International Patient Summary Implementation Guide
1.1.0 - STU 1 Update 1
International Patient Summary Implementation Guide
1.1.0 - STU 1 Update 1
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 
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Bundle;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "bundle-minimal"];
fhir:Resource.language [ fhir:value "en-US"];
fhir:Bundle.identifier [
fhir:Identifier.system [ fhir:value "urn:oid:2.16.724.4.8.10.200.10" ];
fhir:Identifier.value [ fhir:value "28b95815-76ce-457b-b7ae-a972e527db40" ]
];
fhir:Bundle.type [ fhir:value "document"];
fhir:Bundle.timestamp [ fhir:value "2020-12-11T14:30:00+01:00"^^xsd:dateTime];
fhir:Bundle.entry [
fhir:index 0;
fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:6e1fb74a-742b-4c7b-8487-171dacb88766" ];
fhir:Bundle.entry.resource <urn:uuid:6e1fb74a-742b-4c7b-8487-171dacb88766>
], [
fhir:index 1;
fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7685713c-e29e-4a75-8a90-45be7ba3be94" ];
fhir:Bundle.entry.resource <urn:uuid:7685713c-e29e-4a75-8a90-45be7ba3be94>
], [
fhir:index 2;
fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:98315ba9-ffea-41ef-b59b-a836c039858f" ];
fhir:Bundle.entry.resource <urn:uuid:98315ba9-ffea-41ef-b59b-a836c039858f>
], [
fhir:index 3;
fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d" ];
fhir:Bundle.entry.resource <urn:uuid:bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d>
], [
fhir:index 4;
fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:ad84b7a2-b4dd-474e-bef3-0779e6cb595f" ];
fhir:Bundle.entry.resource <urn:uuid:ad84b7a2-b4dd-474e-bef3-0779e6cb595f>
], [
fhir:index 5;
fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:6e883e5e-7648-485a-86de-3640a61601fe" ];
fhir:Bundle.entry.resource <urn:uuid:6e883e5e-7648-485a-86de-3640a61601fe>
], [
fhir:index 6;
fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:6369a973-afc7-4617-8877-3e9811e05a5b" ];
fhir:Bundle.entry.resource <urn:uuid:6369a973-afc7-4617-8877-3e9811e05a5b>
], [
fhir:index 7;
fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:fe2769fd-22c9-4307-9122-ee0466e5aebb" ];
fhir:Bundle.entry.resource <urn:uuid:fe2769fd-22c9-4307-9122-ee0466e5aebb>
].
<urn:uuid:6e1fb74a-742b-4c7b-8487-171dacb88766> a fhir:Composition;
fhir:Resource.id [ fhir:value "6e1fb74a-742b-4c7b-8487-171dacb88766"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>?? --> 2020-12-11 02:30:00+0100</td></tr></table></div>"
];
fhir:Composition.status [ fhir:value "final"];
fhir:Composition.type [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:60591-5;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "60591-5" ];
fhir:Coding.display [ fhir:value "Patient summary Document" ] ]
];
fhir:Composition.subject [
fhir:Reference.reference [ fhir:value "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94" ]
];
fhir:Composition.date [ fhir:value "2020-12-11T14:30:00+01:00"^^xsd:dateTime];
fhir:Composition.author [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Practitioner/98315ba9-ffea-41ef-b59b-a836c039858f" ]
];
fhir:Composition.title [ fhir:value "Patient Summary as of December 11, 2020 14:30"];
fhir:Composition.confidentiality [ fhir:value "N"];
fhir:Composition.attester [
fhir:index 0;
fhir:Composition.attester.mode [ fhir:value "legal" ];
fhir:Composition.attester.time [ fhir:value "2020-12-11T14:30:00+01:00"^^xsd:dateTime ];
fhir:Composition.attester.party [
fhir:Reference.reference [ fhir:value "Practitioner/98315ba9-ffea-41ef-b59b-a836c039858f" ] ]
], [
fhir:index 1;
fhir:Composition.attester.mode [ fhir:value "legal" ];
fhir:Composition.attester.time [ fhir:value "2020-12-11T14:30:00+01:00"^^xsd:dateTime ];
fhir:Composition.attester.party [
fhir:Reference.reference [ fhir:value "Organization/bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d" ] ]
];
fhir:Composition.custodian [
fhir:Reference.reference [ fhir:value "Organization/bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d" ]
];
fhir:Composition.relatesTo [
