International Patient Summary Implementation Guide
1.1.0 - STU 1 Update 1 International flag

This page is part of the International Patient Summary Implementation Guide (v1.1.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: IPS Bundle example - minimal - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "bundle-minimal",
  "language" : "en-US",
  "identifier" : {
    "system" : "urn:oid:2.16.724.4.8.10.200.10",
    "value" : "28b95815-76ce-457b-b7ae-a972e527db40"
  },
  "type" : "document",
  "timestamp" : "2020-12-11T14:30:00+01:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:6e1fb74a-742b-4c7b-8487-171dacb88766",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "6e1fb74a-742b-4c7b-8487-171dacb88766",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"6e1fb74a-742b-4c7b-8487-171dacb88766\" </p></div><p><b>status</b>: final</p><p><b>type</b>: Patient summary Document <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#60591-5)</span></p><p><b>date</b>: 2020-12-11 02:30:00+0100</p><p><b>author</b>: Beetje van Hulp, MD </p><p><b>title</b>: Patient Summary as of December 11, 2020 14:30</p><p><b>confidentiality</b>: N</p><blockquote><p><b>attester</b></p><p><b>mode</b>: legal</p><p><b>time</b>: 2020-12-11 02:30:00+0100</p><p><b>party</b>: Beetje van Hulp, MD </p></blockquote><blockquote><p><b>attester</b></p><p><b>mode</b>: legal</p><p><b>time</b>: 2020-12-11 02:30:00+0100</p><p><b>party</b>: Anorg Aniza Tion BV </p></blockquote><p><b>custodian</b>: Anorg Aniza Tion BV</p><h3>RelatesTos</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Target[x]</b></td></tr><tr><td>*</td><td>appends</td><td>id: 20e12ce3-857f-49c0-b888-cb670597f191</td></tr></table><h3>Events</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Period</b></td></tr><tr><td>*</td><td>care provision <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActClass.html\">ActClass</a>#PCPR)</span></td><td>?? --&gt; 2020-12-11 02:30:00+0100</td></tr></table></div>"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "60591-5",
              "display" : "Patient summary Document"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94"
        },
        "date" : "2020-12-11T14:30:00+01:00",
        "author" : [
          {
            "reference" : "Practitioner/98315ba9-ffea-41ef-b59b-a836c039858f"
          }
        ],
        "title" : "Patient Summary as of December 11, 2020 14:30",
        "confidentiality" : "N",
        "attester" : [
          {
            "mode" : "legal",
            "time" : "2020-12-11T14:30:00+01:00",
            "party" : {
              "reference" : "Practitioner/98315ba9-ffea-41ef-b59b-a836c039858f"
            }
          },
          {
            "mode" : "legal",
            "time" : "2020-12-11T14:30:00+01:00",
            "party" : {
              "reference" : "Organization/bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d"
            }
          }
        ],
        "custodian" : {
          "reference" : "Organization/bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d"
        },
        "relatesTo" : [
          {
            "code" : "appends",
            "targetIdentifier" : {
              "system" : "urn:oid:2.16.724.4.8.10.200.10",
              "value" : "20e12ce3-857f-49c0-b888-cb670597f191"
            }
          }
        ],
        "event" : [
          {
            "code" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
                    "code" : "PCPR"
                  }
                ]
              }
            ],
            "period" : {
              "end" : "2020-12-11T14:30:00+01:00"
            }
          }
        ],
        "section" : [
          {
            "title" : "Active Problems",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11450-4",
                  "display" : "Problem list Reported"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "entry" : [
              {
                "reference" : "Condition/ad84b7a2-b4dd-474e-bef3-0779e6cb595f"
              }
            ]
          },
          {
            "title" : "Medication",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "10160-0",
                  "display" : "History of Medication use Narrative"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "entry" : [
              {
                "reference" : "MedicationStatement/6e883e5e-7648-485a-86de-3640a61601fe"
              }
            ]
          },
          {
            "title" : "Allergies and Intolerances",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48765-2",
                  "display" : "Allergies and adverse reactions Document"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "entry" : [
              {
                "reference" : "AllergyIntolerance/fe2769fd-22c9-4307-9122-ee0466e5aebb"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:7685713c-e29e-4a75-8a90-45be7ba3be94",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "7685713c-e29e-4a75-8a90-45be7ba3be94",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"7685713c-e29e-4a75-8a90-45be7ba3be94\"> </a></p><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\">Resource Patient &quot;7685713c-e29e-4a75-8a90-45be7ba3be94&quot; </p></div><p><b>identifier</b>: id: 574687583</p><p><b>active</b>: true</p><p><b>name</b>: Martha DeLarosa </p><p><b>telecom</b>: <a href=\"tel:+31788700800\">+31788700800</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1972-05-01</p><p><b>address</b>: Laan Van Europa 1600 Dordrecht 3317 DB NL </p><h3>Contacts</h3><table class=\"grid\"><tr><td>-</td><td><b>Relationship</b></td><td><b>Name</b></td><td><b>Telecom</b></td><td><b>Address</b></td></tr><tr><td>*</td><td>mother <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#MTH)</span></td><td>Martha Mum </td><td><a href=\"tel:+33-555-20036\">+33-555-20036</a></td><td>Promenade des Anglais 111 Lyon 69001 FR </td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.2.4.6.3",
