International Patient Summary Implementation Guide
1.0.0 - STU 1

This page is part of the International Patient Summary Implementation Guide (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

IPS Bundle example - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "IPS-examples-Bundle-01",
  "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 with Details</b></p><p><b>id</b>: 30551ce1-5a28-4356-b684-1e639094ad4d</p><p><b>identifier</b>: 3f69e0a5-2177-4540-baab-7a5d0877428f</p><p><b>status</b>: final</p><p><b>type</b>: Patient summary Document <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '60591-5' = 'Patient summary Document', given as 'Patient summary Document'})</span></p><p><b>date</b>: Dec 11, 2017 1:30:00 PM</p><p><b>author</b>: <a href=\"#backboneelement_1c616b24-3895-48c4-9a02-9a64110351ef\">Generated Summary: unknown resource entry</a></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>: Dec 11, 2017 1:30:00 PM</p><p><b>party</b>: <a href=\"#backboneelement_1c616b24-3895-48c4-9a02-9a64110351ef\">Generated Summary: unknown resource entry</a></p></blockquote><blockquote><p><b>attester</b></p><p><b>mode</b>: legal</p><p><b>time</b>: Dec 11, 2017 1:30:00 PM</p><p><b>party</b>: <a href=\"#backboneelement_890751f4-2924-4636-bab7-efffc7f3cf15\">Generated Summary: unknown resource entry</a></p></blockquote><p><b>custodian</b>: <a href=\"#backboneelement_890751f4-2924-4636-bab7-efffc7f3cf15\">Generated Summary: unknown resource entry</a></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>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\">(Details : {http://terminology.hl7.org/CodeSystem/v3-ActClass code 'PCPR' = 'care provision)</span></td><td>?? --&gt; Dec 11, 2017 1:30:00 PM</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"
              }
            ]
          }
        ]
      }
    },
    {
      "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 with Details</b></p><p><b>id</b>: 2b90dd2b-2dab-4c75-9bb9-a355e07401e8</p><p><b>identifier</b>: 574687583</p><p><b>active</b>: true</p><p><b>name</b>: Martha DeLarosa </p><p><b>telecom</b>: ph: +31788700800(HOME)</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 Netherlands </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\">(Details : {http://terminology.hl7.org/CodeSystem/v3-RoleCode code 'MTH' = 'mother)</span></td><td>Martha Mum </td><td>ph: +33-555-20036(HOME)</td><td>Promenade des Anglais 111 Lyon 69001 France </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" : "Netherlands"
          }
        ],
        "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" : "France"
            }
          }
        ]
      }
    },
    {
      "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 with Details</b></p><p><b>id</b>: 1c616b24-3895-48c4-9a02-9a64110351ef</p><p><b>identifier</b>: 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\">(Details : {http://terminology.hl7.org/CodeSystem/v2-0360|2.7 code 'MD' = 'Doctor of Medicine', given as 'Doctor of Medicine'})</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 with Details</b></p><p><b>id</b>: 890751f4-2924-4636-bab7-efffc7f3cf15</p><p><b>identifier</b>: 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>: ph: +31-51-34343400(WORK)</p><p><b>address</b>: Houttuinen 27 Dordrecht 3311 CE Netherlands (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" : "Netherlands"
          }
        ]
      }
    },
    {
      "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 with Details</b></p><p><b>id</b>: c64139e7-f02d-409c-bf34-75e8bf23bc80</p><p><b>identifier</b>: c87bf51c-e53c-4bfe-b8b7-aa62bdd93002</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-clinical code 'active' = 'Active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed' = 'Confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '75326-9' = 'Problem', given as 'Problem'})</span></p><p><b>severity</b>: Moderate <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code 'LA6751-7' = 'Moderate', given as 'Moderate'})</span></p><p><b>code</b>: Menopausal flushing (finding) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '198436008' = 'Menopausal flushing', given as 'Menopausal flushing (finding)'}; {http://hl7.org/fhir/sid/icd-10 code 'N95.1' = 'Menopausal and female climacteric states', given as 'Menopausal and female climacteric states'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">Generated Summary: unknown resource entry</a></p><p><b>onset</b>: Jan 1, 2015 12:00:00 AM</p><p><b>recordedDate</b>: Oct 1, 2016 12:00:00 AM</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"
            }
          ]
        },