fhir:index 0;
fhir:Composition.relatesTo.code [ fhir:value "appends" ];
fhir:Composition.relatesTo.targetIdentifier [
fhir:Identifier.system [ fhir:value "urn:oid:2.16.724.4.8.10.200.10" ];
fhir:Identifier.value [ fhir:value "20e12ce3-857f-49c0-b888-cb670597f191" ] ]
];
fhir:Composition.event [
fhir:index 0;
fhir:Composition.event.code [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActClass" ];
fhir:Coding.code [ fhir:value "PCPR" ] ] ];
fhir:Composition.event.period [
fhir:Period.end [ fhir:value "2020-12-11T14:30:00+01:00"^^xsd:dateTime ] ]
];
fhir:Composition.section [
fhir:index 0;
fhir:Composition.section.title [ fhir:value "Active Problems" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:11450-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "11450-4" ];
fhir:Coding.display [ fhir:value "Problem list Reported" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>" ];
fhir:Composition.section.entry [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/ad84b7a2-b4dd-474e-bef3-0779e6cb595f" ] ]
], [
fhir:index 1;
fhir:Composition.section.title [ fhir:value "Medication" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:10160-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "10160-0" ];
fhir:Coding.display [ fhir:value "History of Medication use Narrative" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>" ];
fhir:Composition.section.entry [
fhir:index 0;
fhir:Reference.reference [ fhir:value "MedicationStatement/6e883e5e-7648-485a-86de-3640a61601fe" ] ]
], [
fhir:index 2;
fhir:Composition.section.title [ fhir:value "Allergies and Intolerances" ];
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:48765-2;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "48765-2" ];
fhir:Coding.display [ fhir:value "Allergies and adverse reactions Document" ] ] ];
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>" ];
fhir:Composition.section.entry [
fhir:index 0;
fhir:Reference.reference [ fhir:value "AllergyIntolerance/fe2769fd-22c9-4307-9122-ee0466e5aebb" ] ]
].
<urn:uuid:7685713c-e29e-4a75-8a90-45be7ba3be94> a fhir:Patient;
fhir:Resource.id [ fhir:value "7685713c-e29e-4a75-8a90-45be7ba3be94"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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 "7685713c-e29e-4a75-8a90-45be7ba3be94" </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>"
];
fhir:Patient.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.2.4.6.3" ];
fhir:Identifier.value [ fhir:value "574687583" ]
];
fhir:Patient.active [ fhir:value "true"^^xsd:boolean];
fhir:Patient.name [
fhir:index 0;
fhir:HumanName.family [ fhir:value "DeLarosa" ];
fhir:HumanName.given [
fhir:value "Martha";
fhir:index 0 ]
];
fhir:Patient.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "phone" ];
fhir:ContactPoint.value [ fhir:value "+31788700800" ];
fhir:ContactPoint.use [ fhir:value "home" ]
];
fhir:Patient.gender [ fhir:value "female"];
fhir:Patient.birthDate [ fhir:value "1972-05-01"^^xsd:date];
fhir:Patient.address [
fhir:index 0;
fhir:Address.line [
fhir:value "Laan Van Europa 1600";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Dordrecht" ];
fhir:Address.postalCode [ fhir:value "3317 DB" ];
fhir:Address.country [ fhir:value "NL" ]
];
fhir:Patient.contact [
fhir:index 0;
fhir:Patient.contact.relationship [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ];
fhir:Coding.code [ fhir:value "MTH" ] ] ];
fhir:Patient.contact.name [
fhir:HumanName.family [ fhir:value "Mum" ];
fhir:HumanName.given [
fhir:value "Martha";
fhir:index 0 ] ];
fhir:Patient.contact.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "phone" ];
fhir:ContactPoint.value [ fhir:value "+33-555-20036" ];
fhir:ContactPoint.use [ fhir:value "home" ] ];
fhir:Patient.contact.address [
fhir:Address.line [
fhir:value "Promenade des Anglais 111";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Lyon" ];
fhir:Address.postalCode [ fhir:value "69001" ];
fhir:Address.country [ fhir:value "FR" ] ]
].
