{ "resourceType": "Bundle", "id": "HDR-Reijer-Wolff-Example", "meta": { "profile": [ "http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr" ] }, "identifier": { "type": { "coding": [ { "code": "PRN", "system": "http://terminology.hl7.org/CodeSystem/v2-0203" } ] }, "system": "http://local.setting.eu/identifier", "value": "8fd082b6-5d99-42de-988f-955a8ebac0cb" }, "entry": [ { "fullUrl": "urn:uuid:bd69ab8e-3835-4fb6-be83-1852a2893a65", "resource": { "resourceType": "Composition", "id": "bd69ab8e-3835-4fb6-be83-1852a2893a65", "meta": { "profile": [ "http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr" ] }, "author": [ { "reference": "urn:uuid:cc0ae2a0-980d-4a2b-a4fb-9c71ecc70a15" } ], "section": [ { "text": { "status": "generated", "div": "
Mr. Reijer Wolff was admitted on April 20, 2025, following a fall that resulted in a closed fracture of the tibia and fibula of the left leg.
ProblemsSNOMED
Fracture of lower leg, Left lower limb414292006
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On April 23, 2025, a fixateur externe was applied to stabilize the fracture. The procedure was performed under general anesthesia without complications.
ProceduresSNOMED
Application of external fixator device, Left lower limb304527002
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The patient received paracetamol for pain relief and cefazolin as a prophylactic antibiotic post-surgery.
Medication administrationsSNOMED
Paracetamol387517004
Cefazolin387458008
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The patient was monitored for signs of infection, received regular wound care, and started physiotherapy during the stay. No adverse events occurred.
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Mr. Doe was discharged in stable condition with instructions to avoid weight-bearing on the left leg and to follow up in the orthopedic clinic.
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"code": "MR", "system": "http://terminology.hl7.org/CodeSystem/v2-0203" } ] }, "system": "http://local.setting.eu/identifier", "value": "395922e4-846a-4c18-81e8-9121c77e7bf9" } ], "name": [ { "given": [ "Reijer" ], "family": "Wolff", "text": "Reijer Wolff" } ], "address": [ { "line": [ "Nieuweweg 134" ], "use": "home", "type": "physical", "city": "Hoogerheide", "postalCode": "4631 TC", "country": "Netherlands" } ], "telecom": [ { "system": "phone", "value": "+31 06-58675866" } ], "gender": "male", "birthDate": "1969-02-25" } }, { "fullUrl": "urn:uuid:cc0ae2a0-980d-4a2b-a4fb-9c71ecc70a15", "resource": { "resourceType": "PractitionerRole", "id": "cc0ae2a0-980d-4a2b-a4fb-9c71ecc70a15", "practitioner": { "reference": "urn:uuid:b60f89db-36c7-4a23-ab59-ace7089d2387" }, "organization": { "reference": "urn:uuid:3f30e341-19c6-484f-827a-0c58545fb2bc" } } }, { "fullUrl": "urn:uuid:b60f89db-36c7-4a23-ab59-ace7089d2387", "resource": { "resourceType": "Practitioner", "id": "b60f89db-36c7-4a23-ab59-ace7089d2387", "name": [ { "prefix": [ "dr" ], "given": [ "Anna" ], "family": "Smit" } ], "telecom": [ { "system": "email", "value": "anna.smit@olv-hulst.org" } ] } }, { "fullUrl": "urn:uuid:3f30e341-19c6-484f-827a-0c58545fb2bc", "resource": { "resourceType": "Organization", "id": "3f30e341-19c6-484f-827a-0c58545fb2bc", "address": [ { "city": "Hulst", "postalCode": "4561", "country": "nl" } ], "name": "Onze