the resources one by one together!</p>
<p>See diagram below for how the resources could be setup:</p>
<a href="images/patient-fhir-journey-exersize.png" data-lightbox="patient-fhir-journey-exersize"><img src="images/patient-fhir-journey-exersize.png" class="thumbnail"/></a>
<h5 id="sam-answer">Exercise answer</h5>
<p>The answer with all resources included is <a href="resource-examples/sam-fhir-journey/Bundle.json">available here</a> (right-click and use 'Save as'). As this example is a FHIR transaction bundle, you can also just POST it to a FHIR servers endpoint and have all of the resources created for you on the server. But that would be cheating!</p>
<p>Answer is also available for viewing below:</p>
<textarea class="fhir-resource-json">
{
"resourceType": "Bundle",
"type": "transaction",
"entry": [
{
"fullUrl": "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0a",
"resource": {
"resourceType": "Patient",
"id": "patient",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Patient: Fhirman, Sam</p></div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "NI",
"display": "National unique individual identifier"
}
],
"text": "IHI"
},
"system": "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
"value": "8003608166690503"
},
{
"use": "usual",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
},
"system": "urn:oid:1.2.36.146.595.217.0.1",
"value": "6666",
"period": {
"start": "2001-05-06"
},
"assigner": {
"display": "Acme Healthcare"
}
}
],
"name": [
{
"use": "official",
"text": "Sam Fhirman",
"family": "Fhirman",
"given": ["Sam"],
"prefix": ["Mr"]
}
],
"telecom": [
{
"system": "phone",
"value": "+61481059995",
"use": "mobile"
}
],
"gender": "male",
"birthDate": "1973-09-30",
"address": [
{
"use": "work",
"line": ["400 George Street"],
"city": "Brisbane",
"state": "QLD",
"postalCode": "4000",
"country": "AUS"
}
],
"maritalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code": "M",
"display": "Married"
}
]
}
},
"request": {
"method": "PUT",
"url": "Patient/patient"
}
},
{
"fullUrl": "urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637",
"resource": {
"resourceType": "AllergyIntolerance",
"id": "allergyintolerance",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Allergy: Fish - dietary (active, confirmed, high criticality)</p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code": "active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code": "confirmed"
}
]
},
"type": "allergy",
"criticality": "high",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "735971005",
"display": "Fish"
}
]
},
"patient": {
"reference": "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0a"
},
"recorder": {
"reference": "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"
}
},
"request": {
"method": "PUT",
"url": "AllergyIntolerance/allergyintolerance"
}
},
{
"fullUrl": "urn:uuid:27593fea-83ad-41d4-aa13-37b4c7bdcb86",
"resource": {
"resourceType": "Appointment",
"id": "appointment",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Appointment: General Practice (fulfilled) - 2016-10-31 08:00-08:30</p></div>"
},
"status": "fulfilled",
"serviceCategory": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/service-category",
"code": "17",
"display": "General Practice"
}
]
}
],
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "50417007",
"display": "Lower respiratory tract infection"
}
]
}
],
"description": "Mr Fhirman has been experiencing an very high temperature for two days and his wife insisted that he make an appointment.",
"start": "2016-10-31T08:00:00+10:00",
"end": "2016-10-31T08:30:00+10:00",
"participant": [
{
"actor": {
"reference": "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0a",
"display": "Sam Fhirman"
},
"status": "accepted"
}
]
},
"request": {
"method": "PUT",
"url": "Appointment/appointment"
}
},
{
"fullUrl": "urn:uuid:8220e4f0-7dc6-41cc-a904-52d4b4c6e6e6",
"resource": {
"resourceType": "Encounter",
"id": "encounter",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Encounter: Inpatient non-acute (finished) - Lower respiratory tract infection</p></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "NONAC",
"display": "inpatient non-acute"
},
"priority": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
"code": "R",
"display": "routine"
}
]
},
"subject": {
"reference": "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0a"
},
"participant": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
}
]
}
],
"individual": {
"reference": "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"
}
}
],
"appointment": [
{
"reference": "urn:uuid:27593fea-83ad-41d4-aa13-37b4c7bdcb86"
}
],
"period": {
"start": "2016-10-31T08:07:00+10:00",
"end": "2016-10-31T08:28:00+10:00"
},
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "50417007",
"display": "Lower respiratory tract infection"
}
]
}
],
"serviceProvider": {
"reference": "urn:uuid:d9b0b7f0-b3d4-4e9c-9c0e-7b6c5e8f9e8a"
}
},
"request": {
"method": "PUT",
"url": "Encounter/encounter"
}
},
{
"fullUrl": "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0",
"resource": {
"resourceType": "Practitioner",
"id": "practitioner",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Practitioner: Dr. Peter Junior (male)</p></div>"
},
"name": [
{
"family": "Junior",
"given": ["Peter"],
"prefix": ["Dr."]
