International Patient Summary Implementation Guide
2.0.0 - 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 2.0.0 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

: Bundle - IPS with All Sections

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="bundle-ips-all-sections"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"/>
    <security>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
      <code value="N"/>
      <display value="normal"/>
    </security>
  </meta>
  <language value="en"/>
  <identifier>
    <system value="urn:oid:2.16.724.4.8.10.200.10"/>
    <value value="ac7a747c-a2c9-493c-ba39-4ac6997eed1e"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2024-09-21T18:53:00.8116604+00:00"/>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Composition/9c98f78e-f324-4ad5-97a1-8eb9ef9a1172"/>
    <resource>
      <Composition>
        <id value="9c98f78e-f324-4ad5-97a1-8eb9ef9a1172"/>
        <meta>
          <versionId value="1"/>
          <profile
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        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.2.18.7.2"/>
          <value value="ac7a747c-a2c9-493c-ba39-4ac6997eed1e"/>
        </identifier>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="60591-5"/>
            <display value="Patient summary Document"/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <date value="2024-09-13"/>
        <author>
          <reference
                     value="Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
        </author>
        <title value="International Patient Summary"/>
        <confidentiality value="N"/>
        <attester>
          <mode value="professional"/>
          <time value="2024-09-13"/>
          <party>
            <reference
                       value="PractitionerRole/94d12c8d-a3df-47a7-a0bb-0f29d64bafe2"/>
          </party>
        </attester>
        <custodian>
          <reference
                     value="Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
        </custodian>
        <relatesTo>
          <code value="transforms"/>
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            <value value="ac7a747c-a2c9-493c-ba39-4ac6997eed1e"/>
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        <event>
          <code>
            <coding>
              <system
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              <code value="PCPR"/>
            </coding>
          </code>
          <period>
            <end value="2024-09-13"/>
          </period>
        </event>
        <section>
          <title value="Problem List"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="11450-4"/>
              <display value="Problem list - Reported"/>
            </coding>
          </code>
          <text>
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                <valueString value="8039e4a7-d459-454c-92a5-6c17ca2a824b"/>
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              <extension url="data">
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            </extension>
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              <extension url="data">
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            <status value="generated"/>
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          <entry>
            <reference
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          <entry>
            <reference
                       value="Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"/>
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        </section>
        <section>
          <title value="Allergies and Intolerances"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48765-2"/>
              <display value="Allergies and adverse reactions Document"/>
            </coding>
          </code>
          <text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/textLink">
              <extension url="htmlid">
                <valueString value="9838cf73-c30d-4aa5-8ed8-36a079060b81"/>
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              <extension url="data">
                <valueUri
                          value="https://fhir.example.com/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81"/>
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            <status value="generated"/>
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          <entry>
            <reference
                       value="AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81"/>
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        </section>
        <section>
          <title value="Medication Summary"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10160-0"/>
              <display value="History of Medication use Narrative"/>
            </coding>
          </code>
          <text>
            <extension
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                <valueString value="c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"/>
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            <status value="generated"/>
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          <entry>
            <reference
                       value="MedicationStatement/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"/>
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          <entry>
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                       value="MedicationStatement/b8dac343-16d7-49bf-ac36-b15e6726c343"/>
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          <entry>
            <reference
                       value="MedicationStatement/b8e4d4a8-2c18-4f03-88dc-06f5f44f8058"/>
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        </section>
        <section>
          <title value="Immunizations"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="11369-6"/>
              <display value="History of Immunization note"/>
            </coding>
          </code>
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                <valueString value="14e8b0d8-b4e4-4f8e-b263-ef385787453b"/>
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              <extension url="data">
                <valueUri
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              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/textLink">
              <extension url="htmlid">
                <valueString value="47befa30-026c-421a-ad32-c0b134597a30"/>
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                       url="http://hl7.org/fhir/StructureDefinition/textLink">
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            <extension
                       url="http://hl7.org/fhir/StructureDefinition/textLink">
              <extension url="htmlid">
                <valueString value="5b028fb0-bd04-4e75-b2bc-6952771173ea"/>
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              <extension url="data">
