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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Bundle",
"id" : "IPS-examples-Bundle-with-immunization",
"language" : "en-GB",
"identifier" : {
"system" : "urn:oid:2.16.724.4.8.10.200.10",
"value" : "175bd032-8b00-4728-b2dc-748bb1501aed"
},
"type" : "document",
"timestamp" : "2017-12-11T14:30:00+01:00",
"entry" : [
{
"fullUrl" : "urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d",
"resource" : {
"resourceType" : "Composition",
"id" : "30551ce1-5a28-4356-b684-1e639094ad4d",
"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 "30551ce1-5a28-4356-b684-1e639094ad4d" </p></div><p><b>identifier</b>: id: 3f69e0a5-2177-4540-baab-7a5d0877428f</p><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>: 2017-12-11 02:30:00+0100</p><p><b>author</b>: Beetje van Hulp, MD</p><p><b>title</b>: Patient Summary as of December 11, 2017 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>: 2017-12-11 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>: 2017-12-11 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: c2277753-9f90-4a95-8ddb-a0b3f6e7d292</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>?? --> 2017-12-11 02:30:00+0100</td></tr></table></div>"
},
"identifier" : {
"system" : "urn:oid:2.16.724.4.8.10.200.10",
"value" : "3f69e0a5-2177-4540-baab-7a5d0877428f"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60591-5",
"display" : "Patient summary Document"
}
]
},
"subject" : {
"reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
},
"date" : "2017-12-11T14:30:00+01:00",
"author" : [
{
"reference" : "Practitioner/1c616b24-3895-48c4-9a02-9a64110351ef"
}
],
"title" : "Patient Summary as of December 11, 2017 14:30",
"confidentiality" : "N",
"attester" : [
{
"mode" : "legal",
"time" : "2017-12-11T14:30:00+01:00",
"party" : {
"reference" : "Practitioner/1c616b24-3895-48c4-9a02-9a64110351ef"
}
},
{
"mode" : "legal",
"time" : "2017-12-11T14:30:00+01:00",
"party" : {
"reference" : "Organization/890751f4-2924-4636-bab7-efffc7f3cf15"
}
}
],
"custodian" : {
"reference" : "Organization/890751f4-2924-4636-bab7-efffc7f3cf15"
},
"relatesTo" : [
{
"code" : "appends",
"targetIdentifier" : {
"system" : "urn:oid:2.16.724.4.8.10.200.10",
"value" : "c2277753-9f90-4a95-8ddb-a0b3f6e7d292"
}
}
],
"event" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
"code" : "PCPR"
}
]
}
],
"period" : {
"end" : "2017-12-11T14:30:00+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\">Hot flushes</div>"
},
"entry" : [
{
"reference" : "Condition/c64139e7-f02d-409c-bf34-75e8bf23bc80"
}
]
},
{
"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\">\n\t\t\t\t\t\t\t<table>\n\t\t\t\t\t\t\t\t<thead>\n\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t<th>Medication</th>\n\t\t\t\t\t\t\t\t\t\t<th>Strength</th>\n\t\t\t\t\t\t\t\t\t\t<th>Form</th>\n\t\t\t\t\t\t\t\t\t\t<th>Dosage</th>\n\t\t\t\t\t\t\t\t\t\t<th>Comment</th>\n\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t</thead>\n\t\t\t\t\t\t\t\t<tbody>\n\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t<td>Anastrozole</td>\n\t\t\t\t\t\t\t\t\t\t<td>1 mg</td>\n\t\t\t\t\t\t\t\t\t\t<td>tablet</td>\n\t\t\t\t\t\t\t\t\t\t<td>once daily</td>\n\t\t\t\t\t\t\t\t\t\t<td>treatment for breast cancer</td>\n\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t<td>Black Cohosh Extract</td>\n\t\t\t\t\t\t\t\t\t\t<td> </td>\n\t\t\t\t\t\t\t\t\t\t<td>pil</td>\n\t\t\t\t\t\t\t\t\t\t<td> </td>\n\t\t\t\t\t\t\t\t\t\t<td>herbal supplement</td>\n\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t</tbody>\n\t\t\t\t\t\t\t</table>\n\t\t\t\t\t\t</div>"
},
"entry" : [
{
"reference" : "MedicationStatement/c220e36c-eb67-4fc4-9ba1-2fabc52acec6"
},
{
"reference" : "MedicationStatement/47524493-846a-4a26-bae2-4ab03e60f02e"
}
]
},
{
"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\">Allergy to penicillin, high criticality, active\n\t\t\t\t\t\t\tNo known food allergies\n\t\t\t\t\t\t</div>"
},
"entry" : [
{
"reference" : "AllergyIntolerance/72884cad-ebe6-4f43-a51a-2f978275f132"
},
{
"reference" : "AllergyIntolerance/c7781f44-6df8-4a8b-9e06-0b34263a47c5"
}
]
},
{
"title" : "History of Past Illness",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11348-0",
"display" : "Hx of Past illness"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Breast cancer Stage II with no evidence of recurrence following treatment</div>"
},
"entry" : [
{
"reference" : "Condition/c4597aa2-688a-401b-a658-70acc6de28c6"
}
]
},
{
"title" : "Plan of Treatment",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5",
"display" : "Plan of care note"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Continue hormone medication with Anastrozole for total of 5 years and monitor for potential breast cancer recurrence</div>"
}
},
{
"title" : "Results",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2",
