{
"id": "document_model",
"type": "object",
"properties": {
"data": {
"type": "object",
"properties": {
"allergies": {
"$ref": "allergies"
},
"demographics": {
"$ref": "demographics"
},
"header": {
"$ref": "header"
},
"encounters": {
"$ref": "encounters"
},
"immunizations": {
"$ref": "immunizations"
},
"medications": {
"$ref": "medications"
},
"problems": {
"$ref": "problems"
},
"plan_of_care": {
"$ref": "plan_of_care"
},
"procedures": {
"$ref": "procedures"
},
"results": {
"$ref": "results"
},
"social_history": {
"$ref": "social_history"
},
"payers": {
"$ref": "payers"
},
"vitals": {
"$ref": "vitals"
},
"claims": {
"$ref": "claims"
},
"providers": {
"$ref": "providers"
},
"organizations": {
"$ref": "organizations"
},
"medical_devices": {
"$ref": "medical_devices"
},
"family_history": {
"$ref": "family_history"
},
"functional_statuses": {
"$ref": "functional_statuses"
},
"reason_for_referral": {
"$ref": "reason_for_referral"
},
"hospital_discharge_instructions": {
"$ref": "discharge_instructions"
},
"hospital_discharge_medications": {
"$ref": "hospital_discharge_medications"
}
},
"additionalProperties": true
},
"errors": {
"type": "array",
"items": {
"type": "string"
}
},
"meta": {
"type": "object",
"properties": {
"type": {
"type": "string"
},
"version": {
"type": "string"
},
"confidentiality": {
"type": "string"
},
"patient_entered": {
"type": "boolean"
}
},
"additionalProperties": true
}
}
}
{
"data": {
"header": {
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.99999.1",
"extension": "TT988"
}
],
"confidentiality_code": {
"code": "N",
"name": "Normal",
"code_system_name": "Confidentiality Code"
},
"code": {
"name": "Summarization of Episode Note",
"code": "34133-9",
"code_system_name": "LOINC"
},
"template": [
"2.16.840.1.113883.10.20.22.1.1",
"2.16.840.1.113883.10.20.22.1.2"
],
"title": "Community Health and Hospitals: Health Summary",
"date_time": {
"point": {
"date": "2012-09-15T04:00:00.000Z",
"precision": "minute"
}
},
"author": {
"author": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.4.6",
"extension": "99999999"
}
],
"name": [
{
"last": "Seven",
"first": "Henry"
}
],
"address": [
{
"street_lines": [
"1002 Healthcare Drive"
],
"city": "Portland",
"state": "OR",
"zip": "99123",
"country": "US"
}
],
"phone": [
{
"number": "555-555-1002",
"type": "work place"
}
],
"code": [
{
"name": "Allopathic & Osteopathic Physicians",
"code": "200000000X"
}
]
}
],
"date_time": {
"point": {
"date": "2005-03-29T17:44:11.000Z",
"precision": "second"
}
}
},
"data_enterer": {
"identifiers": [
{
"identifier": "2.16.840.1.113883.4.6",
"extension": "999999943252"
}
],
"name": [
{
"last": "Seven",
"first": "Henry"
}
],
"address": [
{
"street_lines": [
"1001 Village Avenue"
],
"city": "Portland",
"state": "OR",
"zip": "99123",
"country": "US"
}
],
"phone": [
{
"number": "555-555-1002",
"type": "work place"
}
]
},
"informant": {
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5",
"extension": "KP00017"
}
],
"name": [
{
"last": "Seven",
"first": "Henry"
}
],
"address": [
{
"street_lines": [
"1001 Village Avenue"
],
"city": "Portland",
"state": "OR",
"zip": "99123",
"country": "US"
}
],
"phone": [
{
"number": "555-555-1002",
"type": "work place"
}
]
},
"custodian": {
"identifiers": [
{
"identifier": "2.16.840.1.113883.4.6",
"extension": "99999999"
}
],
"name": [
"Community Health and Hospitals"
],
"address": [
{
"street_lines": [
"1002 Healthcare Drive"
],
"city": "Portland",
"state": "OR",
"zip": "99123",
"country": "US",
"use": "work place"
}
],
"phone": [
{
"number": " 555-555-1002",
"type": "work place"
}
]
},
"service_event": {
"code": {
"name": "Colonoscopy",
"code": "73761001",
"code_system_name": "SNOMED CT"
},
"date_time": {
"low": {
"date": "2012-09-08T04:00:00.000Z",
"precision": "minute"
},
"high": {
"date": "2012-09-15T04:00:00.000Z",
"precision": "minute"
}
},
"performer": [
{
"performer": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.4.6",
"extension": "PseudoMD-1"
}
],
"name": [
{
"prefix": "Dr.",
"last": "Seven",
"first": "Henry"
}
],
"address": [
{
"street_lines": [
"1001 Village Avenue"
],
"city": "Portland",
"state": "OR",
"zip": "99123",
"country": "US"
}
],
"phone": [
{
"number": "+1-555-555-5000",
"type": "primary home"
}
],
"organization": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.9999.1393"
}
],
"name": [
"Community Health and Hospitals"
],
"address": [
{
"street_lines": [
"1001 Village Avenue"
],
"city": "Portland",
"state": "OR",
"zip": "99123",
"country": "US"
}
],
"phone": [
{
"number": "+1-555-555-5000",
"type": "primary home"
}
]
}
],
"code": [
{
"name": "Gastroenterologist",
"code": "207RG0100X",