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            </extension>
            <status value="generated"/>
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          <entry>
            <reference
                       value="Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce"/>
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          <entry>
            <reference
                       value="Immunization/14e8b0d8-b4e4-4f8e-b263-ef385787453b"/>
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          <entry>
            <reference
                       value="Immunization/2f05b590-ce75-4ac6-be97-c2a275e21cbc"/>
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          <entry>
            <reference
                       value="Immunization/c1d3ccb9-8b7d-4732-8e03-abe63be1984c"/>
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          <entry>
            <reference
                       value="Immunization/79b66c21-fbd3-4c7f-ae82-ac958ae62e0a"/>
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          <entry>
            <reference
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          <entry>
            <reference
                       value="Immunization/5b028fb0-bd04-4e75-b2bc-6952771173ea"/>
          </entry>
        </section>
        <section>
          <title value="Results"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="30954-2"/>
              <display
                       value="Relevant diagnostic tests/laboratory data note"/>
            </coding>
          </code>
          <text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/textLink">
              <extension url="htmlid">
                <valueString value="b0187efd-5f9b-474d-87bc-efebf877449a"/>
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                       url="http://hl7.org/fhir/StructureDefinition/textLink">
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            <extension
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            <extension
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            <extension
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              <extension url="htmlid">
                <valueString value="5d269392-79c1-4129-a142-0cdee6b49ea4"/>
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              <extension url="data">
                <valueUri
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            <status value="generated"/>
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          <entry>
            <reference
                       value="Observation/b0187efd-5f9b-474d-87bc-efebf877449a"/>
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          <entry>
            <reference
                       value="Observation/f40b9e26-93b4-462b-8811-bdd6943873aa"/>
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            <reference
                       value="Observation/5d269392-79c1-4129-a142-0cdee6b49ea4"/>
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        </section>
        <section>
          <title value="History of Procedures"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="47519-4"/>
              <display value="History of Procedures Document"/>
            </coding>
          </code>
          <text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/textLink">
              <extension url="htmlid">
                <valueString value="55f43bcb-9032-46c0-b44b-18330024f9aa"/>
              </extension>
              <extension url="data">
                <valueUri value="https://fhir.example.com/Procedure/39252"/>
              </extension>
            </extension>
            <status value="generated"/>
          </text>
          <entry>
            <reference value="Procedure/39252"/>
          </entry>
        </section>
        <section>
          <title value="Device Use"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="46264-8"/>
              <display value="History of medical device use"/>
            </coding>
          </code>
          <text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/textLink">
              <extension url="htmlid">
                <valueString value="e6ff83e1-4c35-43c6-a40b-d21642262844"/>
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              <extension url="data">
                <valueUri
                          value="https://fhir.example.com/DeviceUseStatement/eumfh-70-275-1"/>
              </extension>
            </extension>
            <status value="generated"/>
          </text>
          <entry>🔗 
            <reference value="DeviceUseStatement/eumfh-70-275-1"/>
          </entry>
        </section>
        <section>
          <title value="Vital Signs"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="8716-3"/>
              <display value="Vital signs note"/>
            </coding>
          </code>
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              <extension url="htmlid">
                <valueString value="36ff59b8-d5a7-438e-b8c6-cd54af10a4af"/>
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            <reference
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        </section>
        <section>
          <title value="Social History"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="29762-2"/>
              <display value="Social history note"/>
            </coding>
          </code>
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            <status value="generated"/>
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        </section>
        <section>
          <title value="Alerts"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="104605-1"/>
              <display value="Alert"/>
            </coding>
          </code>
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            <reference value="Flag/e8ae9c4e-8f5a-4270-bfac-02368c567fcf"/>
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        </section>
        <section>
          <title value="Patient Story"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="81338-6"/>
              <display
                       value="Patient Goals, preferences, and priorities for care experience"/>
            </coding>
          </code>
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            <status value="generated"/>
          </text>
          <entry>
            <reference value="Consent/080d85fa-c807-42d1-a3af-b3ee70858a54"/>
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        <section>
          <title value="Advance Directives"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="42348-3"/>
              <display value="Advance healthcare directives"/>
            </coding>
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            <status value="generated"/>
          </text>
          <entry>
            <reference value="Consent/080d85fa-c807-42d1-a3af-b3ee70858a54"/>
