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<!doctype html>
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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.
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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/STU3/patient.html">Patient</a> with a known allergy (<a href="http://hl7.org/fhir/STU3/allergyintolerance.html">AllergyIntolerance</a>) has an <a href="http://hl7.org/fhir/STU3/appointment.html">Appointment</a> at a hospital (<a href="http://hl7.org/implement/standards/fhir/STU3/organization.html">Organization</a>) which results in a hospital <a href="http://hl7.org/fhir/STU3/encounter.html">Encounter</a>. The doctor (<a href="http://hl7.org/fhir/STU3/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/STU3/procedurerequest.html">ProcedureRequest</a>) at the pathology lab (<a href="http://hl7.org/implement/standards/fhir/STU3/organization.html">Organization</a>). The hospitals system tracks this request using a <a href="http://hl7.org/fhir/STU3/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/STU3/observation.html">Observation</a> in its 'Complete blood count' <a href="http://hl7.org/fhir/STU3/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, ProcedureRequest, 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.xml">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-xml">
<Bundle xmlns='http://hl7.org/fhir'>
<type value='transaction'/>
<entry>
<fullUrl value='Patient/patient'/>
<resource>
<Patient xmlns='http://hl7.org/fhir'>
<id value='patient'/>
<text>
<status value='generated'/>
<div xmlns='http://www.w3.org/1999/xhtml'>
<p>Patient: Fhirman, Sam</p>
</div>
</text>
<identifier>
<type>
<coding>
<system value='http://hl7.org/fhir/v2/0203'/>
<code value='NI'/>
<display value='National unique individual identifier'/>
</coding>
<text value='IHI'/>
</type>
<system value='http://ns.electronichealth.net.au/id/hi/ihi/1.0'/>
<value value='8003608166690503'/>
</identifier>
<identifier>
<use value='usual'/>
<type>
<coding>
<system value='http://hl7.org/fhir/v2/0203'/>
<code value='MR'/>
</coding>
</type>
<system value='urn:oid:1.2.36.146.595.217.0.1'/>
<value value='6666'/>
<period>
<start value='2001-05-06'/>
</period>
<assigner>
<display value='Acme Healthcare'/>
</assigner>
</identifier>
<name>
<use value='official'/>
<text value='Sam Fhirman'/>
<family value='Fhirman'/>
<given value='Sam'/>
<prefix value='Mr'/>
</name>
<telecom>
<system value='phone'/>
<value value='+61481059995'/>
<use value='mobile'/>
</telecom>
<gender value='male'/>
<birthDate value='1973-09-30'/>
<address>
<use value='work'/>
<line value='400 George Street'/>
<city value='Brisbane'/>
<state value='QLD'/>
<postalCode value='4000'/>
<country value='AUS'/>
</address>
<maritalStatus>
<coding>
<system value='http://hl7.org/fhir/v3/MaritalStatus'/>
<code value='M'/>
<display value='Married'/>
</coding>
</maritalStatus>
</Patient>
</resource>
<request>
<method value='PUT'/>
<url value='Patient/patient'/>
</request>
</entry>
<entry>
<fullUrl value='AllergyIntolerance/allergyintolerance'/>
<resource>
<AllergyIntolerance xmlns='http://hl7.org/fhir'>
<id value='allergyintolerance'/>
<status value='active'/>
<type value='allergy'/>
<criticality value='high'/>
<code>
<coding>
<system value='http://snomed.info/sct'/>
<code value='227037002'/>
<display value='Fish - dietary (substance)'/>
</coding>
</code>
<patient>
<reference value='Patient/patient'/>
</patient>
<recorder>
<reference value='Practitioner/practitioner'/>
</recorder>
</AllergyIntolerance>
</resource>
<request>
<method value='PUT'/>
<url value='AllergyIntolerance/allergyintolerance'/>
</request>
</entry>
<entry>
<fullUrl value='Appointment/appointment'/>
<resource>
<Appointment xmlns='http://hl7.org/fhir'>