"code_system_name": "Provider Codes"
}
]
}
],
"code": {
"name": "Primary Performer",
"code": "PP",
"code_system_name": "Provider Role"
}
}
]
}
},
"demographics": {
"name": {
"middle": [
"Isa"
],
"last": "Jones",
"first": "Isabella"
},
"dob": {
"point": {
"date": "1975-05-01T00:00:00.000Z",
"precision": "day"
}
},
"gender": {
"name": "Female",
"code": "F",
"code_system_name": "HL7 AdministrativeGender"
},
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.99999.2",
"extension": "998991"
},
{
"identifier": "2.16.840.1.113883.4.1",
"extension": "111-00-2330"
}
],
"marital_status": {
"name": "Married",
"code": "M",
"code_system_name": "HL7 Marital Status"
},
"addresses": [
{
"street_lines": [
"1357 Amber Drive"
],
"city": "Beaverton",
"state": "OR",
"zip": "97867",
"country": "US",
"use": "primary home"
}
],
"phone": [
{
"number": "(816)276-6909",
"type": "primary home"
}
],
"race": {
"name": "White",
"code": "2106-3",
"code_system_name": "Race and Ethnicity - CDC"
},
"ethnicity": {
"name": "Not Hispanic or Latino",
"code": "2186-5",
"code_system_name": "Race and Ethnicity - CDC"
},
"languages": [
{
"language": {
"code": "en"
},
"preferred": true,
"mode": {
"name": "Expressed spoken",
"code": "ESP",
"code_system_name": "LanguageAbilityMode"
},
"proficiency": {
"name": "Good",
"code": "G",
"code_system_name": "LanguageAbilityProficiency"
}
}
],
"religion": {
"name": "Christian (non-Catholic, non-specific)",
"code": "1013",
"code_system_name": "HL7 Religious Affiliation"
},
"birthplace": {
"city": "Beaverton",
"state": "OR",
"zip": "97867",
"country": "US"
},
"guardians": [
{
"relation": {
"name": "Parent",
"code": "PRN",
"code_system_name": "HL7 Role"
},
"addresses": [
{
"street_lines": [
"1357 Amber Drive"
],
"city": "Beaverton",
"state": "OR",
"zip": "97867",
"country": "US",
"use": "primary home"
}
],
"names": [
{
"last": "Jones",
"first": "Ralph"
}
],
"phone": [
{
"number": "(816)276-6909",
"type": "primary home"
}
]
}
]
},
"vitals": [
{
"identifiers": [
{
"identifier": "c6f88321-67ad-11db-bd13-0800200c9a66"
}
],
"vital": {
"name": "Height",
"code": "8302-2",
"code_system_name": "LOINC"
},
"status": "completed",
"date_time": {
"point": {
"date": "1999-11-14T00:00:00.000Z",
"precision": "day"
}
},
"interpretations": [
"Normal"
],
"value": 177,
"unit": "cm"
},
{
"identifiers": [
{
"identifier": "c6f88321-67ad-11db-bd13-0800200c9a66"
}
],
"vital": {
"name": "Patient Body Weight - Measured",
"code": "3141-9",
"code_system_name": "LOINC"
},
"status": "completed",
"date_time": {
"point": {
"date": "1999-11-14T00:00:00.000Z",
"precision": "day"
}
},
"interpretations": [
"Normal"
],
"value": 86,
"unit": "kg"
},
{
"identifiers": [
{
"identifier": "c6f88321-67ad-11db-bd13-0800200c9a66"
}
],
"vital": {
"name": "Intravascular Systolic",
"code": "8480-6",
"code_system_name": "LOINC"
},
"status": "completed",
"date_time": {
"point": {
"date": "1999-11-14T00:00:00.000Z",
"precision": "day"
}
},
"interpretations": [
"Normal"
],
"value": 132,
"unit": "mm[Hg]"
},
{
"identifiers": [
{
"identifier": "c6f88321-67ad-11db-bd13-0800200c9a66"
}
],
"vital": {
"name": "Height",
"code": "8302-2",
"code_system_name": "LOINC"
},
"status": "completed",
"date_time": {
"point": {
"date": "2000-04-07T00:00:00.000Z",
"precision": "day"
}
},
"interpretations": [
"Normal"
],
"value": 177,
"unit": "cm"
},
{
"identifiers": [
{
"identifier": "c6f88321-67ad-11db-bd13-0800200c9a66"
}
],
"vital": {
"name": "Patient Body Weight - Measured",
"code": "3141-9",
"code_system_name": "LOINC"
},
"status": "completed",
"date_time": {
"point": {
"date": "2000-04-07T00:00:00.000Z",
"precision": "day"
}
},
"interpretations": [
"Normal"
],
"value": 88,
"unit": "kg"
},
{
"identifiers": [
{
"identifier": "c6f88321-67ad-11db-bd13-0800200c9a66"
}
],
"vital": {
"name": "Intravascular Systolic",
"code": "8480-6",
"code_system_name": "LOINC"
},
"status": "completed",
"date_time": {
"point": {
"date": "2000-04-07T00:00:00.000Z",
"precision": "day"
}
},
"interpretations": [
"Normal"
],
"value": 145,
"unit": "mm[Hg]"
}
],
"results": [
{
"identifiers": [
{
"identifier": "7d5a02b0-67a4-11db-bd13-0800200c9a66"
}
],
"result_set": {
"name": "CBC WO DIFFERENTIAL",
"code": "43789009",
"code_system_name": "SNOMED CT"
},
"results": [
{
"identifiers": [
{
"identifier": "107c2dc0-67a5-11db-bd13-0800200c9a66"
}
],
"result": {
"name": "HGB",
"code": "30313-1",
"code_system_name": "LOINC"
},
"date_time": {
"point": {
"date": "2000-03-23T00:00:00.000Z",
"precision": "day"
}
},
"status": "completed",
"reference_range": {
"range": "M 13-18 g/dl; F 12-16 g/dl"
},
"interpretations": [
{
"code": "N",
"name": "Normal",
