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_f40b07e3-37e8-48c3-bf1c-ae70fe12dab0"> </a><p class="res-header-id"><b>Generated Narrative: Composition f40b07e3-37e8-48c3-bf1c-ae70fe12dab0</b></p><a name="f40b07e3-37e8-48c3-bf1c-ae70fe12dab0"> </a><a name="hcf40b07e3-37e8-48c3-bf1c-ae70fe12dab0"> </a><a name="f40b07e3-37e8-48c3-bf1c-ae70fe12dab0-en-US"> </a><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>: 2020-12-11 14:30:00+0100</p><p><b>author</b>: <a href="Bundle-bundle-minimal.html#urn-uuid-45271f7f-63ab-4946-970f-3daaaa06637f">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#28b95815-76ce-457b-b7ae-a972e527db40; type = document; timestamp = 2020-12-11 14:30:00+0100</a></p><p><b>title</b>: Patient Summary as of December 11, 2020 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>: 2020-12-11 14:30:00+0100</p><p><b>party</b>: <a href="Bundle-bundle-minimal.html#urn-uuid-45271f7f-63ab-4946-970f-3daaaa06637f">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#28b95815-76ce-457b-b7ae-a972e527db40; type = document; timestamp = 2020-12-11 14:30:00+0100</a></p></blockquote><blockquote><p><b>attester</b></p><p><b>mode</b>: Legal</p><p><b>time</b>: 2020-12-11 14:30:00+0100</p><p><b>party</b>: <a href="Bundle-bundle-minimal.html#urn-uuid-a21fe796-3594-4ad9-a01e-cc83118ceca9">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#28b95815-76ce-457b-b7ae-a972e527db40; type = document; timestamp = 2020-12-11 14:30:00+0100</a></p></blockquote><p><b>custodian</b>: <a href="Bundle-bundle-minimal.html#urn-uuid-a21fe796-3594-4ad9-a01e-cc83118ceca9">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#28b95815-76ce-457b-b7ae-a972e527db40; type = document; timestamp = 2020-12-11 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>/20e12ce3-857f-49c0-b888-cb670597f191</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>?? --> 2020-12-11 14:30:00+0100</td></tr></table></div>
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<reference value="urn:uuid:244ad7c3-beeb-41d1-8a2f-c76b8cf720ad"/>
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<date value="2020-12-11T14:30:00+01:00"/>
<author>
<reference value="urn:uuid:45271f7f-63ab-4946-970f-3daaaa06637f"/>
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<title value="Patient Summary as of December 11, 2020 14:30"/>
<confidentiality value="N"/>
<attester>
<mode value="legal"/>
<time value="2020-12-11T14:30:00+01:00"/>
<party>
<reference value="urn:uuid:45271f7f-63ab-4946-970f-3daaaa06637f"/>
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<attester>
<mode value="legal"/>
<time value="2020-12-11T14:30:00+01:00"/>
<party>
<reference value="urn:uuid:a21fe796-3594-4ad9-a01e-cc83118ceca9"/>
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<custodian>
<reference value="urn:uuid:a21fe796-3594-4ad9-a01e-cc83118ceca9"/>
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<relatesTo>
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<value value="20e12ce3-857f-49c0-b888-cb670597f191"/>
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<event>
<code>
<coding>
<system
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<code value="PCPR"/>
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<period>
<end value="2020-12-11T14:30:00+01:00"/>
</period>
</event>
<section>
<title value="Active Problems"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11450-4"/>
<display value="Problem list - Reported"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><ul><li><div><b>Condition Name</b>: Menopausal Flushing</div><div><b>Code</b>: <span>198436008</span></div><div><b>Status</b>: <span>Active</span></div></li></ul></div>
</text>
<entry>
<reference value="urn:uuid:d179321e-c091-4cd4-8642-3a27537d506d"/>
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</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"><ul><li><div><b>Medication Name</b>: Oral anastrozole 1mg tablet</div><div><b>Code</b>: <span></span></div><div><b>Status</b>: <span>Active, started March 2015</span></div><div>Instructions: Take 1 time per day</div></li></ul></div>
