International Patient Summary Implementation Guide
1.1.0 - CI Build International flag

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

: IPS Bundle example - minimal - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "bundle-minimal"] ; # 
  fhir:language [ fhir:v "en-US"] ; # 
  fhir:identifier [
fhir:system [ fhir:v "urn:oid:2.16.724.4.8.10.200.10"^^xsd:anyURI ] ;
fhir:value [ fhir:v "28b95815-76ce-457b-b7ae-a972e527db40" ]
  ] ; # 
  fhir:type [ fhir:v "document"] ; # 
  fhir:timestamp [ fhir:v "2020-12-11T14:30:00+01:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:6e1fb74a-742b-4c7b-8487-171dacb88766"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:6e1fb74a-742b-4c7b-8487-171dacb88766> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:7685713c-e29e-4a75-8a90-45be7ba3be94"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:7685713c-e29e-4a75-8a90-45be7ba3be94> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:98315ba9-ffea-41ef-b59b-a836c039858f"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:98315ba9-ffea-41ef-b59b-a836c039858f> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:ad84b7a2-b4dd-474e-bef3-0779e6cb595f"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:ad84b7a2-b4dd-474e-bef3-0779e6cb595f> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:6e883e5e-7648-485a-86de-3640a61601fe"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:6e883e5e-7648-485a-86de-3640a61601fe> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:6369a973-afc7-4617-8877-3e9811e05a5b"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:6369a973-afc7-4617-8877-3e9811e05a5b> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:fe2769fd-22c9-4307-9122-ee0466e5aebb"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:fe2769fd-22c9-4307-9122-ee0466e5aebb> )
  ] ) . # 

<urn:uuid:6e1fb74a-742b-4c7b-8487-171dacb88766> a fhir:Composition ;
  fhir:id [ fhir:v "6e1fb74a-742b-4c7b-8487-171dacb88766"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"6e1fb74a-742b-4c7b-8487-171dacb88766\" </p></div><p><b>status</b>: final</p><p><b>type</b>: Patient summary Document <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#60591-5)</span></p><p><b>date</b>: 2020-12-11 02:30:00+0100</p><p><b>author</b>: Beetje van Hulp, MD </p><p><b>title</b>: Patient Summary as of December 11, 2020 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>: 2020-12-11 02:30:00+0100</p><p><b>party</b>: Beetje van Hulp, MD </p></blockquote><blockquote><p><b>attester</b></p><p><b>mode</b>: legal</p><p><b>time</b>: 2020-12-11 02:30:00+0100</p><p><b>party</b>: Anorg Aniza Tion BV </p></blockquote><p><b>custodian</b>: Anorg Aniza Tion BV</p><h3>RelatesTos</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Target[x]</b></td></tr><tr><td>*</td><td>appends</td><td>id: 20e12ce3-857f-49c0-b888-cb670597f191</td></tr></table><h3>Events</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Period</b></td></tr><tr><td>*</td><td>care provision <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/CodeSystem/v3-ActClass\">ActClass</a>#PCPR)</span></td><td>?? --&gt; 2020-12-11 02:30:00+0100</td></tr></table></div>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:60591-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "60591-5" ] ;
fhir:display [ fhir:v "Patient summary Document" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94" ]
  ] ; # 
  fhir:date [ fhir:v "2020-12-11T14:30:00+01:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "Practitioner/98315ba9-ffea-41ef-b59b-a836c039858f" ]
  ] ) ; # 
  fhir:title [ fhir:v "Patient Summary as of December 11, 2020 14:30"] ; # 
  fhir:confidentiality [ fhir:v "N"] ; # 
  fhir:attester ( [
fhir:mode [ fhir:v "legal" ] ;
fhir:time [ fhir:v "2020-12-11T14:30:00+01:00"^^xsd:dateTime ] ;
fhir:party [
fhir:reference [ fhir:v "Practitioner/98315ba9-ffea-41ef-b59b-a836c039858f" ]     ]
  ] [
fhir:mode [ fhir:v "legal" ] ;
fhir:time [ fhir:v "2020-12-11T14:30:00+01:00"^^xsd:dateTime ] ;
fhir:party [
fhir:reference [ fhir:v "Organization/bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d" ]     ]
  ] ) ; # 
  fhir:custodian [
fhir:reference [ fhir:v "Organization/bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d" ]
  ] ; # 
  fhir:relatesTo ( [
fhir:code [ fhir:v "appends" ] ;
fhir:target [
a fhir:Identifier ;
fhir:system [ fhir:v "urn:oid:2.16.724.4.8.10.200.10"^^xsd:anyURI ] ;
fhir:value [ fhir:v "20e12ce3-857f-49c0-b888-cb670597f191" ]     ]
  ] ) ; # 
  fhir:event ( [
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActClass"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PCPR" ]       ] )     ] ) ;
fhir:period [
fhir:end [ fhir:v "2020-12-11T14:30:00+01:00"^^xsd:dateTime ]     ]
  ] ) ; # 
  fhir:section ( [
fhir:title [ fhir:v "Active Problems" ] ;
fhir:code [
      ( fhir:coding [
a loinc:11450-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11450-4" ] ;
fhir:display [ fhir:v "Problem list Reported" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li><div><b>Condition Name</b>: Menopausal Flushing</div><div><b>Code</b>: <span>198436008</span></div><div><b>Status</b>: <span>Active</span></div></li></ul></div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Condition/ad84b7a2-b4dd-474e-bef3-0779e6cb595f" ]     ] )
  ] [
fhir:title [ fhir:v "Medication" ] ;
fhir:code [
      ( fhir:coding [
a loinc:10160-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10160-0" ] ;
fhir:display [ fhir:v "History of Medication use Narrative" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li><div><b>Medication Name</b>: Oral anastrozole 1mg tablet</div><div><b>Code</b>: <span></span></div><div><b>Status</b>: <span>Active, started March 2015</span></div><div>Instructions: Take 1 time per day</div></li></ul></div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "MedicationStatement/6e883e5e-7648-485a-86de-3640a61601fe" ]     ] )
  ] [
fhir:title [ fhir:v "Allergies and Intolerances" ] ;
fhir:code [
      ( fhir:coding [
a loinc:48765-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48765-2" ] ;
fhir:display [ fhir:v "Allergies and adverse reactions Document" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li><div><b>Allergy Name</b>: Pencillins</div><div><b>Verification Status</b>: Confirmed</div><div><b>Reaction</b>: <span>no information</span></div></li></ul></div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "AllergyIntolerance/fe2769fd-22c9-4307-9122-ee0466e5aebb" ]     ] )
  ] ) . # 