        "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"
                      }
                    ]
                  }
                ]
              }
            },
            {
              "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 with Details</b></p><p><b>id</b>: c220e36c-eb67-4fc4-9ba1-2fabc52acec6</p><p><b>identifier</b>: b75f92cb-61d4-469a-9387-df5ef70d25f0</p><p><b>status</b>: active</p><p><b>medication</b>: <a href=\"#backboneelement_976d0804-cae0-45ae-afe3-a19f3ceba6bc\">Generated Summary: unknown resource entry</a></p><p><b>subject</b>: <a href=\"#backboneelement_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">Generated Summary: unknown resource entry</a></p><p><b>effective</b>: Mar 1, 2015 12:00:00 AM --&gt; (ongoing)</p><p><b>dosage</b>: </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:1.2.3.999",
            "value" : "b75f92cb-61d4-469a-9387-df5ef70d25f0"
          }
        ],
        "status" : "active",
        "medicationReference" : {
          "reference" : "Medication/976d0804-cae0-45ae-afe3-a19f3ceba6bc"
        },
        "subject" : {
          "reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
        },
        "effectivePeriod" : {
          "start" : "2015-03"
        },
        "dosage" : [
          {
            "timing" : {
              "repeat" : {
                "count" : 1,
                "periodUnit" : "d"
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "20053000",
                  "display" : "Oral use"
                }
              ]
            },
            "doseAndRate" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code" : "ordered",
                      "display" : "Ordered"
                    }
                  ]
                },
                "doseQuantity" : {
                  "value" : 1,
                  "unit" : "tablet",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "1"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid: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 with Details</b></p><p><b>id</b>: 47524493-846a-4a26-bae2-4ab03e60f02e</p><p><b>identifier</b>: 9e312d6b-c6b6-439a-a730-6efaa5dcf8bc</p><p><b>status</b>: active</p><p><b>medication</b>: <a href=\"#backboneelement_8adc0999-9468-4ac9-9557-680fa133d626\">Generated Summary: unknown resource entry</a></p><p><b>subject</b>: <a href=\"#backboneelement_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">Generated Summary: unknown resource entry</a></p><p><b>effective</b>: Jan 1, 2016 12:00:00 AM --&gt; (ongoing)</p><p><b>dosage</b>: </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:1.2.3.999",
            "value" : "9e312d6b-c6b6-439a-a730-6efaa5dcf8bc"
          }
        ],
        "status" : "active",
        "medicationReference" : {
          "reference" : "Medication/8adc0999-9468-4ac9-9557-680fa133d626"
        },
        "subject" : {
          "reference" : "Patient/2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
        },
        "effectivePeriod" : {
          "start" : "2016-01"
        },
        "dosage" : [
          {
            "route" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "20053000",
                  "display" : "Oral use"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "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 with Details</b></p><p><b>id</b>: 976d0804-cae0-45ae-afe3-a19f3ceba6bc</p><p><b>code</b>: Product containing anastrozole (medicinal product) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '108774000' = 'Product containing anastrozole (medicinal product)', given as 'Product containing anastrozole (medicinal product)'}; {urn:oid:2.16.840.1.113883.2.4.4.1 code '99872' = '99872', given as 'ANASTROZOL 1MG TABLET'}; {urn:oid:2.16.840.1.113883.2.4.4.7 code '2076667' = '2076667', given as 'ANASTROZOL CF TABLET FILMOMHULD 1MG'}; {http://www.whocc.no/atc code 'L02BG03' = 'anastrozole', given as '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 with Details</b></p><p><b>id</b>: 8adc0999-9468-4ac9-9557-680fa133d626</p><p><b>code</b>: Black Cohosh Extract herbal supplement <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '412588001' = 'Cimicifuga racemosa extract (substance)', given as 'Cimicifuga racemosa extract (substance)'}; {http://www.whocc.no/atc code 'G02CX04' = 'Cimicifugae rhizoma', given as '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 with Details</b></p><p><b>id</b>: 72884cad-ebe6-4f43-a51a-2f978275f132</p><p><b>identifier</b>: 3a462598-009c-484a-965c-d6b24a821424</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code 'active' = 'Active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code 'confirmed' = '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\">(Details : {SNOMED CT code '373270004' = 'Substance with penicillin structure and antibacterial mechanism of action', given as 'Substance with penicillin structure and antibacterial mechanism of action (substance)'})</span></p><p><b>patient</b>: <a href=\"#backboneelement_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">Generated Summary: unknown resource entry</a></p><p><b>onset</b>: Jan 1, 2010 12:00:00 AM</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"
