International Patient Summary Implementation Guide
2.0.0-ballot - STU 2 Ballot
International Patient Summary Implementation Guide
2.0.0-ballot - STU 2 Ballot
This page is part of the International Patient Summary Implementation Guide (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_30551ce1-5a28-4356-b684-1e639094ad4d"> </a><p class="res-header-id"><b>Generated Narrative: Composition 30551ce1-5a28-4356-b684-1e639094ad4d</b></p><a name="30551ce1-5a28-4356-b684-1e639094ad4d"> </a><a name="hc30551ce1-5a28-4356-b684-1e639094ad4d"> </a><a name="30551ce1-5a28-4356-b684-1e639094ad4d-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.724.4.8.10.200.10</code>/3f69e0a5-2177-4540-baab-7a5d0877428f</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 60591-5}">Patient summary Document</span></p><p><b>date</b>: 2017-12-11 14:30:00+0100</p><p><b>author</b>: <a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-1c616b24-3895-48c4-9a02-9a64110351ef">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>title</b>: Patient Summary as of December 11, 2017 14:30</p><p><b>confidentiality</b>: normal</p><blockquote><p><b>attester</b></p><p><b>mode</b>: Legal</p><p><b>time</b>: 2017-12-11 14:30:00+0100</p><p><b>party</b>: <a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-1c616b24-3895-48c4-9a02-9a64110351ef">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p></blockquote><blockquote><p><b>attester</b></p><p><b>mode</b>: Legal</p><p><b>time</b>: 2017-12-11 14:30:00+0100</p><p><b>party</b>: <a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-890751f4-2924-4636-bab7-efffc7f3cf15">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p></blockquote><p><b>custodian</b>: <a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-890751f4-2924-4636-bab7-efffc7f3cf15">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><h3>RelatesTos</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Target[x]</b></td></tr><tr><td style="display: none">*</td><td>Appends</td><td><code>urn:oid:2.16.724.4.8.10.200.10</code>/c2277753-9f90-4a95-8ddb-a0b3f6e7d292</td></tr></table><h3>Events</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Period</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActClass PCPR}">care provision</span></td><td>?? --> 2017-12-11 14:30:00+0100</td></tr></table></div>
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<value value="3f69e0a5-2177-4540-baab-7a5d0877428f"/>
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<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="60591-5"/>
<display value="Patient summary Document"/>
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<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
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<date value="2017-12-11T14:30:00+01:00"/>
<author>
<reference value="urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef"/>
</author>
<title value="Patient Summary as of December 11, 2017 14:30"/>
<confidentiality value="N"/>
<attester>
<mode value="legal"/>
<time value="2017-12-11T14:30:00+01:00"/>
<party>
<reference value="urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef"/>
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<attester>
<mode value="legal"/>
<time value="2017-12-11T14:30:00+01:00"/>
<party>
<reference value="urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15"/>
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<custodian>
<reference value="urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15"/>
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<event>
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<coding>
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<code value="PCPR"/>
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<period>
<end value="2017-12-11T14:30:00+01:00"/>
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<section>
<title value="Active Problems"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11450-4"/>
<display value="Problem list - Reported"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Hot flushes</div>
</text>
<entry>
<reference value="urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"/>
</entry>
</section>
<section>
<title value="Medication"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10160-0"/>
<display value="History of Medication use Narrative"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><table><thead><tr><th>Medication</th><th>Strength</th><th>Form</th><th>Dosage</th><th>Comment</th></tr></thead><tbody><tr><td>Anastrozole</td><td>1 mg</td><td>tablet</td><td>once daily</td><td>treatment for breast cancer</td></tr><tr><td>Black Cohosh Extract</td><td></td><td>pil</td><td></td><td>herbal supplement</td></tr></tbody></table></div>
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<reference value="urn:uuid:c220e36c-eb67-4fc4-9ba1-2fabc52acec6"/>
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<entry>
<reference value="urn:uuid:47524493-846a-4a26-bae2-4ab03e60f02e"/>
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<section>
