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  "timestamp" : "2024-09-21T18:53:00.8116604+00:00",
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        "profile" : ["http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips"]
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      "language" : "en",
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      "date" : "2024-09-13",
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      "title" : "International Patient Summary",
      "confidentiality" : "N",
      "attester" : [{
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        "code" : {
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            "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
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        "entry" : [{
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        {
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        "title" : "Allergies and Intolerances",
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            "code" : "48765-2",
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            "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
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        "entry" : [{
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      },
      {
        "title" : "Medication Summary",
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        "entry" : [{
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        {
          "reference" : "MedicationStatement/b8e4d4a8-2c18-4f03-88dc-06f5f44f8058"
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      {
        "title" : "Immunizations",
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              "url" : "data",
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            "extension" : [{
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            "extension" : [{
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            "extension" : [{
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          },
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            "extension" : [{
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            "system" : "http://loinc.org",
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            "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
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          "status" : "generated"
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      {
        "title" : "History of Procedures",
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            "code" : "47519-4",
            "display" : "History of Procedures Document"
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            "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
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          "status" : "generated"
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        "entry" : [{
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      {
        "title" : "Device Use",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
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            "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
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          "status" : "generated"
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        "entry" : [{
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      {
        "title" : "Vital Signs",
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      {
        "title" : "Social History",
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          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "29762-2",
            "display" : "Social history note"
          }]
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            "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
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      {
        "title" : "Alerts",
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            "system" : "http://loinc.org",
            "code" : "104605-1",
            "display" : "Alert"
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        },
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            {
              "url" : "data",
              "valueUri" : "https://fhir.example.com/Flag/e8ae9c4e-8f5a-4270-bfac-02368c567fcf"
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            "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
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        "entry" : [{
          "reference" : "Flag/e8ae9c4e-8f5a-4270-bfac-02368c567fcf"
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      },
      {
        "title" : "Patient Story",
        "code" : {
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            "system" : "http://loinc.org",
            "code" : "81338-6",
            "display" : "Patient Goals, preferences, and priorities for care experience"
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        },
        "text" : {
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        "entry" : [{
          "reference" : "Consent/080d85fa-c807-42d1-a3af-b3ee70858a54"
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      },
      {
        "title" : "Advance Directives",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "42348-3",
            "display" : "Advance healthcare directives"
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        },
        "text" : {
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            }],
            "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
          }],
          "status" : "generated"
        },
        "entry" : [{
          "reference" : "Consent/080d85fa-c807-42d1-a3af-b3ee70858a54"
        }]
      },
      {
        "title" : "Functional Status",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "47420-5",
            "display" : "Functional status assessment note"
          }]
        },
        "text" : {
          "extension" : [{
