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 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="bundle-minimal"/>
  <language value="en-US"/>
  <identifier>
    <system value="urn:oid:2.16.724.4.8.10.200.10"/>
    <value value="28b95815-76ce-457b-b7ae-a972e527db40"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2020-12-11T14:30:00+01:00"/>
  <entry>
    <fullUrl value="urn:uuid:6e1fb74a-742b-4c7b-8487-171dacb88766"/>
    <resource>
      <Composition>
        <id value="6e1fb74a-742b-4c7b-8487-171dacb88766"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="60591-5"/>
            <display value="Patient summary Document"/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/7685713c-e29e-4a75-8a90-45be7ba3be94"/>
        </subject>
        <date value="2020-12-11T14:30:00+01:00"/>
        <author>
          <reference
                     value="Practitioner/98315ba9-ffea-41ef-b59b-a836c039858f"/>
        </author>
        <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="Practitioner/98315ba9-ffea-41ef-b59b-a836c039858f"/>
          </party>
        </attester>
        <attester>
          <mode value="legal"/>
          <time value="2020-12-11T14:30:00+01:00"/>
          <party>
            <reference
                       value="Organization/bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d"/>
          </party>
        </attester>
        <custodian>
          <reference
                     value="Organization/bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d"/>
        </custodian>
        <relatesTo>
          <code value="appends"/>
          <targetIdentifier>
            <system value="urn:oid:2.16.724.4.8.10.200.10"/>
            <value value="20e12ce3-857f-49c0-b888-cb670597f191"/>
          </targetIdentifier>
        </relatesTo>
        <event>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ActClass"/>
              <code value="PCPR"/>
            </coding>
          </code>
          <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"/>
            </coding>
          </code>
          <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="Condition/ad84b7a2-b4dd-474e-bef3-0779e6cb595f"/>
          </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"><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>
          </text>
          <entry>
            <reference
                       value="MedicationStatement/6e883e5e-7648-485a-86de-3640a61601fe"/>
          </entry>
        </section>
        <section>
          <title value="Allergies and Intolerances"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48765-2"/>
              <display value="Allergies and adverse reactions Document"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <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>
          </text>
          <entry>
            <reference
                       value="AllergyIntolerance/fe2769fd-22c9-4307-9122-ee0466e5aebb"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7685713c-e29e-4a75-8a90-45be7ba3be94"/>
    <resource>
      <Patient>
        <id value="7685713c-e29e-4a75-8a90-45be7ba3be94"/>
        <text>
          <status value="generated"/>
          <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>
        </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:98315ba9-ffea-41ef-b59b-a836c039858f"/>
    <resource>
      <Practitioner>
        <id value="98315ba9-ffea-41ef-b59b-a836c039858f"/>
        <text>
          <status value="generated"/>
          <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>
        </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:bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d"/>
    <resource>
      <Organization>
        <id value="bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d"/>
        <text>
          <status value="generated"/>
          <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>
        </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:ad84b7a2-b4dd-474e-bef3-0779e6cb595f"/>
    <resource>
      <Condition>
        <id value="ad84b7a2-b4dd-474e-bef3-0779e6cb595f"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="urn:oid:1.2.3.999"/>
          <value value="cacceb57-395f-48e1-9c88-e9c9704dc2d2"/>
        </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://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="Patient/7685713c-e29e-4a75-8a90-45be7ba3be94"/>
        </subject>
        <onsetDateTime value="2015"/>
        <recordedDate value="2016-10"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:6e883e5e-7648-485a-86de-3640a61601fe"/>
    <resource>
      <MedicationStatement>
        <id value="6e883e5e-7648-485a-86de-3640a61601fe"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="urn:oid:1.2.3.999"/>
          <value value="8faf0319-89d3-427c-b9d1-e8c8fd390dca"/>
        </identifier>
        <status value="active"/>
        <medicationReference>
          <reference value="Medication/6369a973-afc7-4617-8877-3e9811e05a5b"/>
        </medicationReference>
        <subject>
          <reference value="Patient/7685713c-e29e-4a75-8a90-45be7ba3be94"/>
        </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>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
                <code value="ordered"/>
                <display value="Ordered"/>
              </coding>
            </type>
            <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:6369a973-afc7-4617-8877-3e9811e05a5b"/>
    <resource>
      <Medication>
        <id value="6369a973-afc7-4617-8877-3e9811e05a5b"/>
        <text>
          <status value="generated"/>
          <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>
        </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:fe2769fd-22c9-4307-9122-ee0466e5aebb"/>
    <resource>
      <AllergyIntolerance>
        <id value="fe2769fd-22c9-4307-9122-ee0466e5aebb"/>
        <text>
          <status value="generated"/>
          <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>
        </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="Patient/7685713c-e29e-4a75-8a90-45be7ba3be94"/>
        </patient>
        <onsetDateTime value="2010"/>
      </AllergyIntolerance>
    </resource>
  </entry>
</Bundle>