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        </section>
        <section>
          <title value="Functional Status"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="47420-5"/>
              <display value="Functional status assessment note"/>
            </coding>
          </code>
          <text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/textLink">
              <extension url="htmlid">
                <valueString value="4f3d8f79-2f96-48c5-b346-d47f0c66c981"/>
              </extension>
              <extension url="data">
                <valueUri
                          value="https://fhir.example.com/Condition/4f3d8f79-2f96-48c5-b346-d47f0c66c981"/>
              </extension>
            </extension>
            <status value="generated"/>
          </text>
          <entry>
            <reference
                       value="Condition/4f3d8f79-2f96-48c5-b346-d47f0c66c981"/>
          </entry>
        </section>
        <section>
          <title value="History of Past Problems"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="11348-0"/>
              <display value="History of Past illness note"/>
            </coding>
          </code>
          <text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/textLink">
              <extension url="htmlid">
                <valueString value="77efacd9-b5a6-4b35-9764-269017ea7567"/>
              </extension>
              <extension url="data">
                <valueUri
                          value="https://fhir.example.com/Condition/77efacd9-b5a6-4b35-9764-269017ea7567"/>
              </extension>
            </extension>
            <status value="generated"/>
          </text>
          <entry>
            <reference
                       value="Condition/77efacd9-b5a6-4b35-9764-269017ea7567"/>
          </entry>
        </section>
        <section>
          <title value="History of Pregnancy"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10162-6"/>
              <display value="History of pregnancies Narrative"/>
            </coding>
          </code>
          <text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/textLink">
              <extension url="htmlid">
                <valueString value="f241ac65-5eab-49a0-8b92-7fb263274110"/>
              </extension>
              <extension url="data">
                <valueUri
                          value="https://fhir.example.com/Observation/f241ac65-5eab-49a0-8b92-7fb263274110"/>
              </extension>
            </extension>
            <status value="generated"/>
          </text>
          <entry>
            <reference
                       value="Observation/f241ac65-5eab-49a0-8b92-7fb263274110"/>
          </entry>
        </section>
        <section>
          <title value="Plan of Care"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="18776-5"/>
              <display value="Plan of care note"/>
            </coding>
          </code>
          <text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/textLink">
              <extension url="htmlid">
                <valueString value="85d57ac7-ea2d-47cf-b019-b867f876ee7c"/>
              </extension>
              <extension url="data">
                <valueUri
                          value="https://fhir.example.com/CarePlan/85d57ac7-ea2d-47cf-b019-b867f876ee7c"/>
              </extension>
            </extension>
            <status value="generated"/>
          </text>
          <entry>
            <reference value="CarePlan/85d57ac7-ea2d-47cf-b019-b867f876ee7c"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
    <resource>
      <Patient>
        <id value="d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <identifier>
          <system value="https://standards.digital.health.nz/ns/nhi-id"/>
          <value value="ABC1234"/>
        </identifier>
        <name>
          <use value="usual"/>
          <family value="JORDANA"/>
          <given value="Patricia"/>
        </name>
        <telecom>
          <system value="other"/>
          <value value="+1234567890"/>
          <use value="mobile"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1956-09-30"/>
        <address>
          <use value="home"/>
          <type value="physical"/>
          <line value="3"/>
          <line value="Worcester Drive"/>
          <line value="Rototuna North"/>
          <city value="Hamilton"/>
          <postalCode value="3210"/>
        </address>
        <maritalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
            <code value="M"/>
            <display value="Married"/>
          </coding>
        </maritalStatus>
        <contact>
          <relationship>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
              <code value="C"/>
              <display value="Emergency Contact"/>
            </coding>
          </relationship>
          <name>
            <use value="usual"/>
            <family value="JORDANA"/>
            <given value="Vincent"/>
            <given value="JORDANA"/>
          </name>
          <telecom>
            <system value="phone"/>
            <value value="21884820"/>
            <use value="mobile"/>
          </telecom>
          <telecom>
            <system value="phone"/>
            <value value="853 3279"/>
            <use value="work"/>
          </telecom>
          <address>
            <use value="home"/>
            <type value="physical"/>
            <line value="3 Worcester Drive"/>
            <line value="Rototuna North"/>
            <city value="Hamilton"/>
          </address>
        </contact>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
    <resource>
      <Organization>
        <id value="7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <identifier>
          <system
                  value="https://standards.digital.health.nz/ns/hpi-facility-id"/>
          <value value="F2N000"/>
        </identifier>
        <name value="NorthCare Pukete Road-Thomas Road"/>
        <partOf>
          <reference
                     value="Organization/8f8635dc-694e-408f-8ffe-1610d50f9823"/>
        </partOf>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Organization/8f8635dc-694e-408f-8ffe-1610d50f9823"/>
    <resource>
      <Organization>
        <id value="8f8635dc-694e-408f-8ffe-1610d50f9823"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <identifier>
          <system
                  value="https://standards.digital.health.nz/ns/hpi-facility-id"/>
          <value value="F2N001"/>
        </identifier>
        <name value="NorthCare Health System"/>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/PractitionerRole/94d12c8d-a3df-47a7-a0bb-0f29d64bafe2"/>
    <resource>
      <PractitionerRole>
        <id value="94d12c8d-a3df-47a7-a0bb-0f29d64bafe2"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <practitioner>
          <reference
                     value="Practitioner/816cf057-b736-4e08-baed-cc21e081b784"/>
        </practitioner>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="158965000"/>
