Patient Push
Description
PatientPush is utilized to transmit a Clinical Summary, typically in the form of a Continuity of Care Document (CCD), to another application or an Electronic Health Record (EHR) or Health Information Exchange (HIE). It facilitates the exchange of essential patient information for continuity of care purposes.
API endpoints for Patient Push
Sync REST API Endpoint to call the API: https://{base_url}/api/v1/clinical-summary/patient-push.
Async REST API Endpoint to call the API: https://{base_url}/api/v1/endpoint.
Data Model JSON for Patient Push
Patient Push - Sample Payload
{
"Meta": {
"DataModel": "Clinical Summary",
"EventType": "PatientPush",
"EventDateTime": "2022-08-24T19:01:54.396Z",
"Test": true,
"Source": {
"ID": "c5dd2809-926a-44b5-b5fe-f6e7f5e75146",
"Name": "EHR Bridge Dev Tools"
},
"Destinations": [
{
"ID": "fa4c5ac6-0a56-4ddd-89d7-0ee68bf8d822",
"Name": "Patient Push Endpoint"
}
],
"Logs": [
{
"ID": "b0a84142-249e-4151-8d80-e7d6e71a4fe7 ",
"AttemptID": "f787a38b-a68f-43b9-8b51-8f130a6b3b3e"
}
],
"Message": {
"ID": 5565
},
"Transmission": {
"ID": 12414
},
"FacilityCode": null
},
"Header": {
"DirectAddressFrom": "mark.williams@direct.ehrengine.com",
"DirectAddressTo": "alena.smith@direct.ehrengine.com",
"Document": {
"Author": {
"ID": "4356789876",
"IDType": "2.16.840.1.113883.4.6",
"FirstName": "James",
"LastName": "Smith",
"Credentials": [
"MD"
],
"Address": {
"StreetAddress": "964 Main St.",
"City": "San Jose",
"State": "CA",
"ZIP": "53703",
"County": "Santa Clara",
"Country": "USA"
},
"EmailAddresses": [],
"PhoneNumber": {
"Office": "+16085551234"
},
"Type": null,
"Location": {
"Type": null,
"Facility": null,
"Department": null,
"Room": null
}
},
"ID": "165838dc-b5dd-4827-80ed-6c00e089fd0a",
"Locale": "US",
"Title": "Public Health and Hospitals: Health Summary",
"DateTime": "2012-09-12T00:00:00.000Z",
"Type": "Summary of Encounter Episode Notes",
"TypeCode": {
"Code": "34133-9",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "Summary of Encounter Episode Note"
},
"Confidentiality": {
"Code": "N",
"CodeSystem": "2.16.840.1.113883.5.25",
"CodeSystemName": "Confidentiality",
"Name": "normal"
},
"Custodian": {
"Identifiers": [],
"Name": null,
"Type": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
},
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"Telecom": []
},
"Visit": {
"StartDateTime": null,
"EndDateTime": null,
"Reason": null,
"VisitNumber": null,
"Type": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
},
"Location": {
"Type": null,
"Facility": null,
"Department": null,
"Room": null
},
"DischargeDisposition": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
}
}
},
"Patient": {
"Identifiers": [
{
"ID": "1234",
"IDType": "2.16.840.1.113883.4.6",
"Type": null
}
],
"Demographics": {
"FirstName": "Flora",
"MiddleName": "K",
"LastName": "Murphy",
"DOB": "1947-05-01",
"SSN": "123-101-1234",
"Sex": "Female",
"Address": {
"StreetAddress": "1456 Clover Passage",
"City": "San Jose"",
"State": "CA",
"County": null,
"Country": "USA",
"ZIP": "348721"
},
"PhoneNumber": {
"Home": "+18134766909",
"Mobile": null
},
"EmailAddresses": [
{
"Address": "Flora@mail.com"
}
],
"Language": null,
"Race": "White",
"RaceCodes": [
{
"Code": "2106-3",
"CodeSystem": "2.16.840.1.113883.6.238",
"CodeSystemName": "CDC Race and Ethnicity",
"Name": "White"
},
{
"Code": "2112-1",
"CodeSystem": "2.16.840.1.113883.6.238",
"CodeSystemName": "CDC Race and Ethnicity",
"Name": "German"
}
],
"Ethnicity": "Hispanic or Latino",
"EthnicGroupCodes": [
{
"Code": "2135-2",
"CodeSystem": "2.16.840.1.113883.6.238",
"CodeSystemName": "CDC Race and Ethnicity",
