Australian Digital Health Agency FHIR Implementation Guide
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Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions

: Pharmacist Shared Medicines List Document Bundle for Mrs Bonny Goodwin - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "psml-01-doc",
  "meta" : {
    "lastUpdated" : "2019-08-12T10:30:00+10:00",
    "profile" : [
      🔗 "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-document-1"🔗 ,
      "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bundle-core-1"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:a1446554-f351-47b0-86f0-10baedadac60"
  },
  "type" : "document",
  "timestamp" : "2019-08-12T10:30:00+10:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:fbb76e2c-62d9-40d9-bab3-00bd389b1913",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "fbb76e2c-62d9-40d9-bab3-00bd389b1913",
        "meta" : {
          "versionId" : "20190812v01",
          "profile" : [
            🔗 "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-document-1"
          ]
        },
        "language" : "en-AU",
        "text" : // WORKAROUND: The contents of Composition.text are a workaround to enable the tooling used to generate this implementation guide
                to generate a human friendly rendering instead of forcing the reader to refer to XML or JSON format to view the full example narrative.
                The contents below is not consistent with good or recommended practice. 
        {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                        <h2>Pharmacist Shared Medicines List</h2>\n                        <ul>\n                            <li>Date: 12/08/2019</li>\n                            <li>Status: final</li>\n                        </ul>\n                        <h3>Patient details</h3>\n                        <ul>\n                            <li>Mrs Bonny Goodwin</li>\n                            <li>Contact: (08) 5550 1234 (home phone); 0491 570 006 (mobile)</li>\n                            <li>Female</li>\n                            <li>Married</li>\n                            <li>DOB: 13 November 1986</li>\n                            <li>IHI: 8003608000228445</li>\n                            <li>Medicare number: 3951032981</li>\n                        </ul>\n                        <h3>Author details</h3>\n                        <ul>\n                            <li>Pharmacist</li>\n                            <li>HPI-I: 8003619900041630</li>\n                        </ul>\n                        <h3>Attester details</h3>\n                        <ul>\n                            <li>Pharmacist</li>\n                            <li>HPI-I: 8003619900041630</li>\n                            <li>Time: 02 Dec 2019 10:00 AM</li>\n                        </ul>\n                        <h3>General Practitioner</h3>\n                        <ul>\n                            <li>Dr. A. G. Practitioner</li>\n                        </ul>\n                        <h3>Allergies and Intolerances</h3>\n                        <p>No known allergies</p>\n\n                        <h3>Encounter Details</h3>\n                        <p>Medicines review: 12 Aug 2019 09:00 AM to 12 Aug 2019 10:30 AM</p>\n\n                        <h3>Current Medicines</h3>\n                        <table border=\"1\">\n                            <caption>Current medicines</caption>\n                            <thead>\n                                <tr>\n                                    <th>Medicine</th>\n                                    <th>Medicine brand name</th>\n                                    <th>Directions</th>\n                                    <th>Purpose</th>\n                                    <th>Status</th>\n                                    <th>Status reason</th>\n                                </tr>\n                            </thead>\n                            <tbody>\n                                <tr>\n                                    <td/>\n                                    <td>Tritace</td>\n                                    <td>Take one tablet in the morning daily.</td>\n                                    <td>To reduce high blood pressure; treat heart failure after a\n                                        heart attack; prevent progression of kidney failure; reduce\n                                        the risk of heart attack, stroke and stenting</td>\n                                    <td>Unchanged</td>\n                                    <td/>\n                                </tr>\n                                <tr>\n                                    <td>docusate sodium 50 mg + sennoside B 8 mg tablet</td>\n                                    <td>Co-Senna</td>\n                                    <td>Take two tablets twice a day.