<title value="Allergies and Intolerances"/>
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<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
<display value="Allergies and adverse reactions Document"/>
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<div xmlns="http://www.w3.org/1999/xhtml">Allergy to penicillin, high criticality, active No known food allergies</div>
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<entry>
<reference value="urn:uuid:72884cad-ebe6-4f43-a51a-2f978275f132"/>
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<entry>
<reference value="urn:uuid:c7781f44-6df8-4a8b-9e06-0b34263a47c5"/>
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<section>
<title value="History of Past Illness"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11348-0"/>
<display value="History of Past illness Narrative"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Breast cancer Stage II with no evidence of recurrence following treatment</div>
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<entry>
<reference value="urn:uuid:c4597aa2-688a-401b-a658-70acc6de28c6"/>
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<section>
<title value="Plan of Treatment"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18776-5"/>
<display value="Plan of care note"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Continue hormone medication with Anastrozole for total of 5 years and monitor for potential breast cancer recurrence</div>
</text>
</section>
<section>
<title value="Results"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="30954-2"/>
<display
value="Relevant diagnostic tests/laboratory data Narrative"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><table><thead><tr><th colspan="3">Blood typing</th></tr></thead><tbody><tr><td>Blood group</td><td>A+</td><td/></tr><tr><td>C Ab [Presence] in Serum or Plasma</td><td>Positive</td><td/></tr><tr><td>E Ab [Presence] in Serum or Plasma</td><td>Positive</td><td/></tr><tr><td>Little c Ab [Presence] in Serum or Plasma</td><td>Negative</td><td/></tr></tbody></table><table><thead><tr><th colspan="3">Hemoglobin A1c monitoring</th></tr></thead><tbody><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood by HPLC</td><td>7.5 %</td><td/></tr></tbody></table><table><thead><tr><th colspan="3">Bacteriology</th></tr></thead><tbody><tr><td colspan="3">Methicillin resistant Staphylococcus aureus</td></tr><tr><td colspan="3">Healthy carrier of MRSA</td></tr></tbody></table></div>
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<entry>
<reference value="urn:uuid:2639657a-c19a-48e2-82cc-471e13b8ad94"/>
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<entry>
<reference value="urn:uuid:cc354e00-a419-47ea-8b6c-1768b2a01646"/>
</entry>
<entry>
<reference value="urn:uuid:26bee0a9-5997-4557-ab9d-c6adbb05b572"/>
</entry>
</section>
<section>
<title value="Immunizations"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11369-6"/>
<display value="History of Immunization Narrative"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="fr-LU" lang="fr-LU"><p><b>Marie Lux-Brennard</b> (Apr 17, 1998)</p><p>Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite, Jun 3, 1998, 10:00:00 PM</p><p>Voie intramusculaire, Cuisse droite</p></div>
</text>
<entry>
<reference value="urn:uuid:40b7b6a0-c043-423a-9959-be3707e728b2"/>
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</section>
</Composition>
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<entry>
<fullUrl value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
<resource>
<Patient>
<id value="2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Patient 2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization</b></p><a name="2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization"> </a><a name="hc2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization"> </a><a name="2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li><a href="tel:+31788700800">+31788700800</a></li><li>Laan Van Europa 1600 Dordrecht 3317 DB NL </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: mother">mother:</td><td colspan="3"><ul><li>Martha Mum </li><li>Promenade des Anglais 111 Lyon 69001 FR </li><li><a href="tel:+33-555-20036">+33-555-20036</a></li></ul></td></tr></table></div>
</text>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.6.3"/>
<value value="574687583"/>
</identifier>
<active value="true"/>
<name>
<family value="DeLarosa"/>
<given value="Martha"/>
</name>
<telecom>
<system value="phone"/>
<value value="+31788700800"/>
<use value="home"/>
</telecom>
<gender value="female"/>
<birthDate value="1972-05-01"/>
<address>
<line value="Laan Van Europa 1600"/>
<city value="Dordrecht"/>
<postalCode value="3317 DB"/>
<country value="NL"/>
</address>
<contact>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="MTH"/>
</coding>
</relationship>
<name>
<family value="Mum"/>
<given value="Martha"/>
</name>
<telecom>
<system value="phone"/>
<value value="+33-555-20036"/>