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<entry>
<reference value="urn:uuid:e1271efd-18ff-4654-9ee7-45f40019c453"/>
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<section>
<title value="Allergies and Intolerances"/>
<code>
<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"><ul><li><div><b>Allergy Name</b>: Pencillins</div><div><b>Verification Status</b>: Confirmed</div><div><b>Reaction</b>: <span>no information</span></div></li></ul></div>
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<reference value="urn:uuid:74861316-f69d-4652-9fb1-8512a20c7927"/>
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<entry>
<fullUrl value="urn:uuid:244ad7c3-beeb-41d1-8a2f-c76b8cf720ad"/>
<resource>
<Patient>
<id value="244ad7c3-beeb-41d1-8a2f-c76b8cf720ad"/>
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<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_244ad7c3-beeb-41d1-8a2f-c76b8cf720ad"> </a><p class="res-header-id"><b>Generated Narrative: Patient 244ad7c3-beeb-41d1-8a2f-c76b8cf720ad</b></p><a name="244ad7c3-beeb-41d1-8a2f-c76b8cf720ad"> </a><a name="hc244ad7c3-beeb-41d1-8a2f-c76b8cf720ad"> </a><a name="244ad7c3-beeb-41d1-8a2f-c76b8cf720ad-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>
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<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.6.3"/>
<value value="574687583"/>
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<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"/>
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</relationship>
<name>
<family value="Mum"/>
<given value="Martha"/>
</name>
<telecom>
<system value="phone"/>
<value value="+33-555-20036"/>
<use value="home"/>
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<address>
<line value="Promenade des Anglais 111"/>
<city value="Lyon"/>
<postalCode value="69001"/>
<country value="FR"/>
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</Patient>
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<entry>
<fullUrl value="urn:uuid:45271f7f-63ab-4946-970f-3daaaa06637f"/>
<resource>
<Practitioner>
<id value="45271f7f-63ab-4946-970f-3daaaa06637f"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_45271f7f-63ab-4946-970f-3daaaa06637f"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 45271f7f-63ab-4946-970f-3daaaa06637f</b></p><a name="45271f7f-63ab-4946-970f-3daaaa06637f"> </a><a name="hc45271f7f-63ab-4946-970f-3daaaa06637f"> </a><a name="45271f7f-63ab-4946-970f-3daaaa06637f-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>
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<value value="129854633"/>
<assigner>
<display value="CIBG"/>
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<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>
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<entry>
<fullUrl value="urn:uuid:a21fe796-3594-4ad9-a01e-cc83118ceca9"/>
<resource>
<Organization>
<id value="a21fe796-3594-4ad9-a01e-cc83118ceca9"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_a21fe796-3594-4ad9-a01e-cc83118ceca9"> </a><p class="res-header-id"><b>Generated Narrative: Organization a21fe796-3594-4ad9-a01e-cc83118ceca9</b></p><a name="a21fe796-3594-4ad9-a01e-cc83118ceca9"> </a><a name="hca21fe796-3594-4ad9-a01e-cc83118ceca9"> </a><a name="a21fe796-3594-4ad9-a01e-cc83118ceca9-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:d179321e-c091-4cd4-8642-3a27537d506d"/>
<resource>
<Condition>
<id value="d179321e-c091-4cd4-8642-3a27537d506d"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_d179321e-c091-4cd4-8642-3a27537d506d"> </a><p class="res-header-id"><b>Generated Narrative: Condition d179321e-c091-4cd4-8642-3a27537d506d</b></p><a name="d179321e-c091-4cd4-8642-3a27537d506d"> </a><a name="hcd179321e-c091-4cd4-8642-3a27537d506d"> </a><a name="d179321e-c091-4cd4-8642-3a27537d506d-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/cacceb57-395f-48e1-9c88-e9c9704dc2d2</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://loinc.org LA6751-7}">Moderate</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-bundle-minimal.html#urn-uuid-244ad7c3-beeb-41d1-8a2f-c76b8cf720ad">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#28b95815-76ce-457b-b7ae-a972e527db40; type = document; timestamp = 2020-12-11 14:30:00+0100</a></p><p><b>onset</b>: 2015</p><p><b>recordedDate</b>: 2016-10</p></div>