</td>\n                                    <td>Laxative for constipation, works by softening the stools and\n                                        also assists by stimulating the gut to achieve bowel\n                                        movements.</td>\n                                    <td>New</td>\n                                    <td>Laxative for constipation.</td>\n                                </tr>\n                                <tr>\n                                    <td>Oxycodone</td>\n                                    <td>Endone</td>\n                                    <td>Take one to two tablets every four hours when required.</td>\n                                    <td>For relief of moderate to severe pain.</td>\n                                    <td>Amended</td>\n                                    <td>Dose increased</td>\n                                </tr>\n                            </tbody>\n                        </table>\n                    </div>"
        },
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:c17ed9f8-228e-424b-9235-a98ac80d2756"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "56445-0"
            }
          ],
          "text" : "Pharmacist Shared Medicines List"
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "56445-0"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "urn:uuid:d4b652b9-ac4b-41f0-93f3-7f40b24b16d3",
          "identifier" : //  logical reference to Patient 
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NI"
                }
              ],
              "text" : "IHI"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
            "value" : "8003608000228445"
          }
        },
        "encounter" : {
          "reference" : "urn:uuid:f168de08-0068-4e8b-917d-c7b84dcafbf6"
        },
        "date" : "2019-08-12",
        "author" : [
          {
            "identifier" : //  logical reference to PractitionerRole 
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "NPI",
                    "display" : "National provider identifier"
                  }
                ],
                "text" : "HPI-I"
              },
              "system" : "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
              "value" : "8003619900041630"
            }
          }
        ],
        "title" : "Shared Medicines List",
        "attester" : [
          {
            "mode" : "legal",
            "time" : "2019-09-02T10:00:15+10:00",
            "party" : {
              "identifier" : //  logical reference to PractitionerRole 
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "NPI",
                      "display" : "National provider identifier"
                    }
                  ],
                  "text" : "HPI-I"
                },
                "system" : "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
                "value" : "8003619900041630"
              }
            }
          }
        ],
        "custodian" : {
          "identifier" : //  logical reference to Organization 
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
                  "code" : "NOI"
                }
              ],
              "text" : "HPI-O"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/hpio/1.0",
            "value" : "8003623233366573"
          }
        },
        "section" : [
          {
            "title" : "Allergies and Intolerances",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48765-2"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-AU\">\n                            <p>No known allergies</p>\n                        </div>"
            },
            "entry" : [
              {
                "reference" : "urn:uuid:9e146d18-06c8-4906-a8dd-09aa11941a72"
              }
            ]
          },
          {
            "title" : "Current Medicines",
            "code" : {
              "coding" : [
                {
                  "system" : "https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1",
                  "code" : "101.32009",
                  "display" : "Current Medicines"
                }