"code_system_name": "HL7 Result Interpretation"
}
],
"value": 13.2,
"unit": "g/dl"
},
{
"identifiers": [
{
"identifier": "107c2dc0-67a5-11db-bd13-0800200c9a66"
}
],
"result": {
"name": "WBC",
"code": "33765-9",
"code_system_name": "LOINC"
},
"date_time": {
"point": {
"date": "2000-03-23T00:00:00.000Z",
"precision": "day"
}
},
"status": "completed",
"reference_range": {
"low": "4.3",
"high": "10.8",
"unit": "10+3/ul"
},
"interpretations": [
{
"code": "N",
"name": "Normal",
"code_system_name": "HL7 Result Interpretation"
}
],
"value": 6.7,
"unit": "10+3/ul"
},
{
"identifiers": [
{
"identifier": "107c2dc0-67a5-11db-bd13-0800200c9a66"
}
],
"result": {
"name": "PLT",
"code": "26515-7",
"code_system_name": "LOINC"
},
"date_time": {
"point": {
"date": "2000-03-23T00:00:00.000Z",
"precision": "day"
}
},
"status": "completed",
"reference_range": {
"low": "150",
"high": "350",
"unit": "10+3/ul"
},
"interpretations": [
{
"code": "L",
"name": "Low",
"code_system_name": "HL7 Result Interpretation"
}
],
"value": 123,
"unit": "10+3/ul"
}
]
}
],
"medications": [
{
"date_time": {
"low": {
"date": "2007-01-03T00:00:00.000Z",
"precision": "day"
},
"high": {
"date": "2012-05-15T00:00:00.000Z",
"precision": "day"
}
},
"identifiers": [
{
"identifier": "cdbd33f0-6cde-11db-9fe1-0800200c9a66"
}
],
"status": "Completed",
"sig": "Proventil HFA",
"product": {
"identifiers": [
{
"identifier": "2a620155-9d11-439e-92b3-5d9815ff4ee8"
}
],
"unencoded_name": "Proventil HFA",
"product": {
"name": "Proventil HFA",
"code": "219483",
"translations": [
{
"name": "Proventil 0.09 MG/ACTUAT inhalant solution",
"code": "573621",
"code_system_name": "RXNORM"
}
],
"code_system_name": "RXNORM"
},
"manufacturer": "Medication Factory Inc."
},
"supply": {
"date_time": {
"low": {
"date": "2007-01-03T00:00:00.000Z",
"precision": "day"
}
},
"repeatNumber": "1",
"quantity": "75",
"author": {
"identifiers": [
{
"identifier": "2a620155-9d11-439e-92b3-5d9815fe4de8"
}
],
"name": {
"prefix": "Dr.",
"last": "Seven",
"first": "Henry"
}
},
"instructions": {
"code": {
"name": "instruction",
"code": "409073007",
"code_system_name": "SNOMED CT"
},
"free_text": "label in spanish"
},
"product": {
"identifiers": [
{
"identifier": "2a620155-9d11-439e-92b3-5d9815ff4ee8"
}
],
"unencoded_name": "Proventil HFA",
"product": {
"name": "Proventil 0.09 MG/ACTUAT inhalant solution",
"code": "573621",
"translations": [
{
"name": "Proventil 0.09 MG/ACTUAT inhalant solution",
"code": "573621",
"code_system_name": "RXNORM"
}
],
"code_system_name": "RXNORM"
},
"manufacturer": "Medication Factory Inc."
}
},
"administration": {
"route": {
"name": "RESPIRATORY (INHALATION)",
"code": "C38216",
"code_system_name": "Medication Route FDA"
},
"form": {
"name": "INHALANT",
"code": "C42944",
"code_system_name": "Medication Route FDA"
},
"dose": {
"value": 1,
"unit": "mg/actuat"
},
"rate": {
"value": 90,
"unit": "ml/min"
},
"interval": {
"period": {
"value": 6,
"unit": "h"
},
"frequency": true
}
},
"performer": {
"organization": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.9999.1393"
}
],
"name": [
"Community Health and Hospitals"
]
}
]
},
"drug_vehicle": {
"name": "Aerosol",
"code": "324049",
"code_system_name": "RXNORM"
},
"precondition": {
"code": {
"code": "ASSERTION",
"code_system_name": "ActCode"
},
"value": {
"name": "Wheezing",
"code": "56018004",
"code_system_name": "SNOMED CT"
}
},
"indication": {
"identifiers": [
{
"identifier": "db734647-fc99-424c-a864-7e3cda82e703",
"extension": "45665"
}
],
"code": {
"name": "Finding",
"code": "404684003",
"code_system_name": "SNOMED CT"
},
"date_time": {
"low": {
"date": "2007-01-03T00:00:00.000Z",
"precision": "day"
}
},
"value": {
"name": "Pneumonia",
"code": "233604007",
"code_system_name": "SNOMED CT"
}
},
"dispense": {
"identifiers": [
{
"identifier": "1.2.3.4.56789.1",
"extension": "cb734647-fc99-424c-a864-7e3cda82e704"
}
],
"performer": {
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.9999.456",
"extension": "2981823"
}
],
"address": [
{
"street_lines": [
"1001 Village Avenue"
],
"city": "Portland",
"state": "OR",
"zip": "99123",
"country": "US"
}
],
"organization": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.9999.1393"
}
],
"name": [
"Community Health and Hospitals"
]
}
]
},
"product": {
"identifiers": [
{
"identifier": "2a620155-9d11-439e-92b3-5d9815ff4ee8"
}
],
"unencoded_name": "Proventil HFA",
"product": {
"name": "Proventil 0.09 MG/ACTUAT inhalant solution",
"code": "573621",
"translations": [
{
"name": "Proventil 0.09 MG/ACTUAT inhalant solution",
"code": "573621",
"code_system_name": "RXNORM"
}
],
"code_system_name": "RXNORM"
},
"manufacturer": "Medication Factory Inc."
