{ "resourceType" : "Bundle", "id" : "IPS-examples-Bundle-with-immunization", "meta" : { "profile" : ["http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"] }, "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" : "

Generated Narrative: Composition 30551ce1-5a28-4356-b684-1e639094ad4d

identifier: urn:oid:2.16.724.4.8.10.200.10/3f69e0a5-2177-4540-baab-7a5d0877428f

status: Final

type: Patient summary Document

date: 2017-12-11 14:30:00+0100

author: Practitioner Beetje van Hulp

title: Patient Summary as of December 11, 2017 14:30

confidentiality: normal

attester

mode: Legal

time: 2017-12-11 14:30:00+0100

party: Practitioner Beetje van Hulp

attester

mode: Legal

time: 2017-12-11 14:30:00+0100

party: Organization Anorg Aniza Tion BV / The best custodian ever

custodian: Organization Anorg Aniza Tion BV / The best custodian ever

RelatesTos

-CodeTarget[x]
*Appendsurn:oid:2.16.724.4.8.10.200.10/c2277753-9f90-4a95-8ddb-a0b3f6e7d292

Events

-CodePeriod
*care provision?? --> 2017-12-11 14:30:00+0100
" }, "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" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" }, "date" : "2017-12-11T14:30:00+01:00", "author" : [{ "reference" : "urn:uuid: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" : "urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef" } }, { "mode" : "legal", "time" : "2017-12-11T14:30:00+01:00", "party" : { "reference" : "urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15" } }], "custodian" : { "reference" : "urn:uuid: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" : "
Hot flushes
" }, "entry" : [{ "reference" : "urn:uuid: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" : "
MedicationStrengthFormDosageComment
Anastrozole1 mgtabletonce dailytreatment for breast cancer
Black Cohosh Extractpilherbal supplement
" }, "entry" : [{ "reference" : "urn:uuid:c220e36c-eb67-4fc4-9ba1-2fabc52acec6" }, { "reference" : "urn:uuid: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" : "
Allergy to penicillin, high criticality, active No known food allergies
" }, "entry" : [{ "reference" : "urn:uuid:72884cad-ebe6-4f43-a51a-2f978275f132" }, { "reference" : "urn:uuid:c7781f44-6df8-4a8b-9e06-0b34263a47c5" }] }, { "title" : "History of Past Problems", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11348-0", "display" : "History of Past illness note" }] }, "text" : { "status" : "generated", "div" : "
Breast cancer Stage II with no evidence of recurrence following treatment
" }, "entry" : [{ "reference" : "urn:uuid: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" : "
Continue hormone medication with Anastrozole for total of 5 years and monitor for potential breast cancer recurrence
" } }, { "title" : "Results", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "30954-2", "display" : "Relevant diagnostic tests/laboratory data note" }] }, "text" : { "status" : "generated", "div" : "
Blood typing
Blood groupA+
C Ab [Presence] in Serum or PlasmaPositive
E Ab [Presence] in Serum or PlasmaPositive
Little c Ab [Presence] in Serum or PlasmaNegative
Hemoglobin A1c monitoring
Hemoglobin A1c/Hemoglobin.total in Blood by HPLC7.5 %
Bacteriology
Methicillin resistant Staphylococcus aureus
Healthy carrier of MRSA
" }, "entry" : [{ "reference" : "urn:uuid:2639657a-c19a-48e2-82cc-471e13b8ad94" }, { "reference" : "urn:uuid:cc354e00-a419-47ea-8b6c-1768b2a01646" }, { "reference" : "urn:uuid:26bee0a9-5997-4557-ab9d-c6adbb05b572" }] }, { "title" : "Immunizations", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11369-6", "display" : "History of Immunization note" }] }, "text" : { "status" : "generated", "div" : "

Marie Lux-Brennard (Apr 17, 1998)

Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite, Jun 3, 1998, 10:00:00 PM

Voie intramusculaire, Cuisse droite

" }, "entry" : [{ "reference" : "urn:uuid:40b7b6a0-c043-423a-9959-be3707e728b2" }] }] } }, { "fullUrl" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1", "resource" : { "resourceType" : "Patient", "id" : "2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient 2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization

Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

Active:true
Contact Detail
mother:
" }, "identifier" : [{ "system" : "urn:oid:2.16.840.1.113883.2.4.6.3", "value" : "574687583" }], "active" : true, "name" : [{ "family" : "DeLarosa", "given" : ["Martha"] }], "telecom" : [{ "system" : "phone", "value" : "+31788700800", "use" : "home" }], "gender" : "female", "birthDate" : "1972-05-01", "address" : [{ "line" : ["Laan Van Europa 1600"], "city" : "Dordrecht", "postalCode" : "3317 DB", "country" : "NL" }], "contact" : [{ "relationship" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "MTH" }] }], "name" : { "family" : "Mum", "given" : ["Martha"] }, "telecom" : [{ "system" : "phone", "value" : "+33-555-20036", "use" : "home" }], "address" : { "line" : ["Promenade des Anglais 111"], "city" : "Lyon", "postalCode" : "69001", "country" : "FR" } }] } }, { "fullUrl" : "urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef", "resource" : { "resourceType" : "Practitioner", "id" : "1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner 1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization

identifier: urn:oid:2.16.528.1.1007.3.1/129854633

active: true

name: Beetje van Hulp

Qualifications

-Code
*Doctor of Medicine
" }, "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", "version" : "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-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization 890751f4-2924-4636-bab7-efffc7f3cf15-with-immunization

identifier: urn:oid:2.16.528.1.1007.3.3/564738757

active: true

name: Anorg Aniza Tion BV / The best custodian ever

telecom: +31-51-34343400

address: Houttuinen 27 Dordrecht 3311 CE NL (work)

" }, "identifier" : [{ "system" : "urn:oid:2.16.528.1.1007.3.3", "value" : "564738757" }], "active" : true, "name" : "Anorg Aniza Tion BV / The best custodian ever", "telecom" : [{ "system" : "phone", "value" : "+31-51-34343400", "use" : "work" }], "address" : [{ "use" : "work", "line" : ["Houttuinen 27"], "city" : "Dordrecht", "postalCode" : "3311 CE", "country" : "NL" }] } }, { "fullUrl" : "urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80", "resource" : { "resourceType" : "Condition", "id" : "c64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition c64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization

identifier: urn:oid:1.2.3.999/c87bf51c-e53c-4bfe-b8b7-aa62bdd93002

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem

severity: Moderate severity

code: Menopausal flushing (finding)

subject: Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

onset: 2015

recordedDate: 2016-10

" }, "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://snomed.info/sct", "code" : "6736007", "display" : "Moderate severity" }] }, "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "198436008", "display" : "Menopausal flushing (finding)", "_display" : { "extension" : [{ "extension" : [{ "url" : "lang", "valueCode" : "nl-NL" }, { "url" : "content", "valueString" : "opvliegers" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }] } }, { "system" : "http://hl7.org/fhir/sid/icd-10", "code" : "N95.1", "display" : "Menopausal and female climacteric states" }] }, "subject" : { "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" }, "onsetDateTime" : "2015", "recordedDate" : "2016-10" } }, { "fullUrl" : "urn:uuid:c220e36c-eb67-4fc4-9ba1-2fabc52acec6", "resource" : { "resourceType" : "MedicationStatement", "id" : "c220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationStatement c220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization

identifier: urn:oid:1.2.3.999/b75f92cb-61d4-469a-9387-df5ef70d25f0

status: Active

medication: Medication Product containing anastrozole (medicinal product)

subject: Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

effective: 2015-03 --> (ongoing)

dosage

timing: Count 1 times, Once

route: Oral use

DoseAndRates

-Dose[x]
*1 tablet (Details: UCUM code1 = '1')
" }, "identifier" : [{ "system" : "urn:oid:1.2.3.999", "value" : "b75f92cb-61d4-469a-9387-df5ef70d25f0" }], "status" : "active", "medicationReference" : { "reference" : "urn:uuid:976d0804-cae0-45ae-afe3-a19f3ceba6bc" }, "subject" : { "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" }, "effectivePeriod" : { "start" : "2015-03" }, "dosage" : [{ "timing" : { "repeat" : { "count" : 1, "periodUnit" : "d" } }, "route" : { "coding" : [{ "system" : "http://standardterms.edqm.eu", "code" : "20053000", "display" : "Oral use" }] }, "doseAndRate" : [{ "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-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationStatement 47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization

identifier: urn:oid:1.2.3.999/9e312d6b-c6b6-439a-a730-6efaa5dcf8bc

status: Active

medication: Medication Cimicifuga racemosa extract (substance)

subject: Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

effective: 2016-01 --> (ongoing)

Dosages

-Route
*Oral use
" }, "identifier" : [{ "system" : "urn:oid:1.2.3.999", "value" : "9e312d6b-c6b6-439a-a730-6efaa5dcf8bc" }], "status" : "active", "medicationReference" : { "reference" : "urn:uuid:8adc0999-9468-4ac9-9557-680fa133d626" }, "subject" : { "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" }, "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-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Medication 976d0804-cae0-45ae-afe3-a19f3ceba6bc-with-immunization

code: Product containing anastrozole (medicinal product)