            <display value="Doctor"/>
          </coding>
        </code>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Practitioner/816cf057-b736-4e08-baed-cc21e081b784"/>
    <resource>
      <Practitioner>
        <id value="816cf057-b736-4e08-baed-cc21e081b784"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <name>
          <use value="usual"/>
          <family value="COORAY"/>
          <given value="HASHIRA"/>
          <given value="COORAY"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="07 850 9900"/>
          <use value="work"/>
        </telecom>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81"/>
    <resource>
      <AllergyIntolerance>
        <id value="9838cf73-c30d-4aa5-8ed8-36a079060b81"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
            <code value="confirmed"/>
          </coding>
        </verificationStatus>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="764146007"/>
            <display value="Penicillin"/>
          </coding>
          <coding>
            <system value="http://www.whocc.no/atc"/>
            <code value="J01CA"/>
            <display value="Penicillins with extended spectrum"/>
          </coding>
        </code>
        <patient>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </patient>
      </AllergyIntolerance>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b"/>
    <resource>
      <Condition>
        <id value="8039e4a7-d459-454c-92a5-6c17ca2a824b"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
          </coding>
        </verificationStatus>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="59621000"/>
            <display value="Essential hypertension"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <onsetDateTime value="2016-05-25"/>
        <recordedDate value="2016-05-25"/>
        <asserter>
          <reference
                     value="Practitioner/816cf057-b736-4e08-baed-cc21e081b784"/>
        </asserter>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"/>
    <resource>
      <Condition>
        <id value="f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
          </coding>
        </verificationStatus>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="90560007"/>
            <display value="Gout"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <onsetDateTime value="2016-05-25"/>
        <recordedDate value="2020-10-01"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/MedicationStatement/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"/>
    <resource>
      <MedicationStatement>
        <id value="c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="stopped"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="318913001"/>
            <display
                     value="Product containing cilazapril (medicinal product)"/>
          </coding>
          <text value="cilazapril 500 microgram tablet, 90"/>
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2023-12-01"/>
        <informationSource>
          <reference
                     value="Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
        </informationSource>
        <dosage>
          <text value="Take 1 daily"/>
          <doseAndRate>
            <doseQuantity>
              <value value="1"/>
              <unit value="tablet"/>
              <system value="http://snomed.info/sct"/>
              <code value="428673006"/>
            </doseQuantity>
          </doseAndRate>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/MedicationStatement/b8dac343-16d7-49bf-ac36-b15e6726c343"/>
    <resource>
      <MedicationStatement>
        <id value="b8dac343-16d7-49bf-ac36-b15e6726c343"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="active"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="108575001"/>
            <display
                     value="Product containing lisinopril (medicinal product)"/>
          </coding>
          <text value="lisinopril 5 mg tablet"/>
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2024-08-13"/>
        <informationSource>
          <reference
                     value="Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
        </informationSource>
        <dosage>
          <text value="Take One tablet once daily"/>
          <timing>
            <repeat>
              <frequency value="1"/>
              <period value="1"/>
              <periodUnit value="d"/>
            </repeat>
          </timing>
          <route>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
              <code value="PO"/>
              <display value="Swallow, oral"/>
            </coding>
          </route>
          <doseAndRate>
            <doseQuantity>
              <value value="1"/>
              <unit value="tablet"/>
              <system value="http://snomed.info/sct"/>
              <code value="428673006"/>
            </doseQuantity>
          </doseAndRate>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/MedicationStatement/b8e4d4a8-2c18-4f03-88dc-06f5f44f8058"/>
    <resource>
      <MedicationStatement>
        <id value="b8e4d4a8-2c18-4f03-88dc-06f5f44f8058"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="active"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.whocc.no/atc"/>
            <code value="C05AA08"/>
            <display value="Fluocortolone"/>
          </coding>
          <text
                value="Ultraproct - cinchocaine 0.5% (5 mg/g) + fluocortolone hexanoate 0.095% (945 microgram/g) + fluocortolone pivalate 0.092% (918 microgram/g) ointment"/>
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2024-08-30"/>
        <informationSource>
          <reference
                     value="Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
        </informationSource>
        <dosage>
          <text
                value="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 value="1"/>
              <unit value="ointment"/>
              <system value="http://snomed.info/sct"/>
              <code value="385101003"/>
            </doseQuantity>
          </doseAndRate>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce"/>
    <resource>
      <Immunization>
        <id value="17b5a6d7-307b-4726-8c8c-0031e61582ce"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="completed"/>
        <vaccineCode>
          <coding>
            <system value="http://hl7.org/fhir/sid/cvx"/>
            <code value="141"/>
            <display value="Influenza, split virus, trivalent, preservative"/>
          </coding>
        </vaccineCode>
        <patient>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </patient>
        <occurrenceDateTime value="2024-04-10"/>
        <lotNumber value="H06"/>
        <site>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="16217701000119102"/>
            <display value="Structure of left deltoid muscle"/>
          </coding>
        </site>
        <route>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
            <code value="IM"/>