            "value" : "574687583"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "DeLarosa",
            "given" : [
              "Martha"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+31788700800",
            "use" : "home"
          }
        ],
        "gender" : "female",
        "birthDate" : "1972-05-01",
        "address" : [
          {
            "line" : [
              "Laan Van Europa 1600"
            ],
            "city" : "Dordrecht",
            "postalCode" : "3317 DB",
            "country" : "NL"
          }
        ],
        "contact" : [
          {
            "relationship" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code" : "MTH"
                  }
                ]
              }
            ],
            "name" : {
              "family" : "Mum",
              "given" : [
                "Martha"
              ]
            },
            "telecom" : [
              {
                "system" : "phone",
                "value" : "+33-555-20036",
                "use" : "home"
              }
            ],
            "address" : {
              "line" : [
                "Promenade des Anglais 111"
              ],
              "city" : "Lyon",
              "postalCode" : "69001",
              "country" : "FR"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:98315ba9-ffea-41ef-b59b-a836c039858f",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "98315ba9-ffea-41ef-b59b-a836c039858f",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"98315ba9-ffea-41ef-b59b-a836c039858f\"> </a></p><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\">Resource Practitioner &quot;98315ba9-ffea-41ef-b59b-a836c039858f&quot; </p></div><p><b>identifier</b>: id: 129854633</p><p><b>active</b>: true</p><p><b>name</b>: Beetje van Hulp </p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Doctor of Medicine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (degreeLicenseCertificate[2.7]#MD)</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.16.528.1.1007.3.1",
            "value" : "129854633",
            "assigner" : {
              "display" : "CIBG"
            }
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "van Hulp",
            "given" : [
              "Beetje"
            ]
          }
        ],
        "qualification" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0360",
                  "version" : "2.7",
                  "code" : "MD",
                  "display" : "Doctor of Medicine"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d\"> </a></p><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\">Resource Organization &quot;bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d&quot; </p></div><p><b>identifier</b>: id: 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>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.16.528.1.1007.3.3",
            "value" : "564738757"
          }
        ],
        "active" : true,
        "name" : "Anorg Aniza Tion BV / The best custodian ever",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+31-51-34343400",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "use" : "work",
            "line" : [
              "Houttuinen 27"
            ],
            "city" : "Dordrecht",
            "postalCode" : "3311 CE",
            "country" : "NL"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:ad84b7a2-b4dd-474e-bef3-0779e6cb595f",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "ad84b7a2-b4dd-474e-bef3-0779e6cb595f",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"ad84b7a2-b4dd-474e-bef3-0779e6cb595f\"> </a></p><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\">Resource Condition &quot;ad84b7a2-b4dd-474e-bef3-0779e6cb595f&quot; </p></div><p><b>identifier</b>: id: cacceb57-395f-48e1-9c88-e9c9704dc2d2</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#75326-9)</span></p><p><b>severity</b>: Moderate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6751-7)</span></p><p><b>code</b>: Menopausal flushing (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#198436008; <a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-icd10.html\">ICD-10</a>#N95.1 &quot;Menopausal and female climacteric states&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_7685713c-e29e-4a75-8a90-45be7ba3be94\">See above (Patient/7685713c-e29e-4a75-8a90-45be7ba3be94)</a></p><p><b>onset</b>: 2015</p><p><b>recordedDate</b>: 2016-10</p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:1.2.3.999",
            "value" : "cacceb57-395f-48e1-9c88-e9c9704dc2d2"
          }
        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "confirmed"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "75326-9",
                "display" : "Problem"
              }
            ]
          }
        ],
        "severity" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA6751-7",
              "display" : "Moderate"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "198436008",
              "display" : "Menopausal flushing (finding)",
              "_display" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "nl-NL"
                      },
                      {
                        "url" : "content",
                        "valueString" : "opvliegers"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              }
            },
            {
              "system" : "http://hl7.org/fhir/sid/icd-10",
              "code" : "N95.1",
              "display" : "Menopausal and female climacteric states"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94"
        },
        "onsetDateTime" : "2015",
        "recordedDate" : "2016-10"