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-AU\">\n                            <table border=\"1\">\n                                <caption>Current Medicines</caption>\n                                <thead>\n                                    <tr>\n                                        <th>Medicine</th>\n                                        <th>Medicine brand name</th>\n                                        <th>Directions</th>\n                                        <th>Purpose</th>\n                                        <th>Status</th>\n                                        <th>Status reason</th>\n                                    </tr>\n                                </thead>\n                                <tbody>\n                                    <tr>\n                                        <td/>\n                                        <td>Tritace</td>\n                                        <td>Take one tablet in the morning daily.</td>\n                                        <td>To reduce high blood pressure; treat heart failure after\n                                            a heart attack; prevent progression of kidney failure;\n                                            reduce the risk of heart attack, stroke and\n                                            stenting</td>\n                                        <td>Unchanged</td>\n                                        <td/>\n                                    </tr>\n                                    <tr>\n                                        <td>docusate sodium 50 mg + sennoside B 8 mg tablet</td>\n                                        <td>Co-Senna</td>\n                                        <td>Take two tablets twice a day.</td>\n                                        <td>Laxative for constipation, works by softening the stools\n                                            and also assists by stimulating the gut to achieve bowel\n                                            movements.</td>\n                                        <td>New</td>\n                                        <td>Laxative for constipation.</td>\n                                    </tr>\n                                    <tr>\n                                        <td>Oxycodone</td>\n                                        <td>Endone</td>\n                                        <td>Take one to two tablets every four hours when\n                                            required.</td>\n                                        <td>For relief of moderate to severe pain.</td>\n                                        <td>Amended</td>\n                                        <td>Dose increased</td>\n                                    </tr>\n                                </tbody>\n                            </table>\n                        </div>"
            },
            "entry" : [
              {
                "reference" : "urn:uuid:bea8b6f7-5de8-4247-ac07-b319ec6d0c24"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:d4b652b9-ac4b-41f0-93f3-7f40b24b16d3",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "d4b652b9-ac4b-41f0-93f3-7f40b24b16d3",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_d4b652b9-ac4b-41f0-93f3-7f40b24b16d3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient d4b652b9-ac4b-41f0-93f3-7f40b24b16d3</b></p><a name=\"d4b652b9-ac4b-41f0-93f3-7f40b24b16d3\"> </a><a name=\"hcd4b652b9-ac4b-41f0-93f3-7f40b24b16d3\"> </a><a name=\"d4b652b9-ac4b-41f0-93f3-7f40b24b16d3-en-AU\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Mrs Bonny Goodwin Female, DoB: 1986-11-13 ( IHI:\u00a0AustalianIHI#8003608000228445)</p><hr/></div>"
        },
        "identifier" : [
          //  logical reference to Patient for matching purposes
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NI"
                }
              ],
              "text" : "IHI"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
            "value" : "8003608000228445"
          }
        ],
        "name" : [
          {
            "text" : "Mrs Bonny Goodwin",
            "family" : "Goodwin"
          }
        ],
        "gender" : "female",
        "birthDate" : "1986-11-13"
      }
    },
    {
      "fullUrl" : "urn:uuid:f168de08-0068-4e8b-917d-c7b84dcafbf6",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "f168de08-0068-4e8b-917d-c7b84dcafbf6",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_f168de08-0068-4e8b-917d-c7b84dcafbf6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter f168de08-0068-4e8b-917d-c7b84dcafbf6</b></p><a name=\"f168de08-0068-4e8b-917d-c7b84dcafbf6\"> </a><a name=\"hcf168de08-0068-4e8b-917d-c7b84dcafbf6\"> </a><a name=\"f168de08-0068-4e8b-917d-c7b84dcafbf6-en-AU\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode</a> AMB: ambulatory</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 1348961000168104}\">Medicines review</span></p><p><b>serviceType</b>: <span title=\"Codes:{http://snomed.info/sct 182836005}\">Medicines review</span></p><p><b>subject</b>: Identifier: IHI/8003608000228445</p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType PPRF}\">primary performer</span></td><td>Identifier: HPI-I/8003619900041630</td></tr></table><p><b>period</b>: 2019-08-12 09:00:00+1000 --&gt; 2019-08-12 10:30:00+1000</p></div>"