<use value="home"/>
</telecom>
<address>
<line value="Promenade des Anglais 111"/>
<city value="Lyon"/>
<postalCode value="69001"/>
<country value="FR"/>
</address>
</contact>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef"/>
<resource>
<Practitioner>
<id value="1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization</b></p><a name="1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization"> </a><a name="hc1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization"> </a><a name="1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.528.1.1007.3.1</code>/129854633</p><p><b>active</b>: true</p><p><b>name</b>: Beetje van Hulp </p><h3>Qualifications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0360 MD}">Doctor of Medicine</span></td></tr></table></div>
</text>
<identifier>
<system value="urn:oid:2.16.528.1.1007.3.1"/>
<value value="129854633"/>
<assigner>
<display value="CIBG"/>
</assigner>
</identifier>
<active value="true"/>
<name>
<family value="van Hulp"/>
<given value="Beetje"/>
</name>
<qualification>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0360"/>
<version value="2.7"/>
<code value="MD"/>
<display value="Doctor of Medicine"/>
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15"/>
<resource>
<Organization>
<id value="890751f4-2924-4636-bab7-efffc7f3cf15-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_890751f4-2924-4636-bab7-efffc7f3cf15-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Organization 890751f4-2924-4636-bab7-efffc7f3cf15-with-immunization</b></p><a name="890751f4-2924-4636-bab7-efffc7f3cf15-with-immunization"> </a><a name="hc890751f4-2924-4636-bab7-efffc7f3cf15-with-immunization"> </a><a name="890751f4-2924-4636-bab7-efffc7f3cf15-with-immunization-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.528.1.1007.3.3</code>/564738757</p><p><b>active</b>: true</p><p><b>name</b>: Anorg Aniza Tion BV / The best custodian ever</p><p><b>telecom</b>: <a href="tel:+31-51-34343400">+31-51-34343400</a></p><p><b>address</b>: Houttuinen 27 Dordrecht 3311 CE NL (work)</p></div>
</text>
<identifier>
<system value="urn:oid:2.16.528.1.1007.3.3"/>
<value value="564738757"/>
</identifier>
<active value="true"/>
<name value="Anorg Aniza Tion BV / The best custodian ever"/>
<telecom>
<system value="phone"/>
<value value="+31-51-34343400"/>
<use value="work"/>
</telecom>
<address>
<use value="work"/>
<line value="Houttuinen 27"/>
<city value="Dordrecht"/>
<postalCode value="3311 CE"/>
<country value="NL"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"/>
<resource>
<Condition>
<id value="c64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_c64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Condition c64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization</b></p><a name="c64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization"> </a><a name="hcc64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization"> </a><a name="c64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/c87bf51c-e53c-4bfe-b8b7-aa62bdd93002</p><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 75326-9}">Problem</span></p><p><b>severity</b>: <span title="Codes:{http://snomed.info/sct 6736007}">Moderate severity</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 198436008}, {http://hl7.org/fhir/sid/icd-10 N95.1}">Menopausal flushing (finding)</span></p><p><b>subject</b>: <a href="Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>onset</b>: 2015</p><p><b>recordedDate</b>: 2016-10</p></div>
</text>
<identifier>
<system value="urn:oid:1.2.3.999"/>
<value value="c87bf51c-e53c-4bfe-b8b7-aa62bdd93002"/>
</identifier>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="75326-9"/>
<display value="Problem"/>
</coding>
</category>
<severity>
<coding>
<system value="http://snomed.info/sct"/>
<code value="6736007"/>
<display value="Moderate severity"/>
</coding>
</severity>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="198436008"/>
<display value="Menopausal flushing (finding)">
<extension
url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="nl-NL"/>
</extension>
<extension url="content">
<valueString value="opvliegers"/>
</extension>
</extension>
</display>
</coding>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="N95.1"/>
<display value="Menopausal and female climacteric states"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<onsetDateTime value="2015"/>
<recordedDate value="2016-10"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c220e36c-eb67-4fc4-9ba1-2fabc52acec6"/>
<resource>
<MedicationStatement>
<id value="c220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_c220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement c220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization</b></p><a name="c220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization"> </a><a name="hcc220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization"> </a><a name="c220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/b75f92cb-61d4-469a-9387-df5ef70d25f0</p><p><b>status</b>: Active</p><p><b>medication</b>: <a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-976d0804-cae0-45ae-afe3-a19f3ceba6bc">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>subject</b>: <a href="Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2015-03 --> (ongoing)</p><blockquote><p><b>dosage</b></p></blockquote></div>