      }
    },
    {
      "fullUrl" : "urn:uuid:6e883e5e-7648-485a-86de-3640a61601fe",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "6e883e5e-7648-485a-86de-3640a61601fe",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationStatement</b><a name=\"6e883e5e-7648-485a-86de-3640a61601fe\"> </a></p><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\">Resource MedicationStatement &quot;6e883e5e-7648-485a-86de-3640a61601fe&quot; </p></div><p><b>identifier</b>: id: 8faf0319-89d3-427c-b9d1-e8c8fd390dca</p><p><b>status</b>: active</p><p><b>medication</b>: <a href=\"#Medication_6369a973-afc7-4617-8877-3e9811e05a5b\">See above (Medication/6369a973-afc7-4617-8877-3e9811e05a5b)</a></p><p><b>subject</b>: <a href=\"#Patient_7685713c-e29e-4a75-8a90-45be7ba3be94\">See above (Patient/7685713c-e29e-4a75-8a90-45be7ba3be94)</a></p><p><b>effective</b>: 2015-03 --&gt; (ongoing)</p><blockquote><p><b>dosage</b></p><p><b>timing</b>: Count 1 times, Do Once</p><p><b>route</b>: Oral use <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (standardterms.edqm.eu#20053000)</span></p></blockquote></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:1.2.3.999",
            "value" : "8faf0319-89d3-427c-b9d1-e8c8fd390dca"
          }
        ],
        "status" : "active",
        "medicationReference" : {
          "reference" : "Medication/6369a973-afc7-4617-8877-3e9811e05a5b"
        },
        "subject" : {
          "reference" : "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94"
        },
        "effectivePeriod" : {
          "start" : "2015-03"
        },
        "dosage" : [
          {
            "timing" : {
              "repeat" : {
                "count" : 1,
                "periodUnit" : "d"
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "20053000",
                  "display" : "Oral use"
                }
              ]
            },
            "doseAndRate" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code" : "ordered",
                      "display" : "Ordered"
                    }
                  ]
                },
                "doseQuantity" : {
                  "value" : 1,
                  "unit" : "tablet",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "1"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:6369a973-afc7-4617-8877-3e9811e05a5b",
      "resource" : {
        "resourceType" : "Medication",
        "id" : "6369a973-afc7-4617-8877-3e9811e05a5b",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Medication</b><a name=\"6369a973-afc7-4617-8877-3e9811e05a5b\"> </a></p><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\">Resource Medication &quot;6369a973-afc7-4617-8877-3e9811e05a5b&quot; </p></div><p><b>code</b>: Product containing anastrozole (medicinal product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#108774000; unknown#99872 &quot;ANASTROZOL 1MG TABLET&quot;; unknown#2076667 &quot;ANASTROZOL CF TABLET FILMOMHULD 1MG&quot;; <a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-WC.html\">WHO ATC</a>#L02BG03 &quot;anastrozole&quot;)</span></p></div>"
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "108774000",
              "display" : "Product containing anastrozole (medicinal product)"
            },
            {
              "system" : "urn:oid:2.16.840.1.113883.2.4.4.1",
              "code" : "99872",
              "display" : "ANASTROZOL 1MG TABLET"
            },
            {
              "system" : "urn:oid:2.16.840.1.113883.2.4.4.7",
              "code" : "2076667",
              "display" : "ANASTROZOL CF TABLET FILMOMHULD 1MG"
            },
            {
              "system" : "http://www.whocc.no/atc",
              "code" : "L02BG03",
              "display" : "anastrozole"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:fe2769fd-22c9-4307-9122-ee0466e5aebb",
      "resource" : {
        "resourceType" : "AllergyIntolerance",
        "id" : "fe2769fd-22c9-4307-9122-ee0466e5aebb",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: AllergyIntolerance</b><a name=\"fe2769fd-22c9-4307-9122-ee0466e5aebb\"> </a></p><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\">Resource AllergyIntolerance &quot;fe2769fd-22c9-4307-9122-ee0466e5aebb&quot; </p></div><p><b>identifier</b>: id: 8d9566a4-d26d-46be-a3e4-c9f3a0e5cd83</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-allergyintolerance-clinical.html\">AllergyIntolerance Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-allergyintolerance-verification.html\">AllergyIntolerance Verification Status</a>#confirmed)</span></p><p><b>type</b>: allergy</p><p><b>category</b>: medication</p><p><b>criticality</b>: high</p><p><b>code</b>: Substance with penicillin structure and antibacterial mechanism of action (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373270004)</span></p><p><b>patient</b>: <a href=\"#Patient_7685713c-e29e-4a75-8a90-45be7ba3be94\">See above (Patient/7685713c-e29e-4a75-8a90-45be7ba3be94)</a></p><p><b>onset</b>: 2010</p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:1.2.3.999",
            "value" : "8d9566a4-d26d-46be-a3e4-c9f3a0e5cd83"
          }
        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code" : "active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code" : "confirmed"
            }
          ]
        },
        "type" : "allergy",
        "category" : [
          "medication"
        ],
        "criticality" : "high",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "373270004",
              "display" : "Substance with penicillin structure and antibacterial mechanism of action (substance)"
            }
          ]
        },
        "patient" : {
          "reference" : "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94"
        },
        "onsetDateTime" : "2010"
      }
    }
  ]
}