      }
    },
    {
      "fullUrl" : "urn:uuid:c4597aa2-688a-401b-a658-70acc6de28c6",
      "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 with Details</b></p><p><b>id</b>: c4597aa2-688a-401b-a658-70acc6de28c6</p><p><b>identifier</b>: 66d4a8c7-9081-43e0-a63f-489c2ae6edd6</p><p><b>clinicalStatus</b>: Remission <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-clinical code 'remission' = 'Remission)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed' = 'Confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '75326-9' = 'Problem', given as 'Problem'})</span></p><p><b>severity</b>: Severe <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code 'LA6750-9' = 'Severe', given as 'Severe'})</span></p><p><b>code</b>: Malignant tumor of breast <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '254837009' = 'Malignant tumor of breast', given as 'Malignant tumor of breast'}; {urn:oid:2.16.840.1.113883.6.43.1 code '8500/3' = 'Infiltrating duct carcinoma, NOS', given as 'Infiltrating duct carcinoma, NOS'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">Generated Summary: unknown resource entry</a></p><p><b>onset</b>: Jan 1, 2015 12:00:00 AM</p><p><b>abatement</b>: Mar 1, 2015 12:00:00 AM</p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:1.2.3.999",
            "value" : "66d4a8c7-9081-43e0-a63f-489c2ae6edd6"
          }
        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "remission"
            }
          ]
        },
        "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" : "LA6750-9",
              "display" : "Severe"
            }
          ]
        },
        "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" : "urn:oid:2.16.840.1.113883.6.43.1",
              "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 with Details</b></p><p><b>id</b>: 45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7</p><p><b>active</b>: true</p><p><b>type</b>: Other <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'other' = '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"
              }
            ]
          }
        ],
        "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 with Details</b></p><p><b>id</b>: aa11a2be-3e36-4be7-b58a-6fc3dace2741</p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory)</span></p><p><b>code</b>: ABO and Rh group [Type] in Blood <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '882-1' = 'ABO and Rh group [Type] in Blood', given as 'ABO and Rh group [Type] in Blood'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">Generated Summary: unknown resource entry</a></p><p><b>effective</b>: Oct 10, 2015 8:15:00 AM</p><p><b>performer</b>: <a href=\"#backboneelement_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">Generated Summary: unknown resource entry</a></p><p><b>value</b>: Blood group A Rh(D) positive <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '278149003' = 'Blood group A Rh(D) positive', given as 'Blood group A Rh(D) positive'})</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 with Details</b></p><p><b>id</b>: 6e39ccf3-f997-4a2b-8f28-b4b71c778c70</p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory)</span></p><p><b>code</b>: C Ab [Presence] in Serum or Plasma <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '945-6' = 'C Ab [Presence] in Serum or Plasma', given as 'C Ab [Presence] in Serum or Plasma'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">Generated Summary: unknown resource entry</a></p><p><b>effective</b>: Oct 10, 2015 8:35:00 AM</p><p><b>performer</b>: <a href=\"#backboneelement_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">Generated Summary: unknown resource entry</a></p><p><b>value</b>: Positive <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</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 with Details</b></p><p><b>id</b>: b4916505-a06b-460c-9be8-011609282457</p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory)</span></p><p><b>code</b>: E Ab [Presence] in Serum or Plasma <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '1018-1' = 'E Ab [Presence] in Serum or Plasma', given as 'E Ab [Presence] in Serum or