"display" : "Relevant diagnostic tests/laboratory data Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t\t<table>\n\t\t\t\t\t\t\t\t<thead>\n\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t<th colspan=\"3\">Blood typing</th>\n\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t</thead>\n\t\t\t\t\t\t\t\t<tbody>\n\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t<td>Blood group</td>\n\t\t\t\t\t\t\t\t\t\t<td>A+</td>\n\t\t\t\t\t\t\t\t\t\t<td/>\n\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t<td>C Ab [Presence] in Serum or Plasma</td>\n\t\t\t\t\t\t\t\t\t\t<td>Positive</td>\n\t\t\t\t\t\t\t\t\t\t<td/>\n\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t<td>E Ab [Presence] in Serum or Plasma</td>\n\t\t\t\t\t\t\t\t\t\t<td>Positive</td>\n\t\t\t\t\t\t\t\t\t\t<td/>\n\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t<td>Little c Ab [Presence] in Serum or Plasma</td>\n\t\t\t\t\t\t\t\t\t\t<td>Negative</td>\n\t\t\t\t\t\t\t\t\t\t<td/>\n\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t</tbody>\n\t\t\t\t\t\t\t</table>\n\t\t\t\t\t\t\t<table>\n\t\t\t\t\t\t\t\t<thead>\n\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t<th colspan=\"3\">Hemoglobin A1c monitoring</th>\n\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t</thead>\n\t\t\t\t\t\t\t\t<tbody>\n\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t<td>Hemoglobin A1c/Hemoglobin.total in Blood by HPLC</td>\n\t\t\t\t\t\t\t\t\t\t<td>7.5 %</td>\n\t\t\t\t\t\t\t\t\t\t<td/>\n\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t</tbody>\n\t\t\t\t\t\t\t</table>\n\t\t\t\t\t\t\t<table>\n\t\t\t\t\t\t\t\t<thead>\n\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t<th colspan=\"3\">Bacteriology</th>\n\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t</thead>\n\t\t\t\t\t\t\t\t<tbody>\n\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t<td colspan=\"3\">Methicillin resistant Staphylococcus aureus</td>\n\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t<td colspan=\"3\">Healthy carrier of MRSA</td>\n\t\t\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t\t</tbody>\n\t\t\t\t\t\t\t</table>\n\t\t\t\t\t\t</div>"
},
"entry" : [
{
"reference" : "Observation/2639657a-c19a-48e2-82cc-471e13b8ad94"
},
{
"reference" : "Observation/cc354e00-a419-47ea-8b6c-1768b2a01646"
},
{
"reference" : "Observation/26bee0a9-5997-4557-ab9d-c6adbb05b572"
}
]
},
{
"title" : "Immunizations",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6",
"display" : "History of Immunization Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"fr-LU\" lang=\"fr-LU\">\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>Marie Lux-Brennard</b>\n\t\t\t\t\t\t\t(Apr 17, 1998)\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite, Jun 3, 1998, 10:00:00 PM</p>\n\t\t\t\t\t\t<p>Voie intramusculaire, Cuisse droite</p>\n\t\t\t\t\t</div>"
},
"entry" : [
{
"reference" : "Immunization/40b7b6a0-c043-423a-9959-be3707e728b2"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8",
"resource" : {
"resourceType" : "Patient",
"id" : "2b90dd2b-2dab-4c75-9bb9-a355e07401e8",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"2b90dd2b-2dab-4c75-9bb9-a355e07401e8\"> </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 "2b90dd2b-2dab-4c75-9bb9-a355e07401e8" </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:1c616b24-3895-48c4-9a02-9a64110351ef",
"resource" : {
"resourceType" : "Practitioner",
"id" : "1c616b24-3895-48c4-9a02-9a64110351ef",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"1c616b24-3895-48c4-9a02-9a64110351ef\"> </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 "1c616b24-3895-48c4-9a02-9a64110351ef" </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\"> (v2-0360|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|2.7",
"code" : "MD",
"display" : "Doctor of Medicine"
}
]
}
}
]
}
},
{
"fullUrl" : "urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15",
"resource" : {
"resourceType" : "Organization",
"id" : "890751f4-2924-4636-bab7-efffc7f3cf15",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"890751f4-2924-4636-bab7-efffc7f3cf15\"> </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 "890751f4-2924-4636-bab7-efffc7f3cf15" </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:c64139e7-f02d-409c-bf34-75e8bf23bc80",
"resource" : {
"resourceType" : "Condition",
"id" : "c64139e7-f02d-409c-bf34-75e8bf23bc80",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"c64139e7-f02d-409c-bf34-75e8bf23bc80\"> </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 "c64139e7-f02d-409c-bf34-75e8bf23bc80" </p></div><p><b>identifier</b>: id: c87bf51c-e53c-4bfe-b8b7-aa62bdd93002</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_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">See above (Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8)</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" : "c87bf51c-e53c-4bfe-b8b7-aa62bdd93002"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
