International Patient Summary Implementation Guide
2.0.0 - STU 2

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 Required Sections and Immunization - JSON Representation

Raw json | Download

    {
      "resourceType" : "Bundle",
      "id" : "IPS-examples-Bundle-with-immunization",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"
        ]
      },
      "language" : "en-GB",
      "identifier" : {
        "system" : "urn:oid:2.16.724.4.8.10.200.10",
        "value" : "175bd032-8b00-4728-b2dc-748bb1501aed"
      },
      "type" : "document",
      "timestamp" : "2017-12-11T14:30:00+01:00",
      "entry" : [
        {
          "fullUrl" : "urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "30551ce1-5a28-4356-b684-1e639094ad4d",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_30551ce1-5a28-4356-b684-1e639094ad4d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition 30551ce1-5a28-4356-b684-1e639094ad4d</b></p><a name=\"30551ce1-5a28-4356-b684-1e639094ad4d\"> </a><a name=\"hc30551ce1-5a28-4356-b684-1e639094ad4d\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.724.4.8.10.200.10</code>/3f69e0a5-2177-4540-baab-7a5d0877428f</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 60591-5}\">Patient summary Document</span></p><p><b>date</b>: 2017-12-11 14:30:00+0100</p><p><b>author</b>: <a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-1c616b24-3895-48c4-9a02-9a64110351ef\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>title</b>: Patient Summary as of December 11, 2017 14:30</p><p><b>confidentiality</b>: normal</p><blockquote><p><b>attester</b></p><p><b>mode</b>: Legal</p><p><b>time</b>: 2017-12-11 14:30:00+0100</p><p><b>party</b>: <a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-1c616b24-3895-48c4-9a02-9a64110351ef\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p></blockquote><blockquote><p><b>attester</b></p><p><b>mode</b>: Legal</p><p><b>time</b>: 2017-12-11 14:30:00+0100</p><p><b>party</b>: <a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-890751f4-2924-4636-bab7-efffc7f3cf15\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p></blockquote><p><b>custodian</b>: <a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-890751f4-2924-4636-bab7-efffc7f3cf15\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><h3>RelatesTos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Target[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Appends</td><td><code>urn:oid:2.16.724.4.8.10.200.10</code>/c2277753-9f90-4a95-8ddb-a0b3f6e7d292</td></tr></table><h3>Events</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActClass PCPR}\">care provision</span></td><td>?? --&gt; 2017-12-11 14:30:00+0100</td></tr></table></div>"
            },
            "identifier" : {
              "system" : "urn:oid:2.16.724.4.8.10.200.10",
              "value" : "3f69e0a5-2177-4540-baab-7a5d0877428f"
            },
            "status" : "final",
            "type" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "60591-5",
                  "display" : "Patient summary Document"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            },
            "date" : "2017-12-11T14:30:00+01:00",
            "author" : [
              {
                "reference" : "urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef"
              }
            ],
            "title" : "Patient Summary as of December 11, 2017 14:30",
            "confidentiality" : "N",
            "attester" : [
              {
                "mode" : "legal",
                "time" : "2017-12-11T14:30:00+01:00",
                "party" : {
                  "reference" : "urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef"
                }
              },
              {
                "mode" : "legal",
                "time" : "2017-12-11T14:30:00+01:00",
                "party" : {
                  "reference" : "urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15"
                }
              }
            ],
            "custodian" : {
              "reference" : "urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15"
            },
            "relatesTo" : [
              {
                "code" : "appends",
                "targetIdentifier" : {
                  "system" : "urn:oid:2.16.724.4.8.10.200.10",
                  "value" : "c2277753-9f90-4a95-8ddb-a0b3f6e7d292"
                }
              }
            ],
            "event" : [
              {
                "code" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
                        "code" : "PCPR"
                      }
                    ]
                  }
                ],
                "period" : {
                  "end" : "2017-12-11T14:30:00+01:00"
                }
              }
            ],
            "section" : [
              {
                "title" : "Active Problems",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "11450-4",