"Name": "Hispanic or Latino"
},
{
"Code": "2149-3",
"CodeSystem": "2.16.840.1.113883.6.238",
"CodeSystemName": "CDC Race and Ethnicity",
"Name": "Mexican American"
}
],
"Religion": "Christian (non-Catholic, non-specific)",
"MaritalStatus": "Married",
"IsDeceased": false,
"DeathDateTime": null
},
"Organization": {
"Identifiers": [],
"Name": null,
"Type": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
},
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"Telecom": []
}
},
"PCP": {
"ID": null,
"IDType": null,
"FirstName": null,
"LastName": null,
"Credentials": [],
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"EmailAddresses": [],
"PhoneNumber": {
"Office": null
},
"Type": null,
"Location": {
"Type": null,
"Facility": null,
"Department": null,
"Room": null
}
}
},
"AdvanceDirectivesText": "<table width=\"100%\"><thead><tr><th>Directive</th><th>Description</th><th>Verification</th><th>Supporting Document(s)</th></tr></thead><tbody><tr><td>Resuscitation status</td><td ID=\"AD1\">Do not resuscitate</td><td>Dr. Robert Dolin, Nov 07, 1999</td><td><linkHtml href=\"AdvanceDirective.b50b7910-7ffb-4f4c-bbe4-177ed68cbbf3.pdf\">Advance directive</linkHtml></td></tr></tbody></table>",
"AdvanceDirectives": [
{
"Type": {
"Code": "304251008",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Resuscitation",
"AltCodes": []
},
"Code": "304253006",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Do not resuscitate",
"AltCodes": [],
"StartDate": "2011-02-13T05:00:00.000Z",
"EndDate": null,
"ExternalReference": "AdvanceDirective.b50b7910-7ffb-4f4c-bbe4-177ed68cbbf3.pdf",
"VerifiedBy": [
{
"FirstName": "Robert",
"LastName": "Collin",
"Credentials": "Dr.",
"DateTime": null
}
],
"Custodians": [
{
"FirstName": "Robert",
"LastName": "Collin",
"Credentials": "Dr.",
"Address": {
"StreetAddress": "21 North Ave.",
"City": "San Jose",
"State": "CA",
"Country": "USA",
"ZIP": "02368"
}
}
]
}
],
"AllergyText": "<table width=\"100%\"><thead><tr><th>Substance</th><th>Reaction</th><th>Severity</th><th>Status</th></tr></thead><tbody><tr><td>Penicillin G benzathine</td><td ID=\"reaction1\">Hives</td><td ID=\"severity1\">Moderate to severe</td><td>Inactive</td></tr><tr><td>Codeine</td><td ID=\"reaction2\">Shortness of Breath</td><td ID=\"severity2\">Moderate</td><td>Active</td></tr><tr><td>Aspirin</td><td ID=\"reaction3\">Hives</td><td ID=\"severity3\">Mild to moderate</td><td>Active</td></tr></tbody></table>",
"Allergies": [
{
"Type": {
"Code": "419511003",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Adverse reaction to drug",
"AltCodes": []
},
"Substance": {
"Code": "7982",
"CodeSystem": "2.16.840.1.113883.6.88",
"CodeSystemName": "RxNorm",
"Name": "Penicillin-G Benzathine-200",
"AltCodes": []
},
"Reaction": [
{
"Code": "28926001",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Rash",
"AltCodes": [],
"Severity": {
"Code": "255604002",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Mild"
},
"Text": null
},
{
"Code": "247472004",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Hives",
"AltCodes": [],
"Severity": {
"Code": "6736007",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Moderate"
},
"Text": null
}
],
"Severity": {
"Code": "6736007",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Moderate"
},
"Criticality": {
"Code": "CRITH",
"CodeSystem": "2.16.840.1.113883.5.1063",
"CodeSystemName": "ObservationValue",
"Name": "High criticality"
},
"Status": {
"Code": "73425007",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Inactive"
},
"StartDate": null,
"EndDate": null,
"Comment": null,
"Comments": [
{
"Text": "Noted when patient took penicillin for ear infection."