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},
"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" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/translation",
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-NL"
},
{
"url" : "content",
"valueString" : "opvliegers"
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]
}
]
}
},
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "N95.1",
"display" : "Menopausal and female climacteric states"
}
]
},
"subject" : {
"reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
},
"onsetDateTime" : "2015",
"recordedDate" : "2016-10"
}
},
{
"fullUrl" : "urn:uuid:c220e36c-eb67-4fc4-9ba1-2fabc52acec6",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "c220e36c-eb67-4fc4-9ba1-2fabc52acec6",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationStatement</b><a name=\"c220e36c-eb67-4fc4-9ba1-2fabc52acec6\"> </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 "c220e36c-eb67-4fc4-9ba1-2fabc52acec6" </p></div><p><b>identifier</b>: id: b75f92cb-61d4-469a-9387-df5ef70d25f0</p><p><b>status</b>: active</p><p><b>medication</b>: <a href=\"#Medication_976d0804-cae0-45ae-afe3-a19f3ceba6bc\">See above (Medication/976d0804-cae0-45ae-afe3-a19f3ceba6bc)</a></p><p><b>subject</b>: <a href=\"#Patient_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">See above (Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8)</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>"
},
"identifier" : [
{
"system" : "urn:oid:1.2.3.999",
"value" : "b75f92cb-61d4-469a-9387-df5ef70d25f0"
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],
"status" : "active",
"medicationReference" : {
"reference" : "Medication/976d0804-cae0-45ae-afe3-a19f3ceba6bc"
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"subject" : {
"reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
},
"effectivePeriod" : {
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"dosage" : [
{
"timing" : {
"repeat" : {
"count" : 1,
"periodUnit" : "d"
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},
"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"
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]
},
"doseQuantity" : {
"value" : 1,
"unit" : "tablet",
"system" : "http://unitsofmeasure.org",
"code" : "1"
}
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:47524493-846a-4a26-bae2-4ab03e60f02e",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "47524493-846a-4a26-bae2-4ab03e60f02e",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationStatement</b><a name=\"47524493-846a-4a26-bae2-4ab03e60f02e\"> </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 "47524493-846a-4a26-bae2-4ab03e60f02e" </p></div><p><b>identifier</b>: id: 9e312d6b-c6b6-439a-a730-6efaa5dcf8bc</p><p><b>status</b>: active</p><p><b>medication</b>: <a href=\"#Medication_8adc0999-9468-4ac9-9557-680fa133d626\">See above (Medication/8adc0999-9468-4ac9-9557-680fa133d626)</a></p><p><b>subject</b>: <a href=\"#Patient_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">See above (Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8)</a></p><p><b>effective</b>: 2016-01 --> (ongoing)</p><h3>Dosages</h3><table class=\"grid\"><tr><td>-</td><td><b>Route</b></td></tr><tr><td>*</td><td>Oral use <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (standardterms.edqm.eu#20053000)</span></td></tr></table></div>"
},
"identifier" : [
{
"system" : "urn:oid:1.2.3.999",
"value" : "9e312d6b-c6b6-439a-a730-6efaa5dcf8bc"
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],
"status" : "active",
"medicationReference" : {
"reference" : "Medication/8adc0999-9468-4ac9-9557-680fa133d626"
},
"subject" : {
"reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
},
"effectivePeriod" : {
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"dosage" : [
{
"route" : {
"coding" : [
{
"system" : "http://standardterms.edqm.eu",
"code" : "20053000",
"display" : "Oral use"
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}
}
]
}
},
{
"fullUrl" : "urn:uuid:976d0804-cae0-45ae-afe3-a19f3ceba6bc",
"resource" : {
"resourceType" : "Medication",
"id" : "976d0804-cae0-45ae-afe3-a19f3ceba6bc",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Medication</b><a name=\"976d0804-cae0-45ae-afe3-a19f3ceba6bc\"> </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 "976d0804-cae0-45ae-afe3-a19f3ceba6bc" </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>"
},
"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:8adc0999-9468-4ac9-9557-680fa133d626",
"resource" : {
"resourceType" : "Medication",