}
}
}
],
"encounters": [
{
"encounter": {
"name": "Office outpatient visit 15 minutes",
"code": "99213",
"code_system_name": "CPT",
"translations": [
{
"name": "Ambulatory",
"code": "AMB",
"code_system_name": "ActCode"
}
]
},
"identifiers": [
{
"identifier": "2a620155-9d11-439e-92b3-5d9815ff4de8"
}
],
"date_time": {
"point": {
"date": "2009-02-27T08:00:00.000Z",
"precision": "second"
}
},
"performers": [
{
"identifiers": [
{
"identifier": "PseduoMD-3"
}
],
"code": [
{
"name": "General Physician",
"code": "59058001",
"code_system_name": "SNOMED CT"
}
]
}
],
"locations": [
{
"name": "Community Urgent Care Center",
"location_type": {
"name": "Urgent Care Center",
"code": "1160-1",
"code_system_name": "HealthcareServiceLocation"
},
"address": [
{
"street_lines": [
"17 Daws Rd."
],
"city": "Blue Bell",
"state": "MA",
"zip": "02368",
"country": "US"
}
]
}
],
"findings": [
{
"identifiers": [
{
"identifier": "db734647-fc99-424c-a864-7e3cda82e703",
"extension": "45665"
}
],
"value": {
"name": "Pneumonia",
"code": "233604007",
"code_system_name": "SNOMED CT"
},
"date_time": {
"low": {
"date": "2007-01-03T00:00:00.000Z",
"precision": "day"
}
}
}
]
}
],
"allergies": [
{
"identifiers": [
{
"identifier": "36e3e930-7b14-11db-9fe1-0800200c9a66"
}
],
"date_time": {
"point": {
"date": "2007-05-01T00:00:00.000Z",
"precision": "day"
}
},
"observation": {
"identifiers": [
{
"identifier": "4adc1020-7b14-11db-9fe1-0800200c9a66"
}
],
"allergen": {
"name": "ALLERGENIC EXTRACT, PENICILLIN",
"code": "314422",
"code_system_name": "RXNORM"
},
"intolerance": {
"name": "Propensity to adverse reactions to drug",
"code": "419511003",
"code_system_name": "SNOMED CT"
},
"date_time": {
"low": {
"date": "2007-05-01T00:00:00.000Z",
"precision": "day"
}
},
"status": {
"name": "Inactive",
"code": "73425007",
"code_system_name": "SNOMED CT"
},
"reactions": [
{
"identifiers": [
{
"identifier": "4adc1020-7b14-11db-9fe1-0800200c9a64"
}
],
"date_time": {
"low": {
"date": "2007-05-01T00:00:00.000Z",
"precision": "day"
},
"high": {
"date": "2009-02-27T08:00:00.000Z",
"precision": "second"
}
},
"reaction": {
"name": "Nausea",
"code": "422587007",
"code_system_name": "SNOMED CT"
},
"severity": {
"code": {
"name": "Mild",
"code": "255604002",
"code_system_name": "SNOMED CT"
},
"interpretation": {
"name": "Suceptible",
"code": "S",
"code_system_name": "Observation Interpretation"
}
}
}
],
"severity": {
"code": {
"name": "Moderate to severe",
"code": "371924009",
"code_system_name": "SNOMED CT"
},
"interpretation": {
"name": "Normal",
"code": "N",
"code_system_name": "Observation Interpretation"
}
}
}
},
{
"identifiers": [
{
"identifier": "36e3e930-7b14-11db-9fe1-0800200c9a66"
}
],
"date_time": {
"point": {
"date": "2006-05-01T00:00:00.000Z",
"precision": "day"
}
},
"observation": {
"identifiers": [
{
"identifier": "4adc1020-7b14-11db-9fe1-0800200c9a66"
}
],
"allergen": {
"name": "Codeine",
"code": "2670",
"code_system_name": "RXNORM"
},
"intolerance": {
"name": "Propensity to adverse reactions to drug",
"code": "419511003",
"code_system_name": "SNOMED CT"
},
"date_time": {
"low": {
"date": "2006-05-01T00:00:00.000Z",
"precision": "day"
}
},
"status": {
"name": "Active",
"code": "55561003",
"code_system_name": "SNOMED CT"
},
"reactions": [
{
"identifiers": [
{
"identifier": "4adc1020-7b14-11db-9fe1-0800200c9a64"
}
],
"date_time": {
"low": {
"date": "2006-05-01T00:00:00.000Z",
"precision": "day"
},
"high": {
"date": "2009-02-27T08:00:00.000Z",
"precision": "second"
}
},
"reaction": {
"name": "Wheezing",
"code": "56018004",
"code_system_name": "SNOMED CT"
},
"severity": {
"code": {
"name": "Mild",
"code": "255604002",
"code_system_name": "SNOMED CT"
},
"interpretation": {
"name": "Suceptible",
"code": "S",
"code_system_name": "Observation Interpretation"
}
}
}
],
"severity": {
"code": {
"name": "Moderate",
"code": "6736007",
"code_system_name": "SNOMED CT"
},
"interpretation": {
"name": "Normal",
"code": "N",
"code_system_name": "Observation Interpretation"
}
}
}
},
{
"identifiers": [
{
"identifier": "36e3e930-7b14-11db-9fe1-0800200c9a66"
}
],
"date_time": {
"point": {
"date": "2008-05-01T00:00:00.000Z",
"precision": "day"
}
},
"observation": {
"identifiers": [
{
"identifier": "4adc1020-7b14-11db-9fe1-0800200c9a66"
}
],
"allergen": {
"name": "Aspirin",
"code": "1191",
"code_system_name": "RXNORM"
},
"intolerance": {
"name": "Drug intolerance",
"code": "59037007",
"code_system_name": "SNOMED CT"
},
"date_time": {
"low": {
"date": "2008-05-01T00:00:00.000Z",
"precision": "day"
}
},
"status": {
"name": "Active",
"code": "55561003",
"code_system_name": "SNOMED CT"
},
"reactions": [
{
"identifiers": [
{
"identifier": "4adc1020-7b14-11db-9fe1-0800200c9a64"
}
],
"date_time": {
"low": {
"date": "2008-05-01T00:00:00.000Z",
"precision": "day"
},
"high": {
"date": "2009-02-27T08:00:00.000Z",
"precision": "second"
}
},
"reaction": {
"name": "Hives",
"code": "247472004",
"code_system_name": "SNOMED CT"
},
"severity": {
"code": {
"name": "Mild to moderate",
"code": "371923003",
"code_system_name": "SNOMED CT"
},
"interpretation": {
"name": "Suceptible",
"code": "S",
"code_system_name": "Observation Interpretation"
}
}
}
],
"severity": {
"code": {
"name": "Mild to moderate",
"code": "371923003",
"code_system_name": "SNOMED CT"
},
"interpretation": {
"name": "Normal",
"code": "N",
"code_system_name": "Observation Interpretation"
}
}
}
}
],
"immunizations": [
{
"date_time": {
"point": {
"date": "1999-11-01T00:00:00.000Z",
"precision": "month"
}
},
"identifiers": [
{
"identifier": "e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"
}
],
"status": "complete",
"product": {
"product": {
"name": "Influenza virus vaccine",
"code": "88",
"code_system_name": "CVX",
"translations": [
{
"name": "Influenza, seasonal, injectable",
"code": "141",
"code_system_name": "CVX"
}
]
},
"lot_number": "1",
"manufacturer": "Health LS - Immuno Inc."