<urn:uuid:7685713c-e29e-4a75-8a90-45be7ba3be94> a fhir:Patient ;
  fhir:id [ fhir:v "7685713c-e29e-4a75-8a90-45be7ba3be94"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_7685713c-e29e-4a75-8a90-45be7ba3be94\"> </a><p><b>Generated Narrative: Patient</b><a name=\"7685713c-e29e-4a75-8a90-45be7ba3be94\"> </a><a name=\"hc7685713c-e29e-4a75-8a90-45be7ba3be94\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient &quot;7685713c-e29e-4a75-8a90-45be7ba3be94&quot; </p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.2.4.6.3</code>/574687583</p><p><b>active</b>: true</p><p><b>name</b>: Martha DeLarosa </p><p><b>telecom</b>: <a href=\"tel:+31788700800\">+31788700800</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1972-05-01</p><p><b>address</b>: Laan Van Europa 1600 Dordrecht 3317 DB NL </p><h3>Contacts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Relationship</b></td><td><b>Name</b></td><td><b>Telecom</b></td><td><b>Address</b></td></tr><tr><td style=\"display: none\">*</td><td>mother <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#MTH)</span></td><td>Martha Mum </td><td><a href=\"tel:+33-555-20036\">+33-555-20036</a></td><td>Promenade des Anglais 111 Lyon 69001 FR </td></tr></table></div>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.2.4.6.3"^^xsd:anyURI ] ;
fhir:value [ fhir:v "574687583" ]
  ] ) ; # 
  fhir:active [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:name ( [
fhir:family [ fhir:v "DeLarosa" ] ;
    ( fhir:given [ fhir:v "Martha" ] )
  ] ) ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "+31788700800" ] ;
fhir:use [ fhir:v "home" ]
  ] ) ; # 
  fhir:gender [ fhir:v "female"] ; # 
  fhir:birthDate [ fhir:v "1972-05-01"^^xsd:date] ; # 
  fhir:address ( [
    ( fhir:line [ fhir:v "Laan Van Europa 1600" ] ) ;
fhir:city [ fhir:v "Dordrecht" ] ;
fhir:postalCode [ fhir:v "3317 DB" ] ;
fhir:country [ fhir:v "NL" ]
  ] ) ; # 
  fhir:contact ( [
    ( fhir:relationship [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MTH" ]       ] )     ] ) ;
fhir:name [
fhir:family [ fhir:v "Mum" ] ;
      ( fhir:given [ fhir:v "Martha" ] )     ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "+33-555-20036" ] ;
fhir:use [ fhir:v "home" ]     ] ) ;
fhir:address [
      ( fhir:line [ fhir:v "Promenade des Anglais 111" ] ) ;
fhir:city [ fhir:v "Lyon" ] ;
fhir:postalCode [ fhir:v "69001" ] ;
fhir:country [ fhir:v "FR" ]     ]
  ] ) . # 