        },
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "AMB",
          "display" : "ambulatory"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "1348961000168104",
                "display" : "Community pharmacy medicines review"
              }
            ],
            "text" : "Medicines review"
          }
        ],
        "serviceType" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "182836005",
              "display" : "Review of medication"
            }
          ],
          "text" : "Medicines review"
        },
        "subject" : {
          "identifier" : //  logical reference to Patient 
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NI"
                }
              ],
              "text" : "IHI"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
            "value" : "8003608000228445"
          }
        },
        "participant" : [
          {
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code" : "PPRF",
                    "display" : "primary performer"
                  }
                ]
              }
            ],
            "individual" : {
              "identifier" : //  logical reference to PractitionerRole 
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "NPI",
                      "display" : "National provider identifier"
                    }
                  ],
                  "text" : "HPI-I"
                },
                "system" : "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
                "value" : "8003619900041630"
              }
            }
          }
        ],
        "period" : {
          "start" : "2019-08-12T09:00:00+10:00",
          "end" : "2019-08-12T10:30:00+10:00"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:9e146d18-06c8-4906-a8dd-09aa11941a72",
      "resource" : {
        "resourceType" : "AllergyIntolerance",
        "id" : "9e146d18-06c8-4906-a8dd-09aa11941a72",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_9e146d18-06c8-4906-a8dd-09aa11941a72\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance 9e146d18-06c8-4906-a8dd-09aa11941a72</b></p><a name=\"9e146d18-06c8-4906-a8dd-09aa11941a72\"> </a><a name=\"hc9e146d18-06c8-4906-a8dd-09aa11941a72\"> </a><a name=\"9e146d18-06c8-4906-a8dd-09aa11941a72-en-AU\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification unconfirmed}\">Unconfirmed</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 716186003}\">No known allergies</span></p><p><b>patient</b>: Identifier: IHI/8003608000228445</p><p><b>encounter</b>: <a href=\"Bundle-psml-01-doc.html#urn-uuid-f168de08-0068-4e8b-917d-c7b84dcafbf6\">Bundle: identifier = UUID:a1446554-f351-47b0-86f0-10baedadac60; type = document; timestamp = 2019-08-12 10:30:00+1000</a></p><p><b>recorder</b>: Identifier: HPI-I/8003619900041630</p><p><b>asserter</b>: Identifier: IHI/8003608000228445</p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code" : "active",
              "display" : "Active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code" : "unconfirmed",
              "display" : "Unconfirmed"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "716186003",
              "display" : "No known allergy"
            }
          ],
          "text" : "No known allergies"
        },
        "patient" : {
          "identifier" : //  logical reference to Patient 
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NI"
                }
              ],
              "text" : "IHI"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
            "value" : "8003608000228445"
          }
        },
        "encounter" : {
          "reference" : "urn:uuid:f168de08-0068-4e8b-917d-c7b84dcafbf6"
        },
        "recorder" : {
          "identifier" : //  logical reference to PractitionerRole 
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NPI",
                  "display" : "National provider identifier"
                }
              ],
              "text" : "HPI-I"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
            "value" : "8003619900041630"
          }
        },
        "asserter" : {
          "identifier" : //  logical reference to Patient 
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NI"
                }
              ],
              "text" : "IHI"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
            "value" : "8003608000228445"
          }
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:bea8b6f7-5de8-4247-ac07-b319ec6d0c24",
      "resource" : {
        "resourceType" : "List",
        "id" : "bea8b6f7-5de8-4247-ac07-b319ec6d0c24",
        "meta" : {
          "profile" : [
            🔗 "http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-medication-use-pmr-1"