},
"administration": {
"route": {
"name": "Intramuscular injection",
"code": "C28161",
"code_system_name": "Medication Route FDA"
},
"dose": {
"value": 50,
"unit": "mcg"
}
},
"performer": {
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.9999.456",
"extension": "2981824"
}
],
"name": [
{
"last": "Assigned",
"first": "Amanda"
}
],
"address": [
{
"street_lines": [
"1021 Health Drive"
],
"city": "Ann Arbor",
"state": "MI",
"zip": "99099",
"country": "US"
}
],
"organization": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.9999.1394"
}
],
"name": [
"Good Health Clinic"
]
}
]
},
"instructions": {
"code": {
"name": "immunization education",
"code": "171044003",
"code_system_name": "SNOMED CT"
},
"free_text": "Possible flu-like symptoms for three days."
}
},
{
"date_time": {
"point": {
"date": "1998-12-15T00:00:00.000Z",
"precision": "day"
}
},
"identifiers": [
{
"identifier": "e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"
}
],
"status": "refused",
"product": {
"product": {
"name": "Influenza virus vaccine",
"code": "88",
"code_system_name": "CVX",
"translations": [
{
"name": "Influenza, seasonal, injectable",
"code": "141",
"code_system_name": "CVX"
}
]
},
"lot_number": "1",
"manufacturer": "Health LS - Immuno Inc."
},
"administration": {
"route": {
"name": "Intramuscular injection",
"code": "C28161",
"code_system_name": "Medication Route FDA"
},
"dose": {
"value": 50,
"unit": "mcg"
}
},
"performer": {
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.9999.456",
"extension": "2981824"
}
],
"name": [
{
"last": "Assigned",
"first": "Amanda"
}
],
"address": [
{
"street_lines": [
"1021 Health Drive"
],
"city": "Ann Arbor",
"state": "MI",
"zip": "99099",
"country": "US"
}
],
"organization": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.9999.1394"
}
],
"name": [
"Good Health Clinic"
]
}
]
},
"instructions": {
"code": {
"name": "immunization education",
"code": "171044003",
"code_system_name": "SNOMED CT"
},
"free_text": "Possible flu-like symptoms for three days."
}
},
{
"date_time": {
"point": {
"date": "1998-12-15T00:00:00.000Z",
"precision": "day"
}
},
"identifiers": [
{
"identifier": "e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"
}
],
"status": "complete",
"product": {
"product": {
"name": "Pneumococcal polysaccharide vaccine",
"code": "33",
"code_system_name": "CVX",
"translations": [
{
"name": "Pneumococcal NOS",
"code": "109",
"code_system_name": "CVX"
}
]
},
"lot_number": "1",
"manufacturer": "Health LS - Immuno Inc."
},
"administration": {
"route": {
"name": "Intramuscular injection",
"code": "C28161",
"code_system_name": "Medication Route FDA"
},
"dose": {
"value": 50,
"unit": "mcg"
}
},
"performer": {
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.9999.456",
"extension": "2981824"
}
],
"name": [
{
"last": "Assigned",
"first": "Amanda"
}
],
"address": [
{
"street_lines": [
"1021 Health Drive"
],
"city": "Ann Arbor",
"state": "MI",
"zip": "99099",
"country": "US"
}
],
"organization": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.9999.1394"
}
],
"name": [
"Good Health Clinic"
]
}
]
}
},
{
"date_time": {
"point": {
"date": "1998-12-15T00:00:00.000Z",
"precision": "day"
}
},
"identifiers": [
{
"identifier": "e6f1ba43-c0ed-4b9b-9f12-f435d8ad8f92"
}
],
"status": "refused",
"product": {
"product": {
"name": "Tetanus and diphtheria toxoids - preservative free",
"code": "103",
"code_system_name": "CVX",
"translations": [
{
"name": "Tetanus and diphtheria toxoids - preservative free",
"code": "09",
"code_system_name": "CVX"
}
]
},
"lot_number": "1",
"manufacturer": "Health LS - Immuno Inc."