<id value='appointment'/>
<status value='fulfilled'/>
<reason>
<coding>
<system value='http://hl7.org/fhir/ValueSet/encounter-reason'/>
<code value='274640006'/>
<display value='Fever with chills (finding)'/>
</coding>
</reason>
<description value='Mr Fhirman has been experiencing an very high temperature for two days and his wife insisted that he make an appointment.'/>
<start value='2016-10-31T08:00:00+10:00'/>
<end value='2016-10-31T08:30:00+10:00'/>
<participant>
<actor>
<reference value='Patient/patient'/>
</actor>
<status value='accepted'/>
</participant>
</Appointment>
</resource>
<request>
<method value='PUT'/>
<url value='Appointment/appointment'/>
</request>
</entry>
<entry>
<fullUrl value='Encounter/encounter'/>
<resource>
<Encounter xmlns='http://hl7.org/fhir'>
<id value='encounter'/>
<status value='finished'/>
<class>
<system value='http://hl7.org/fhir/ValueSet/v3-ActEncounterCode'/>
<code value='NONAC'/>
<display value='inpatient non-acute'/>
</class>
<priority>
<coding>
<system value='http://hl7.org/fhir/ValueSet/v3-ActPriority'/>
<code value='R'/>
<display value='routine'/>
</coding>
</priority>
<subject>
<reference value='Patient/patient'/>
</subject>
<participant>
<type>
<coding>
<system value='http://hl7.org/fhir/ValueSet/encounter-participant-type'/>
<code value='PPRF'/>
<display value='primary performer'/>
</coding>
</type>
<individual>
<reference value='Practitioner/practitioner'/>
</individual>
</participant>
<appointment>
<reference value='Appointment/appointment'/>
</appointment>
<period>
<start value='2016-10-31T08:07:00+10:00'/>
<end value='2016-10-31T08:28:00+10:00'/>
</period>
<reason>
<coding>
<system value='http://hl7.org/fhir/ValueSet/encounter-reason'/>
<code value='274640006'/>
<display value='Fever with chills (finding)'/>
</coding>
</reason>
<serviceProvider>
<reference value='Organization/hospital-organization'/>
</serviceProvider>
</Encounter>
</resource>
<request>
<method value='PUT'/>
<url value='Encounter/encounter'/>
</request>
</entry>
<entry>
<fullUrl value='Practitioner/practitioner'/>
<resource>
<Practitioner xmlns='http://hl7.org/fhir'>
<id value='practitioner'/>
<name>
<family value='Junior'/>
<given value='Peter'/>
<prefix value='Dr.'/>
</name>
<gender value='male'/>
<role>
<organization>
<reference value='Organization/hospital-organization'/>
</organization>
</role>
</Practitioner>
</resource>
<request>
<method value='PUT'/>
<url value='Practitioner/practitioner'/>
</request>
</entry>
<entry>
<fullUrl value='ProcedureRequest/procedurecrequest'/>
<resource>
<ProcedureRequest xmlns='http://hl7.org/fhir'>
<id value='procedurerequest'/>
<status value='completed'/>
<code>
<coding>
<system value='http://snomed.info/sct'/>
<code value='26604007'/>
<display value='Complete blood count'/>
</coding>
</code>
<subject>
<reference value='Patient/patient'/>
</subject>
<context>
<reference value='Encounter/encounter'/>
</context>
<authoredOn value='2016-10-31T08:25:00+10:00'/>
<requester>
<agent>
<reference value='Practitioner/practitioner'/>
</agent>
</requester>
<performer>
<reference value='Organization/pathlab'/>
</performer>
</ProcedureRequest>
</resource>
<request>
<method value='PUT'/>
<url value='ProcedureRequest/procedurerequest'/>
</request>
</entry>
<entry>
<fullUrl value='Task/task'/>
<resource>
<Task xmlns='http://hl7.org/fhir'>
<id value='task'/>
<identifier>
<use value='official'/>
<system value='urn:ietf:rfc:3986'/>
<value value='http://example.com/fhir/Task/163412'/>
</identifier>
<status value='completed'/>
<stage>
<coding>
<system value='http://hl7.org/fhir/ValueSet/task-stage'/>
<code value='actionable'/>
<display value='actionable'/>
</coding>
</stage>
<priority value='normal'/>
<created value='2016-10-31T08:25:05+10:00'/>
