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 
<Bundle xmlns="http://hl7.org/fhir">
<id value="IPS-examples-Bundle-with-immunization"/>
<language value="en-GB"/>
<identifier>
<system value="urn:oid:2.16.724.4.8.10.200.10"/>
<value value="175bd032-8b00-4728-b2dc-748bb1501aed"/>
</identifier>
<type value="document"/>
<timestamp value="2017-12-11T14:30:00+01:00"/>
<!-- e0 -->
<entry>
<fullUrl value="urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d"/>
<resource>
<Composition>
<id value="30551ce1-5a28-4356-b684-1e639094ad4d"/>
<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 "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>
</text>
<identifier>
<system value="urn:oid:2.16.724.4.8.10.200.10"/>
<value value="3f69e0a5-2177-4540-baab-7a5d0877428f"/>
</identifier>
<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/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</subject>
<date value="2017-12-11T14:30:00+01:00"/>
<author>
<reference
value="Practitioner/1c616b24-3895-48c4-9a02-9a64110351ef"/>
</author>
<title value="Patient Summary as of December 11, 2017 14:30"/>
<confidentiality value="N"/>
<attester>
<mode value="legal"/>
<time value="2017-12-11T14:30:00+01:00"/>
<party>
<reference
value="Practitioner/1c616b24-3895-48c4-9a02-9a64110351ef"/>
</party>
</attester>
<attester>
<mode value="legal"/>
<time value="2017-12-11T14:30:00+01:00"/>
<party>
<reference
value="Organization/890751f4-2924-4636-bab7-efffc7f3cf15"/>
</party>
</attester>
<custodian>
<reference
value="Organization/890751f4-2924-4636-bab7-efffc7f3cf15"/>
</custodian>
<relatesTo>
<code value="appends"/>
<targetIdentifier>
<system value="urn:oid:2.16.724.4.8.10.200.10"/>
<value value="c2277753-9f90-4a95-8ddb-a0b3f6e7d292"/>
</targetIdentifier>
</relatesTo>
<event>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActClass"/>
<code value="PCPR"/>
</coding>
</code>
<period>
<end value="2017-12-11T14:30:00+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">Hot flushes</div>
</text>
<entry>
<reference
value="Condition/c64139e7-f02d-409c-bf34-75e8bf23bc80"/>
</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">
<table>
<thead>
<tr>
<th>Medication</th>
<th>Strength</th>
<th>Form</th>
<th>Dosage</th>
<th>Comment</th>
</tr>
</thead>
<tbody>
<tr>
<td>Anastrozole</td>
<td>1 mg</td>
<td>tablet</td>
<td>once daily</td>
<td>treatment for breast cancer</td>
</tr>
<tr>
<td>Black Cohosh Extract</td>
<td> </td>
<td>pil</td>
<td> </td>
<td>herbal supplement</td>
</tr>
</tbody>
</table>
</div>
</text>
<entry>
<reference
value="MedicationStatement/c220e36c-eb67-4fc4-9ba1-2fabc52acec6"/>
</entry>
<entry>
<reference
value="MedicationStatement/47524493-846a-4a26-bae2-4ab03e60f02e"/>
</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">Allergy to penicillin, high criticality, active
No known food allergies
</div>
</text>
<entry>
<reference
value="AllergyIntolerance/72884cad-ebe6-4f43-a51a-2f978275f132"/>
</entry>
<entry>
<reference
value="AllergyIntolerance/c7781f44-6df8-4a8b-9e06-0b34263a47c5"/>
</entry>
</section>
<section>
<title value="History of Past Illness"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11348-0"/>
<display value="Hx of Past illness"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Breast cancer Stage II with no evidence of recurrence following treatment</div>
</text>
<entry>
<reference
value="Condition/c4597aa2-688a-401b-a658-70acc6de28c6"/>
</entry>
</section>
<section>
<title value="Plan of Treatment"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18776-5"/>
<display value="Plan of care note"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
</section>
<section>
<title value="Results"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="30954-2"/>
<display
value="Relevant diagnostic tests/laboratory data Narrative"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<th colspan="3">Blood typing</th>
</tr>
</thead>
<tbody>
<tr>
<td>Blood group</td>
<td>A+</td>
<td/>
</tr>
<tr>
<td>C Ab [Presence] in Serum or Plasma</td>
<td>Positive</td>
<td/>
</tr>
<tr>
<td>E Ab [Presence] in Serum or Plasma</td>