            "extension" : [{
              "url" : "htmlid",
              "valueString" : "4f3d8f79-2f96-48c5-b346-d47f0c66c981"
            },
            {
              "url" : "data",
              "valueUri" : "https://fhir.example.com/Condition/4f3d8f79-2f96-48c5-b346-d47f0c66c981"
            }],
            "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
          }],
          "status" : "generated"
        },
        "entry" : [{
          "reference" : "Condition/4f3d8f79-2f96-48c5-b346-d47f0c66c981"
        }]
      },
      {
        "title" : "History of Past Problems",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "11348-0",
            "display" : "History of Past illness note"
          }]
        },
        "text" : {
          "extension" : [{
            "extension" : [{
              "url" : "htmlid",
              "valueString" : "77efacd9-b5a6-4b35-9764-269017ea7567"
            },
            {
              "url" : "data",
              "valueUri" : "https://fhir.example.com/Condition/77efacd9-b5a6-4b35-9764-269017ea7567"
            }],
            "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
          }],
          "status" : "generated"
        },
        "entry" : [{
          "reference" : "Condition/77efacd9-b5a6-4b35-9764-269017ea7567"
        }]
      },
      {
        "title" : "History of Pregnancy",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "10162-6",
            "display" : "History of pregnancies Narrative"
          }]
        },
        "text" : {
          "extension" : [{
            "extension" : [{
              "url" : "htmlid",
              "valueString" : "f241ac65-5eab-49a0-8b92-7fb263274110"
            },
            {
              "url" : "data",
              "valueUri" : "https://fhir.example.com/Observation/f241ac65-5eab-49a0-8b92-7fb263274110"
            }],
            "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
          }],
          "status" : "generated"
        },
        "entry" : [{
          "reference" : "Observation/f241ac65-5eab-49a0-8b92-7fb263274110"
        }]
      },
      {
        "title" : "Plan of Care",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "18776-5",
            "display" : "Plan of care note"
          }]
        },
        "text" : {
          "extension" : [{
            "extension" : [{
              "url" : "htmlid",
              "valueString" : "85d57ac7-ea2d-47cf-b019-b867f876ee7c"
            },
            {
              "url" : "data",
              "valueUri" : "https://fhir.example.com/CarePlan/85d57ac7-ea2d-47cf-b019-b867f876ee7c"
            }],
            "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
          }],
          "status" : "generated"
        },
        "entry" : [{
          "reference" : "CarePlan/85d57ac7-ea2d-47cf-b019-b867f876ee7c"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "d174bd1a-b368-41e6-83a2-af77f2b3c60f",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "identifier" : [{
        "system" : "https://standards.digital.health.nz/ns/nhi-id",
        "value" : "ABC1234"
      }],
      "name" : [{
        "use" : "usual",
        "family" : "JORDANA",
        "given" : ["Patricia"]
      }],
      "telecom" : [{
        "system" : "other",
        "value" : "+1234567890",
        "use" : "mobile"
      }],
      "gender" : "female",
      "birthDate" : "1956-09-30",
      "address" : [{
        "use" : "home",
        "type" : "physical",
        "line" : ["3",
        "Worcester Drive",
        "Rototuna North"],
        "city" : "Hamilton",
        "postalCode" : "3210"
      }],
      "maritalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
          "code" : "M",
          "display" : "Married"
        }]
      },
      "contact" : [{
        "relationship" : [{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
            "code" : "C",
            "display" : "Emergency Contact"
          }]
        }],
        "name" : {
          "use" : "usual",
          "family" : "JORDANA",
          "given" : ["Vincent",
          "JORDANA"]
        },
        "telecom" : [{
          "system" : "phone",
          "value" : "21884820",
          "use" : "mobile"
        },
        {
          "system" : "phone",
          "value" : "853 3279",
          "use" : "work"
        }],
        "address" : {
          "use" : "home",
          "type" : "physical",
          "line" : ["3 Worcester Drive",
          "Rototuna North"],
          "city" : "Hamilton"
        }
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "7a17027f-acc0-4d77-bf84-c0dad8f7c881",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "identifier" : [{
        "system" : "https://standards.digital.health.nz/ns/hpi-facility-id",
        "value" : "F2N000"
      }],
      "name" : "NorthCare Pukete Road-Thomas Road",
      "partOf" : {
        "reference" : "Organization/8f8635dc-694e-408f-8ffe-1610d50f9823"
      }
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Organization/8f8635dc-694e-408f-8ffe-1610d50f9823",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "8f8635dc-694e-408f-8ffe-1610d50f9823",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "identifier" : [{
        "system" : "https://standards.digital.health.nz/ns/hpi-facility-id",
        "value" : "F2N001"
      }],
      "name" : "NorthCare Health System"
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/PractitionerRole/94d12c8d-a3df-47a7-a0bb-0f29d64bafe2",
    "resource" : {
      "resourceType" : "PractitionerRole",
      "id" : "94d12c8d-a3df-47a7-a0bb-0f29d64bafe2",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "practitioner" : {
        "reference" : "Practitioner/816cf057-b736-4e08-baed-cc21e081b784"
      },
      "code" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "158965000",
          "display" : "Doctor"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Practitioner/816cf057-b736-4e08-baed-cc21e081b784",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "816cf057-b736-4e08-baed-cc21e081b784",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "name" : [{