          ]
        },
        "language" : "en-AU",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-AU\" lang=\"en-AU\"><a name=\"List_bea8b6f7-5de8-4247-ac07-b319ec6d0c24\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List bea8b6f7-5de8-4247-ac07-b319ec6d0c24</b></p><a name=\"bea8b6f7-5de8-4247-ac07-b319ec6d0c24\"> </a><a name=\"hcbea8b6f7-5de8-4247-ac07-b319ec6d0c24\"> </a><a name=\"bea8b6f7-5de8-4247-ac07-b319ec6d0c24-en-AU\"> </a><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\">Language: en-AU</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-dh-list-medication-use-pmr-1.html\">ADHA Practitioner Medicine Review List</a></p></div><h2>Current Medicines</h2><table class=\"clstu\"><tr><td>Date: 2019-08-12 </td><td>Mode: Snapshot List </td><td>Status: Current </td><td>Code: Current Medicines </td></tr><tr><td>Subject: Identifier: IHI/8003608000228445Encounter: <a href=\"Bundle-psml-01-doc.html#urn-uuid-f168de08-0068-4e8b-917d-c7b84dcafbf6\">Bundle: identifier = UUID:a1446554-f351-47b0-86f0-10baedadac60; type = document; timestamp = 2019-08-12 10:30:00+1000</a>Source: <a href=\"Bundle-psml-01-doc.html#urn-uuid-f168de08-0068-4e8b-917d-c7b84dcafbf6\">Bundle: identifier = UUID:a1446554-f351-47b0-86f0-10baedadac60; type = document; timestamp = 2019-08-12 10:30:00+1000</a></td></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td><td>Flag</td></tr><tr><td><a href=\"Bundle-psml-01-doc.html#urn-uuid-69ae207f-b088-4585-a041-7196479c3fbe\">Bundle: identifier = UUID:a1446554-f351-47b0-86f0-10baedadac60; type = document; timestamp = 2019-08-12 10:30:00+1000</a></td><td>Unchanged</td></tr><tr><td><a href=\"Bundle-psml-01-doc.html#urn-uuid-c32b7d74-33ef-4ccc-85e2-442148071b01\">Bundle: identifier = UUID:a1446554-f351-47b0-86f0-10baedadac60; type = document; timestamp = 2019-08-12 10:30:00+1000</a></td><td>New</td></tr><tr><td><a href=\"Bundle-psml-01-doc.html#urn-uuid-28c74aa8-b481-4ab2-80a2-bec1354b95a0\">Bundle: identifier = UUID:a1446554-f351-47b0-86f0-10baedadac60; type = document; timestamp = 2019-08-12 10:30:00+1000</a></td><td>Amended</td></tr></table></div>"
        },
        "status" : "current",
        "mode" : "snapshot",
        "title" : "Current Medicines",
        "code" : {
          "coding" : [
            {
              "system" : "https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1",
              "code" : "101.32009",
              "display" : "Current Medicines"
            }
          ]
        },
        "subject" : {
          "identifier" : //  logical reference to Patient 
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NI"
                }
              ],
              "text" : "IHI"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
            "value" : "8003608000228445"
          }
        },
        "encounter" : {
          "reference" : "urn:uuid:f168de08-0068-4e8b-917d-c7b84dcafbf6"
        },
        "date" : "2019-08-12",
        "source" : {
          "identifier" : //  logical reference to PractitionerRole 
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NPI",
                  "display" : "National provider identifier"
                }
              ],
              "text" : "HPI-I"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
            "value" : "8003619900041630"
          }
        },
        "entry" : [
          {
            "flag" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
                  "code" : "nochange",
                  "display" : "Unchanged"
                }
              ]
            },
            "item" : {
              "reference" : "urn:uuid:69ae207f-b088-4585-a041-7196479c3fbe"
            }
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org.au/fhir/StructureDefinition/change-description",
                "valueString" : "Laxative for constipation."
              }
            ],
            "flag" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
                  "code" : "new",
                  "display" : "New"
                }
              ]
            },
            "item" : {
              "reference" : "urn:uuid:c32b7d74-33ef-4ccc-85e2-442148071b01"
            }
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org.au/fhir/StructureDefinition/change-description",
                "valueString" : "Dose increased"
              }
            ],
            "flag" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org.au/CodeSystem/medicine-item-change",
                  "code" : "amended",
                  "display" : "Amended"
                }
              ]
            },
            "item" : {