<td>Positive</td>
<td/>
</tr>
<tr>
<td>Little c Ab [Presence] in Serum or Plasma</td>
<td>Negative</td>
<td/>
</tr>
</tbody>
</table>
<table>
<thead>
<tr>
<th colspan="3">Hemoglobin A1c monitoring</th>
</tr>
</thead>
<tbody>
<tr>
<td>Hemoglobin A1c/Hemoglobin.total in Blood by HPLC</td>
<td>7.5 %</td>
<td/>
</tr>
</tbody>
</table>
<table>
<thead>
<tr>
<th colspan="3">Bacteriology</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="3">Methicillin resistant Staphylococcus aureus</td>
</tr>
<tr>
<td colspan="3">Healthy carrier of MRSA</td>
</tr>
</tbody>
</table>
</div>
</text>
<!-- top level observations (member observations are nested) -->
<entry>
<reference
value="Observation/2639657a-c19a-48e2-82cc-471e13b8ad94"/>
</entry>
<entry>
<reference
value="Observation/cc354e00-a419-47ea-8b6c-1768b2a01646"/>
</entry>
<entry>
<reference
value="Observation/26bee0a9-5997-4557-ab9d-c6adbb05b572"/>
</entry>
</section>
<section>
<title value="Immunizations"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11369-6"/>
<display value="History of Immunization Narrative"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="fr-LU" lang="fr-LU">
<p>
<b>Marie Lux-Brennard</b>
(Apr 17, 1998)
</p>
<p>Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite, Jun 3, 1998, 10:00:00 PM</p>
<p>Voie intramusculaire, Cuisse droite</p>
</div>
</text>
<entry>
<reference
value="Immunization/40b7b6a0-c043-423a-9959-be3707e728b2"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<!-- e1 -->
<entry>
<fullUrl value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
<resource>
<Patient>
<id value="2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
<text>
<status value="generated"/>
<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>
</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>
<!-- e2 -->
<entry>
<fullUrl value="urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef"/>
<resource>
<Practitioner>
<id value="1c616b24-3895-48c4-9a02-9a64110351ef"/>
<text>
<status value="generated"/>
<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>
</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|2.7"/>
<code value="MD"/>
<display value="Doctor of Medicine"/>
</coding>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<!-- e3 -->
<entry>
<fullUrl value="urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15"/>
<resource>
<Organization>
<id value="890751f4-2924-4636-bab7-efffc7f3cf15"/>
<text>
<status value="generated"/>
<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>
</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>
<!-- e4 -->
<entry>
<fullUrl value="urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"/>
<resource>
<Condition>
<id value="c64139e7-f02d-409c-bf34-75e8bf23bc80"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="urn:oid:1.2.3.999"/>
<value value="c87bf51c-e53c-4bfe-b8b7-aa62bdd93002"/>
</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/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</subject>
<onsetDateTime value="2015"/>
<recordedDate value="2016-10"/>
</Condition>
</resource>
</entry>
<!-- e5 -->
<entry>
<fullUrl value="urn:uuid:c220e36c-eb67-4fc4-9ba1-2fabc52acec6"/>
<resource>
<MedicationStatement>
<id value="c220e36c-eb67-4fc4-9ba1-2fabc52acec6"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="urn:oid:1.2.3.999"/>
<value value="b75f92cb-61d4-469a-9387-df5ef70d25f0"/>
</identifier>
<status value="active"/>
<medicationReference>
<reference value="Medication/976d0804-cae0-45ae-afe3-a19f3ceba6bc"/>
</medicationReference>
<subject>
<reference value="Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</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>
<!-- e6 -->
<entry>
<fullUrl value="urn:uuid:47524493-846a-4a26-bae2-4ab03e60f02e"/>
<resource>
<MedicationStatement>
<id value="47524493-846a-4a26-bae2-4ab03e60f02e"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="urn:oid:1.2.3.999"/>
<value value="9e312d6b-c6b6-439a-a730-6efaa5dcf8bc"/>
</identifier>
<status value="active"/>
<medicationReference>
<reference value="Medication/8adc0999-9468-4ac9-9557-680fa133d626"/>