"id" : "8adc0999-9468-4ac9-9557-680fa133d626",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Medication</b><a name=\"8adc0999-9468-4ac9-9557-680fa133d626\"> </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 "8adc0999-9468-4ac9-9557-680fa133d626" </p></div><p><b>code</b>: Black Cohosh Extract herbal supplement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#412588001 "Cimicifuga racemosa extract (substance)"; <a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-WC.html\">WHO ATC</a>#G02CX04 "Cimicifugae rhizoma")</span></p></div>"
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "412588001",
"display" : "Cimicifuga racemosa extract (substance)",
"_display" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/translation",
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-NL"
},
{
"url" : "content",
"valueString" : "Zwarte Cohosh Extract"
}
]
}
]
}
},
{
"system" : "http://www.whocc.no/atc",
"code" : "G02CX04",
"display" : "Cimicifugae rhizoma"
}
],
"text" : "Black Cohosh Extract herbal supplement"
}
}
},
{
"fullUrl" : "urn:uuid:72884cad-ebe6-4f43-a51a-2f978275f132",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "72884cad-ebe6-4f43-a51a-2f978275f132",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: AllergyIntolerance</b><a name=\"72884cad-ebe6-4f43-a51a-2f978275f132\"> </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 "72884cad-ebe6-4f43-a51a-2f978275f132" </p></div><p><b>identifier</b>: id: 3a462598-009c-484a-965c-d6b24a821424</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_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">See above (Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8)</a></p><p><b>onset</b>: 2010</p></div>"
},
"identifier" : [
{
"system" : "urn:oid:1.2.3.999",
"value" : "3a462598-009c-484a-965c-d6b24a821424"
}
],
"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/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
},
"onsetDateTime" : "2010"
}
},
{
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"resource" : {
"resourceType" : "Condition",
"id" : "c4597aa2-688a-401b-a658-70acc6de28c6",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"c4597aa2-688a-401b-a658-70acc6de28c6\"> </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 "c4597aa2-688a-401b-a658-70acc6de28c6" </p></div><p><b>identifier</b>: id: 66d4a8c7-9081-43e0-a63f-489c2ae6edd6</p><p><b>clinicalStatus</b>: Remission <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>#remission)</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>: Severe <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6750-9)</span></p><p><b>code</b>: Malignant tumor of breast <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#254837009; <a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-icd-o-3.html\">International Classification of Diseases for Oncology, version 3.</a>#8500/3 "Infiltrating duct carcinoma, NOS")</span></p><p><b>subject</b>: <a href=\"#Patient_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">See above (Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8)</a></p><p><b>onset</b>: 2015-01</p><p><b>abatement</b>: 2015-03</p></div>"
},
"identifier" : [
{
"system" : "urn:oid:1.2.3.999",
"value" : "66d4a8c7-9081-43e0-a63f-489c2ae6edd6"
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],
"clinicalStatus" : {
"coding" : [
{
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},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
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},
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "75326-9",
"display" : "Problem"
}
]
}
],
"severity" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6750-9",
"display" : "Severe"
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]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "254837009",
"display" : "Malignant tumor of breast",
"_display" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/translation",
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-NL"
},
{
"url" : "content",
"valueString" : "Borstkanker stadium II zonder aanwijzingen van recidieven na behandeling"
}
]
}
]
}
},
{
"system" : "http://terminology.hl7.org/CodeSystem/icd-o-3",
"code" : "8500/3",
"display" : "Infiltrating duct carcinoma, NOS"
}
]
},
"subject" : {
"reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
},
"onsetDateTime" : "2015-01",
"abatementDateTime" : "2015-03"
}
},
{
"fullUrl" : "urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7",
"resource" : {
"resourceType" : "Organization",
"id" : "45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\"> </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 "45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7" </p></div><p><b>active</b>: true</p><p><b>type</b>: Other <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-organization-type.html\">Organization type</a>#other)</span></p><p><b>name</b>: Laboratoire de charme</p></div>"
},
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "other"
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]
}
],
"name" : "Laboratoire de charme"
}
},
{