            <display value="Injection, intramuscular"/>
          </coding>
        </route>
        <performer>
          <actor>
            <reference
                       value="Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
          </actor>
        </performer>
        <protocolApplied>
          <series value="1 (Over 65 years (Influenza))"/>
          <doseNumberPositiveInt value="1"/>
        </protocolApplied>
      </Immunization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Immunization/14e8b0d8-b4e4-4f8e-b263-ef385787453b"/>
    <resource>
      <Immunization>
        <id value="14e8b0d8-b4e4-4f8e-b263-ef385787453b"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="completed"/>
        <vaccineCode>
          <coding>
            <system value="http://hl7.org/fhir/sid/cvx"/>
            <code value="300"/>
            <display
                     value="COVID-19, mRNA, LNP-S, bivalent, PF, 30 mcg/0.3 mL dose"/>
          </coding>
        </vaccineCode>
        <patient>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </patient>
        <occurrenceDateTime value="2024-02-18"/>
        <lotNumber value="GK3908-068"/>
        <route>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
            <code value="IM"/>
            <display value="Injection, intramuscular"/>
          </coding>
        </route>
        <performer>
          <actor>
            <reference
                       value="Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
          </actor>
        </performer>
        <protocolApplied>
          <series value="6 (Booster or Extra dose)"/>
          <doseNumberPositiveInt value="5"/>
        </protocolApplied>
      </Immunization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Immunization/47befa30-026c-421a-ad32-c0b134597a30"/>
    <resource>
      <Immunization>
        <id value="47befa30-026c-421a-ad32-c0b134597a30"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="completed"/>
        <vaccineCode>
          <coding>
            <system value="http://hl7.org/fhir/sid/cvx"/>
            <code value="141"/>
            <display value="Influenza, split virus, trivalent, preservative"/>
          </coding>
        </vaccineCode>
        <patient>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </patient>
        <occurrenceDateTime value="2023-04-12"/>
        <lotNumber value="358899"/>
        <site>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="16217661000119109"/>
            <display value="Structure of right deltoid muscle"/>
          </coding>
        </site>
        <route>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
            <code value="IM"/>
            <display value="Injection, intramuscular"/>
          </coding>
        </route>
        <performer>
          <actor>
            <reference
                       value="Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
          </actor>
        </performer>
        <protocolApplied>
          <series value="1 (Over 65 years (Influenza))"/>
          <doseNumberPositiveInt value="1"/>
        </protocolApplied>
      </Immunization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Immunization/2f05b590-ce75-4ac6-be97-c2a275e21cbc"/>
    <resource>
      <Immunization>
        <id value="2f05b590-ce75-4ac6-be97-c2a275e21cbc"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="completed"/>
        <vaccineCode>
          <coding>
            <system value="http://hl7.org/fhir/sid/cvx"/>
            <code value="208"/>
            <display value="COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose"/>
          </coding>
        </vaccineCode>
        <patient>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </patient>
        <occurrenceDateTime value="2022-08-01"/>
        <lotNumber value="PCB0008-07"/>
        <site>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="16217701000119102"/>
            <display value="Structure of left deltoid muscle"/>
          </coding>
        </site>
        <route>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
            <code value="IM"/>
            <display value="Injection, intramuscular"/>
          </coding>
        </route>
        <performer>
          <actor>
            <reference
                       value="Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
          </actor>
        </performer>
        <protocolApplied>
          <series value="12 (At risk, no previous history)"/>
          <doseNumberPositiveInt value="4"/>
        </protocolApplied>
      </Immunization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Immunization/c1d3ccb9-8b7d-4732-8e03-abe63be1984c"/>
    <resource>
      <Immunization>
        <id value="c1d3ccb9-8b7d-4732-8e03-abe63be1984c"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="completed"/>
        <vaccineCode>
          <coding>
            <system value="http://hl7.org/fhir/sid/cvx"/>
            <code value="121"/>
            <display value="zoster live"/>
          </coding>
        </vaccineCode>
        <patient>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </patient>
        <occurrenceDateTime value="2022-07-13"/>
        <lotNumber value="U021248"/>
        <site>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="72098002"/>
            <display value="Entire left upper arm"/>
          </coding>
        </site>
        <route>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
            <code value="IM"/>
            <display value="Injection, intramuscular"/>
          </coding>
        </route>
        <performer>
          <actor>
            <reference
                       value="Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
          </actor>
        </performer>
        <protocolApplied>
          <series value="65Y (65 years)"/>
          <doseNumberPositiveInt value="1"/>
        </protocolApplied>
      </Immunization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Immunization/79b66c21-fbd3-4c7f-ae82-ac958ae62e0a"/>
    <resource>
      <Immunization>
        <id value="79b66c21-fbd3-4c7f-ae82-ac958ae62e0a"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="completed"/>
        <vaccineCode>
          <coding>
            <system value="http://hl7.org/fhir/sid/cvx"/>
            <code value="208"/>
            <display value="COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose"/>
          </coding>
        </vaccineCode>
        <patient>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </patient>
        <occurrenceDateTime value="2022-01-13"/>
        <lotNumber value="FL1072-025"/>
        <route>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
            <code value="IM"/>
            <display value="Injection, intramuscular"/>
          </coding>
        </route>
        <performer>
          <actor>
            <reference
                       value="Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
          </actor>
        </performer>
