International Patient Summary Implementation Guide
1.0.0 - STU 1
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 
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<Bundle xmlns="http://hl7.org/fhir"> <id value="IPS-examples-Bundle-01"/> <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 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>?? --> Dec 11, 2017 1:30:00 PM</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> </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 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> </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="Netherlands"/> </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="France"/> </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 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> </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 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> </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="Netherlands"/> </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 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> </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 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 --> (ongoing)</p><p><b>dosage</b>: </p></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 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 --> (ongoing)</p><p><b>dosage</b>: </p></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 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> </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 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> </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 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> </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 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> </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="urn:oid:2.16.840.1.113883.6.43.1"/> <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 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> </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 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> </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 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> </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 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> </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 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> </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 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> </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 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> </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 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> </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 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> </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> </Bundle>
IG © 2020+ Health Level Seven International - Patient Care Work Group. Package hl7.fhir.uv.ips#1.0.0 based on FHIR 4.0.1. Generated 2020-05-19
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