"fullUrl" : "urn:uuid:aa11a2be-3e36-4be7-b58a-6fc3dace2741",
"resource" : {
"resourceType" : "Observation",
"id" : "aa11a2be-3e36-4be7-b58a-6fc3dace2741",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"aa11a2be-3e36-4be7-b58a-6fc3dace2741\"> </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 Observation "aa11a2be-3e36-4be7-b58a-6fc3dace2741" </p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: ABO and Rh group [Type] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#882-1)</span></p><p><b>subject</b>: <a href=\"#Patient_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">See above (Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8)</a></p><p><b>effective</b>: 2015-10-10 09:15:00+0100</p><p><b>performer</b>: <a href=\"#Organization_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">See above (Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7)</a></p><p><b>value</b>: Blood group A Rh(D) positive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#278149003)</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "882-1",
"display" : "ABO and Rh group [Type] in Blood"
}
]
},
"subject" : {
"reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
},
"effectiveDateTime" : "2015-10-10T09:15:00+01:00",
"performer" : [
{
"reference" : "Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "278149003",
"display" : "Blood group A Rh(D) positive"
}
]
}
}
},
{
"fullUrl" : "urn:uuid:6e39ccf3-f997-4a2b-8f28-b4b71c778c70",
"resource" : {
"resourceType" : "Observation",
"id" : "6e39ccf3-f997-4a2b-8f28-b4b71c778c70",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"6e39ccf3-f997-4a2b-8f28-b4b71c778c70\"> </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 Observation "6e39ccf3-f997-4a2b-8f28-b4b71c778c70" </p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: C Ab [Presence] in Serum or Plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#945-6)</span></p><p><b>subject</b>: <a href=\"#Patient_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">See above (Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8)</a></p><p><b>effective</b>: 2015-10-10 09:35:00+0100</p><p><b>performer</b>: <a href=\"#Organization_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">See above (Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7)</a></p><p><b>value</b>: Positive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#10828004)</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "945-6",
"display" : "C Ab [Presence] in Serum or Plasma"
}
]
},
"subject" : {
"reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
},
"effectiveDateTime" : "2015-10-10T09:35:00+01:00",
"performer" : [
{
"reference" : "Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "10828004",
"display" : "Positive"
}
]
}
}
},
{
"fullUrl" : "urn:uuid:b4916505-a06b-460c-9be8-011609282457",
"resource" : {
"resourceType" : "Observation",
"id" : "b4916505-a06b-460c-9be8-011609282457",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"b4916505-a06b-460c-9be8-011609282457\"> </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 Observation "b4916505-a06b-460c-9be8-011609282457" </p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: E Ab [Presence] in Serum or Plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#1018-1)</span></p><p><b>subject</b>: <a href=\"#Patient_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">See above (Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8)</a></p><p><b>effective</b>: 2015-10-10 09:35:00+0100</p><p><b>performer</b>: <a href=\"#Organization_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">See above (Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7)</a></p><p><b>value</b>: Positive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#10828004)</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "1018-1",
"display" : "E Ab [Presence] in Serum or Plasma"
}
]
},
"subject" : {
"reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
},
"effectiveDateTime" : "2015-10-10T09:35:00+01:00",
"performer" : [
{
"reference" : "Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "10828004",
"display" : "Positive"
}
]
}
}
},
{
"fullUrl" : "urn:uuid:a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4",
"resource" : {
"resourceType" : "Observation",
"id" : "a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4\"> </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 Observation "a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4" </p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: little c Ab [Presence] in Serum or Plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#1156-9)</span></p><p><b>subject</b>: <a href=\"#Patient_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">See above (Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8)</a></p><p><b>effective</b>: 2015-10-10 09:35:00+0100</p><p><b>performer</b>: <a href=\"#Organization_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">See above (Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7)</a></p><p><b>value</b>: Negative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#260385009)</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "1156-9",