Lieve Lucas Gasthuis Hulst" } }, { "fullUrl": "urn:uuid:12fef60c-1fe7-4988-8286-af691889a3f3", "resource": { "resourceType": "Encounter", "id": "12fef60c-1fe7-4988-8286-af691889a3f3", "meta": { "profile": [ "http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr" ] }, "period": { "start": "2025-04-20T10:00:00+01:00", "end": "2025-04-29T11:00:00+01:00" }, "reasonReference": [ { "reference": "urn:uuid:38d0593b-7949-489e-9306-95df81a109df" } ], "status": "finished", "class": { "code": "IMP", "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode" }, "subject": { "reference": "urn:uuid:a1438872-05b1-4868-857d-521c9d586a7e" }, "serviceProvider": { "reference": "urn:uuid:3f30e341-19c6-484f-827a-0c58545fb2bc" } } }, { "fullUrl": "urn:uuid:38d0593b-7949-489e-9306-95df81a109df", "resource": { "resourceType": "Condition", "id": "38d0593b-7949-489e-9306-95df81a109df", "meta": { "profile": [ "http://hl7.eu/fhir/hdr/StructureDefinition/condition-eu-hdr" ] }, "bodySite": [ { "coding": [ { "code": "362785004", "system": "http://snomed.info/sct", "display": "Entire left lower limb (body structure)" } ] } ], "clinicalStatus": { "coding": [ { "code": "active", "system": "http://terminology.hl7.org/CodeSystem/condition-clinical" } ] }, "code": { "coding": [ { "code": "414292006", "system": "http://snomed.info/sct", "display": "Fracture of lower leg (disorder)" } ] }, "subject": { "reference": "urn:uuid:a1438872-05b1-4868-857d-521c9d586a7e" }, "onsetDateTime": "2025-04-20" } }, { "fullUrl": "urn:uuid:1493fed2-e9ed-4dc1-b107-f077cb1d0d40", "resource": { "resourceType": "Procedure", "id": "1493fed2-e9ed-4dc1-b107-f077cb1d0d40", "meta": { "profile": [ "http://hl7.eu/fhir/hdr/StructureDefinition/procedure-eu-hdr" ] }, "bodySite": [ { "coding": [ { "code": "362785004", "system": "http://snomed.info/sct", "display": "Entire left lower limb (body structure)" } ] } ], "status": "completed", "code": { "coding": [ { "code": "302617002", "system": "http://snomed.info/sct", "display": "Application of external fixator system (procedure)" } ] }, "subject": { "reference": "urn:uuid:a1438872-05b1-4868-857d-521c9d586a7e" }, "performedDateTime": "2025-04-23" } }, { "fullUrl": "urn:uuid:1bcfb26f-6958-4604-a40b-712170c1e536", "resource": { "resourceType": "MedicationAdministration", "id": "1bcfb26f-6958-4604-a40b-712170c1e536", "meta": { "profile": [ "http://hl7.eu/fhir/hdr/StructureDefinition/medicationAdministration-eu-hdr" ] }, "status": "completed", "medicationCodeableConcept": { "coding": [ { "code": "387517004", "system": "http://snomed.info/sct", "display": "Paracetamol (substance)" } ] }, "subject": { "reference": "urn:uuid:a1438872-05b1-4868-857d-521c9d586a7e" }, "effectiveDateTime": "2025-04-21" } }, { "fullUrl": "urn:uuid:4578e7cd-0d00-4221-9a7f-3e3d6e14a21b", "resource": { "resourceType": "MedicationAdministration", "id": "4578e7cd-0d00-4221-9a7f-3e3d6e14a21b", "meta": { "profile": [ "http://hl7.eu/fhir/hdr/StructureDefinition/medicationAdministration-eu-hdr" ] }, "status": "completed", "medicationCodeableConcept": { "coding": [ { "code": "387470007", "system": "http://snomed.info/sct", "display": "Cefazolin (substance)" } ] }, "subject": { "reference": "urn:uuid:a1438872-05b1-4868-857d-521c9d586a7e" }, "effectiveDateTime": "2025-04-23" } } ], "type": "document", "timestamp": "2025-04-29T14:00:00+01:00" }