</medicationReference>
<subject>
<reference value="Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</subject>
<effectivePeriod>
<start value="2016-01"/>
</effectivePeriod>
<dosage>
<route>
<coding>
<system value="http://standardterms.edqm.eu"/>
<code value="20053000"/>
<display value="Oral use"/>
</coding>
</route>
</dosage>
</MedicationStatement>
</resource>
</entry>
<!-- e7 -->
<entry>
<fullUrl value="urn:uuid:976d0804-cae0-45ae-afe3-a19f3ceba6bc"/>
<resource>
<Medication>
<id value="976d0804-cae0-45ae-afe3-a19f3ceba6bc"/>
<text>
<status value="generated"/>
<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>
</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>
<!-- e8 -->
<entry>
<fullUrl value="urn:uuid:8adc0999-9468-4ac9-9557-680fa133d626"/>
<resource>
<Medication>
<id value="8adc0999-9468-4ac9-9557-680fa133d626"/>
<text>
<status value="generated"/>
<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>
</text>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="412588001"/>
<display value="Cimicifuga racemosa extract (substance)">
<extension
url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="nl-NL"/>
</extension>
<extension url="content">
<valueString value="Zwarte Cohosh Extract"/>
</extension>
</extension>
</display>
</coding>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="G02CX04"/>
<display value="Cimicifugae rhizoma"/>
</coding>
<text value="Black Cohosh Extract herbal supplement"/>
</code>
</Medication>
</resource>
</entry>
<!-- e9 -->
<entry>
<fullUrl value="urn:uuid:72884cad-ebe6-4f43-a51a-2f978275f132"/>
<resource>
<AllergyIntolerance>
<id value="72884cad-ebe6-4f43-a51a-2f978275f132"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="urn:oid:1.2.3.999"/>
<value value="3a462598-009c-484a-965c-d6b24a821424"/>
</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/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</patient>
<onsetDateTime value="2010"/>
</AllergyIntolerance>
</resource>
</entry>
<!-- e10 -->
<entry>
<fullUrl value="urn:uuid:c4597aa2-688a-401b-a658-70acc6de28c6"/>
<resource>
<Condition>
<id value="c4597aa2-688a-401b-a658-70acc6de28c6"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="urn:oid:1.2.3.999"/>
<value value="66d4a8c7-9081-43e0-a63f-489c2ae6edd6"/>
</identifier>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="remission"/>
</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="LA6750-9"/>
<display value="Severe"/>
</coding>
</severity>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="254837009"/>
<display value="Malignant tumor of breast">
<extension
url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="nl-NL"/>
</extension>
<extension url="content">
<valueString
value="Borstkanker stadium II zonder aanwijzingen van recidieven na behandeling"/>
</extension>
</extension>
</display>
</coding>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/icd-o-3"/>
<code value="8500/3"/>
<display value="Infiltrating duct carcinoma, NOS"/>
</coding>
</code>
<subject>
<reference value="Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</subject>
<onsetDateTime value="2015-01"/>
<abatementDateTime value="2015-03"/>
</Condition>
</resource>
</entry>
<!-- e11 -->
<entry>
<fullUrl value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
<resource>
<Organization>
<id value="45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
<text>
<status value="generated"/>
<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>
</text>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="other"/>
</coding>
</type>
<name value="Laboratoire de charme"/>
</Organization>
</resource>
</entry>
<!-- e12 -->
<entry>
<fullUrl value="urn:uuid:aa11a2be-3e36-4be7-b58a-6fc3dace2741"/>
<resource>
<Observation>
<id value="aa11a2be-3e36-4be7-b58a-6fc3dace2741"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="882-1"/>
<display value="ABO and Rh group [Type] in Blood"/>
</coding>
</code>
<subject>
<reference value="Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</subject>
<effectiveDateTime value="2015-10-10T09:15:00+01:00"/>
<performer>
<reference