        <protocolApplied>
          <series value="12 (At risk, no previous history)"/>
          <doseNumberPositiveInt value="3"/>
        </protocolApplied>
      </Immunization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Immunization/9910b96a-793b-4e96-91a9-291c27357f83"/>
    <resource>
      <Immunization>
        <id value="9910b96a-793b-4e96-91a9-291c27357f83"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="completed"/>
        <vaccineCode>
          <coding>
            <system value="http://hl7.org/fhir/sid/cvx"/>
            <code value="208"/>
            <display value="COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose"/>
          </coding>
        </vaccineCode>
        <patient>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </patient>
        <occurrenceDateTime value="2021-08-27"/>
        <lotNumber value="FE8163-007"/>
        <site>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="16217701000119102"/>
            <display value="Structure of left deltoid muscle"/>
          </coding>
        </site>
        <route>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
            <code value="IM"/>
            <display value="Injection, intramuscular"/>
          </coding>
        </route>
        <performer>
          <actor>
            <reference
                       value="Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
          </actor>
        </performer>
        <protocolApplied>
          <series value="12 (At risk, no previous history)"/>
          <doseNumberPositiveInt value="2"/>
        </protocolApplied>
      </Immunization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Immunization/5b028fb0-bd04-4e75-b2bc-6952771173ea"/>
    <resource>
      <Immunization>
        <id value="5b028fb0-bd04-4e75-b2bc-6952771173ea"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="completed"/>
        <vaccineCode>
          <coding>
            <system value="http://hl7.org/fhir/sid/cvx"/>
            <code value="208"/>
            <display value="COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose"/>
          </coding>
        </vaccineCode>
        <patient>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </patient>
        <occurrenceDateTime value="2021-08-05"/>
        <lotNumber value="FF8871-001"/>
        <site>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="16217701000119102"/>
            <display value="Structure of left deltoid muscle"/>
          </coding>
        </site>
        <route>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"/>
            <code value="IM"/>
            <display value="Injection, intramuscular"/>
          </coding>
        </route>
        <performer>
          <actor>
            <reference
                       value="Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"/>
          </actor>
        </performer>
        <protocolApplied>
          <series value="12 (At risk, no previous history)"/>
          <doseNumberPositiveInt value="1"/>
        </protocolApplied>
      </Immunization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Observation/b0187efd-5f9b-474d-87bc-efebf877449a"/>
    <resource>
      <Observation>
        <id value="b0187efd-5f9b-474d-87bc-efebf877449a"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="32309-7"/>
            <display
                     value="Cholesterol.total/Cholesterol in HDL [Molar ratio] in Serum or Plasma"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2023-10-31T15:06:00+00:00"/>
        <performer>
          <reference
                     value="PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743"/>
        </performer>
        <valueQuantity>
          <value value="4.1"/>
          <unit value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <note>
          <text value="Incr chol 5.7, LDL 3.6, HDL 1.39"/>
        </note>
        <referenceRange>
          <text value="NA"/>
        </referenceRange>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Observation/f40b9e26-93b4-462b-8811-bdd6943873aa"/>
    <resource>
      <Observation>
        <id value="f40b9e26-93b4-462b-8811-bdd6943873aa"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="49062-3"/>
            <display value="Lipid risk factors [Finding]"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2023-10-31T15:06:00+00:00"/>
        <performer>
          <reference
                     value="PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743"/>
        </performer>
        <valueString
                     value="A combined CVD risk of which lipids is one component should be estimated to guide CVD risk management decisions. If lipid modifying medication is considered suggest checking first for treatable secondary causes of dyslipidaemia."/>
        <note>
          <text value="Incr chol 5.7, LDL 3.6, HDL 1.39"/>
        </note>
        <referenceRange>
          <text value="NA"/>
        </referenceRange>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Observation/612b7e6a-c902-45cb-b45c-d1894458a26b"/>
    <resource>
      <Observation>
        <id value="612b7e6a-c902-45cb-b45c-d1894458a26b"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="39469-2"/>
            <display
                     value="Cholesterol in LDL [Moles/volume] in Serum or Plasma by calculation"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2023-10-31T15:06:00+00:00"/>
        <performer>
          <reference
                     value="PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743"/>
        </performer>
        <valueQuantity>
          <value value="3.6"/>
          <unit value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <note>
          <text value="Incr chol 5.7, LDL 3.6, HDL 1.39"/>
        </note>
        <referenceRange>
          <text value="NA"/>
        </referenceRange>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Observation/15bd8c0c-fa53-4f5b-994b-487c7db3dc78"/>
    <resource>
      <Observation>
        <id value="15bd8c0c-fa53-4f5b-994b-487c7db3dc78"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="14927-8"/>
            <display value="Triglyceride [Moles/volume] in Serum or Plasma"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2023-10-31T15:06:00+00:00"/>
        <performer>
          <reference
                     value="PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743"/>
        </performer>
        <valueQuantity>
          <value value="1.7"/>
          <unit value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <note>
          <text value="Incr chol 5.7, LDL 3.6, HDL 1.39"/>
        </note>
        <referenceRange>
          <text value="NA"/>
        </referenceRange>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Observation/5019909f-097d-4a43-84d9-cc50143b8c82"/>
    <resource>
      <Observation>
        <id value="5019909f-097d-4a43-84d9-cc50143b8c82"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="14647-2"/>