},
"administration": {
"route": {
"name": "Intramuscular injection",
"code": "C28161",
"code_system_name": "Medication Route FDA"
},
"dose": {
"value": 50,
"unit": "mcg"
}
},
"performer": {
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.9999.456",
"extension": "2981824"
}
],
"name": [
{
"last": "Assigned",
"first": "Amanda"
}
],
"address": [
{
"street_lines": [
"1021 Health Drive"
],
"city": "Ann Arbor",
"state": "MI",
"zip": "99099",
"country": "US"
}
],
"organization": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.9999.1394"
}
],
"name": [
"Good Health Clinic"
]
}
]
},
"refusal_reason": "Patient objection"
}
],
"social_history": [
{
"date_time": {
"low": {
"date": "2005-05-01T00:00:00.000Z",
"precision": "day"
},
"high": {
"date": "2009-02-27T08:00:00.000Z",
"precision": "second"
}
},
"identifiers": [
{
"identifier": "2.16.840.1.113883.19",
"extension": "123456789"
}
],
"code": {
"name": "Smoking Status"
},
"value": "Former smoker"
},
{
"date_time": {
"low": {
"date": "2005-05-01T00:00:00.000Z",
"precision": "day"
},
"high": {
"date": "2009-02-27T08:00:00.000Z",
"precision": "second"
}
},
"identifiers": [
{
"identifier": "2.16.840.1.113883.19",
"extension": "123456789"
}
],
"code": {
"name": "Smoking Status"
},
"value": "Former smoker"
},
{
"date_time": {
"low": {
"date": "2005-05-01T00:00:00.000Z",
"precision": "day"
},
"high": {
"date": "2009-02-27T08:00:00.000Z",
"precision": "second"
}
},
"identifiers": [
{
"identifier": "9b56c25d-9104-45ee-9fa4-e0f3afaa01c1"
}
],
"code": {
"name": "Tobacco use and exposure",
"code": "229819007",
"code_system_name": "SNOMED CT"
},
"value": "1 pack per day"
},
{
"date_time": {
"low": {
"date": "2009-02-27T08:00:00.000Z",
"precision": "second"
}
},
"identifiers": [
{
"identifier": "45efb604-7049-4a2e-ad33-d38556c9636c"
}
],
"code": {
"name": "Tobacco use and exposure",
"code": "229819007",
"code_system_name": "SNOMED CT"
},
"value": "None"
},
{
"date_time": {
"low": {
"date": "2005-05-01T00:00:00.000Z",
"precision": "day"
}
},
"identifiers": [
{
"identifier": "37f76c51-6411-4e1d-8a37-957fd49d2cef"
}
],
"code": {
"name": "Alcohol consumption",
"code": "160573003",
"code_system_name": "SNOMED CT"
},
"value": "None"
}
],
"problems": [
{
"date_time": {
"low": {
"date": "2008-01-03T00:00:00.000Z",
"precision": "day"
},
"high": {
"date": "2008-01-03T00:00:00.000Z",
"precision": "day"
}
},
"identifiers": [
{
"identifier": "ab1791b0-5c71-11db-b0de-0800200c9a66"
}
],
"problem": {
"code": {
"name": "Pneumonia",
"code": "233604007",
"code_system_name": "SNOMED CT"
},
"date_time": {
"low": {
"date": "2008-01-03T00:00:00.000Z",
"precision": "day"
},
"high": {
"date": "2008-01-03T00:00:00.000Z",
"precision": "day"
}
}
},
"onset_age": "57",
"onset_age_unit": "Year",
"status": {
"name": "Resolved",
"date_time": {
"low": {
"date": "2008-01-03T00:00:00.000Z",
"precision": "day"
},
"high": {
"date": "2009-02-27T08:00:00.000Z",
"precision": "second"
}
}
},
"patient_status": "Alive and well",
"source_list_identifiers": [
{
"identifier": "ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"
}
]
},
{
"date_time": {
"low": {
"date": "2007-01-03T00:00:00.000Z",
"precision": "day"
},
"high": {
"date": "2007-01-03T00:00:00.000Z",
"precision": "day"
}
},
"identifiers": [
{
"identifier": "ab1791b0-5c71-11db-b0de-0800200c9a66"
}
],
"problem": {
"code": {
"name": "Asthma",
"code": "195967001",
"code_system_name": "SNOMED CT"
},
"date_time": {
"low": {
"date": "2007-01-03T00:00:00.000Z",
"precision": "day"
},
"high": {
"date": "2008-01-03T00:00:00.000Z",
"precision": "day"
}
}
},
"onset_age": "57",
"onset_age_unit": "Year",
"status": {
"name": "Active",
"date_time": {
"low": {
"date": "2008-01-03T00:00:00.000Z",
"precision": "day"
},
"high": {
"date": "2009-02-27T08:00:00.000Z",
"precision": "second"
}
}
},
"patient_status": "Alive and well",
"source_list_identifiers": [
{
"identifier": "ec8a6ff8-ed4b-4f7e-82c3-e98e58b45de7"
}
]
}
],
"procedures": [
{
"procedure": {
"name": "Colonoscopy",
"code": "73761001",
"code_system_name": "SNOMED CT"
},
"identifiers": [
{
"identifier": "d68b7e32-7810-4f5b-9cc2-acd54b0fd85d"
}
],
"status": "Completed",
"date_time": {
"point": {
"date": "2012-05-12T00:00:00.000Z",
"precision": "day"
}
},
"body_sites": [
{
"name": "colon",
"code": "appropriate_code",
"code_system_name": "Body Site Value Set"
}
],
"specimen": {
"identifiers": [
{
"identifier": "c2ee9ee9-ae31-4628-a919-fec1cbb58683"
}
],
"code": {
"name": "colonic polyp sample",
"code": "309226005",
"code_system_name": "SNOMED CT"
}
},
"performers": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.9999.456",
"extension": "2981823"
}
],
"address": [
{
"street_lines": [
"1001 Village Avenue"
],
"city": "Portland",
"state": "OR",
"zip": "99123",
"country": "US"
}
],
"phone": [
{
"number": "555-555-5000",
"type": "work place"
}
],
"organization": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.9999.1393"
}
],
"name": [
"Community Health and Hospitals"
],
"address": [
{
"street_lines": [
"1001 Village Avenue"
],
"city": "Portland",
"state": "OR",
"zip": "99123",
"country": "US"
}
],
"phone": [
{
"number": "555-555-5000",
"type": "work place"
}
]
}
]
}
],
"procedure_type": "procedure"
},
{
"procedure": {
"name": "Colonic polypectomy",
"code": "274025005",
"code_system_name": "SNOMED CT"
},
"identifiers": [
{
"identifier": "2.16.840.1.113883.19",
"extension": "123456789"
}
],
"status": "Aborted",
"date_time": {
"point": {
"date": "2011-02-03T00:00:00.000Z",
"precision": "day"
}
},
"body_sites": [
{
"name": "Abdomen and pelvis",
"code": "416949008",
"code_system_name": "SNOMED CT"
}
],
"priority": {
"name": "Callback results",
"code": "CR",
"code_system_name": "ActPriority"
},
"performers": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5",
"extension": "1234"
}
],
"address": [
{
"street_lines": [
"17 Daws Rd."