<urn:uuid:98315ba9-ffea-41ef-b59b-a836c039858f> a fhir:Practitioner;
fhir:Resource.id [ fhir:value "98315ba9-ffea-41ef-b59b-a836c039858f"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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 "98315ba9-ffea-41ef-b59b-a836c039858f" </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>"
];
fhir:Practitioner.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "urn:oid:2.16.528.1.1007.3.1" ];
fhir:Identifier.value [ fhir:value "129854633" ];
fhir:Identifier.assigner [
fhir:Reference.display [ fhir:value "CIBG" ] ]
];
fhir:Practitioner.active [ fhir:value "true"^^xsd:boolean];
fhir:Practitioner.name [
fhir:index 0;
fhir:HumanName.family [ fhir:value "van Hulp" ];
fhir:HumanName.given [
fhir:value "Beetje";
fhir:index 0 ]
];
fhir:Practitioner.qualification [
fhir:index 0;
fhir:Practitioner.qualification.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0360" ];
fhir:Coding.version [ fhir:value "2.7" ];
fhir:Coding.code [ fhir:value "MD" ];
fhir:Coding.display [ fhir:value "Doctor of Medicine" ] ] ]
].
<urn:uuid:bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d> a fhir:Organization;
fhir:Resource.id [ fhir:value "bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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 "bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d" </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>"
];
fhir:Organization.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "urn:oid:2.16.528.1.1007.3.3" ];
fhir:Identifier.value [ fhir:value "564738757" ]
];
fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
fhir:Organization.name [ fhir:value "Anorg Aniza Tion BV / The best custodian ever"];
fhir:Organization.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "phone" ];
fhir:ContactPoint.value [ fhir:value "+31-51-34343400" ];
fhir:ContactPoint.use [ fhir:value "work" ]
];
fhir:Organization.address [
fhir:index 0;
fhir:Address.use [ fhir:value "work" ];
fhir:Address.line [
fhir:value "Houttuinen 27";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Dordrecht" ];
fhir:Address.postalCode [ fhir:value "3311 CE" ];
fhir:Address.country [ fhir:value "NL" ]
].
<urn:uuid:ad84b7a2-b4dd-474e-bef3-0779e6cb595f> a fhir:Condition;
fhir:Resource.id [ fhir:value "ad84b7a2-b4dd-474e-bef3-0779e6cb595f"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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 "ad84b7a2-b4dd-474e-bef3-0779e6cb595f" </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 "Menopausal and female climacteric states")</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>"
];
fhir:Condition.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "urn:oid:1.2.3.999" ];
fhir:Identifier.value [ fhir:value "cacceb57-395f-48e1-9c88-e9c9704dc2d2" ]
];
fhir:Condition.clinicalStatus [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
fhir:Coding.code [ fhir:value "active" ] ]
];
fhir:Condition.verificationStatus [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
fhir:Coding.code [ fhir:value "confirmed" ] ]
];
fhir:Condition.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:75326-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "75326-9" ];
fhir:Coding.display [ fhir:value "Problem" ] ]
];
fhir:Condition.severity [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA6751-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6751-7" ];
fhir:Coding.display [ fhir:value "Moderate" ] ]
];
fhir:Condition.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:198436008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "198436008" ];
fhir:Coding.display [
fhir:value "Menopausal flushing (finding)";
fhir:Element.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "lang" ];
fhir:Extension.valueCode [ fhir:value "nl-NL" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "content" ];
fhir:Extension.valueString [ fhir:value "opvliegers" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/translation" ] ] ] ], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10" ];
fhir:Coding.code [ fhir:value "N95.1" ];
fhir:Coding.display [ fhir:value "Menopausal and female climacteric states" ] ]
];
fhir:Condition.subject [
fhir:Reference.reference [ fhir:value "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94" ]
];
fhir:Condition.onsetDateTime [ fhir:value "2015"^^xsd:gYear];
fhir:Condition.recordedDate [ fhir:value "2016-10"^^xsd:gYearMonth].