            <display value="Cholesterol [Moles/volume] in Serum or Plasma"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2023-10-31T15:06:00+00:00"/>
        <performer>
          <reference
                     value="PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743"/>
        </performer>
        <valueQuantity>
          <value value="5.7"/>
          <unit value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <note>
          <text value="Incr chol 5.7, LDL 3.6, HDL 1.39"/>
        </note>
        <referenceRange>
          <text value="NA"/>
        </referenceRange>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Observation/5d269392-79c1-4129-a142-0cdee6b49ea4"/>
    <resource>
      <Observation>
        <id value="5d269392-79c1-4129-a142-0cdee6b49ea4"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="14646-4"/>
            <display
                     value="Cholesterol in HDL [Moles/volume] in Serum or Plasma"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2023-10-31T15:06:00+00:00"/>
        <performer>
          <reference
                     value="PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743"/>
        </performer>
        <valueQuantity>
          <value value="1.39"/>
          <unit value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <note>
          <text value="Incr chol 5.7, LDL 3.6, HDL 1.39"/>
        </note>
        <referenceRange>
          <text value="NA"/>
        </referenceRange>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Observation/36ff59b8-d5a7-438e-b8c6-cd54af10a4af"/>
    <resource>
      <Observation>
        <id value="36ff59b8-d5a7-438e-b8c6-cd54af10a4af"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29463-7"/>
            <display value="Body weight"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2024-04-10T09:58:00+00:00"/>
        <performer>
          <reference
                     value="PractitionerRole/94d12c8d-a3df-47a7-a0bb-0f29d64bafe2"/>
        </performer>
        <valueQuantity>
          <value value="91.5"/>
          <unit value="kg"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="kg"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Observation/96e33a60-dbd8-47ce-b613-be954243939e"/>
    <resource>
      <Observation>
        <id value="96e33a60-dbd8-47ce-b613-be954243939e"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="39156-5"/>
            <display value="Body mass index (BMI) [Ratio]"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2024-04-10T09:58:00+00:00"/>
        <performer>
          <reference
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        </performer>
        <valueQuantity>
          <value value="24.56"/>
          <unit value="kg/m2"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="kg/m2"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Observation/4ea539e1-fff9-4f56-964f-650d9e69ce58"/>
    <resource>
      <Observation>
        <id value="4ea539e1-fff9-4f56-964f-650d9e69ce58"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="85354-9"/>
            <display value="Blood pressure panel with all children optional"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2024-08-30T08:32:00+00:00"/>
        <performer>
          <reference
                     value="PractitionerRole/94d12c8d-a3df-47a7-a0bb-0f29d64bafe2"/>
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="8480-6"/>
              <display value="Systolic blood pressure"/>
            </coding>
          </code>
          <valueQuantity>
            <value value="140"/>
            <unit value="mmHg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mm[Hg]"/>
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="8462-4"/>
              <display value="Diastolic blood pressure"/>
            </coding>
          </code>
          <valueQuantity>
            <value value="80"/>
            <unit value="mmHg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mm[Hg]"/>
          </valueQuantity>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Observation/9f906425-8c18-4580-ab30-61a56d7f4c05"/>
    <resource>
      <Observation>
        <id value="9f906425-8c18-4580-ab30-61a56d7f4c05"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="social-history"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="72166-2"/>
            <display value="Tobacco smoking status"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2022-10-20"/>
        <performer>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA18978-9"/>
            <display value="Never smoker"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Observation/e2e3f8aa-df2a-4357-b01f-a9fba6bb9b41"/>
    <resource>
      <Observation>
        <id value="e2e3f8aa-df2a-4357-b01f-a9fba6bb9b41"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="social-history"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="74013-4"/>
            <display value="Alcoholic drinks per day"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2016-06-22"/>
        <performer>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </performer>
        <valueQuantity>
          <value value="1"/>
          <unit value="d"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="d"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743"/>
    <resource>
      <PractitionerRole>
        <id value="75ed6f24-9a7e-4568-9c05-91b6d4786743"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="81464008"/>
            <display value="Clinical pathologist"/>
          </coding>
        </code>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Flag/e8ae9c4e-8f5a-4270-bfac-02368c567fcf"/>
    <resource>
      <Flag>
        <id value="e8ae9c4e-8f5a-4270-bfac-02368c567fcf"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="active"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/flag-category"/>
            <code value="diet"/>
            <display value="Diet"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1255002008"/>
            <display value="Shellfish free diet"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
      </Flag>
    </resource>
  </entry>
  <entry>
    <fullUrl value="https://fhir.example.com/Procedure/39252"/>
    <resource>
      <Procedure>
        <id value="39252"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="completed"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="52734007"/>
            <display value="Total hip replacement"/>
          </coding>
          <text value="Total hip replacement"/>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <performedDateTime value="2000-04-28"/>
      </Procedure>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/DeviceUseStatement/eumfh-70-275-1"/>
    <resource>
      <DeviceUseStatement>
        <id value="eumfh-70-275-1"/>
        <language value="en"/>
        <text>
          <status value="extensions"/>
        </text>
        <status value="active"/>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <timingDateTime>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