        "use" : "usual",
        "family" : "COORAY",
        "given" : ["HASHIRA",
        "COORAY"]
      }],
      "telecom" : [{
        "system" : "phone",
        "value" : "07 850 9900",
        "use" : "work"
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81",
    "resource" : {
      "resourceType" : "AllergyIntolerance",
      "id" : "9838cf73-c30d-4aa5-8ed8-36a079060b81",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
          "code" : "active"
        }]
      },
      "verificationStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
          "code" : "confirmed"
        }]
      },
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "764146007",
          "display" : "Penicillin"
        },
        {
          "system" : "http://www.whocc.no/atc",
          "code" : "J01CA",
          "display" : "Penicillins with extended spectrum"
        }]
      },
      "patient" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      }
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "8039e4a7-d459-454c-92a5-6c17ca2a824b",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "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"
        }]
      },
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "59621000",
          "display" : "Essential hypertension"
        }]
      },
      "subject" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "onsetDateTime" : "2016-05-25",
      "recordedDate" : "2016-05-25",
      "asserter" : {
        "reference" : "Practitioner/816cf057-b736-4e08-baed-cc21e081b784"
      }
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "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"
        }]
      },
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "90560007",
          "display" : "Gout"
        }]
      },
      "subject" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "onsetDateTime" : "2016-05-25",
      "recordedDate" : "2020-10-01"
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/MedicationStatement/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa",
    "resource" : {
      "resourceType" : "MedicationStatement",
      "id" : "c3d31980-2a88-45b6-a7af-3fe8d32cc6fa",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "status" : "stopped",
      "medicationCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "318913001",
          "display" : "Product containing cilazapril (medicinal product)"
        }],
        "text" : "cilazapril 500 microgram tablet, 90"
      },
      "subject" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "effectiveDateTime" : "2023-12-01",
      "informationSource" : {
        "reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
      },
      "dosage" : [{
        "text" : "Take 1 daily",
        "doseAndRate" : [{
          "doseQuantity" : {
            "value" : 1,
            "unit" : "tablet",
            "system" : "http://snomed.info/sct",
            "code" : "428673006"
          }
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/MedicationStatement/b8dac343-16d7-49bf-ac36-b15e6726c343",
    "resource" : {
      "resourceType" : "MedicationStatement",
      "id" : "b8dac343-16d7-49bf-ac36-b15e6726c343",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "status" : "active",
      "medicationCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "108575001",
          "display" : "Product containing lisinopril (medicinal product)"
        }],
        "text" : "lisinopril 5 mg tablet"
      },
      "subject" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "effectiveDateTime" : "2024-08-13",
      "informationSource" : {
        "reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
      },
      "dosage" : [{
        "text" : "Take One tablet once daily",
        "timing" : {
          "repeat" : {
            "frequency" : 1,
            "period" : 1,
            "periodUnit" : "d"
          }
        },
        "route" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
            "code" : "PO",
            "display" : "Swallow, oral"
          }]
        },
        "doseAndRate" : [{
          "doseQuantity" : {
            "value" : 1,
            "unit" : "tablet",
            "system" : "http://snomed.info/sct",
            "code" : "428673006"
          }
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/MedicationStatement/b8e4d4a8-2c18-4f03-88dc-06f5f44f8058",
    "resource" : {
      "resourceType" : "MedicationStatement",
      "id" : "b8e4d4a8-2c18-4f03-88dc-06f5f44f8058",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "status" : "active",
      "medicationCodeableConcept" : {
        "coding" : [{
          "system" : "http://www.whocc.no/atc",
          "code" : "C05AA08",
          "display" : "Fluocortolone"
        }],
        "text" : "Ultraproct - cinchocaine 0.5% (5 mg/g) + fluocortolone hexanoate 0.095% (945 microgram/g) + fluocortolone pivalate 0.092% (918 microgram/g) ointment"
      },
      "subject" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "effectiveDateTime" : "2024-08-30",
      "informationSource" : {
        "reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
      },
      "dosage" : [{
        "text" : "apply a small amount to the affected area up to 4 times daily on the first day, then twice daily for at least 1 week; continue for up to a maximum of 4 weeks",
        "doseAndRate" : [{
          "doseQuantity" : {
            "value" : 1,
            "unit" : "ointment",
            "system" : "http://snomed.info/sct",
            "code" : "385101003"
          }
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce",
    "resource" : {
      "resourceType" : "Immunization",
      "id" : "17b5a6d7-307b-4726-8c8c-0031e61582ce",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "status" : "completed",
      "vaccineCode" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/sid/cvx",
          "code" : "141",
          "display" : "Influenza, split virus, trivalent, preservative"
        }]
      },
      "patient" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "occurrenceDateTime" : "2024-04-10",