"display" : "little c Ab [Presence] in Serum or Plasma"
}
]
},
"subject" : {
"reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
},
"effectiveDateTime" : "2015-10-10T09:35:00+01:00",
"performer" : [
{
"reference" : "Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "260385009",
"display" : "Negative"
}
]
}
}
},
{
"fullUrl" : "urn:uuid:2639657a-c19a-48e2-82cc-471e13b8ad94",
"resource" : {
"resourceType" : "Observation",
"id" : "2639657a-c19a-48e2-82cc-471e13b8ad94",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"2639657a-c19a-48e2-82cc-471e13b8ad94\"> </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 Observation "2639657a-c19a-48e2-82cc-471e13b8ad94" </p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Blood typing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>subject</b>: <a href=\"#Patient_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">See above (Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8)</a></p><p><b>effective</b>: 2015-10-10</p><p><b>performer</b>: <a href=\"#Organization_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">See above (Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7)</a></p><p><b>hasMember</b>: </p><ul><li><a href=\"#Observation_aa11a2be-3e36-4be7-b58a-6fc3dace2741\">See above (Observation/aa11a2be-3e36-4be7-b58a-6fc3dace2741)</a></li><li><a href=\"#Observation_6e39ccf3-f997-4a2b-8f28-b4b71c778c70\">See above (Observation/6e39ccf3-f997-4a2b-8f28-b4b71c778c70)</a></li><li><a href=\"#Observation_b4916505-a06b-460c-9be8-011609282457\">See above (Observation/b4916505-a06b-460c-9be8-011609282457)</a></li><li><a href=\"#Observation_a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4\">See above (Observation/a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4)</a></li></ul></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"text" : "Blood typing"
},
"subject" : {
"reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
},
"effectiveDateTime" : "2015-10-10",
"performer" : [
{
"reference" : "Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"
}
],
"hasMember" : [
{
"reference" : "Observation/aa11a2be-3e36-4be7-b58a-6fc3dace2741"
},
{
"reference" : "Observation/6e39ccf3-f997-4a2b-8f28-b4b71c778c70"
},
{
"reference" : "Observation/b4916505-a06b-460c-9be8-011609282457"
},
{
"reference" : "Observation/a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4"
}
]
}
},
{
"fullUrl" : "urn:uuid:cc354e00-a419-47ea-8b6c-1768b2a01646",
"resource" : {
"resourceType" : "Observation",
"id" : "cc354e00-a419-47ea-8b6c-1768b2a01646",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"cc354e00-a419-47ea-8b6c-1768b2a01646\"> </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 Observation "cc354e00-a419-47ea-8b6c-1768b2a01646" </p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Hemoglobin A1c/Hemoglobin.total in Blood by HPLC <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#17856-6)</span></p><p><b>subject</b>: <a href=\"#Patient_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">See above (Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8)</a></p><p><b>effective</b>: 2017-11-10 08:20:00+0100</p><p><b>performer</b>: <a href=\"#Organization_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">See above (Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7)</a></p><p><b>value</b>: 7.5 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>note</b>: Above stated goal of 7.0 %</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "17856-6",
"display" : "Hemoglobin A1c/Hemoglobin.total in Blood by HPLC"
}
]
},
"subject" : {
"reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
},
"effectiveDateTime" : "2017-11-10T08:20:00+01:00",
"performer" : [
{
"reference" : "Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"
}
],
"valueQuantity" : {
"value" : 7.5,
"unit" : "%",
"system" : "http://unitsofmeasure.org",
"code" : "%"
},
"note" : [
{
"text" : "Above stated goal of 7.0 %"
}
]
}
},
{
"fullUrl" : "urn:uuid:26bee0a9-5997-4557-ab9d-c6adbb05b572",
"resource" : {
"resourceType" : "Observation",