value="Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="278149003"/>
<display value="Blood group A Rh(D) positive"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<!-- e13 -->
<entry>
<fullUrl value="urn:uuid:6e39ccf3-f997-4a2b-8f28-b4b71c778c70"/>
<resource>
<Observation>
<id value="6e39ccf3-f997-4a2b-8f28-b4b71c778c70"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="945-6"/>
<display value="C Ab [Presence] in Serum or Plasma"/>
</coding>
</code>
<subject>
<reference value="Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</subject>
<effectiveDateTime value="2015-10-10T09:35:00+01:00"/>
<performer>
<reference
value="Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="10828004"/>
<display value="Positive"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<!-- e14 -->
<entry>
<fullUrl value="urn:uuid:b4916505-a06b-460c-9be8-011609282457"/>
<resource>
<Observation>
<id value="b4916505-a06b-460c-9be8-011609282457"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="1018-1"/>
<display value="E Ab [Presence] in Serum or Plasma"/>
</coding>
</code>
<subject>
<reference value="Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</subject>
<effectiveDateTime value="2015-10-10T09:35:00+01:00"/>
<performer>
<reference
value="Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="10828004"/>
<display value="Positive"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<!-- e15 -->
<entry>
<fullUrl value="urn:uuid:a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4"/>
<resource>
<Observation>
<id value="a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="1156-9"/>
<display value="little c Ab [Presence] in Serum or Plasma"/>
</coding>
</code>
<subject>
<reference value="Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</subject>
<effectiveDateTime value="2015-10-10T09:35:00+01:00"/>
<performer>
<reference
value="Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="260385009"/>
<display value="Negative"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<!-- e16 -->
<entry>
<fullUrl value="urn:uuid:2639657a-c19a-48e2-82cc-471e13b8ad94"/>
<resource>
<Observation>
<id value="2639657a-c19a-48e2-82cc-471e13b8ad94"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<text value="Blood typing"/>
</code>
<subject>
<reference value="Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</subject>
<effectiveDateTime value="2015-10-10"/>
<performer>
<reference
value="Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<hasMember>
<reference
value="Observation/aa11a2be-3e36-4be7-b58a-6fc3dace2741"/>
</hasMember>
<hasMember>
<reference
value="Observation/6e39ccf3-f997-4a2b-8f28-b4b71c778c70"/>
</hasMember>
<hasMember>
<reference
value="Observation/b4916505-a06b-460c-9be8-011609282457"/>
</hasMember>
<hasMember>
<reference
value="Observation/a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4"/>
</hasMember>
</Observation>
</resource>
</entry>
<!-- e17 -->
<entry>
<fullUrl value="urn:uuid:cc354e00-a419-47ea-8b6c-1768b2a01646"/>
<resource>
<Observation>
<id value="cc354e00-a419-47ea-8b6c-1768b2a01646"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="17856-6"/>
<display
value="Hemoglobin A1c/Hemoglobin.total in Blood by HPLC"/>
</coding>
</code>
<subject>
<reference value="Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</subject>
<effectiveDateTime value="2017-11-10T08:20:00+01:00"/>
<performer>
<reference
value="Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueQuantity>
<value value="7.5"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
<note>
<text value="Above stated goal of 7.0 %"/>
</note>
</Observation>
</resource>
</entry>
<!-- e18 -->
<entry>
<fullUrl value="urn:uuid:26bee0a9-5997-4557-ab9d-c6adbb05b572"/>
<resource>
<Observation>
<id value="26bee0a9-5997-4557-ab9d-c6adbb05b572"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="42803-7"/>
<display value="Bacteria identified in Isolate"/>
</coding>
</code>
<subject>
<reference value="Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</subject>
<effectiveDateTime value="2017-12-10T08:20:00+01:00"/>
<performer>
<reference
