FHIR
So far, most of the examples we've given have been very simple, but let's say we want to deal with something a bit more complicated.
The following demonstrates a limited FHIR R4 sample that has multiple use cases.
Please note that this is not a full implementation of the FHIR standard, but there is no reason why you couldn't implement a full version of the FHIR standard as well.
apiVersion: kadense.io/v1
kind: MalleableModule
metadata:
name: fhir-r4-test
namespace: default
spec:
classes:
Element:
properties:
id:
type: string
description: The unique identifier for the element.
Reference:
'baseClass:': Element
properties:
reference:
type: string
description: A reference to another resource.
type:
type: string
description: The type of the referenced resource.
identifier:
type: Identifier
description: An identifier for the referenced resource.
display:
type: string
description: Text alternative to the resource reference.
Coding:
properties:
system:
type: string
description: The system that defines the code.
version:
type: string
description: The version of the system.
code:
type: string
description: The code from the system.
display:
type: string
description: A human-readable name for the code.
userSelected:
type: bool
description: Indicates if this code was selected by the user.
CodeableConcept:
properties:
coding:
description: Code defined by a terminology system
type: array
subType: Coding
text:
type: string
description: Plain text representation of the concept.
Metadata:
properties:
versionId:
type: string
description: The version of the resource.
lastUpdated:
type: string
format: dateTime
description: The last time the resource was updated.
source:
type: string
description: The source of the resource.
profile:
type: array
description: A list of profiles that the resource conforms to.
subType: string
security:
type: array
description: Security labels applied to the resource.
subType: Coding
tag:
type: array
description: Tags applied to the resource.
subType: Coding
Period:
baseClass: Element
properties:
start:
type: string
format: dateTime
description: The start of the period.
end:
type: string
format: dateTime
description: The end of the period.
Identifier:
baseClass: Element
properties:
use:
type: string
description: The purpose of the identifier.
type:
type: CodeableConcept
description: The type of the identifier.
system:
type: string
description: The namespace for the identifier.
value:
type: string
description: The value of the identifier.
period:
type: Period
description: Time period when the identifier is valid.
assigner:
type: Reference
description: Organization that issued the identifier.
Resource:
baseClass: Element
discriminatorProperty: resourceType
properties:
meta:
type: Metadata
description: Metadata about the resource.
implicitRules:
type: string
description: A set of rules under which the resource was created.
language:
type: string
description: The base language in which the resource is written.
Bundle:
baseClass: Resource
typeDiscriminator: Bundle
properties:
type:
type: string
description: The type of the bundle.
entry:
type: array
description: Entries in the bundle.
subType: Entry
Entry:
properties:
fullUrl:
type: string
description: The full URL of the entry.
resource:
type: Resource
description: The resource in the entry.
BackboneElement:
baseClass: Element
properties:
modifierExtension:
type: array
description: Extensions that cannot be ignored even if unrecognized.
subType: Extension
StatusHistory:
baseClass: BackboneElement
properties:
status:
type: string
description: The status of the resource.
period:
type: Period
description: The period during which the status was applicable.
ClassHistory:
baseClass: BackboneElement
properties:
class:
type: Coding
description: The class of the resource.
period:
type: Period
description: The period during which the class was applicable.
Participant:
baseClass: BackboneElement
properties:
type:
type: array
description: The type of participant.
subType: CodeableConcept
period:
type: Period
description: The period during which the participant was involved.
individual:
type: Reference
description: The individual involved in the encounter.
Diagnosis:
baseClass: BackboneElement
properties:
condition:
type: Reference
description: The condition being diagnosed.
use:
type: CodeableConcept
description: The use of the diagnosis.
rank:
type: int
description: The rank of the diagnosis.