            <valueCode value="unknown"/>
          </extension>
        </timingDateTime>
        <device>
          <reference value="Device/eumfh-70-275-2"/>
          <display value="Hip prosthesis"/>
        </device>
      </DeviceUseStatement>
    </resource>
  </entry>
  <entry>
    <fullUrl value="https://fhir.example.com/Device/eumfh-70-275-2"/>
    <resource>
      <Device>
        <id value="eumfh-70-275-2"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="67270000"/>
            <display value="Hip prosthesis, device (physical object)"/>
          </coding>
        </type>
      </Device>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Consent/080d85fa-c807-42d1-a3af-b3ee70858a54"/>
    <resource>
      <Consent>
        <id value="080d85fa-c807-42d1-a3af-b3ee70858a54"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="active"/>
        <scope>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/consentscope"/>
            <code value="treatment"/>
            <display value="Treatment"/>
          </coding>
        </scope>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/consentcategorycodes"/>
            <code value="dnr"/>
            <display value="Do Not Resuscitate"/>
          </coding>
        </category>
        <patient>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </patient>
        <dateTime value="2021-09-01"/>
        <sourceReference>
          <reference value="DocumentReference/advance-directive-123"/>
        </sourceReference>
        <policyRule>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/consentpolicycodes"/>
            <code value="cric"/>
          </coding>
        </policyRule>
        <provision>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="304253006"/>
              <display value="Not for resuscitation"/>
            </coding>
          </code>
        </provision>
      </Consent>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/DocumentReference/advance-directive-123"/>
    <resource>
      <DocumentReference>
        <id value="advance-directive-123"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="current"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="75310-3"/>
            <display value="Health concerns Document"/>
          </coding>
          <coding>
            <system value="http://loinc.org"/>
            <code value="55188-7"/>
            <display value="Patient data Document"/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <date value="2025-08-01T10:00:00Z"/>
        <content>
          <attachment>
            <contentType value="application/pdf"/>
            <url
                 value="https://fhir.example.com/DocumentReference/advance-directive-123/content"/>
            <title value="Advance Directive Document"/>
          </attachment>
        </content>
      </DocumentReference>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Condition/4f3d8f79-2f96-48c5-b346-d47f0c66c981"/>
    <resource>
      <Condition>
        <id value="4f3d8f79-2f96-48c5-b346-d47f0c66c981"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
          </coding>
        </verificationStatus>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="82971005"/>
            <display value="Impaired Mobility"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <onsetDateTime value="2016-05-25"/>
        <recordedDate value="2016-05-25"/>
        <asserter>
          <reference
                     value="Practitioner/816cf057-b736-4e08-baed-cc21e081b784"/>
        </asserter>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Condition/77efacd9-b5a6-4b35-9764-269017ea7567"/>
    <resource>
      <Condition>
        <id value="77efacd9-b5a6-4b35-9764-269017ea7567"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="resolved"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
          </coding>
        </verificationStatus>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="386661006"/>
            <display value="Fever"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <onsetDateTime value="2013-05-25"/>
        <recordedDate value="2016-05-25"/>
        <asserter>
          <reference
                     value="Practitioner/816cf057-b736-4e08-baed-cc21e081b784"/>
        </asserter>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/CarePlan/85d57ac7-ea2d-47cf-b019-b867f876ee7c"/>
    <resource>
      <CarePlan>
        <id value="85d57ac7-ea2d-47cf-b019-b867f876ee7c"/>
        <language value="en"/>
        <text>
          <status value="additional"/>
        </text>
        <basedOn>
          <display value="Management of Hypertension"/>
        </basedOn>
        <replaces>
          <display value="Plan from urgent care clinic"/>
        </replaces>
        <partOf>
          <display value="Overall wellness plan"/>
        </partOf>
        <status value="active"/>
        <intent value="plan"/>
        <category>
          <text value="Weight management plan"/>
        </category>
        <description value="Manage obesity and weight loss"/>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <period>
          <end value="2017-06-01"/>
        </period>
        <created value="2016-01-01"/>
        <activity>
          <outcomeCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="262285001"/>
              <display value="Weight decreased"/>
            </coding>
          </outcomeCodeableConcept>
          <detail>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="3141-9"/>
                <display value="Weight Measured"/>
              </coding>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="27113001"/>
                <display value="Body weight"/>
              </coding>
            </code>
            <status value="completed"/>
            <statusReason>
              <text value="Achieved weight loss to mitigate diabetes risk."/>
            </statusReason>
            <doNotPerform value="false"/>
            <scheduledTiming>
              <repeat>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
              </repeat>
            </scheduledTiming>
            <location>
              <display value="Patient's home"/>
            </location>
          </detail>
        </activity>
      </CarePlan>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://fhir.example.com/Observation/f241ac65-5eab-49a0-8b92-7fb263274110"/>
    <resource>
      <Observation>
        <id value="f241ac65-5eab-49a0-8b92-7fb263274110"/>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="82810-3"/>
            <display value="Pregnancy status"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"/>
        </subject>
        <effectiveDateTime value="2020-01-10"/>
        <performer>
          <reference
                     value="Practitioner/816cf057-b736-4e08-baed-cc21e081b784"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="60001007"/>
            <display value="Not Pregnant"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
</Bundle>