],
"city": "Blue Bell",
"state": "MA",
"zip": "02368",
"country": "US"
}
],
"phone": [
{
"number": "(555)555-555-1234",
"type": "work place"
}
],
"organization": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5"
}
],
"name": [
"Community Health and Hospitals"
]
}
]
}
],
"locations": [
{
"name": "Community Gastroenterology Clinic",
"location_type": {
"name": "Gastroenterology Clinic",
"code": "1118-9",
"code_system_name": "HealthcareServiceLocation"
},
"address": [
{
"street_lines": [
"17 Daws Rd."
],
"city": "Blue Bell",
"state": "MA",
"zip": "02368",
"country": "US"
}
]
}
],
"procedure_type": "observation"
},
{
"procedure": {
"name": "Colonic polypectomy",
"code": "274025005",
"code_system_name": "SNOMED CT"
},
"identifiers": [
{
"identifier": "1.2.3.4.5.6.7.8",
"extension": "1234567"
}
],
"status": "Completed",
"date_time": {
"point": {
"date": "2011-02-03T00:00:00.000Z",
"precision": "day"
}
},
"priority": {
"name": "Callback results",
"code": "CR",
"code_system_name": "ActPriority"
},
"performers": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.19",
"extension": "1234"
}
],
"address": [
{
"street_lines": [
"17 Daws Rd."
],
"city": "Blue Bell",
"state": "MA",
"zip": "02368",
"country": "US"
}
],
"phone": [
{
"number": "(555)555-555-1234",
"type": "work place"
}
],
"organization": [
{
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5"
}
],
"name": [
"Community Health and Hospitals"
]
}
]
}
],
"locations": [
{
"name": "Community Gastroenterology Clinic",
"location_type": {
"name": "Gastroenterology Clinic",
"code": "1118-9",
"code_system_name": "HealthcareServiceLocation"
},
"address": [
{
"street_lines": [
"17 Daws Rd."
],
"city": "Blue Bell",
"state": "MA",
"zip": "02368",
"country": "US"
}
]
}
],
"procedure_type": "act"
}
],
"plan_of_care": [
{
"plan": {
"name": "Colonoscopy",
"code": "73761001",
"code_system_name": "SNOMED CT"
},
"identifiers": [
{
"identifier": "9a6d1bac-17d3-4195-89a4-1121bc809b4a"
}
],
"date_time": {
"center": {
"date": "2012-05-12T00:00:00.000Z",
"precision": "day"
}
},
"type": "observation",
"status": {
"code": "new"
},
"subType": "Request"
},
{
"plan": {
"name": "Colonoscopy",
"code": "73761001",
"code_system_name": "SNOMED CT"
},
"identifiers": [
{
"identifier": "9a6d1bac-17d3-4195-89a4-1121bc809a5c"
}
],
"date_time": {
"center": {
"date": "2012-05-12T00:00:00.000Z",
"precision": "day"
}
},
"type": "act",
"status": {
"code": "new"
},
"subType": "Request"
},
{
"plan": {
"name": "Colonoscopy",
"code": "73761001",
"code_system_name": "SNOMED CT"
},
"identifiers": [
{
"identifier": "9a6d1bac-17d3-4195-89a4-1121bc809b4d"
}
],
"date_time": {
"center": {
"date": "2012-05-12T00:00:00.000Z",
"precision": "day"
}
},
"type": "encounter",
"status": {
"code": "new"
},
"subType": "Intent"
},
{
"plan": {
"name": "Colonoscopy",
"code": "73761001",
"code_system_name": "SNOMED CT"
},
"identifiers": [
{
"identifier": "9a6d1bac-17d3-4195-89c4-1121bc809b5a"
}
],
"date_time": {
"center": {
"date": "2012-05-12T00:00:00.000Z",
"precision": "day"
}
},
"type": "procedure",
"status": {
"code": "new"
},
"subType": "Request"
}
],
"payers": [
{
"identifiers": [
{
"identifier": "1fe2cdd0-7aad-11db-9fe1-0800200c9a66"
}
],
"policy": {
"identifiers": [
{
"identifier": "3e676a50-7aac-11db-9fe1-0800200c9a66"
}
],
"code": {
"code": "SELF",
"code_system_name": "HL7 RoleCode"
},
"insurance": {
"code": {
"code": "PAYOR",
"code_system_name": "HL7 RoleCode"
},
"performer": {
"identifiers": [
{
"identifier": "2.16.840.1.113883.19"
}
],
"address": [
{
"street_lines": [
"123 Insurance Road"
],
"city": "Blue Bell",
"state": "MA",
"zip": "02368",
"country": "US",
"use": "work place"
}
],
"phone": [
{
"number": "(781)555-1515",
"type": "work place"
}
],
"organization": [
{
"name": [
"Good Health Insurance"
],
"address": [
{
"street_lines": [
"123 Insurance Road"
],
"city": "Blue Bell",
"state": "MA",
"zip": "02368",
"country": "US",
"use": "work place"
}
],
"phone": [
{
"number": "(781)555-1515",
"type": "work place"
}
]
}
],
"code": [
{
"code": "PAYOR",
"code_system_name": "HL7 RoleCode"
}
]
}
}
},
"guarantor": {
"code": {
"code": "GUAR",
"code_system_name": "HL7 Role"
},
"identifiers": [
{
"identifier": "329fcdf0-7ab3-11db-9fe1-0800200c9a66"
}
],
"name": [
{
"prefix": "Mr.",
"middle": [
"Frankie"
],
"last": "Everyman",
"first": "Adam"
}
],
"address": [
{
"street_lines": [
"17 Daws Rd."