Plasma'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">Generated Summary: unknown resource entry</a></p><p><b>effective</b>: Oct 10, 2015 8:35:00 AM</p><p><b>performer</b>: <a href=\"#backboneelement_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">Generated Summary: unknown resource entry</a></p><p><b>value</b>: Positive <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '10828004' = 'Positive', given as 'Positive'})</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 with Details</b></p><p><b>id</b>: a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4</p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory)</span></p><p><b>code</b>: little c Ab [Presence] in Serum or Plasma <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '1156-9' = 'little c Ab [Presence] in Serum or Plasma', given as 'little c Ab [Presence] in Serum or Plasma'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">Generated Summary: unknown resource entry</a></p><p><b>effective</b>: Oct 10, 2015 8:35:00 AM</p><p><b>performer</b>: <a href=\"#backboneelement_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">Generated Summary: unknown resource entry</a></p><p><b>value</b>: Negative <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '260385009' = 'Negative', given as 'Negative'})</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 with Details</b></p><p><b>id</b>: 2639657a-c19a-48e2-82cc-471e13b8ad94</p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory)</span></p><p><b>code</b>: Blood typing <span style=\"background: LightGoldenRodYellow\">(Details )</span></p><p><b>subject</b>: <a href=\"#backboneelement_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">Generated Summary: unknown resource entry</a></p><p><b>effective</b>: Oct 10, 2015 12:00:00 AM</p><p><b>performer</b>: <a href=\"#backboneelement_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">Generated Summary: unknown resource entry</a></p><p><b>hasMember</b>: </p><ul><li><a href=\"#backboneelement_aa11a2be-3e36-4be7-b58a-6fc3dace2741\">Generated Summary: unknown resource entry</a></li><li><a href=\"#backboneelement_6e39ccf3-f997-4a2b-8f28-b4b71c778c70\">Generated Summary: unknown resource entry</a></li><li><a href=\"#backboneelement_b4916505-a06b-460c-9be8-011609282457\">Generated Summary: unknown resource entry</a></li><li><a href=\"#backboneelement_a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4\">Generated Summary: unknown resource entry</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 with Details</b></p><p><b>id</b>: cc354e00-a419-47ea-8b6c-1768b2a01646</p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory)</span></p><p><b>code</b>: Hemoglobin A1c/Hemoglobin.total in Blood by HPLC <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '17856-6' = 'Hemoglobin A1c/Hemoglobin.total in Blood by HPLC', given as 'Hemoglobin A1c/Hemoglobin.total in Blood by HPLC'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">Generated Summary: unknown resource entry</a></p><p><b>effective</b>: Nov 10, 2017 7:20:00 AM</p><p><b>performer</b>: <a href=\"#backboneelement_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">Generated Summary: unknown resource entry</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 with Details</b></p><p><b>id</b>: 26bee0a9-5997-4557-ab9d-c6adbb05b572</p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory)</span></p><p><b>code</b>: Bacteria identified in Isolate <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '42803-7' = 'Bacteria identified in Isolate', given as 'Bacteria identified in Isolate'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">Generated Summary: unknown resource entry</a></p><p><b>effective</b>: Dec 10, 2017 7:20:00 AM</p><p><b>performer</b>: <a href=\"#backboneelement_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">Generated Summary: unknown resource entry</a></p><p><b>value</b>: Methicillin resistant Staphylococcus aureus <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '115329001' = 'MRSA', given as 'Methicillin resistant Staphylococcus aureus'})</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 with Details</b></p><p><b>id</b>: c7781f44-6df8-4a8b-9e06-0b34263a47c5</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code 'active' = 'Active)</span></p><p><b>code</b>: No known food allergies <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips code 'no-known-food-allergies' = 'No known food allergies)</span></p><p><b>patient</b>: <a href=\"#backboneelement_2b90dd2b-2dab-4c75-9bb9-a355e07401e8\">Generated Summary: unknown resource entry</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"
        }
      }
    }
  ]
}