Hospitalization:
baseClass: BackboneElement
properties:
preAdmissionIdentifier:
type: Identifier
description: Pre-admission identifier.
origin:
type: CodeableConcept
description: The origin of the hospitalization.
admitSource:
type: CodeableConcept
description: The source of the admission.
reAdmission:
type: CodeableConcept
description: Indicates if this is a readmission.
dietPreference:
type: array
description: Diet preferences for the patient.
subType: CodeableConcept
specialCourtesy:
type: array
description: Special courtesies for the patient.
subType: CodeableConcept
specialArrangement:
type: array
description: Special arrangements for the patient.
subType: CodeableConcept
destination:
type: Reference
description: The destination of the hospitalization.
dischargeDisposition:
type: CodeableConcept
description: ''
Location:
baseClass: BackboneElement
properties:
location:
type: Reference
description: The location of the encounter.
status:
type: string
description: The status of the location.
physicalType:
type: CodeableConcept
description: The physical type of the location.
period:
type: Period
description: The period during which the location was applicable.
Encounter:
baseClass: Resource
typeDiscriminator: Encounter
properties:
identifier:
type: array
subType: Identifier
description: The unique identifier for the encounter.
status:
type: string
description: The status of the encounter.
statusHistory:
type: array
description: History of the encounter status.
subType: StatusHistory
classHistory:
type: array
description: History of the encounter class.
subType: ClassHistory
type:
type: array
description: The type of the encounter.
subType: CodeableConcept
serviceType:
type: array
subType: CodeableConcept
description: The type of service for the encounter.
priority:
type: array
subType: CodeableConcept
description: The priority of the encounter.
subject:
type: Reference
description: ''
episodeOfCare:
type: array
description: Episode(s) of care that this encounter should be recorded against
subType: Reference
basedOn:
type: array
description: Plans or proposals that this encounter is based on.
subType: Reference
participant:
type: array
description: The participants involved in the encounter.
subType: Participant
appointment:
type: array
description: The appointment(s) that scheduled this encounter.
subType: Reference
period:
type: Period
description: The period during which the encounter occurred.
length:
description: The length of the encounter.
reasonCode:
type: array
description: The reason for the encounter.
subType: CodeableConcept
reasonReference:
type: array
description: The reason for the encounter.
subType: Reference
diagnosis:
type: array
description: The diagnosis for the encounter.
subType: Diagnosis
account:
type: array
description: The account(s) associated with the encounter.
subType: Reference
hospitalization:
type: Hospitalization
description: Details about the hospitalization.
location:
type: array
description: The location(s) of the encounter.
subType: Location
serviceProvider:
type: Reference
description: The service provider for the encounter.
partOf:
type: Reference
description: The encounter that this encounter is part of.
Patient:
baseClass: DomainResource
typeDiscriminator: Patient
discriminatorClass: Resource
properties:
identifier:
type: array
description: The unique identifier for the patient.
subType: Identifier
EpisodeOfCare:
baseClass: DomainResource
typeDiscriminator: EpisodeOfCare
discriminatorClass: Resource
properties:
identifier:
type: array
description: The unique identifier for the episode of care.
subType: Identifier
status:
type: string
description: The status of the episode of care.
statusHistory:
type: array
description: History of the episode of care status.
subType: StatusHistory
type:
type: array
description: The type of the episode of care.
subType: CodeableConcept
diagnosis:
type: array
description: The list of diagnosis relevant to this episode of care
subType: Diagnosis
patient:
type: Reference
description: The patient who this episode of care is for.
managingOrganization:
type: Reference
description: The organization that manages this episode of care.
period:
type: Period
description: The period during which the episode of care is active.
referralRequest:
type: array
description: The referral request(s) that this episode of care is based
on.
subType: Reference
careManager:
type: Reference
description: The care manager for the episode of care.
team:
type: array
description: The team members involved in the episode of care.
subType: Reference
account:
type: array
description: The account(s) associated with the episode of care.
subType: Reference
Extension:
baseClass: Element
properties:
url:
type: string
description: The URL that identifies the extension.
value:
type: string
description: The value of the extension as a string.
DomainResource:
baseClass: Resource
discriminator: DomainResource
properties:
text:
type: Narrative
description: Text summary of the resource.
contained:
type: array
description: Resources contained in this resource.
subType: Resource
extension:
type: array
description: Additional content defined by implementations.
subType: Extension
modifierExtension:
type: array
description: Extensions that cannot be ignored even if unrecognized.
subType: Extension
Narrative:
baseClass: Element
properties:
status:
type: string
description: The status of the narrative.
div:
type: string
description: The actual narrative content.