</text>
<identifier>
<system value="urn:oid:1.2.3.999"/>
<value value="b75f92cb-61d4-469a-9387-df5ef70d25f0"/>
</identifier>
<status value="active"/>
<medicationReference>
<reference value="urn:uuid:976d0804-cae0-45ae-afe3-a19f3ceba6bc"/>
</medicationReference>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<effectivePeriod>
<start value="2015-03"/>
</effectivePeriod>
<dosage>
<timing>
<repeat>
<count value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://standardterms.edqm.eu"/>
<code value="20053000"/>
<display value="Oral use"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="1"/>
<unit value="tablet"/>
<system value="http://unitsofmeasure.org"/>
<code value="1"/>
</doseQuantity>
</doseAndRate>
</dosage>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:47524493-846a-4a26-bae2-4ab03e60f02e"/>
<resource>
<MedicationStatement>
<id value="47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement 47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization</b></p><a name="47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization"> </a><a name="hc47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization"> </a><a name="47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/9e312d6b-c6b6-439a-a730-6efaa5dcf8bc</p><p><b>status</b>: Active</p><p><b>medication</b>: <a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-8adc0999-9468-4ac9-9557-680fa133d626">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>subject</b>: <a href="Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2016-01 --> (ongoing)</p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Route</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://standardterms.edqm.eu 20053000}">Oral use</span></td></tr></table></div>
</text>
<identifier>
<system value="urn:oid:1.2.3.999"/>
<value value="9e312d6b-c6b6-439a-a730-6efaa5dcf8bc"/>
</identifier>
<status value="active"/>
<medicationReference>
<reference value="urn:uuid:8adc0999-9468-4ac9-9557-680fa133d626"/>
</medicationReference>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<effectivePeriod>
<start value="2016-01"/>
</effectivePeriod>
<dosage>
<route>
<coding>
<system value="http://standardterms.edqm.eu"/>
<code value="20053000"/>
<display value="Oral use"/>
</coding>
</route>
</dosage>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:976d0804-cae0-45ae-afe3-a19f3ceba6bc"/>
<resource>
<Medication>
<id value="976d0804-cae0-45ae-afe3-a19f3ceba6bc-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_976d0804-cae0-45ae-afe3-a19f3ceba6bc-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Medication 976d0804-cae0-45ae-afe3-a19f3ceba6bc-with-immunization</b></p><a name="976d0804-cae0-45ae-afe3-a19f3ceba6bc-with-immunization"> </a><a name="hc976d0804-cae0-45ae-afe3-a19f3ceba6bc-with-immunization"> </a><a name="976d0804-cae0-45ae-afe3-a19f3ceba6bc-with-immunization-en-US"> </a><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 108774000}, {urn:oid:2.16.840.1.113883.2.4.4.1 99872}, {urn:oid:2.16.840.1.113883.2.4.4.7 2076667}, {http://www.whocc.no/atc L02BG03}">Product containing anastrozole (medicinal product)</span></p></div>
</text>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="108774000"/>
<display
value="Product containing anastrozole (medicinal product)"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
<code value="99872"/>
<display value="ANASTROZOL 1MG TABLET"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.7"/>
<code value="2076667"/>
<display value="ANASTROZOL CF TABLET FILMOMHULD 1MG"/>
</coding>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="L02BG03"/>
<display value="anastrozole"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:8adc0999-9468-4ac9-9557-680fa133d626"/>
<resource>
<Medication>
<id value="8adc0999-9468-4ac9-9557-680fa133d626-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_8adc0999-9468-4ac9-9557-680fa133d626-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Medication 8adc0999-9468-4ac9-9557-680fa133d626-with-immunization</b></p><a name="8adc0999-9468-4ac9-9557-680fa133d626-with-immunization"> </a><a name="hc8adc0999-9468-4ac9-9557-680fa133d626-with-immunization"> </a><a name="8adc0999-9468-4ac9-9557-680fa133d626-with-immunization-en-US"> </a><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 412588001}, {http://www.whocc.no/atc G02CX04}">Black Cohosh Extract herbal supplement</span></p></div>
</text>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="412588001"/>
<display value="Cimicifuga racemosa extract (substance)">
<extension
url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="nl-NL"/>
</extension>
<extension url="content">