<urn:uuid:6e883e5e-7648-485a-86de-3640a61601fe> a fhir:MedicationStatement;
fhir:Resource.id [ fhir:value "6e883e5e-7648-485a-86de-3640a61601fe"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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 "6e883e5e-7648-485a-86de-3640a61601fe" </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 --> (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>"
];
fhir:MedicationStatement.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "urn:oid:1.2.3.999" ];
fhir:Identifier.value [ fhir:value "8faf0319-89d3-427c-b9d1-e8c8fd390dca" ]
];
fhir:MedicationStatement.status [ fhir:value "active"];
fhir:MedicationStatement.medicationReference [
fhir:Reference.reference [ fhir:value "Medication/6369a973-afc7-4617-8877-3e9811e05a5b" ]
];
fhir:MedicationStatement.subject [
fhir:Reference.reference [ fhir:value "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94" ]
];
fhir:MedicationStatement.effectivePeriod [
fhir:Period.start [ fhir:value "2015-03"^^xsd:gYearMonth ]
];
fhir:MedicationStatement.dosage [
fhir:index 0;
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.count [ fhir:value "1"^^xsd:positiveInteger ];
fhir:Timing.repeat.periodUnit [ fhir:value "d" ] ] ];
fhir:Dosage.route [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://standardterms.edqm.eu" ];
fhir:Coding.code [ fhir:value "20053000" ];
fhir:Coding.display [ fhir:value "Oral use" ] ] ];
fhir:Dosage.doseAndRate [
fhir:index 0;
fhir:Dosage.doseAndRate.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/dose-rate-type" ];
fhir:Coding.code [ fhir:value "ordered" ];
fhir:Coding.display [ fhir:value "Ordered" ] ] ];
fhir:Dosage.doseAndRate.doseQuantity [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "tablet" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "1" ] ] ]
].
<urn:uuid:6369a973-afc7-4617-8877-3e9811e05a5b> a fhir:Medication;
fhir:Resource.id [ fhir:value "6369a973-afc7-4617-8877-3e9811e05a5b"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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 "6369a973-afc7-4617-8877-3e9811e05a5b" </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 "ANASTROZOL 1MG TABLET"; unknown#2076667 "ANASTROZOL CF TABLET FILMOMHULD 1MG"; <a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-WC.html\">WHO ATC</a>#L02BG03 "anastrozole")</span></p></div>"
];
fhir:Medication.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:108774000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "108774000" ];
fhir:Coding.display [ fhir:value "Product containing anastrozole (medicinal product)" ] ], [
fhir:index 1;
fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.2.4.4.1" ];
fhir:Coding.code [ fhir:value "99872" ];
fhir:Coding.display [ fhir:value "ANASTROZOL 1MG TABLET" ] ], [
fhir:index 2;
fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.2.4.4.7" ];
fhir:Coding.code [ fhir:value "2076667" ];
fhir:Coding.display [ fhir:value "ANASTROZOL CF TABLET FILMOMHULD 1MG" ] ], [
fhir:index 3;
fhir:Coding.system [ fhir:value "http://www.whocc.no/atc" ];
fhir:Coding.code [ fhir:value "L02BG03" ];
fhir:Coding.display [ fhir:value "anastrozole" ] ]
].
<urn:uuid:fe2769fd-22c9-4307-9122-ee0466e5aebb> a fhir:AllergyIntolerance;
fhir:Resource.id [ fhir:value "fe2769fd-22c9-4307-9122-ee0466e5aebb"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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 "fe2769fd-22c9-4307-9122-ee0466e5aebb" </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>"
];
fhir:AllergyIntolerance.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "urn:oid:1.2.3.999" ];
fhir:Identifier.value [ fhir:value "8d9566a4-d26d-46be-a3e4-c9f3a0e5cd83" ]
];
fhir:AllergyIntolerance.clinicalStatus [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" ];
fhir:Coding.code [ fhir:value "active" ] ]
];
fhir:AllergyIntolerance.verificationStatus [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification" ];
fhir:Coding.code [ fhir:value "confirmed" ] ]
];
fhir:AllergyIntolerance.type [ fhir:value "allergy"];
fhir:AllergyIntolerance.category [
fhir:value "medication";
fhir:index 0
];
fhir:AllergyIntolerance.criticality [ fhir:value "high"];
fhir:AllergyIntolerance.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:373270004;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "373270004" ];
fhir:Coding.display [ fhir:value "Substance with penicillin structure and antibacterial mechanism of action (substance)" ] ]
];
fhir:AllergyIntolerance.patient [
fhir:Reference.reference [ fhir:value "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94" ]
];
fhir:AllergyIntolerance.onsetDateTime [ fhir:value "2010"^^xsd:gYear].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
IG © 2020+ Health Level Seven International - Patient Care Work Group. Package hl7.fhir.uv.ips#1.1.0 based on FHIR 4.0.1. Generated 2022-11-22
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change