This can be interpreted using the following examples (courtesy of HAPI):
{
"resourceType": "Bundle",
"id": "9c994981-9e90-4110-9a2f-c87b1f51054a",
"meta": {
"lastUpdated": "2022-09-17T08:02:14.990+00:00"
},
"type": "searchset",
"total": 274,
"link": [
{
"relation": "self",
"url": "https://hapi.fhir.org/baseR4/EpisodeOfCare?_format=json&_pretty=true"
},
{
"relation": "next",
"url": "https://hapi.fhir.org/baseR4?_getpages=9c994981-9e90-4110-9a2f-c87b1f51054a&_getpagesoffset=20&_count=20&_format=json&_pretty=true&_bundletype=searchset"
}
],
"entry": [
{
"fullUrl": "https://hapi.fhir.org/baseR4/EpisodeOfCare/7002248",
"resource": {
"resourceType": "EpisodeOfCare",
"id": "7002248",
"meta": {
"versionId": "1",
"lastUpdated": "2022-09-13T13:45:06.713+00:00",
"source": "#dIWZ70WfNoZgdhXJ",
"tag": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "HTEST",
"display": "More health data"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n HACC Program for Peter James Chalmers at HL7 Healthcare 15 Sept 2014 - current<br/>\n\t\t\twas on leave from 22 Sept - 24 Sept while in respite care\n </div>"
},
"identifier": [
{
"system": "http://example.org/sampleepisodeofcare-identifier",
"value": "123"
}
],
"status": "active",
"statusHistory": [
{
"status": "planned",
"period": {
"start": "2014-09-01",
"end": "2014-09-14"
}
},
{
"status": "active",
"period": {
"start": "2014-09-15",
"end": "2014-09-21"
}
},
{
"status": "onhold",
"period": {
"start": "2014-09-22",
"end": "2014-09-24"
}
},
{
"status": "active",
"period": {
"start": "2014-09-25"
}
}
],
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/episodeofcare-type",
"code": "hacc",
"display": "Home and Community Care"
}
]
}
],
"diagnosis": [
{
"role": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
"code": "CC",
"display": "Chief complaint"
}
]
},
"rank": 1
}
],
"patient": {
"reference": "Patient/example"
},
"managingOrganization": {
"reference": "Organization/example"
},
"period": {
"start": "2014-09-01"
},
"referralRequest": [
{
"display": "Referral from Example Aged Care Services"
}
],
"careManager": {
"reference": "Practitioner/1",
"display": "Amanda Assigned"
},
"team": [
{
"reference": "CareTeam/example",
"display": "example care team"
}
],
"account": [
{
"reference": "Account/example",
"display": "example account"
}
]
},
"search": {
"mode": "match"
}
},
{
"fullUrl": "https://hapi.fhir.org/baseR4/EpisodeOfCare/6991538",
"resource": {
"resourceType": "EpisodeOfCare",
"id": "6991538",
"meta": {
"versionId": "1",
"lastUpdated": "2022-09-08T11:02:14.607+00:00",
"source": "#q9v48Z64rn33wU54"
},
"contained": [
{
"resourceType": "Patient",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Nancy Ann <b>KNUDSEN </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>2512489996</td></tr></tbody></table></div>"
},
"identifier": [
{
"use": "official",
"system": "urn:oid:1.2.208.176.1.2",
"value": "2512489996"
}
],
"name": [
{
"family": "Knudsen",
"given": [
"Nancy",
"Ann"
]
}
],
"telecom": [
{
"system": "other",
"value": "NemSMS"
},
{
"system": "other",
"value": "NemSMS"
}
]
}
],
"status": "active",
"patient": {
"reference": "#1"
},
"period": {
"start": "2021-01-01T00:00:00+01:00"
}
},
"search": {
"mode": "match"
}
},
{