                      "display" : "Problem list - Reported"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hot flushes</div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"
                  }
                ]
              },
              {
                "title" : "Medication",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "10160-0",
                      "display" : "History of Medication use Narrative"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th>Medication</th><th>Strength</th><th>Form</th><th>Dosage</th><th>Comment</th></tr></thead><tbody><tr><td>Anastrozole</td><td>1 mg</td><td>tablet</td><td>once daily</td><td>treatment for breast cancer</td></tr><tr><td>Black Cohosh Extract</td><td/><td>pil</td><td/><td>herbal supplement</td></tr></tbody></table></div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:c220e36c-eb67-4fc4-9ba1-2fabc52acec6"
                  },
                  {
                    "reference" : "urn:uuid:47524493-846a-4a26-bae2-4ab03e60f02e"
                  }
                ]
              },
              {
                "title" : "Allergies and Intolerances",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "48765-2",
                      "display" : "Allergies and adverse reactions Document"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Allergy to penicillin, high criticality, active No known food allergies</div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:72884cad-ebe6-4f43-a51a-2f978275f132"
                  },
                  {
                    "reference" : "urn:uuid:c7781f44-6df8-4a8b-9e06-0b34263a47c5"
                  }
                ]
              },
              {
                "title" : "History of Past Problems",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "11348-0",
                      "display" : "History of Past illness note"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Breast cancer Stage II with no evidence of recurrence following treatment</div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:c4597aa2-688a-401b-a658-70acc6de28c6"
                  }
                ]
              },
              {
                "title" : "Plan of Treatment",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "18776-5",
                      "display" : "Plan of care note"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Continue hormone medication with Anastrozole for total of 5 years and monitor for potential breast cancer recurrence</div>"
                }
              },
              {
                "title" : "Results",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "30954-2",
                      "display" : "Relevant diagnostic tests/laboratory data note"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th colspan=\"3\">Blood typing</th></tr></thead><tbody><tr><td>Blood group</td><td>A+</td><td/></tr><tr><td>C Ab [Presence] in Serum or Plasma</td><td>Positive</td><td/></tr><tr><td>E Ab [Presence] in Serum or Plasma</td><td>Positive</td><td/></tr><tr><td>Little c Ab [Presence] in Serum or Plasma</td><td>Negative</td><td/></tr></tbody></table><table><thead><tr><th colspan=\"3\">Hemoglobin A1c monitoring</th></tr></thead><tbody><tr><td>Hemoglobin A1c/Hemoglobin.total in Blood by HPLC</td><td>7.5 %</td><td/></tr></tbody></table><table><thead><tr><th colspan=\"3\">Bacteriology</th></tr></thead><tbody><tr><td colspan=\"3\">Methicillin resistant Staphylococcus aureus</td></tr><tr><td colspan=\"3\">Healthy carrier of MRSA</td></tr></tbody></table></div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:2639657a-c19a-48e2-82cc-471e13b8ad94"
                  },
                  {
                    "reference" : "urn:uuid:cc354e00-a419-47ea-8b6c-1768b2a01646"
                  },
                  {
                    "reference" : "urn:uuid:26bee0a9-5997-4557-ab9d-c6adbb05b572"
                  }
                ]
              },
              {
                "title" : "Immunizations",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "11369-6",
                      "display" : "History of Immunization note"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xml:lang=\"fr-LU\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"fr-LU\"><p><b>Marie Lux-Brennard</b> (Apr 17, 1998)</p><p>Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite, Jun 3, 1998, 10:00:00 PM</p><p>Voie intramusculaire, Cuisse droite</p></div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:40b7b6a0-c043-423a-9959-be3707e728b2"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization</b></p><a name=\"2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization\"> </a><a name=\"hc2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Martha DeLarosa  Female, DoB: 1972-05-01 ( urn:oid:2.16.840.1.113883.2.4.6.3#574687583)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"tel:+31788700800\">+31788700800</a></li><li>Laan Van Europa 1600 Dordrecht 3317 DB NL </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: mother\">mother:</td><td colspan=\"3\"><ul><li>Martha Mum </li><li>Promenade des Anglais 111 Lyon 69001 FR </li><li><a href=\"tel:+33-555-20036\">+33-555-20036</a></li></ul></td></tr></table></div>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:2.16.840.1.113883.2.4.6.3",