<urn:uuid:98315ba9-ffea-41ef-b59b-a836c039858f> a fhir:Practitioner ;
  fhir:id [ fhir:v "98315ba9-ffea-41ef-b59b-a836c039858f"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_98315ba9-ffea-41ef-b59b-a836c039858f\"> </a><p><b>Generated Narrative: Practitioner</b><a name=\"98315ba9-ffea-41ef-b59b-a836c039858f\"> </a><a name=\"hc98315ba9-ffea-41ef-b59b-a836c039858f\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner &quot;98315ba9-ffea-41ef-b59b-a836c039858f&quot; </p></div><p><b>identifier</b>: <code>urn:oid:2.16.528.1.1007.3.1</code>/129854633</p><p><b>active</b>: true</p><p><b>name</b>: Beetje van Hulp </p><h3>Qualifications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>Doctor of Medicine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (degreeLicenseCertificate[2.7]#MD)</span></td></tr></table></div>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:oid:2.16.528.1.1007.3.1"^^xsd:anyURI ] ;
fhir:value [ fhir:v "129854633" ] ;
fhir:assigner [
fhir:display [ fhir:v "CIBG" ]     ]
  ] ) ; # 
  fhir:active [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:name ( [
fhir:family [ fhir:v "van Hulp" ] ;
    ( fhir:given [ fhir:v "Beetje" ] )
  ] ) ; # 
  fhir:qualification ( [
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0360"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.7" ] ;
fhir:code [ fhir:v "MD" ] ;
fhir:display [ fhir:v "Doctor of Medicine" ]       ] )     ]
  ] ) . # 

<urn:uuid:bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d> a fhir:Organization ;
  fhir:id [ fhir:v "bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d\"> </a><p><b>Generated Narrative: Organization</b><a name=\"bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d\"> </a><a name=\"hcbb6bdf4f-7fcb-4d44-96a5-b858ad031d1d\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization &quot;bb6bdf4f-7fcb-4d44-96a5-b858ad031d1d&quot; </p></div><p><b>identifier</b>: <code>urn:oid:2.16.528.1.1007.3.3</code>/564738757</p><p><b>active</b>: true</p><p><b>name</b>: Anorg Aniza Tion BV / The best custodian ever</p><p><b>telecom</b>: <a href=\"tel:+31-51-34343400\">+31-51-34343400</a></p><p><b>address</b>: Houttuinen 27 Dordrecht 3311 CE NL (WORK)</p></div>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:oid:2.16.528.1.1007.3.3"^^xsd:anyURI ] ;
fhir:value [ fhir:v "564738757" ]
  ] ) ; # 
  fhir:active [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:name [ fhir:v "Anorg Aniza Tion BV / The best custodian ever"] ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "+31-51-34343400" ] ;
fhir:use [ fhir:v "work" ]
  ] ) ; # 
  fhir:address ( [
fhir:use [ fhir:v "work" ] ;
    ( fhir:line [ fhir:v "Houttuinen 27" ] ) ;
fhir:city [ fhir:v "Dordrecht" ] ;
fhir:postalCode [ fhir:v "3311 CE" ] ;
fhir:country [ fhir:v "NL" ]
  ] ) . # 