<valueString value="Zwarte Cohosh Extract"/>
</extension>
</extension>
</display>
</coding>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="G02CX04"/>
<display value="Cimicifugae rhizoma"/>
</coding>
<text value="Black Cohosh Extract herbal supplement"/>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:72884cad-ebe6-4f43-a51a-2f978275f132"/>
<resource>
<AllergyIntolerance>
<id value="72884cad-ebe6-4f43-a51a-2f978275f132-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_72884cad-ebe6-4f43-a51a-2f978275f132-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: AllergyIntolerance 72884cad-ebe6-4f43-a51a-2f978275f132-with-immunization</b></p><a name="72884cad-ebe6-4f43-a51a-2f978275f132-with-immunization"> </a><a name="hc72884cad-ebe6-4f43-a51a-2f978275f132-with-immunization"> </a><a name="72884cad-ebe6-4f43-a51a-2f978275f132-with-immunization-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/3a462598-009c-484a-965c-d6b24a821424</p><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}">Confirmed</span></p><p><b>type</b>: Allergy</p><p><b>category</b>: Medication</p><p><b>criticality</b>: High Risk</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 373270004}">Substance with penicillin structure and antibacterial mechanism of action (substance)</span></p><p><b>patient</b>: <a href="Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>onset</b>: 2010</p></div>
</text>
<identifier>
<system value="urn:oid:1.2.3.999"/>
<value value="3a462598-009c-484a-965c-d6b24a821424"/>
</identifier>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<type value="allergy"/>
<category value="medication"/>
<criticality value="high"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373270004"/>
<display
value="Substance with penicillin structure and antibacterial mechanism of action (substance)"/>
</coding>
</code>
<patient>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</patient>
<onsetDateTime value="2010"/>
</AllergyIntolerance>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c4597aa2-688a-401b-a658-70acc6de28c6"/>
<resource>
<Condition>
<id value="c4597aa2-688a-401b-a658-70acc6de28c6-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_c4597aa2-688a-401b-a658-70acc6de28c6-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Condition c4597aa2-688a-401b-a658-70acc6de28c6-with-immunization</b></p><a name="c4597aa2-688a-401b-a658-70acc6de28c6-with-immunization"> </a><a name="hcc4597aa2-688a-401b-a658-70acc6de28c6-with-immunization"> </a><a name="c4597aa2-688a-401b-a658-70acc6de28c6-with-immunization-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/66d4a8c7-9081-43e0-a63f-489c2ae6edd6</p><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical remission}">Remission</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 75326-9}">Problem</span></p><p><b>severity</b>: <span title="Codes:{http://snomed.info/sct 24484000}">Severe</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 254837009}, {http://terminology.hl7.org/CodeSystem/icd-o-3 8500/3}">Malignant tumor of breast</span></p><p><b>subject</b>: <a href="Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>onset</b>: 2015-01</p><p><b>abatement</b>: 2015-03</p></div>
</text>
<identifier>
<system value="urn:oid:1.2.3.999"/>
<value value="66d4a8c7-9081-43e0-a63f-489c2ae6edd6"/>
</identifier>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="remission"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="75326-9"/>
<display value="Problem"/>
</coding>
</category>
<severity>
<coding>
<system value="http://snomed.info/sct"/>
<code value="24484000"/>
<display value="Severe"/>
</coding>
</severity>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="254837009"/>
<display value="Malignant tumor of breast">
<extension
url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="nl-NL"/>
</extension>
<extension url="content">
<valueString
value="Borstkanker stadium II zonder aanwijzingen van recidieven na behandeling"/>
</extension>
</extension>
</display>
</coding>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/icd-o-3"/>
<code value="8500/3"/>
<display value="Infiltrating duct carcinoma, NOS"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<onsetDateTime value="2015-01"/>
<abatementDateTime value="2015-03"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
<resource>
<Organization>
<id value="45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Organization 45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization</b></p><a name="45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization"> </a><a name="hc45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization"> </a><a name="45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization-en-US"> </a><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type other}">Other</span></p><p><b>name</b>: Laboratoire de charme</p></div>
</text>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="other"/>
</coding>
</type>