}
]
},
{
"Type": {
"Code": "419511003",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Adverse reaction to drug",
"AltCodes": []
},
"Substance": {
"Code": "2670",
"CodeSystem": "2.16.840.1.113883.6.88",
"CodeSystemName": "RxNorm",
"Name": "Codeine",
"AltCodes": [
{
"Code": "11QV9BS0CB",
"CodeSystem": "2.16.840.1.113883.4.9",
"CodeSystemName": "UNII",
"Name": "Codeine"
}
]
},
"Reaction": [
{
"Code": "267036007",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Shortness of Breath",
"AltCodes": [],
"Severity": {
"Code": "6736007",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Moderate"
},
"Text": null
}
],
"Severity": {
"Code": "6736007",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Moderate"
},
"Criticality": {
"Code": "CRITL",
"CodeSystem": "2.16.840.1.113883.5.1063",
"CodeSystemName": "ObservationValue",
"Name": "Low criticality"
},
"Status": {
"Code": "55561003",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Active"
},
"StartDate": null,
"EndDate": null,
"Comment": null,
"Comments": []
},
{
"Type": {
"Code": "419511003",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Adverse reaction to drug",
"AltCodes": []
},
"Substance": {
"Code": "1191",
"CodeSystem": "2.16.840.1.113883.6.88",
"CodeSystemName": "RxNorm",
"Name": "Aspirin",
"AltCodes": []
},
"Reaction": [
{
"Code": "247472004",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Hives",
"AltCodes": [],
"Severity": {
"Code": "371923003",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Mild to moderate"
},
"Text": null
}
],
"Severity": {
"Code": "371923003",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Mild to moderate"
},
"Criticality": {
"Code": "CRITU",
"CodeSystem": "2.16.840.1.113883.5.1063",
"CodeSystemName": "ObservationValue",
"Name": "Unable to assess criticality"
},
"Status": {
"Code": "55561003",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Active"
},
"StartDate": null,
"EndDate": null,
"Comment": null,
"Comments": []
}
],
"CareTeams": [],
"EncountersText": "<table width=\"100%\"><thead><tr><th>Encounter</th><th>Performer</th><th>Location</th><th>Date</th></tr></thead><tbody><tr ID=\"Encounter1\"><td>
\nPnuemonia</td><td>Dr Henry Seven</td><td>Community Health and Hospitals</td><td>20120806</td></tr></tbody></table>",
"Encounters": [
{
"Identifiers": [
{
"ID": "2376492",
"IDType": "URMC Epic CSN"
},
{
"ID": "8237334",
"IDType": "1.35.829.5.238422.9.10"
}
],
"Type": {
"Code": "99222",
"CodeSystem": "2.16.840.1.113883.6.12",
"CodeSystemName": "CPT",
"Name": "InPatient Admission",
"AltCodes": []
},
"DateTime": "2012-08-06T04:00:00.000Z",
"EndDateTime": null,
"Providers": [
{
"NPI": null,
"ID": null,
"IDType": null,
"FirstName": null,
"LastName": null,
"Credentials": [],
"Address": {
"StreetAddress": null,
"City": null,
"State": null,
"ZIP": null,
"County": null,
"Country": null
},
"EmailAddresses": [],
"PhoneNumber": {
"Office": null
},
"Location": {
"Type": null,
"Facility": null,
"Department": null,
"Room": null
},
"Role": {
"Code": "59058001",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "General Physician",
"AltCodes": []
}
}
],
"Locations": [
{
"Identifiers": [],
"Telecom": [],
"Address": {
"StreetAddress": "1002 Sky Nest",
"City": "San Jose",
"State": "CA",
"Country": "USA",
"ZIP": "97266"
},
"Type": {
"Code": "1160-1",
"CodeSystem": "2.16.840.1.113883.6.259",
"CodeSystemName": "HealthcareServiceLocation",
"Name": "Urgent Care Center",
"AltCodes": []
},
"Name": "Community Health and Hospitals"
}
],
"Diagnosis": [
{
"Code": "233604007",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Pneumonia",
"AltCodes": []
}
],
"ReasonForVisit": [
{
"Code": "233604007",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Pneumonia",
"AltCodes": []
}
],
"DischargeDisposition": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
}
}
],