"fullUrl": "https://hapi.fhir.org/baseR4/EpisodeOfCare/6991536",
"resource": {
"resourceType": "EpisodeOfCare",
"id": "6991536",
"meta": {
"versionId": "1",
"lastUpdated": "2022-09-08T11:01:49.599+00:00",
"source": "#2vkp2phW0nalQQRq"
},
"contained": [
{
"resourceType": "Patient",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Nancy Ann <b>KNUDSEN </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>2512489996</td></tr></tbody></table></div>"
},
"identifier": [
{
"use": "official",
"system": "urn:oid:1.2.208.176.1.2",
"value": "2512489996"
}
],
"name": [
{
"family": "Knudsen",
"given": [
"Nancy",
"Ann"
]
}
],
"telecom": [
{
"system": "other",
"value": "NemSMS"
},
{
"system": "other",
"value": "NemSMS"
}
]
}
],
"status": "active",
"patient": {
"reference": "#1"
},
"period": {
"start": "2021-01-01T00:00:00+01:00"
}
},
"search": {
"mode": "match"
}
},
{
"fullUrl": "https://hapi.fhir.org/baseR4/EpisodeOfCare/6991534",
"resource": {
"resourceType": "EpisodeOfCare",
"id": "6991534",
"meta": {
"versionId": "1",
"lastUpdated": "2022-09-08T11:00:53.845+00:00",
"source": "#NkvSp4jUMIsll5i5"
},
"contained": [
{
"resourceType": "Patient",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Nancy Ann <b>KNUDSEN </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>2512489996</td></tr></tbody></table></div>"
},
"identifier": [
{
"use": "official",
"system": "urn:oid:1.2.208.176.1.2",
"value": "2512489996"
}
],
"name": [
{
"family": "Knudsen",
"given": [
"Nancy",
"Ann"
]
}
],
"telecom": [
{
"system": "other",
"value": "NemSMS"
},
{
"system": "other",
"value": "NemSMS"
}
]
}
],
"status": "active",
"patient": {
"reference": "#1"
},
"period": {
"start": "2021-01-01T00:00:00+01:00"
}
},
"search": {
"mode": "match"
}
},
{
"fullUrl": "https://hapi.fhir.org/baseR4/EpisodeOfCare/6991529",
"resource": {
"resourceType": "EpisodeOfCare",
"id": "6991529",
"meta": {
"versionId": "1",
"lastUpdated": "2022-09-08T10:54:16.280+00:00",
"source": "#jL2KfWkmu7Tac1mQ"
},
"contained": [
{
"resourceType": "Patient",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Nancy Ann <b>KNUDSEN </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>2512489996</td></tr></tbody></table></div>"
},
"identifier": [
{
"use": "official",
"system": "urn:oid:1.2.208.176.1.2",
"value": "2512489996"
}
],
"name": [
{
"family": "Knudsen",
"given": [
"Nancy",
"Ann"
]
}
],
"telecom": [
{
"system": "other",
"value": "NemSMS"
},
{
"system": "other",
"value": "NemSMS"
}
]
}
],
"status": "active",
"patient": {
"reference": "#1"
},
"period": {
"start": "2021-01-01T00:00:00+01:00"
}
},
"search": {
"mode": "match"
}
},
{
"fullUrl": "https://hapi.fhir.org/baseR4/EpisodeOfCare/6991341",
"resource": {
"resourceType": "EpisodeOfCare",
"id": "6991341",
"meta": {
"versionId": "1",
"lastUpdated": "2022-09-08T10:47:30.481+00:00",
"source": "#wkFwPOS8YituCZ18"
},
"contained": [
{
"resourceType": "Patient",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Nancy Ann <b>KNUDSEN </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>2512489996</td></tr></tbody></table></div>"
},
"identifier": [
{
"use": "official",
"system": "urn:oid:1.2.208.176.1.2",
"value": "2512489996"
}
],
"name": [
{
"family": "Knudsen",
"given": [
"Nancy",
"Ann"
]
}
],
"telecom": [
{