<name value="Laboratoire de charme"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:aa11a2be-3e36-4be7-b58a-6fc3dace2741"/>
<resource>
<Observation>
<id value="aa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_aa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Observation aa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization</b></p><a name="aa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization"> </a><a name="hcaa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization"> </a><a name="aa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 882-1}">ABO and Rh group [Type] in Blood</span></p><p><b>subject</b>: <a href="Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2015-10-10 09:15:00+0100</p><p><b>performer</b>: <a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 278149003}">Blood group A Rh(D) positive</span></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="882-1"/>
<display value="ABO and Rh group [Type] in Blood"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<effectiveDateTime value="2015-10-10T09:15:00+01:00"/>
<performer>
<reference value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="278149003"/>
<display value="Blood group A Rh(D) positive"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6e39ccf3-f997-4a2b-8f28-b4b71c778c70"/>
<resource>
<Observation>
<id value="6e39ccf3-f997-4a2b-8f28-b4b71c778c70-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_6e39ccf3-f997-4a2b-8f28-b4b71c778c70-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Observation 6e39ccf3-f997-4a2b-8f28-b4b71c778c70-with-immunization</b></p><a name="6e39ccf3-f997-4a2b-8f28-b4b71c778c70-with-immunization"> </a><a name="hc6e39ccf3-f997-4a2b-8f28-b4b71c778c70-with-immunization"> </a><a name="6e39ccf3-f997-4a2b-8f28-b4b71c778c70-with-immunization-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 945-6}">C Ab [Presence] in Serum or Plasma</span></p><p><b>subject</b>: <a href="Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2015-10-10 09:35:00+0100</p><p><b>performer</b>: <a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 10828004}">Positive</span></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="945-6"/>
<display value="C Ab [Presence] in Serum or Plasma"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<effectiveDateTime value="2015-10-10T09:35:00+01:00"/>
<performer>
<reference value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="10828004"/>
<display value="Positive"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b4916505-a06b-460c-9be8-011609282457"/>
<resource>
<Observation>
<id value="b4916505-a06b-460c-9be8-011609282457-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_b4916505-a06b-460c-9be8-011609282457-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Observation b4916505-a06b-460c-9be8-011609282457-with-immunization</b></p><a name="b4916505-a06b-460c-9be8-011609282457-with-immunization"> </a><a name="hcb4916505-a06b-460c-9be8-011609282457-with-immunization"> </a><a name="b4916505-a06b-460c-9be8-011609282457-with-immunization-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 1018-1}">E Ab [Presence] in Serum or Plasma</span></p><p><b>subject</b>: <a href="Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2015-10-10 09:35:00+0100</p><p><b>performer</b>: <a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 10828004}">Positive</span></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="1018-1"/>
<display value="E Ab [Presence] in Serum or Plasma"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<effectiveDateTime value="2015-10-10T09:35:00+01:00"/>
<performer>
<reference value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="10828004"/>
<display value="Positive"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4"/>
<resource>
<Observation>
<id value="a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Observation a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4-with-immunization</b></p><a name="a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4-with-immunization"> </a><a name="hca6a5a1d5-c896-4c7e-b922-888fcc7e6ae4-with-immunization"> </a><a name="a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4-with-immunization-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 1156-9}">little c Ab [Presence] in Serum or Plasma</span></p><p><b>subject</b>: <a href="Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2015-10-10 09:35:00+0100</p><p><b>performer</b>: <a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 260385009}">Negative</span></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="1156-9"/>
<display value="little c Ab [Presence] in Serum or Plasma"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<effectiveDateTime value="2015-10-10T09:35:00+01:00"/>
<performer>
<reference value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="260385009"/>
<display value="Negative"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2639657a-c19a-48e2-82cc-471e13b8ad94"/>
<resource>
<Observation>