      "lotNumber" : "H06",
      "site" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "16217701000119102",
          "display" : "Structure of left deltoid muscle"
        }]
      },
      "route" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
          "code" : "IM",
          "display" : "Injection, intramuscular"
        }]
      },
      "performer" : [{
        "actor" : {
          "reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
        }
      }],
      "protocolApplied" : [{
        "series" : "1 (Over 65 years (Influenza))",
        "doseNumberPositiveInt" : 1
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Immunization/14e8b0d8-b4e4-4f8e-b263-ef385787453b",
    "resource" : {
      "resourceType" : "Immunization",
      "id" : "14e8b0d8-b4e4-4f8e-b263-ef385787453b",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "status" : "completed",
      "vaccineCode" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/sid/cvx",
          "code" : "300",
          "display" : "COVID-19, mRNA, LNP-S, bivalent, PF, 30 mcg/0.3 mL dose"
        }]
      },
      "patient" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "occurrenceDateTime" : "2024-02-18",
      "lotNumber" : "GK3908-068",
      "route" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
          "code" : "IM",
          "display" : "Injection, intramuscular"
        }]
      },
      "performer" : [{
        "actor" : {
          "reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
        }
      }],
      "protocolApplied" : [{
        "series" : "6 (Booster or Extra dose)",
        "doseNumberPositiveInt" : 5
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Immunization/47befa30-026c-421a-ad32-c0b134597a30",
    "resource" : {
      "resourceType" : "Immunization",
      "id" : "47befa30-026c-421a-ad32-c0b134597a30",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "status" : "completed",
      "vaccineCode" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/sid/cvx",
          "code" : "141",
          "display" : "Influenza, split virus, trivalent, preservative"
        }]
      },
      "patient" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "occurrenceDateTime" : "2023-04-12",
      "lotNumber" : "358899",
      "site" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "16217661000119109",
          "display" : "Structure of right deltoid muscle"
        }]
      },
      "route" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
          "code" : "IM",
          "display" : "Injection, intramuscular"
        }]
      },
      "performer" : [{
        "actor" : {
          "reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
        }
      }],
      "protocolApplied" : [{
        "series" : "1 (Over 65 years (Influenza))",
        "doseNumberPositiveInt" : 1
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Immunization/2f05b590-ce75-4ac6-be97-c2a275e21cbc",
    "resource" : {
      "resourceType" : "Immunization",
      "id" : "2f05b590-ce75-4ac6-be97-c2a275e21cbc",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "status" : "completed",
      "vaccineCode" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/sid/cvx",
          "code" : "208",
          "display" : "COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose"
        }]
      },
      "patient" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "occurrenceDateTime" : "2022-08-01",
      "lotNumber" : "PCB0008-07",
      "site" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "16217701000119102",
          "display" : "Structure of left deltoid muscle"
        }]
      },
      "route" : {
        "coding" : [{
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        "value" : 1,
        "unit" : "d",
        "system" : "http://unitsofmeasure.org",
        "code" : "d"
      }
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743",
    "resource" : {
      "resourceType" : "PractitionerRole",
      "id" : "75ed6f24-9a7e-4568-9c05-91b6d4786743",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "code" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "81464008",
          "display" : "Clinical pathologist"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Flag/e8ae9c4e-8f5a-4270-bfac-02368c567fcf",
    "resource" : {
      "resourceType" : "Flag",
      "id" : "e8ae9c4e-8f5a-4270-bfac-02368c567fcf",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "status" : "active",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/flag-category",
          "code" : "diet",
          "display" : "Diet"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1255002008",
          "display" : "Shellfish free diet"
        }]
      },
      "subject" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      }
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Procedure/39252",
    "resource" : {
      "resourceType" : "Procedure",
      "id" : "39252",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "status" : "completed",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "52734007",
          "display" : "Total hip replacement"
        }],
        "text" : "Total hip replacement"
      },
      "subject" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "performedDateTime" : "2000-04-28"
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/DeviceUseStatement/eumfh-70-275-1",
    "resource" : {
      "resourceType" : "DeviceUseStatement",
      "id" : "eumfh-70-275-1",
      "language" : "en",
      "text" : {
        "status" : "extensions"
      },
      "status" : "active",
      "subject" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "_timingDateTime" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "unknown"
        }]
      },
      "device" : {
        "reference" : "Device/eumfh-70-275-2",
        "display" : "Hip prosthesis"
      }
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Device/eumfh-70-275-2",
    "resource" : {
      "resourceType" : "Device",