],
"city": "Blue Bell",
"state": "MA",
"zip": "02368",
"country": "US",
"use": "primary home"
}
],
"phone": [
{
"number": "(781)555-1212",
"type": "primary home"
}
]
},
"participant": {
"code": {
"name": "Self",
"code": "SELF",
"code_system_name": "HL7 Role"
},
"performer": {
"identifiers": [
{
"identifier": "14d4a520-7aae-11db-9fe1-0800200c9a66",
"extension": "1138345"
}
],
"address": [
{
"street_lines": [
"17 Daws Rd."
],
"city": "Blue Bell",
"state": "MA",
"zip": "02368",
"country": "US",
"use": "primary home"
}
],
"code": [
{
"name": "Self",
"code": "SELF",
"code_system_name": "HL7 Role"
}
]
},
"name": [
{
"prefix": "Mr.",
"middle": [
"A."
],
"last": "Everyman",
"first": "Frank"
}
]
},
"policy_holder": {
"performer": {
"identifiers": [
{
"identifier": "2.16.840.1.113883.19",
"extension": "1138345"
}
],
"address": [
{
"street_lines": [
"17 Daws Rd."
],
"city": "Blue Bell",
"state": "MA",
"zip": "02368",
"country": "US",
"use": "primary home"
}
]
}
},
"authorization": {
"identifiers": [
{
"identifier": "f4dce790-8328-11db-9fe1-0800200c9a66"
}
],
"procedure": {
"code": {
"name": "Colonoscopy",
"code": "73761001",
"code_system_name": "SNOMED CT"
}
}
}
}
],
"functional_statuses": [
{
"identifiers": [
{
"identifier": "08edb7c0-2111-43f2-a784-9a5fdfaa67f0"
}
],
"type": {
"name": "Finding of Functional Performance and Activity",
"code": "248536006",
"code_system_name": "SNOMED CT"
},
"date_time": {
"low": {
"date": "2007-02-01T00:00:00.000Z",
"precision": "month"
},
"high": {
"date": "2007-04-01T00:00:00.000Z",
"precision": "month"
}
},
"code": {
"name": "dyspnea",
"code": "162891007",
"code_system_name": "SNOMED CT"
},
"status": "completed"
},
{
"identifiers": [
{
"identifier": "08edb7c0-2111-43f2-a784-9a5fdfaa67f0"
}
],
"type": {
"name": "Cognitive Function Finding",
"code": "373930000",
"code_system_name": "SNOMED CT"
},
"date_time": {
"low": {
"date": "2007-04-01T00:00:00.000Z",
"precision": "month"
},
"high": {
"date": "2007-06-01T00:00:00.000Z",
"precision": "month"
}
},
"code": {
"name": "Memory impairment",
"code": "386807006",
"code_system_name": "SNOMED CT"
},
"status": "completed"
}
]
},
"meta": {
"version": "1.9.1-beta.4",
"identifiers": [
{
"identifier": "2.16.840.1.113883.19.5.99999.1",
"extension": "TT988"
}
],
"confidentiality": "Normal",
"set_id": {
"identifier": "2.16.840.1.113883.19.5.99999.19",
"extension": "sTT988"
},
"sections": [
"header",
"demographics",
"vitals",
"results",
"medications",
"encounters",
"allergies",
"immunizations",
"social_history",
"problems",
"procedures",
"plan_of_care",
"payers",
"functional_statuses"
]
},
"errors": [
"cardinality error: found 2 when expecting 0..1 at //h:author",
"nullFlavor alert: missing but required street_lines in Address -> Patient -> CCD",
"nullFlavor alert: missing but required text in ResultObservation -> ResultsOrganizer -> resultsSection -> CCD",
"nullFlavor alert: missing but required text in ResultObservation -> ResultsOrganizer -> resultsSection -> CCD",
"nullFlavor alert: missing but required text in ResultObservation -> ResultsOrganizer -> resultsSection -> CCD",
"cardinality error: found 2 when expecting 0..1 at h:entryRelationship[@typeCode='REFR']/h:supply",
"nullFlavor alert: missing but required location_type in serviceDeliveryLocation -> procedureProcedure -> procedureUnion -> proceduresSection -> CCD",
"nullFlavor alert: missing but required value in PhysicalQuantity -> XsiTypedValue -> procedureObservation -> procedureUnion -> proceduresSection -> CCD",
"nullFlavor alert: missing but required instructions in entry -> plan_of_care_section -> CCD",
"nullFlavor alert: missing but required instructions in entry -> plan_of_care_section -> CCD",
"nullFlavor alert: missing but required instructions in entry -> plan_of_care_section -> CCD",
"nullFlavor alert: missing but required instructions in entry -> plan_of_care_section -> CCD",
"cardinality error: found 2 when expecting 1..1 at h:performer",
"nullFlavor alert: missing but required code in participant -> entry -> payers_section -> CCD",
"cardinality error: found 2 when expecting 1..1 at h:entryRelationship/h:act/h:participant"
]
}