<id value="2639657a-c19a-48e2-82cc-471e13b8ad94-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_2639657a-c19a-48e2-82cc-471e13b8ad94-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Observation 2639657a-c19a-48e2-82cc-471e13b8ad94-with-immunization</b></p><a name="2639657a-c19a-48e2-82cc-471e13b8ad94-with-immunization"> </a><a name="hc2639657a-c19a-48e2-82cc-471e13b8ad94-with-immunization"> </a><a name="2639657a-c19a-48e2-82cc-471e13b8ad94-with-immunization-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:">Blood typing</span></p><p><b>subject</b>: <a href="Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2015-10-10</p><p><b>performer</b>: <a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>hasMember</b>: </p><ul><li><a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-aa11a2be-3e36-4be7-b58a-6fc3dace2741">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></li><li><a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-6e39ccf3-f997-4a2b-8f28-b4b71c778c70">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></li><li><a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-b4916505-a06b-460c-9be8-011609282457">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></li><li><a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></li></ul></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<text value="Blood typing"/>
</code>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<effectiveDateTime value="2015-10-10"/>
<performer>
<reference value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<hasMember>
<reference value="urn:uuid:aa11a2be-3e36-4be7-b58a-6fc3dace2741"/>
</hasMember>
<hasMember>
<reference value="urn:uuid:6e39ccf3-f997-4a2b-8f28-b4b71c778c70"/>
</hasMember>
<hasMember>
<reference value="urn:uuid:b4916505-a06b-460c-9be8-011609282457"/>
</hasMember>
<hasMember>
<reference value="urn:uuid:a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:cc354e00-a419-47ea-8b6c-1768b2a01646"/>
<resource>
<Observation>
<id value="cc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_cc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Observation cc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization</b></p><a name="cc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization"> </a><a name="hccc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization"> </a><a name="cc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 17856-6}">Hemoglobin A1c/Hemoglobin.total in Blood by HPLC</span></p><p><b>subject</b>: <a href="Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2017-11-10 08:20:00+0100</p><p><b>performer</b>: <a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>value</b>: 7.5 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code% = '%')</span></p><p><b>note</b>: Above stated goal of 7.0 %</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="17856-6"/>
<display
value="Hemoglobin A1c/Hemoglobin.total in Blood by HPLC"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<effectiveDateTime value="2017-11-10T08:20:00+01:00"/>
<performer>
<reference value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueQuantity>
<value value="7.5"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
<note>
<text value="Above stated goal of 7.0 %"/>
</note>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:26bee0a9-5997-4557-ab9d-c6adbb05b572"/>
<resource>
<Observation>
<id value="26bee0a9-5997-4557-ab9d-c6adbb05b572-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_26bee0a9-5997-4557-ab9d-c6adbb05b572-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: Observation 26bee0a9-5997-4557-ab9d-c6adbb05b572-with-immunization</b></p><a name="26bee0a9-5997-4557-ab9d-c6adbb05b572-with-immunization"> </a><a name="hc26bee0a9-5997-4557-ab9d-c6adbb05b572-with-immunization"> </a><a name="26bee0a9-5997-4557-ab9d-c6adbb05b572-with-immunization-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 42803-7}">Bacteria identified in Isolate</span></p><p><b>subject</b>: <a href="Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2017-12-10 08:20:00+0100</p><p><b>performer</b>: <a href="Bundle-IPS-examples-Bundle-01.html#urn-uuid-45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 115329001}">Methicillin resistant Staphylococcus aureus</span></p><p><b>note</b>: Healthy carrier of MRSA</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="42803-7"/>
<display value="Bacteria identified in Isolate"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<effectiveDateTime value="2017-12-10T08:20:00+01:00"/>
<performer>
<reference value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="115329001"/>
<display value="Methicillin resistant Staphylococcus aureus"/>
</coding>
</valueCodeableConcept>
<note>
<text value="Healthy carrier of MRSA"/>
</note>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c7781f44-6df8-4a8b-9e06-0b34263a47c5"/>
<resource>
<AllergyIntolerance>