"FamilyHistoryText": "<paragraph>Father (deceased)</paragraph><table width=\"100%\"><thead><tr><th>Diagnosis</th><th>Age At Onset</th></tr></thead><tbody><tr><td>Myocardial Infarction (cause of death)</td><td>57</td></tr><tr><td>Diabetes</td><td>40</td></tr></tbody></table>",
"FamilyHistory": [
{
"Relation": {
"Code": "FTH",
"CodeSystem": "2.16.840.1.113883.5.111",
"CodeSystemName": "HL7 FamilyMember",
"Name": "Father",
"Demographics": {
"Sex": "Male",
"DOB": "1912-01-01"
},
"IsDeceased": true
},
"Problems": [
{
"Code": "22298006",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Myocardial infarction",
"AltCodes": [],
"Type": {
"Code": "55607006",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Problem"
},
"DateTime": null,
"AgeAtOnset": "57",
"IsCauseOfDeath": null
},
{
"Code": "46635009",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Diabetes mellitus type 1",
"AltCodes": [],
"Type": {
"Code": "64572001",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Condition"
},
"DateTime": "1994-01-01T05:00:00.000Z",
"AgeAtOnset": "40",
"IsCauseOfDeath": null
}
]
}
],
"FunctionalStatusText": "<table><thead><tr><th>Assessment</th><th>Date</th><th>Results</th><th>Comments</th></tr></thead><tbody><tr ID=\"FS_Narrative1\"><td ID=\"FS_Type\">Functional Status</td><td>August 15 2012, 5:32pm</td><td ID=\"FS_Finding1\">Dependence on walking stick</td><td></td></tr><tr ID=\"FS_Narrative2\"><td ID=\"FS_Type\">Functional Status</td><td>March 11 2013</td><td ID=\"FS_Finding1\">Independent with dressing</td><td></td></tr><tr ID=\"FS_Narrative3\"><td ID=\"FS_Type\">Transferring</td><td>March 11 2013</td><td ID=\"FS_Finding1\">Independent</td><td></td></tr><tr ID=\"FS_Narrative4\"><td ID=\"FS_Type\">Hearing</td><td>March 11 2013</td><td ID=\"FS_Finding1\">Impaired</td><td></td></tr></tbody></table>",
"FunctionalStatus": {
"Observations": [
{
"Code": "54522-8",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "Functional Status",
"AltCodes": [],
"DateTime": "2012-08-15",
"CodedValue": {
"Code": "105504002",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Dependence on walking stick",
"AltCodes": []
},
"Value": "Dependence on walking stick",
"Units": null,
"ReferenceRange": {
"Low": null,
"High": null,
"Text": null
},
"Comments": []
},
{
"Code": "54522-8",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "Functional Status",
"AltCodes": [],
"DateTime": "2013-03-11",
"CodedValue": {
"Code": "129035000",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Independent with dressing",
"AltCodes": []
},
"Value": "Independent with dressing",
"Units": null,
"ReferenceRange": {
"Low": null,
"High": null,
"Text": null
},
"Comments": []
},
{
"Code": "46482-6",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "Transferring",
"AltCodes": [],
"DateTime": "2013-03-11",
"CodedValue": {
"Code": "371153006",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Independent",
"AltCodes": []
},
"Value": "Independent",
"Units": null,
"ReferenceRange": {
"Low": null,
"High": null,
"Text": null
},
"Comments": []
},
{
"Code": "47078008",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Hearing",
"AltCodes": [],
"DateTime": "2013-03-11",
"CodedValue": {
"Code": "260379002",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Impaired",
"AltCodes": []
},
"Value": "Impaired",
"Units": null,
"ReferenceRange": {
"Low": null,
"High": null,
"Text": null
},
"Comments": []
}
],
"Supplies": [
{
"Code": "14106009",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Cardiac Pacemaker",
"AltCodes": [],
"Status": "completed",
"DateTime": "2013-07-03"
}
]
},
"GoalsText": "<paragraph ID=\"Goals\">Patient is targeting a pulse oximetry of 92%</paragraph>",
"Goals": [
{
"Code": "59408-5",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "Oxygen saturation in Arterial blood by Pulse oximetry",
"AltCodes": [],
"DateTime": "2012-12-31T23:59:59.999Z",
"CodedValue": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