" }, "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-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Medication 8adc0999-9468-4ac9-9557-680fa133d626-with-immunization

code: Black Cohosh Extract herbal supplement

" }, "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "412588001", "display" : "Cimicifuga racemosa extract (substance)", "_display" : { "extension" : [{ "extension" : [{ "url" : "lang", "valueCode" : "nl-NL" }, { "url" : "content", "valueString" : "Zwarte Cohosh Extract" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }] } }, { "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-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: AllergyIntolerance 72884cad-ebe6-4f43-a51a-2f978275f132-with-immunization

identifier: urn:oid:1.2.3.999/3a462598-009c-484a-965c-d6b24a821424

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

category: Medication

criticality: High Risk

code: Substance with penicillin structure (substance)

patient: Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

onset: 2010

" }, "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" : "764146007", "display" : "Substance with penicillin structure (substance)" }] }, "patient" : { "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" }, "onsetDateTime" : "2010" } }, { "fullUrl" : "urn:uuid:c4597aa2-688a-401b-a658-70acc6de28c6", "resource" : { "resourceType" : "Condition", "id" : "c4597aa2-688a-401b-a658-70acc6de28c6-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition c4597aa2-688a-401b-a658-70acc6de28c6-with-immunization

identifier: urn:oid:1.2.3.999/66d4a8c7-9081-43e0-a63f-489c2ae6edd6

clinicalStatus: Remission

verificationStatus: Confirmed

category: Problem

severity: Severe

code: Malignant tumor of breast

subject: Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

onset: 2015-01

abatement: 2015-03

" }, "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://snomed.info/sct", "code" : "24484000", "display" : "Severe" }] }, "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "254837009", "display" : "Malignant tumor of breast", "_display" : { "extension" : [{ "extension" : [{ "url" : "lang", "valueCode" : "nl-NL" }, { "url" : "content", "valueString" : "Borstkanker stadium II zonder aanwijzingen van recidieven na behandeling" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }] } }, { "system" : "http://terminology.hl7.org/CodeSystem/icd-o-3", "code" : "8500/3", "display" : "Infiltrating duct carcinoma, NOS" }] }, "subject" : { "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" }, "onsetDateTime" : "2015-01", "abatementDateTime" : "2015-03" } }, { "fullUrl" : "urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7", "resource" : { "resourceType" : "Organization", "id" : "45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization 45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization

active: true

name: Laboratoire de charme

" }, "active" : true, "name" : "Laboratoire de charme" } }, { "fullUrl" : "urn:uuid:aa11a2be-3e36-4be7-b58a-6fc3dace2741", "resource" : { "resourceType" : "Observation", "id" : "aa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation aa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization

status: Final

category: Laboratory

code: ABO and Rh group [Type] in Blood

subject: Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

effective: 2015-10-10 09:15:00+0100

performer: Organization Laboratoire de charme

value: Blood group A Rh(D) positive

" }, "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" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" }, "effectiveDateTime" : "2015-10-10T09:15:00+01:00", "performer" : [{ "reference" : "urn:uuid: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-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation 6e39ccf3-f997-4a2b-8f28-b4b71c778c70-with-immunization

status: Final

category: Laboratory

code: C Ab [Presence] in Serum or Plasma

subject: Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

effective: 2015-10-10 09:35:00+0100

performer: Organization Laboratoire de charme

value: Positive

" }, "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" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" }, "effectiveDateTime" : "2015-10-10T09:35:00+01:00", "performer" : [{ "reference" : "urn:uuid: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-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation b4916505-a06b-460c-9be8-011609282457-with-immunization

status: Final

category: Laboratory

code: E Ab [Presence] in Serum or Plasma

subject: Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

effective: 2015-10-10 09:35:00+0100

performer: Organization Laboratoire de charme

value: Positive

" }, "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" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" }, "effectiveDateTime" : "2015-10-10T09:35:00+01:00", "performer" : [{ "reference" : "urn:uuid: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-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4-with-immunization

status: Final

category: Laboratory

code: little c Ab [Presence] in Serum or Plasma

subject: Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

effective: 2015-10-10 09:35:00+0100

performer: Organization Laboratoire de charme

value: Negative

" }, "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" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" }, "effectiveDateTime" : "2015-10-10T09:35:00+01:00", "performer" : [{ "reference" : "urn:uuid: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-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation 2639657a-c19a-48e2-82cc-471e13b8ad94-with-immunization

status: Final

category: Laboratory

code: Blood typing

subject: Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

effective: 2015-10-10

performer: Organization Laboratoire de charme

hasMember:

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" }] }], "code" : { "text" : "Blood typing" }, "subject" : { "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" }, "effectiveDateTime" : "2015-10-10", "performer" : [{ "reference" : "urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7" }], "hasMember" : [{ "reference" : "urn:uuid:aa11a2be-3e36-4be7-b58a-6fc3dace2741" }, { "reference" : "urn:uuid:6e39ccf3-f997-4a2b-8f28-b4b71c778c70" }, { "reference" : "urn:uuid:b4916505-a06b-460c-9be8-011609282457" }, { "reference" : "urn:uuid:a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4" }] } }, { "fullUrl" : "urn:uuid:cc354e00-a419-47ea-8b6c-1768b2a01646", "resource" : { "resourceType" : "Observation", "id" : "cc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation cc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization

status: Final

category: Laboratory

code: Hemoglobin A1c/Hemoglobin.total in Blood by HPLC

subject: Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

effective: 2017-11-10 08:20:00+0100

performer: Organization Laboratoire de charme

value: 7.5 % (Details: UCUM code% = '%')

note:

Above stated goal of 7.0 %

\n
" }, "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" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" }, "effectiveDateTime" : "2017-11-10T08:20:00+01:00", "performer" : [{ "reference" : "urn:uuid: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-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation 26bee0a9-5997-4557-ab9d-c6adbb05b572-with-immunization

status: Final

category: Laboratory

code: Bacteria identified in Isolate

subject: Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

effective: 2017-12-10 08:20:00+0100

performer: Organization Laboratoire de charme

value: Methicillin resistant Staphylococcus aureus

note:

Healthy carrier of MRSA

\n
" }, "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" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" }, "effectiveDateTime" : "2017-12-10T08:20:00+01:00", "performer" : [{ "reference" : "urn:uuid: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-with-immunization", "text" : { "status" : "generated", "div" : "

Generated Narrative: AllergyIntolerance c7781f44-6df8-4a8b-9e06-0b34263a47c5-with-immunization

clinicalStatus: Active

code: No known food allergy (situation)

patient: Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code" : "active" }] }, "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "429625007", "display" : "No known food allergy (situation)" }] }, "patient" : { "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" } } }, { "fullUrl" : "urn:uuid:40b7b6a0-c043-423a-9959-be3707e728b2", "resource" : { "resourceType" : "Immunization", "id" : "40b7b6a0-c043-423a-9959-be3707e728b2", "language" : "fr-LU", "text" : { "status" : "generated", "div" : "

Generated Narrative: Immunization 40b7b6a0-c043-423a-9959-be3707e728b2

Language: fr-LU

status: Completed

vaccineCode: Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite

patient: Martha DeLarosa Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)

occurrence: 1998-06-04 00:00:00+0200

primarySource: true

lotNumber: AXK23RWERS

expirationDate: 2000-06-01

site: Cuisse droite

route: Voie intramusculaire

ProtocolApplieds

-TargetDiseaseDoseNumber[x]
*Pertussis1
" }, "status" : "completed", "vaccineCode" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "871878002", "display" : "Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae and Human poliovirus antigens only vaccine product", "_display" : { "extension" : [{ "extension" : [{ "url" : "lang", "valueCode" : "fr-LU" }, { "url" : "content", "valueString" : "Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }] } }, { "system" : "http://www.whocc.no/atc", "code" : "J07CA02", "display" : "diphtheria-pertussis-poliomyelitis-tetanus", "_display" : { "extension" : [{ "extension" : [{ "url" : "lang", "valueCode" : "fr-LU" }, { "url" : "content", "valueString" : "DIPHTERIE - COQUELUCHE - POLIOMYELITE - TETANOS" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }] } }], "text" : "Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite" }, "patient" : { "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1" }, "occurrenceDateTime" : "1998-06-04T00:00:00+02:00", "primarySource" : true, "lotNumber" : "AXK23RWERS", "expirationDate" : "2000-06-01", "site" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "11207009", "display" : "Right thigh", "_display" : { "extension" : [{ "extension" : [{ "url" : "lang", "valueCode" : "fr-LU" }, { "url" : "content", "valueString" : "Cuisse droite" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }] } }], "text" : "Cuisse droite" }, "route" : { "coding" : [{ "system" : "http://standardterms.edqm.eu", "code" : "20035000", "display" : "Intramuscular use", "_display" : { "extension" : [{ "extension" : [{ "url" : "lang", "valueCode" : "fr-LU" }, { "url" : "content", "valueString" : "Voie intramusculaire" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }] } }], "text" : "Voie intramusculaire" }, "protocolApplied" : [{ "targetDisease" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "27836007", "display" : "Pertussis" }, { "system" : "http://snomed.info/sct", "code" : "76902006", "display" : "Tetanus" }, { "system" : "http://snomed.info/sct", "code" : "398102009", "display" : "Acute poliomyelitis" }, { "system" : "http://snomed.info/sct", "code" : "397430003", "display" : "Diphtheria caused by Corynebacterium diphtheriae" }] }], "doseNumberPositiveInt" : 1 }] } }] }