}
],
"gender": "male"
},
"request": {
"method": "PUT",
"url": "Practitioner/practitioner"
}
},
{
"fullUrl": "urn:uuid:c69c97f3-0e38-4c72-a3a7-b8b6c3c0e8e9",
"resource": {
"resourceType": "ServiceRequest",
"id": "servicerequest",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>ServiceRequest: Complete blood count (completed)</p></div>"
},
"status": "completed",
"intent": "order",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26604007",
"display": "Complete blood count"
}
]
},
"subject": {
"reference": "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0a"
},
"encounter": {
"reference": "urn:uuid:8220e4f0-7dc6-41cc-a904-52d4b4c6e6e6"
},
"authoredOn": "2016-10-31T08:25:00+10:00",
"requester": {
"reference": "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"
},
"performer": [
{
"reference": "urn:uuid:3f5b9b7c-4e8c-4b9d-9e7c-8b6c5e8f9e8b"
}
]
},
"request": {
"method": "PUT",
"url": "ServiceRequest/servicerequest"
}
},
{
"fullUrl": "urn:uuid:5e0e3e7c-5a9c-4b8d-9e7c-8b6c5e8f9e8c",
"resource": {
"resourceType": "Task",
"id": "task",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Task: Progress tracker for Complete blood count (completed)</p></div>"
},
"identifier": [
{
"use": "official",
"system": "urn:ietf:rfc:3986",
"value": "http://example.com/fhir/Task/163412"
}
],
"status": "completed",
"intent": "order",
"priority": "routine",
"authoredOn": "2016-10-31T08:25:05+10:00",
"lastModified": "2016-10-31T09:45:05+10:00",
"requester": {
"reference": "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"
},
"input": [
{
"type": {
"coding": [
{
"system": "http://example.com/fhir/Task/progress-status-tracker",
"code": "input",
"display": "Input"
}
]
},
"valueReference": {
"reference": "urn:uuid:c69c97f3-0e38-4c72-a3a7-b8b6c3c0e8e9"
}
}
],
"output": [
{
"type": {
"coding": [
{
"system": "http://example.com/fhir/Task/progress-status-tracker",
"code": "output",
"display": "Output"
}
]
},
"valueReference": {
"reference": "urn:uuid:6e1e4e8c-6a9c-4b8d-9e7c-8b6c5e8f9e8d"
}
}
]
},
"request": {
"method": "PUT",
"url": "Task/task"
}
},
{
"fullUrl": "urn:uuid:6e1e4e8c-6a9c-4b8d-9e7c-8b6c5e8f9e8d",
"resource": {
"resourceType": "DiagnosticReport",
"id": "diagnosticreport",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>DiagnosticReport: Complete blood count (final) - 2016-10-31</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26604007",
"display": "Complete blood count"
}
]
},
"subject": {
"reference": "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0a"
},
"effectiveDateTime": "2016-10-31T09:35:00+10:00",
"issued": "2016-10-31T09:45:00+10:00",
"performer": [
{
"reference": "urn:uuid:3f5b9b7c-4e8c-4b9d-9e7c-8b6c5e8f9e8b"
}
],
"basedOn": [
{
"reference": "urn:uuid:c69c97f3-0e38-4c72-a3a7-b8b6c3c0e8e9"
}
],
"result": [
{
"reference": "urn:uuid:7e2e5e9c-7a9c-4b8d-9e7c-8b6c5e8f9e8e"
}
]
},
"request": {
"method": "PUT",
"url": "DiagnosticReport/diagnosticreport"
}
},
{
"fullUrl": "urn:uuid:7e2e5e9c-7a9c-4b8d-9e7c-8b6c5e8f9e8e",
"resource": {
"resourceType": "Observation",
"id": "path-lab-observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Observation: Complete blood count (final, laboratory)</p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26604007",
"display": "Complete blood count"
}
]
},
"subject": {
"reference": "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0a"
},
"effectiveDateTime": "2016-10-31T09:35:00+10:00",
"performer": [
{
"reference": "urn:uuid:3f5b9b7c-4e8c-4b9d-9e7c-8b6c5e8f9e8b"
}
]
},
"request": {
"method": "PUT",
"url": "Observation/path-lab-observation"
}
},
{
"fullUrl": "urn:uuid:d9b0b7f0-b3d4-4e9c-9c0e-7b6c5e8f9e8a",
"resource": {
"resourceType": "Organization",
"id": "hospital-organization",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Organization: Sample Hospital (Hospital Department)</p></div>"
},
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "dept",
"display": "Hospital Department"
}
]
}
],
"name": "Sample Hospital",
"telecom": [
{
"system": "email",
"value": "os@hospital.com.au"
}
],
"address": [
{
"line": ["67 Hospital Drive"],
"city": "Agencyville",
"state": "QLD",
"postalCode": "5555",
"country": "Australia"
}
]
},
"request": {
"method": "PUT",
"url": "Organization/hospital-organization"
}
},
{
"fullUrl": "urn:uuid:3f5b9b7c-4e8c-4b9d-9e7c-8b6c5e8f9e8b",
"resource": {
"resourceType": "Organization",
"id": "pathlab",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Organization: Pathology Laboratory (Healthcare Provider)</p></div>"
},
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "prov",
"display": "Healthcare Provider"
}
]
}
],
"name": "Pathology Laboratory",
"telecom": [
{
"system": "email",
"value": "pathstuff@example.com"
}
],
"address": [
{
"line": ["67 Hospital Drive"],
"city": "Agencyville",
"state": "QLD",
"postalCode": "5555",
"country": "Agencyville"
}
]
},
"request": {
"method": "PUT",
"url": "Organization/pathlab"
}
}
]
}
</textarea>
<p>That's it for this exercise!</p>
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