</text>
<identifier>
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<value value="cacceb57-395f-48e1-9c88-e9c9704dc2d2"/>
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<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</coding>
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<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://loinc.org"/>
<code value="LA6751-7"/>
<display value="Moderate"/>
</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:244ad7c3-beeb-41d1-8a2f-c76b8cf720ad"/>
</subject>
<onsetDateTime value="2015"/>
<recordedDate value="2016-10"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e1271efd-18ff-4654-9ee7-45f40019c453"/>
<resource>
<MedicationStatement>
<id value="e1271efd-18ff-4654-9ee7-45f40019c453"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_e1271efd-18ff-4654-9ee7-45f40019c453"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement e1271efd-18ff-4654-9ee7-45f40019c453</b></p><a name="e1271efd-18ff-4654-9ee7-45f40019c453"> </a><a name="hce1271efd-18ff-4654-9ee7-45f40019c453"> </a><a name="e1271efd-18ff-4654-9ee7-45f40019c453-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/8faf0319-89d3-427c-b9d1-e8c8fd390dca</p><p><b>status</b>: Active</p><p><b>medication</b>: <a href="Bundle-bundle-minimal.html#urn-uuid-95db7c92-566a-4ded-896b-2220ab244a9e">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#28b95815-76ce-457b-b7ae-a972e527db40; type = document; timestamp = 2020-12-11 14:30:00+0100</a></p><p><b>subject</b>: <a href="Bundle-bundle-minimal.html#urn-uuid-244ad7c3-beeb-41d1-8a2f-c76b8cf720ad">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#28b95815-76ce-457b-b7ae-a972e527db40; type = document; timestamp = 2020-12-11 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="8faf0319-89d3-427c-b9d1-e8c8fd390dca"/>
</identifier>
<status value="active"/>
<medicationReference>
<reference value="urn:uuid:95db7c92-566a-4ded-896b-2220ab244a9e"/>
</medicationReference>
<subject>
<reference value="urn:uuid:244ad7c3-beeb-41d1-8a2f-c76b8cf720ad"/>
</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:95db7c92-566a-4ded-896b-2220ab244a9e"/>
<resource>
<Medication>
<id value="95db7c92-566a-4ded-896b-2220ab244a9e"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_95db7c92-566a-4ded-896b-2220ab244a9e"> </a><p class="res-header-id"><b>Generated Narrative: Medication 95db7c92-566a-4ded-896b-2220ab244a9e</b></p><a name="95db7c92-566a-4ded-896b-2220ab244a9e"> </a><a name="hc95db7c92-566a-4ded-896b-2220ab244a9e"> </a><a name="95db7c92-566a-4ded-896b-2220ab244a9e-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:74861316-f69d-4652-9fb1-8512a20c7927"/>
<resource>
<AllergyIntolerance>
<id value="74861316-f69d-4652-9fb1-8512a20c7927"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_74861316-f69d-4652-9fb1-8512a20c7927"> </a><p class="res-header-id"><b>Generated Narrative: AllergyIntolerance 74861316-f69d-4652-9fb1-8512a20c7927</b></p><a name="74861316-f69d-4652-9fb1-8512a20c7927"> </a><a name="hc74861316-f69d-4652-9fb1-8512a20c7927"> </a><a name="74861316-f69d-4652-9fb1-8512a20c7927-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/8d9566a4-d26d-46be-a3e4-c9f3a0e5cd83</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-bundle-minimal.html#urn-uuid-244ad7c3-beeb-41d1-8a2f-c76b8cf720ad">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#28b95815-76ce-457b-b7ae-a972e527db40; type = document; timestamp = 2020-12-11 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="8d9566a4-d26d-46be-a3e4-c9f3a0e5cd83"/>
</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:244ad7c3-beeb-41d1-8a2f-c76b8cf720ad"/>
</patient>
<onsetDateTime value="2010"/>
</AllergyIntolerance>
</resource>
</entry>
</Bundle>