<id value="c7781f44-6df8-4a8b-9e06-0b34263a47c5-with-immunization"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_c7781f44-6df8-4a8b-9e06-0b34263a47c5-with-immunization"> </a><p class="res-header-id"><b>Generated Narrative: AllergyIntolerance c7781f44-6df8-4a8b-9e06-0b34263a47c5-with-immunization</b></p><a name="c7781f44-6df8-4a8b-9e06-0b34263a47c5-with-immunization"> </a><a name="hcc7781f44-6df8-4a8b-9e06-0b34263a47c5-with-immunization"> </a><a name="c7781f44-6df8-4a8b-9e06-0b34263a47c5-with-immunization-en-US"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}">Active</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 429625007}">No known food allergy (situation)</span></p><p><b>patient</b>: <a href="Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="429625007"/>
<display value="No known food allergy (situation)"/>
</coding>
</code>
<patient>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</patient>
</AllergyIntolerance>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:40b7b6a0-c043-423a-9959-be3707e728b2"/>
<resource>
<Immunization>
<id value="40b7b6a0-c043-423a-9959-be3707e728b2"/>
<language value="fr-LU"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="fr-LU" lang="fr-LU"><a name="Immunization_40b7b6a0-c043-423a-9959-be3707e728b2"> </a><p class="res-header-id"><b>Generated Narrative: Immunization 40b7b6a0-c043-423a-9959-be3707e728b2</b></p><a name="40b7b6a0-c043-423a-9959-be3707e728b2"> </a><a name="hc40b7b6a0-c043-423a-9959-be3707e728b2"> </a><a name="40b7b6a0-c043-423a-9959-be3707e728b2-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: fr-LU</p></div><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title="Codes:{http://snomed.info/sct 871878002}, {http://www.whocc.no/atc J07CA02}">Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite</span></p><p><b>patient</b>: <a href="Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>occurrence</b>: 1998-06-04 00:00:00+0200</p><p><b>primarySource</b>: true</p><p><b>lotNumber</b>: AXK23RWERS</p><p><b>expirationDate</b>: 2000-06-01</p><p><b>site</b>: <span title="Codes:{http://snomed.info/sct 11207009}">Cuisse droite</span></p><p><b>route</b>: <span title="Codes:{http://standardterms.edqm.eu 20035000}">Voie intramusculaire</span></p><h3>ProtocolApplieds</h3><table class="grid"><tr><td style="display: none">-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 27836007}, {http://snomed.info/sct 76902006}, {http://snomed.info/sct 398102009}, {http://snomed.info/sct 397430003}">Pertussis</span></td><td>1</td></tr></table></div>
</text>
<status value="completed"/>
<vaccineCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="871878002"/>
<display
value="Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae and Human poliovirus antigens only vaccine product">
<extension
url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="fr-LU"/>
</extension>
<extension url="content">
<valueString
value="Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite"/>
</extension>
</extension>
</display>
</coding>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="J07CA02"/>
<display value="diphtheria-pertussis-poliomyelitis-tetanus">
<extension
url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="fr-LU"/>
</extension>
<extension url="content">
<valueString
value="DIPHTERIE - COQUELUCHE - POLIOMYELITE - TETANOS"/>
</extension>
</extension>
</display>
</coding>
<text
value="Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite"/>
</vaccineCode>
<patient>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</patient>
<occurrenceDateTime value="1998-06-04T00:00:00+02:00"/>
<primarySource value="true"/>
<lotNumber value="AXK23RWERS"/>
<expirationDate value="2000-06-01"/>
<site>
<coding>
<system value="http://snomed.info/sct"/>
<code value="11207009"/>
<display value="Right thigh">
<extension
url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="fr-LU"/>
</extension>
<extension url="content">
<valueString value="Cuisse droite"/>
</extension>
</extension>
</display>
</coding>
<text value="Cuisse droite"/>
</site>
<route>
<coding>
<system value="http://standardterms.edqm.eu"/>
<code value="20035000"/>
<display value="Intramuscular use">
<extension
url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="fr-LU"/>
</extension>
<extension url="content">
<valueString value="Voie intramusculaire"/>
</extension>
</extension>
</display>
</coding>
<text value="Voie intramusculaire"/>
</route>
<protocolApplied>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="27836007"/>
<display value="Pertussis"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="76902006"/>
<display value="Tetanus"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="398102009"/>
<display value="Acute poliomyelitis"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="397430003"/>
<display
value="Diphtheria caused by Corynebacterium diphtheriae"/>
</coding>
</targetDisease>
<doseNumberPositiveInt value="1"/>
</protocolApplied>
</Immunization>
</resource>
</entry>
</Bundle>
IG © 2020+ HL7 International / Patient Care. Package hl7.fhir.uv.ips#2.0.0-ballot based on FHIR 4.0.1. Generated 2024-08-12
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