              "reference" : "urn:uuid:28c74aa8-b481-4ab2-80a2-bec1354b95a0"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:69ae207f-b088-4585-a041-7196479c3fbe",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "69ae207f-b088-4585-a041-7196479c3fbe",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_69ae207f-b088-4585-a041-7196479c3fbe\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement 69ae207f-b088-4585-a041-7196479c3fbe</b></p><a name=\"69ae207f-b088-4585-a041-7196479c3fbe\"> </a><a name=\"hc69ae207f-b088-4585-a041-7196479c3fbe\"> </a><a name=\"69ae207f-b088-4585-a041-7196479c3fbe-en-AU\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-psml-01-doc.html#urn-uuid-01015470-52ce-4323-996b-f03f5f546f8f\">Bundle: identifier = UUID:a1446554-f351-47b0-86f0-10baedadac60; type = document; timestamp = 2019-08-12 10:30:00+1000</a></p><p><b>subject</b>: Identifier: IHI/8003608000228445</p><p><b>context</b>: <a href=\"Bundle-psml-01-doc.html#urn-uuid-f168de08-0068-4e8b-917d-c7b84dcafbf6\">Bundle: identifier = UUID:a1446554-f351-47b0-86f0-10baedadac60; type = document; timestamp = 2019-08-12 10:30:00+1000</a></p><p><b>reasonCode</b>: <span title=\"Codes:\">To reduce high blood pressure; treat heart failure after a heart attack; prevent                             progression of kidney failure; reduce the risk of                             heart attack, stroke and stenting</span></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>Take one tablet in the morning daily.</td></tr></table></div>"
        },
        "status" : "active",
        "medicationReference" : {
          "reference" : "urn:uuid:01015470-52ce-4323-996b-f03f5f546f8f"
        },
        "subject" : {
          "identifier" : //  logical reference to Patient 
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NI"
                }
              ],
              "text" : "IHI"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
            "value" : "8003608000228445"
          }
        },
        "context" : {
          "reference" : "urn:uuid:f168de08-0068-4e8b-917d-c7b84dcafbf6"
        },
        "reasonCode" : [
          {
            "text" : "To reduce high blood pressure; treat heart failure after a heart attack; prevent                             progression of kidney failure; reduce the risk of                             heart attack, stroke and stenting"
          }
        ],
        "dosage" : [
          {
            "text" : "Take one tablet in the morning daily."
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:c32b7d74-33ef-4ccc-85e2-442148071b01",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "c32b7d74-33ef-4ccc-85e2-442148071b01",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_c32b7d74-33ef-4ccc-85e2-442148071b01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement c32b7d74-33ef-4ccc-85e2-442148071b01</b></p><a name=\"c32b7d74-33ef-4ccc-85e2-442148071b01\"> </a><a name=\"hcc32b7d74-33ef-4ccc-85e2-442148071b01\"> </a><a name=\"c32b7d74-33ef-4ccc-85e2-442148071b01-en-AU\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-psml-01-doc.html#urn-uuid-7cb67069-6a34-46c2-9ff5-76277fafc38e\">Bundle: identifier = UUID:a1446554-f351-47b0-86f0-10baedadac60; type = document; timestamp = 2019-08-12 10:30:00+1000</a></p><p><b>subject</b>: Identifier: IHI/8003608000228445</p><p><b>context</b>: <a href=\"Bundle-psml-01-doc.html#urn-uuid-f168de08-0068-4e8b-917d-c7b84dcafbf6\">Bundle: identifier = UUID:a1446554-f351-47b0-86f0-10baedadac60; type = document; timestamp = 2019-08-12 10:30:00+1000</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 14760008}\">Laxative for constipation, works by softening the stools and also assists by                         stimulating the gut to achieve bowel movements.</span></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>Take two tablets twice a day.</td></tr></table></div>"
        },
        "status" : "active",
        "medicationReference" : {
          "reference" : "urn:uuid:7cb67069-6a34-46c2-9ff5-76277fafc38e"
        },
        "subject" : {
          "identifier" : //  logical reference to Patient 
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NI"
                }
              ],
              "text" : "IHI"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
            "value" : "8003608000228445"
          }
        },
        "context" : {
          "reference" : "urn:uuid:f168de08-0068-4e8b-917d-c7b84dcafbf6"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "14760008",
                "display" : "Constipation"
              }
            ],
            "text" : "Laxative for constipation, works by softening the stools and also assists by                         stimulating the gut to achieve bowel movements."
          }
        ],
        "dosage" : [
          {
            "text" : "Take two tablets twice a day."