<lastModified value='2016-10-31T09:45:05+10:00'/>
<requester>
<reference value='Practitioner/practitioner'/>
</requester>
<input>
<type>
<coding>
<system value='http://example.com/fhir/Task/progress-status-tracker'/>
<code value='input'/>
<display value='Input'/>
</coding>
</type>
<valueReference>
<reference value='ProcedureRequest/procedurerequest'/>
</valueReference>
</input>
<output>
<type>
<coding>
<system value='http://example.com/fhir/Task/progress-status-tracker'/>
<code value='output'/>
<display value='Output'/>
</coding>
</type>
<valueReference>
<reference value='DiagnosticReport/diagnosticreport'/>
</valueReference>
</output>
</Task>
</resource>
<request>
<method value='PUT'/>
<url value='Task/task'/>
</request>
</entry>
<entry>
<fullUrl value='DiagnosticReport/diagnosticreport'/>
<resource>
<DiagnosticReport xmlns='http://hl7.org/fhir'>
<id value='diagnosticreport'/>
<status value='final'/>
<code>
<coding>
<system value='http://snomed.info/sct'/>
<code value='26604007'/>
<display value='Complete blood count'/>
</coding>
</code>
<subject>
<reference value='Patient/patient'/>
</subject>
<effectiveDateTime value='2016-10-31T09:35:00+10:00'/>
<issued value='2016-10-31T09:45:00+10:00'/>
<performer>
<reference value='Organization/pathlab'/>
</performer>
<request>
<reference value='ProcedureRequest/procedurerequest'/>
</request>
<result>
<reference value='Observation/path-lab-observation'/>
</result>
</DiagnosticReport>
</resource>
<request>
<method value='PUT'/>
<url value='DiagnosticReport/diagnosticreport'/>
</request>
</entry>
<entry>
<fullUrl value='Observation/path-lab-observation'/>
<resource>
<Observation xmlns='http://hl7.org/fhir'>
<id value='path-lab-observation'/>
<status value='final'/>
<category>
<coding>
<system value='http://hl7.org/fhir/ValueSet/observation-category'/>
<code value='laboratory'/>
<display value='Laboratory'/>
</coding>
</category>
<code>
<coding>
<system value='http://snomed.info/sct'/>
<code value='26604007'/>
<display value='Complete blood count'/>
</coding>
</code>
<subject>
<reference value='Patient/patient'/>
</subject>
<effectiveDateTime value='2016-10-31T09:35:00+10:00'/>
</Observation>
</resource>
<request>
<method value='PUT'/>
<url value='Observation/path-lab-observation'/>
</request>
</entry>
<entry>
<fullUrl value='Organization/hospital-organization'/>
<resource>
<Organization xmlns='http://hl7.org/fhir'>
<id value='hospital-organization'/>
<type>
<coding>
<system value='http://hl7.org/fhir/ValueSet/organization-type'/>
<code value='dept'/>
<display value='Hospital Department'/>
</coding>
</type>
<name value='Sample Hospital'/>
<telecom>
<system value='email'/>
<value value='os@hospital.com.au'/>
</telecom>
<address>
<line value='67 Hospital Drive'/>
<city value='Agencyville'/>
<state value='QLD'/>
<postalCode value='5555'/>
<country value='Australia'/>
</address>
</Organization>
</resource>
<request>
<method value='PUT'/>
<url value='Organization/hospital-organization'/>
</request>
</entry>
<entry>
<fullUrl value='Organization/pathlab'/>
<resource>
<Organization xmlns='http://hl7.org/fhir'>
<id value='pathlab'/>
<type>
<coding>
<system value='http://hl7.org/fhir/ValueSet/organization-type'/>
<code value='prov'/>
<display value='Healthcare Provider'/>
</coding>
</type>
<name value='Pathology Laboratory'/>
<telecom>
<system value='email'/>
<value value='pathstuff@example.com'/>
</telecom>
<address>
<line value='67 Hospital Drive'/>
<city value='Agencyville'/>
<state value='QLD'/>
<postalCode value='5555'/>
<country value='Agencyville'/>
</address>
</Organization>
</resource>
<request>
<method value='PUT'/>
<url value='Organization/pathlab'/>
</request>
</entry>
</Bundle></textarea>
<p>That's it for this exercise!</p>
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