"system": "other",
"value": "NemSMS"
},
{
"system": "other",
"value": "NemSMS"
}
]
}
],
"status": "active",
"patient": {
"reference": "#1"
},
"period": {
"start": "2021-01-01T00:00:00+01:00"
}
},
"search": {
"mode": "match"
}
},
{
"fullUrl": "https://hapi.fhir.org/baseR4/EpisodeOfCare/6990715",
"resource": {
"resourceType": "EpisodeOfCare",
"id": "6990715",
"meta": {
"versionId": "1",
"lastUpdated": "2022-09-08T09:53:57.631+00:00",
"source": "#gSduIzJWaBAWBvJr"
},
"contained": [
{
"resourceType": "Patient",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Nancy Ann <b>KNUDSEN </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>2512489996</td></tr></tbody></table></div>"
},
"identifier": [
{
"use": "official",
"system": "urn:oid:1.2.208.176.1.2",
"value": "2512489996"
}
],
"name": [
{
"family": "Knudsen",
"given": [
"Nancy",
"Ann"
]
}
],
"telecom": [
{
"system": "other",
"value": "NemSMS"
},
{
"system": "other",
"value": "NemSMS"
}
]
}
],
"status": "active",
"patient": {
"reference": "#1"
}
},
"search": {
"mode": "match"
}
},
{
"fullUrl": "https://hapi.fhir.org/baseR4/EpisodeOfCare/6990713",
"resource": {
"resourceType": "EpisodeOfCare",
"id": "6990713",
"meta": {
"versionId": "1",
"lastUpdated": "2022-09-08T09:53:35.237+00:00",
"source": "#63Idqi7EHJ0WpsOd"
},
"contained": [
{
"resourceType": "Patient",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Nancy Ann <b>KNUDSEN </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>2512489996</td></tr></tbody></table></div>"
},
"identifier": [
{
"use": "official",
"system": "urn:oid:1.2.208.176.1.2",
"value": "2512489996"
}
],
"name": [
{
"family": "Knudsen",
"given": [
"Nancy",
"Ann"
]
}
],
"telecom": [
{
"system": "other",
"value": "NemSMS"
},
{
"system": "other",
"value": "NemSMS"
}
]
}
],
"status": "active",
"patient": {
"reference": "#1"
}
},
"search": {
"mode": "match"
}
},
{
"fullUrl": "https://hapi.fhir.org/baseR4/EpisodeOfCare/RT-HHA-EpisodeOfCare",
"resource": {
"resourceType": "EpisodeOfCare",
"id": "RT-HHA-EpisodeOfCare",
"meta": {
"versionId": "1",
"lastUpdated": "2022-06-23T05:16:45.402+00:00",
"source": "#EKo784v57PlNuUrZ"
},
"status": "finished",
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/episodeofcare-type",
"code": "hacc"
}
]
}
],
"diagnosis": [
{
"condition": {
"reference": "Condition/RT-HHA-Diagnosis-CISequelae"
}
}
],
"patient": {
"reference": "Patient/RT-Patient-BSJ"
},
"managingOrganization": {
"reference": "Organization/RT-PractitionerOrg-SkyHarbor-HHA"
},
"period": {
"start": "2020-02-10",
"end": "2020-06-29"
},
"careManager": {
"reference": "PractitionerRole/RT-PractitionerRole-RN-JacobHartwell"
}
},
"search": {
"mode": "match"
}
},
{
"fullUrl": "https://hapi.fhir.org/baseR4/EpisodeOfCare/RT-SNF-EpisodeOfCare",
"resource": {
"resourceType": "EpisodeOfCare",
"id": "RT-SNF-EpisodeOfCare",
"meta": {
"versionId": "1",
"lastUpdated": "2022-06-23T05:16:45.402+00:00",
"source": "#EKo784v57PlNuUrZ"
},
"status": "finished",
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/episodeofcare-type",
"code": "pac"
}
]
}
],
"diagnosis": [
{
"condition": {
"reference": "Condition/RT-SNF-Diagnosis-CI"
}
}
],
"patient": {
"reference": "Patient/RT-Patient-BSJ"
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