"id" : "26bee0a9-5997-4557-ab9d-c6adbb05b572",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"26bee0a9-5997-4557-ab9d-c6adbb05b572\"> </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 Observation "26bee0a9-5997-4557-ab9d-c6adbb05b572" </p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Bacteria identified in Isolate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#42803-7)</span></p><p><b>subject</b>: <a href=\"#Patient_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">See above (Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8)</a></p><p><b>effective</b>: 2017-12-10 08:20:00+0100</p><p><b>performer</b>: <a href=\"#Organization_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">See above (Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7)</a></p><p><b>value</b>: Methicillin resistant Staphylococcus aureus <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#115329001)</span></p><p><b>note</b>: Healthy carrier of MRSA</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "42803-7",
"display" : "Bacteria identified in Isolate"
}
]
},
"subject" : {
"reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
},
"effectiveDateTime" : "2017-12-10T08:20:00+01:00",
"performer" : [
{
"reference" : "Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "115329001",
"display" : "Methicillin resistant Staphylococcus aureus"
}
]
},
"note" : [
{
"text" : "Healthy carrier of MRSA"
}
]
}
},
{
"fullUrl" : "urn:uuid:c7781f44-6df8-4a8b-9e06-0b34263a47c5",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "c7781f44-6df8-4a8b-9e06-0b34263a47c5",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: AllergyIntolerance</b><a name=\"c7781f44-6df8-4a8b-9e06-0b34263a47c5\"> </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 "c7781f44-6df8-4a8b-9e06-0b34263a47c5" </p></div><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>code</b>: No known food allergies <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-absent-unknown-uv-ips.html\">Absent and Unknown Data - IPS</a>#no-known-food-allergies)</span></p><p><b>patient</b>: <a href=\"#Patient_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">See above (Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8)</a></p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips",
"code" : "no-known-food-allergies"
}
]
},
"patient" : {
"reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
}
}
},
{
"fullUrl" : "urn:uuid:40b7b6a0-c043-423a-9959-be3707e728b2",
"resource" : {
"resourceType" : "Immunization",
"id" : "40b7b6a0-c043-423a-9959-be3707e728b2",
"language" : "fr-LU",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"fr-LU\" lang=\"fr-LU\">\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>Marie Lux-Brennard</b>\n\t\t\t\t\t\t\t(Apr 17, 1998)\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite, Jun 3, 1998, 10:00:00 PM</p>\n\t\t\t\t\t\t<p>Voie intramusculaire, Cuisse droite</p>\n\t\t\t\t\t</div>"
},
"status" : "completed",
"vaccineCode" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "836508001",
"display" : "Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae and Human poliovirus antigens-containing vaccine product",
"_display" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/translation",
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-LU"
},
{
"url" : "content",
"valueString" : "Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite"
}
]
}
]
}
},
{
"system" : "http://www.whocc.no/atc",
"code" : "J07CA02",
"display" : "diphtheria-pertussis-poliomyelitis-tetanus",
"_display" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/translation",
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-LU"
},
{
"url" : "content",
"valueString" : "DIPHTERIE - COQUELUCHE - POLIOMYELITE - TETANOS"
}
]
}
]
}
}
],
"text" : "Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite"
},
"patient" : {
"reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
},
"occurrenceDateTime" : "1998-06-04T00:00:00+02:00",
"primarySource" : true,
"lotNumber" : "AXK23RWERS",
"expirationDate" : "2000-06-01",
"site" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "11207009",
"display" : "Right thigh",
"_display" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/translation",
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-LU"
},
{
"url" : "content",
"valueString" : "Cuisse droite"
}
]
}
]
}
}
],
"text" : "Cuisse droite"
},
"route" : {
"coding" : [
{
"system" : "http://standardterms.edqm.eu",
"code" : "20035000",
"display" : "Intramuscular use",
"_display" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/translation",
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-LU"
},
{
"url" : "content",
"valueString" : "Voie intramusculaire"
}
]
}
]
}
}
],
"text" : "Voie intramusculaire"
},
"protocolApplied" : [
{
"targetDisease" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "27836007",
"display" : "Pertussis"
},
{
"system" : "http://snomed.info/sct",
"code" : "76902006",
"display" : "Tetanus"
},
{
"system" : "http://snomed.info/sct",
"code" : "398102009",
"display" : "Acute poliomyelitis"
},
{
"system" : "http://snomed.info/sct",
"code" : "397430003",
"display" : "Diphtheria caused by Corynebacterium diphtheriae"
}
]
}
],
"doseNumberPositiveInt" : 1
}
]
}
}
]
}
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
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