},
"Value": "92",
"Units": "%",
"StartDate": "2013-09-02",
"EndDate": "2013-09-02",
"Priority": {
"Code": "394849002",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "High priority"
},
"AchievementStatus": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": "On track"
},
"Milestones": [],
"Comments": []
}
],
"HealthConcernsText": "<table><thead><tr><th>Health Concern</th><th>Date</th><th>Related Problem</th></tr></thead><tbody><tr ID=\"Concern1\"><td ID=\"Concern1Issue1\">Concerned about being contagious and infecting roommate.</td><td>Concern from 03/02/2014</td><td>Community Acquired Pneumonia</td></tr></tbody></table>",
"HealthConcerns": [
{
"ConcernType": null,
"Category": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
},
"StartDate": "2012-08-06T04:00:00.000Z",
"EndDate": null,
"Code": "385093006",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Community Acquired Pneumonia",
"AltCodes": [
{
"Code": "J18.9",
"CodeSystem": "2.16.840.1.113883.6.90",
"CodeSystemName": "ICD-10-CM",
"Name": "Pneumonia"
}
],
"Value": null,
"Units": null,
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{
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{
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],
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"Results": [
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}
},
"Specimen": {
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{
"Code": "30313-1",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "HGB",
"AltCodes": [],
"Status": "Final",
"Interpretation": "Normal",
"DateTime": "2012-08-10T14:00:00.000Z",
"CodedValue": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
},
"Value": "10.2",
"ValueType": "PhysicalQuantity",
"Units": "g/dl",
"ReferenceRange": {
"Low": null,
"High": null,
"Text": null
},
"Comments": []
},
{
"Code": "33765-9",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "WBC",
"AltCodes": [],
"Status": "Final",
"Interpretation": "Normal",
"DateTime": "2012-08-10T14:00:00.000Z",
"CodedValue": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
},
"Value": "12.3",
"ValueType": "PhysicalQuantity",
"Units": "10+3/ul",
"ReferenceRange": {
"Low": null,
"High": null,
"Text": null
},
"Comments": []
},
{
"Code": "26515-7",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "PLT",
"AltCodes": [],
"Status": "Final",
"Interpretation": "Low",
"DateTime": "2012-08-10T14:00:00.000Z",
"CodedValue": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
},
"Value": "123",
"ValueType": "PhysicalQuantity",
"Units": "10+3/ul",
"ReferenceRange": {
"Low": null,
"High": null,
"Text": null
},
"Comments": []
}
]
},
{
"Code": "624-7",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "Sputum Culture",
"AltCodes": [],
"Encounter": {
"Identifiers": [],
"Type": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
},
"DateTime": null,
"EndDateTime": null
},
"Status": "In Progress",
"Producer": {
"ID": "RL001",
"Name": "City Lab WI",
"IDType": null,
"Address": {
"StreetAddress": "111 W. Fairchild",
"City": "San Jose",
"State": "CA",
"ZIP": "53703",
"County": "Santa Clara",
"Country": "USA"
}
},
"Specimen": {
"CollectionDateTime": null,
"Identifiers": [],
"Source": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null
},
"TargetSite": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null
}
},
"Observations": [
{
"Code": "86243-3",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "Color of Sputum",
"AltCodes": [],
"Status": "Final",
"Interpretation": null,
"DateTime": "2012-08-10T14:00:00.000Z",
"CodedValue": {
"Code": "54662009",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Green",
"AltCodes": []
},
"Value": "Green",
"ValueType": "Code",
"Units": null,
"ReferenceRange": {
"Low": null,
"High": null,
"Text": null
},
"Comments": []
}
]
}
],