<urn:uuid:ad84b7a2-b4dd-474e-bef3-0779e6cb595f> a fhir:Condition ;
  fhir:id [ fhir:v "ad84b7a2-b4dd-474e-bef3-0779e6cb595f"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_ad84b7a2-b4dd-474e-bef3-0779e6cb595f\"> </a><p><b>Generated Narrative: Condition</b><a name=\"ad84b7a2-b4dd-474e-bef3-0779e6cb595f\"> </a><a name=\"hcad84b7a2-b4dd-474e-bef3-0779e6cb595f\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Condition &quot;ad84b7a2-b4dd-474e-bef3-0779e6cb595f&quot; </p></div><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/cacceb57-395f-48e1-9c88-e9c9704dc2d2</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#75326-9)</span></p><p><b>severity</b>: Moderate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6751-7)</span></p><p><b>code</b>: Menopausal flushing (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#198436008; <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-icd10.html\">ICD-10</a>#N95.1 &quot;Menopausal and female climacteric states&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_7685713c-e29e-4a75-8a90-45be7ba3be94\">See above (Patient/7685713c-e29e-4a75-8a90-45be7ba3be94)</a></p><p><b>onset</b>: 2015</p><p><b>recordedDate</b>: 2016-10</p></div>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:oid:1.2.3.999"^^xsd:anyURI ] ;
fhir:value [ fhir:v "cacceb57-395f-48e1-9c88-e9c9704dc2d2" ]
  ] ) ; # 
  fhir:clinicalStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ;
fhir:code [ fhir:v "active" ]     ] )
  ] ; # 
  fhir:verificationStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "confirmed" ]     ] )
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
a loinc:75326-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "75326-9" ] ;
fhir:display [ fhir:v "Problem" ]     ] )
  ] ) ; # 
  fhir:severity [
    ( fhir:coding [
a loinc:LA6751-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA6751-7" ] ;
fhir:display [ fhir:v "Moderate" ]     ] )
  ] ; # 
  fhir:code [
    ( fhir:coding [
a sct:198436008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "198436008" ] ;
fhir:display [
fhir:v "Menopausal flushing (finding)" ;
        ( fhir:extension [
          ( fhir:extension [
fhir:url [ fhir:v "lang"^^xsd:anyURI ] ;
fhir:value [ fhir:v "nl-NL" ]           ] [
fhir:url [ fhir:v "content"^^xsd:anyURI ] ;
fhir:value [ fhir:v "opvliegers" ]           ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/translation"^^xsd:anyURI ]         ] )       ]     ] [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10"^^xsd:anyURI ] ;
fhir:code [ fhir:v "N95.1" ] ;
fhir:display [ fhir:v "Menopausal and female climacteric states" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94" ]
  ] ; # 
  fhir:onset [ fhir:v "2015"^^xsd:gYear] ; # 
  fhir:recordedDate [ fhir:v "2016-10"^^xsd:gYearMonth] . # 

<urn:uuid:6e883e5e-7648-485a-86de-3640a61601fe> a fhir:MedicationStatement ;
  fhir:id [ fhir:v "6e883e5e-7648-485a-86de-3640a61601fe"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_6e883e5e-7648-485a-86de-3640a61601fe\"> </a><p><b>Generated Narrative: MedicationStatement</b><a name=\"6e883e5e-7648-485a-86de-3640a61601fe\"> </a><a name=\"hc6e883e5e-7648-485a-86de-3640a61601fe\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationStatement &quot;6e883e5e-7648-485a-86de-3640a61601fe&quot; </p></div><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/8faf0319-89d3-427c-b9d1-e8c8fd390dca</p><p><b>status</b>: active</p><p><b>medication</b>: <a href=\"#Medication_6369a973-afc7-4617-8877-3e9811e05a5b\">See above (Medication/6369a973-afc7-4617-8877-3e9811e05a5b)</a></p><p><b>subject</b>: <a href=\"#Patient_7685713c-e29e-4a75-8a90-45be7ba3be94\">See above (Patient/7685713c-e29e-4a75-8a90-45be7ba3be94)</a></p><p><b>effective</b>: 2015-03 --&gt; (ongoing)</p><blockquote><p><b>dosage</b></p><p><b>timing</b>: Count 1 times, Once</p><p><b>route</b>: Oral use <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (standardterms.edqm.eu#20053000)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:oid:1.2.3.999"^^xsd:anyURI ] ;
fhir:value [ fhir:v "8faf0319-89d3-427c-b9d1-e8c8fd390dca" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:medication [
a fhir:Reference ;
fhir:reference [ fhir:v "Medication/6369a973-afc7-4617-8877-3e9811e05a5b" ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94" ]
  ] ; # 
  fhir:effective [
a fhir:Period ;
fhir:start [ fhir:v "2015-03"^^xsd:gYearMonth ]
  ] ; # 
  fhir:dosage ( [
fhir:timing [
fhir:repeat [
fhir:count [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:periodUnit [ fhir:v "d" ]       ]     ] ;
fhir:route [
      ( fhir:coding [
fhir:system [ fhir:v "http://standardterms.edqm.eu"^^xsd:anyURI ] ;
fhir:code [ fhir:v "20053000" ] ;
fhir:display [ fhir:v "Oral use" ]       ] )     ] ;
    ( fhir:doseAndRate [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ordered" ] ;
fhir:display [ fhir:v "Ordered" ]         ] )       ] ;
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:unit [ fhir:v "tablet" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ]       ]     ] )
  ] ) . # 