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:28c74aa8-b481-4ab2-80a2-bec1354b95a0",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "28c74aa8-b481-4ab2-80a2-bec1354b95a0",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_28c74aa8-b481-4ab2-80a2-bec1354b95a0\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement 28c74aa8-b481-4ab2-80a2-bec1354b95a0</b></p><a name=\"28c74aa8-b481-4ab2-80a2-bec1354b95a0\"> </a><a name=\"hc28c74aa8-b481-4ab2-80a2-bec1354b95a0\"> </a><a name=\"28c74aa8-b481-4ab2-80a2-bec1354b95a0-en-AU\"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-psml-01-doc.html#urn-uuid-9b79ca2a-023a-4076-b18d-0b2b5d99800d\">Bundle: identifier = UUID:a1446554-f351-47b0-86f0-10baedadac60; type = document; timestamp = 2019-08-12 10:30:00+1000</a></p><p><b>subject</b>: Identifier: IHI/8003608000228445</p><p><b>context</b>: <a href=\"Bundle-psml-01-doc.html#urn-uuid-f168de08-0068-4e8b-917d-c7b84dcafbf6\">Bundle: identifier = UUID:a1446554-f351-47b0-86f0-10baedadac60; type = document; timestamp = 2019-08-12 10:30:00+1000</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 428346000}\">For relief of moderate to severe pain</span></p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>Take one to two tablets every four hours when required.</td></tr></table></div>"
        },
        "status" : "active",
        "medicationReference" : {
          "reference" : "urn:uuid:9b79ca2a-023a-4076-b18d-0b2b5d99800d"
        },
        "subject" : {
          "identifier" : //  logical reference to Patient 
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NI"
                }
              ],
              "text" : "IHI"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
            "value" : "8003608000228445"
          }
        },
        "context" : {
          "reference" : "urn:uuid:f168de08-0068-4e8b-917d-c7b84dcafbf6"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "428346000",
                "display" : "Pain relief by medication"
              }
            ],
            "text" : "For relief of moderate to severe pain"
          }
        ],
        "dosage" : [
          {
            "text" : "Take one to two tablets every four hours when required."
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:01015470-52ce-4323-996b-f03f5f546f8f",
      "resource" : {
        "resourceType" : "Medication",
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication </b></p><p><b>Medication Brand Name</b>: Tritace</p><p><b>code</b>: <span title=\"Codes:\">Tritace</span></p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org.au/fhir/StructureDefinition/medication-brand-name",
            "valueString" : "Tritace"
          }
        ],
        "code" : {
          "text" : "Tritace"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:7cb67069-6a34-46c2-9ff5-76277fafc38e",
      "resource" : {
        "resourceType" : "Medication",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication </b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 33690011000036100}\">docusate sodium 50 mg + sennoside B 8 mg tablet</span></p></div>"
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "33690011000036100",
              "display" : "docusate sodium 50 mg + sennoside B 8 mg tablet"
            }
          ],
          "text" : "docusate sodium 50 mg + sennoside B 8 mg tablet"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:9b79ca2a-023a-4076-b18d-0b2b5d99800d",
      "resource" : {
        "resourceType" : "Medication",
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication </b></p><p><b>Medication Brand Name</b>: Endone</p><p><b>Medication Generic Drug Name</b>: Oxycodone</p><p><b>code</b>: <span title=\"Codes:{http://pbs.gov.au/code/item 5195K}, {http://pbs.gov.au/code/item 2622B}\">Endone Oxycodone</span></p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org.au/fhir/StructureDefinition/medication-brand-name",
            "valueString" : "Endone"
          },
          {
            "url" : "http://hl7.org.au/fhir/StructureDefinition/medication-generic-name",
            "valueString" : "Oxycodone"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://pbs.gov.au/code/item",
              "code" : "5195K",
              "display" : "oxycodone hydrochloride 5 mg tablet, 20"
            },
            {
              "system" : "http://pbs.gov.au/code/item",
              "code" : "2622B",
              "display" : "OXYCODONE"
            }
          ],
          "text" : "Endone Oxycodone"
        }
      }
    }
  ]
}