"SocialHistoryText": "<table width=\"100%\"><thead><tr><th>Social History Element</th><th>Description</th><th>Effective Dates</th></tr></thead><tbody><tr><td ID=\"soc1\">smoking</td><td>Former Smoker (1 pack per day</td><td>20050501 to 20110227</td></tr><tr><td ID=\"soc2\">smoking</td><td>Current Everyday Smoker 2 packs per day</td><td>20110227 - today</td></tr></tbody></table>",
"SocialHistory": {
"Observations": [
{
"Code": "160573003",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Alcohol Consumption",
"AltCodes": [],
"Value": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
},
"ValueText": "None",
"StartDate": "1990-05-01T04:00:00.000Z",
"EndDate": null,
"Comments": []
}
],
"Pregnancy": [],
"TobaccoUse": [
{
"Code": "8517006",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Former smoker",
"AltCodes": [],
"IsSmokingStatus": true,
"StartDate": "2015-06-03T09:35:00.000Z",
"EndDate": null,
"Comments": []
},
{
"Code": "65568007",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Cigarette smoker",
"AltCodes": [],
"IsSmokingStatus": false,
"StartDate": "2005-05-01",
"EndDate": "2008-09-01",
"Comments": []
}
]
},
"VitalSignsText": "<table width=\"100%\"><thead><tr><th align=\"right\">Date / Time: </th><th>Nov 1, 2011</th><th>August 6, 2012</th></tr></thead><tbody><tr><th align=\"left\">Height</th><td ID=\"vit1\">69 inches</td><td ID=\"vit2\">69 inches</td></tr><tr><th align=\"left\">Weight</th><td ID=\"vit3\">189 lbs</td><td ID=\"vit4\">194 lbs</td></tr><tr><th align=\"left\">Blood Pressure</th><td ID=\"vit5\">132/86 mmHg</td><td ID=\"vit6\">145/88 mmHg</td></tr></tbody></table>",
"VitalSigns": [
{
"DateTime": "1999-11-14T00:00:00.000Z",
"Observations": [
{
"Code": "8302-2",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "Height",
"AltCodes": [],
"Status": "completed",
"Interpretation": "Normal",
"DateTime": "1999-11-14T00:00:00.000Z",
"Value": "177",
"Units": "cm",
"TargetSite": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
},
"Comments": []
},
{
"Code": "3141-9",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "Patient Body Weight - Measured",
"AltCodes": [],
"Status": "completed",
"Interpretation": "Normal",
"DateTime": "1999-11-14T00:00:00.000Z",
"Value": "86",
"Units": "kg",
"TargetSite": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
},
"Comments": []
},
{
"Code": "8480-6",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "Intravascular Systolic",
"AltCodes": [],
"Status": "completed",
"Interpretation": "Normal",
"DateTime": "1999-11-14T00:00:00.000Z",
"Value": "132",
"Units": "mm[Hg]",
"TargetSite": {
"Code": "368208006",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Left upper arm structure",
"AltCodes": []
},
"Comments": []
}
]
},
{
"DateTime": "2000-04-07T00:00:00.000Z",
"Observations": [
{
"Code": "8302-2",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "Height",
"AltCodes": [],
"Status": "completed",
"Interpretation": "Normal",
"DateTime": "2000-04-07T00:00:00.000Z",
"Value": "177",
"Units": "cm",
"TargetSite": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
},
"Comments": []
},
{
"Code": "3141-9",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "Patient Body Weight - Measured",
"AltCodes": [],
"Status": "completed",
"Interpretation": "Normal",
"DateTime": "2000-04-07T00:00:00.000Z",
"Value": "88",
"Units": "kg",
"TargetSite": {
"Code": null,
"CodeSystem": null,
"CodeSystemName": null,
"Name": null,
"AltCodes": []
},
"Comments": []
},
{
"Code": "8480-6",
"CodeSystem": "2.16.840.1.113883.6.1",
"CodeSystemName": "LOINC",
"Name": "Intravascular Systolic",
"AltCodes": [],
"Status": "completed",
"Interpretation": "Normal",
"DateTime": "2000-04-07T00:00:00.000Z",
"Value": "145",
"Units": "mm[Hg]",
"TargetSite": {
"Code": "368208006",
"CodeSystem": "2.16.840.1.113883.6.96",
"CodeSystemName": "SNOMED CT",
"Name": "Left upper arm structure",
"AltCodes": []
},
"Comments": []
}
]
}
]
}