<urn:uuid:6369a973-afc7-4617-8877-3e9811e05a5b> a fhir:Medication ;
  fhir:id [ fhir:v "6369a973-afc7-4617-8877-3e9811e05a5b"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_6369a973-afc7-4617-8877-3e9811e05a5b\"> </a><p><b>Generated Narrative: Medication</b><a name=\"6369a973-afc7-4617-8877-3e9811e05a5b\"> </a><a name=\"hc6369a973-afc7-4617-8877-3e9811e05a5b\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Medication &quot;6369a973-afc7-4617-8877-3e9811e05a5b&quot; </p></div><p><b>code</b>: Product containing anastrozole (medicinal product) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#108774000; unknown#99872 &quot;ANASTROZOL 1MG TABLET&quot;; unknown#2076667 &quot;ANASTROZOL CF TABLET FILMOMHULD 1MG&quot;; <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-WC.html\">WHO ATC</a>#L02BG03 &quot;anastrozole&quot;)</span></p></div>"
  ] ; # 
  fhir:code [
    ( fhir:coding [
a sct:108774000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "108774000" ] ;
fhir:display [ fhir:v "Product containing anastrozole (medicinal product)" ]     ] [
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.2.4.4.1"^^xsd:anyURI ] ;
fhir:code [ fhir:v "99872" ] ;
fhir:display [ fhir:v "ANASTROZOL 1MG TABLET" ]     ] [
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.2.4.4.7"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2076667" ] ;
fhir:display [ fhir:v "ANASTROZOL CF TABLET FILMOMHULD 1MG" ]     ] [
fhir:system [ fhir:v "http://www.whocc.no/atc"^^xsd:anyURI ] ;
fhir:code [ fhir:v "L02BG03" ] ;
fhir:display [ fhir:v "anastrozole" ]     ] )
  ] . # 

<urn:uuid:fe2769fd-22c9-4307-9122-ee0466e5aebb> a fhir:AllergyIntolerance ;
  fhir:id [ fhir:v "fe2769fd-22c9-4307-9122-ee0466e5aebb"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_fe2769fd-22c9-4307-9122-ee0466e5aebb\"> </a><p><b>Generated Narrative: AllergyIntolerance</b><a name=\"fe2769fd-22c9-4307-9122-ee0466e5aebb\"> </a><a name=\"hcfe2769fd-22c9-4307-9122-ee0466e5aebb\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource AllergyIntolerance &quot;fe2769fd-22c9-4307-9122-ee0466e5aebb&quot; </p></div><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/8d9566a4-d26d-46be-a3e4-c9f3a0e5cd83</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-allergyintolerance-clinical.html\">AllergyIntolerance Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-allergyintolerance-verification.html\">AllergyIntolerance Verification Status</a>#confirmed)</span></p><p><b>type</b>: allergy</p><p><b>category</b>: medication</p><p><b>criticality</b>: high</p><p><b>code</b>: Substance with penicillin structure and antibacterial mechanism of action (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373270004)</span></p><p><b>patient</b>: <a href=\"#Patient_7685713c-e29e-4a75-8a90-45be7ba3be94\">See above (Patient/7685713c-e29e-4a75-8a90-45be7ba3be94)</a></p><p><b>onset</b>: 2010</p></div>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:oid:1.2.3.999"^^xsd:anyURI ] ;
fhir:value [ fhir:v "8d9566a4-d26d-46be-a3e4-c9f3a0e5cd83" ]
  ] ) ; # 
  fhir:clinicalStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"^^xsd:anyURI ] ;
fhir:code [ fhir:v "active" ]     ] )
  ] ; # 
  fhir:verificationStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"^^xsd:anyURI ] ;
fhir:code [ fhir:v "confirmed" ]     ] )
  ] ; # 
  fhir:type [ fhir:v "allergy"] ; # 
  fhir:category ( [ fhir:v "medication"] ) ; # 
  fhir:criticality [ fhir:v "high"] ; # 
  fhir:code [
    ( fhir:coding [
a sct:373270004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "373270004" ] ;
fhir:display [ fhir:v "Substance with penicillin structure and antibacterial mechanism of action (substance)" ]     ] )
  ] ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/7685713c-e29e-4a75-8a90-45be7ba3be94" ]
  ] ; # 
  fhir:onset [ fhir:v "2010"^^xsd:gYear] . #