      "id" : "eumfh-70-275-2",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "type" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "67270000",
          "display" : "Hip prosthesis, device (physical object)"
        }]
      }
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Consent/080d85fa-c807-42d1-a3af-b3ee70858a54",
    "resource" : {
      "resourceType" : "Consent",
      "id" : "080d85fa-c807-42d1-a3af-b3ee70858a54",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "status" : "active",
      "scope" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
          "code" : "treatment",
          "display" : "Treatment"
        }]
      },
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
          "code" : "dnr",
          "display" : "Do Not Resuscitate"
        }]
      }],
      "patient" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "dateTime" : "2021-09-01",
      "sourceReference" : {
        "reference" : "DocumentReference/advance-directive-123"
      },
      "policyRule" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/consentpolicycodes",
          "code" : "cric"
        }]
      },
      "provision" : {
        "code" : [{
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "304253006",
            "display" : "Not for resuscitation"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/DocumentReference/advance-directive-123",
    "resource" : {
      "resourceType" : "DocumentReference",
      "id" : "advance-directive-123",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "status" : "current",
      "type" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "75310-3",
          "display" : "Health concerns Document"
        },
        {
          "system" : "http://loinc.org",
          "code" : "55188-7",
          "display" : "Patient data Document"
        }]
      },
      "subject" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "date" : "2025-08-01T10:00:00Z",
      "content" : [{
        "attachment" : {
          "contentType" : "application/pdf",
          "url" : "https://fhir.example.com/DocumentReference/advance-directive-123/content",
          "title" : "Advance Directive Document"
        }
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Condition/4f3d8f79-2f96-48c5-b346-d47f0c66c981",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "4f3d8f79-2f96-48c5-b346-d47f0c66c981",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "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"
        }]
      },
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "82971005",
          "display" : "Impaired Mobility"
        }]
      },
      "subject" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "onsetDateTime" : "2016-05-25",
      "recordedDate" : "2016-05-25",
      "asserter" : {
        "reference" : "Practitioner/816cf057-b736-4e08-baed-cc21e081b784"
      }
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Condition/77efacd9-b5a6-4b35-9764-269017ea7567",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "77efacd9-b5a6-4b35-9764-269017ea7567",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code" : "resolved"
        }]
      },
      "verificationStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code" : "confirmed"
        }]
      },
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "386661006",
          "display" : "Fever"
        }]
      },
      "subject" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "onsetDateTime" : "2013-05-25",
      "recordedDate" : "2016-05-25",
      "asserter" : {
        "reference" : "Practitioner/816cf057-b736-4e08-baed-cc21e081b784"
      }
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/CarePlan/85d57ac7-ea2d-47cf-b019-b867f876ee7c",
    "resource" : {
      "resourceType" : "CarePlan",
      "id" : "85d57ac7-ea2d-47cf-b019-b867f876ee7c",
      "language" : "en",
      "text" : {
        "status" : "additional"
      },
      "basedOn" : [{
        "display" : "Management of Hypertension"
      }],
      "replaces" : [{
        "display" : "Plan from urgent care clinic"
      }],
      "partOf" : [{
        "display" : "Overall wellness plan"
      }],
      "status" : "active",
      "intent" : "plan",
      "category" : [{
        "text" : "Weight management plan"
      }],
      "description" : "Manage obesity and weight loss",
      "subject" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "period" : {
        "end" : "2017-06-01"
      },
      "created" : "2016-01-01",
      "activity" : [{
        "outcomeCodeableConcept" : [{
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "262285001",
            "display" : "Weight decreased"
          }]
        }],
        "detail" : {
          "code" : {
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "3141-9",
              "display" : "Weight Measured"
            },
            {
              "system" : "http://snomed.info/sct",
              "code" : "27113001",
              "display" : "Body weight"
            }]
          },
          "status" : "completed",
          "statusReason" : {
            "text" : "Achieved weight loss to mitigate diabetes risk."
          },
          "doNotPerform" : false,
          "scheduledTiming" : {
            "repeat" : {
              "frequency" : 1,
              "period" : 1,
              "periodUnit" : "d"
            }
          },
          "location" : {
            "display" : "Patient's home"
          }
        }
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.com/Observation/f241ac65-5eab-49a0-8b92-7fb263274110",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "f241ac65-5eab-49a0-8b92-7fb263274110",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "82810-3",
          "display" : "Pregnancy status"
        }]
      },
      "subject" : {
        "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
      },
      "effectiveDateTime" : "2020-01-10",
      "performer" : [{
        "reference" : "Practitioner/816cf057-b736-4e08-baed-cc21e081b784"
      }],
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "60001007",
          "display" : "Not Pregnant"
        }]
      }
    }
  }]
}