value="Organization/45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="115329001"/>
<display value="Methicillin resistant Staphylococcus aureus"/>
</coding>
</valueCodeableConcept>
<note>
<text value="Healthy carrier of MRSA"/>
</note>
</Observation>
</resource>
</entry>
<!-- e19 -->
<entry>
<fullUrl value="urn:uuid:c7781f44-6df8-4a8b-9e06-0b34263a47c5"/>
<resource>
<AllergyIntolerance>
<id value="c7781f44-6df8-4a8b-9e06-0b34263a47c5"/>
<text>
<status value="generated"/>
<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>
</text>
<!-- the clinicalStatus element (regardless of the element value) is not clinically relevant in the case of
"no known allergies", but it is required to be present currently by the FHIR specification and the
validation tooling - this is likely to be addressed in R5 -->
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips"/>
<code value="no-known-food-allergies"/>
</coding>
</code>
<patient>
<reference value="Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</patient>
</AllergyIntolerance>
</resource>
</entry>
<!-- e20 -->
<entry>
<fullUrl value="urn:uuid:40b7b6a0-c043-423a-9959-be3707e728b2"/>
<resource>
<Immunization>
<id value="40b7b6a0-c043-423a-9959-be3707e728b2"/>
<language value="fr-LU"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="fr-LU" lang="fr-LU">
<p>
<b>Marie Lux-Brennard</b>
(Apr 17, 1998)
</p>
<p>Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite, Jun 3, 1998, 10:00:00 PM</p>
<p>Voie intramusculaire, Cuisse droite</p>
</div>
</text>
<status value="completed"/>
<vaccineCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="836508001"/>
<display
value="Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae and Human poliovirus antigens-containing vaccine product">
<extension
url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="fr-LU"/>
</extension>
<extension url="content">
<valueString
value="Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite"/>
</extension>
</extension>
</display>
</coding>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="J07CA02"/>
<display value="diphtheria-pertussis-poliomyelitis-tetanus">
<extension
url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="fr-LU"/>
</extension>
<extension url="content">
<valueString
value="DIPHTERIE - COQUELUCHE - POLIOMYELITE - TETANOS"/>
</extension>
</extension>
</display>
</coding>
<text
value="Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite"/>
</vaccineCode>
<patient>
<reference value="Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"/>
</patient>
<occurrenceDateTime value="1998-06-04T00:00:00+02:00"/>
<primarySource value="true"/>
<lotNumber value="AXK23RWERS"/>
<expirationDate value="2000-06-01"/>
<site>
<coding>
<system value="http://snomed.info/sct"/>
<code value="11207009"/>
<display value="Right thigh">
<extension
url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="fr-LU"/>
</extension>
<extension url="content">
<valueString value="Cuisse droite"/>
</extension>
</extension>
</display>
</coding>
<text value="Cuisse droite"/>
</site>
<route>
<coding>
<system value="http://standardterms.edqm.eu"/>
<code value="20035000"/>
<display value="Intramuscular use">
<extension
url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="fr-LU"/>
</extension>
<extension url="content">
<valueString value="Voie intramusculaire"/>
</extension>
</extension>
</display>
</coding>
<text value="Voie intramusculaire"/>
</route>
<protocolApplied>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="27836007"/>
<display value="Pertussis"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="76902006"/>
<display value="Tetanus"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="398102009"/>
<display value="Acute poliomyelitis"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="397430003"/>
<display
value="Diphtheria caused by Corynebacterium diphtheriae"/>
</coding>
</targetDisease>
<doseNumberPositiveInt value="1"/>
</protocolApplied>
</Immunization>
</resource>
</entry>
</Bundle>
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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