                "value" : "574687583"
              }
            ],
            "active" : true,
            "name" : [
              {
                "family" : "DeLarosa",
                "given" : [
                  "Martha"
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "phone",
                "value" : "+31788700800",
                "use" : "home"
              }
            ],
            "gender" : "female",
            "birthDate" : "1972-05-01",
            "address" : [
              {
                "line" : [
                  "Laan Van Europa 1600"
                ],
                "city" : "Dordrecht",
                "postalCode" : "3317 DB",
                "country" : "NL"
              }
            ],
            "contact" : [
              {
                "relationship" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                        "code" : "MTH"
                      }
                    ]
                  }
                ],
                "name" : {
                  "family" : "Mum",
                  "given" : [
                    "Martha"
                  ]
                },
                "telecom" : [
                  {
                    "system" : "phone",
                    "value" : "+33-555-20036",
                    "use" : "home"
                  }
                ],
                "address" : {
                  "line" : [
                    "Promenade des Anglais 111"
                  ],
                  "city" : "Lyon",
                  "postalCode" : "69001",
                  "country" : "FR"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization</b></p><a name=\"1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization\"> </a><a name=\"hc1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.528.1.1007.3.1</code>/129854633</p><p><b>active</b>: true</p><p><b>name</b>: Beetje van Hulp </p><h3>Qualifications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0360 MD}\">Doctor of Medicine</span></td></tr></table></div>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:2.16.528.1.1007.3.1",
                "value" : "129854633",
                "assigner" : {
                  "display" : "CIBG"
                }
              }
            ],
            "active" : true,
            "name" : [
              {
                "family" : "van Hulp",
                "given" : [
                  "Beetje"
                ]
              }
            ],
            "qualification" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0360",
                      "version" : "2.7",
                      "code" : "MD",
                      "display" : "Doctor of Medicine"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "890751f4-2924-4636-bab7-efffc7f3cf15-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_890751f4-2924-4636-bab7-efffc7f3cf15-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 890751f4-2924-4636-bab7-efffc7f3cf15-with-immunization</b></p><a name=\"890751f4-2924-4636-bab7-efffc7f3cf15-with-immunization\"> </a><a name=\"hc890751f4-2924-4636-bab7-efffc7f3cf15-with-immunization\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.528.1.1007.3.3</code>/564738757</p><p><b>active</b>: true</p><p><b>name</b>: Anorg Aniza Tion BV / The best custodian ever</p><p><b>telecom</b>: <a href=\"tel:+31-51-34343400\">+31-51-34343400</a></p><p><b>address</b>: Houttuinen 27 Dordrecht 3311 CE NL (work)</p></div>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:2.16.528.1.1007.3.3",
                "value" : "564738757"
              }
            ],
            "active" : true,
            "name" : "Anorg Aniza Tion BV / The best custodian ever",
            "telecom" : [
              {
                "system" : "phone",
                "value" : "+31-51-34343400",
                "use" : "work"
              }
            ],
            "address" : [
              {
                "use" : "work",
                "line" : [
                  "Houttuinen 27"
                ],
                "city" : "Dordrecht",
                "postalCode" : "3311 CE",
                "country" : "NL"
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "c64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_c64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition c64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization</b></p><a name=\"c64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization\"> </a><a name=\"hcc64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization\"> </a><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/c87bf51c-e53c-4bfe-b8b7-aa62bdd93002</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 75326-9}\">Problem</span></p><p><b>severity</b>: <span title=\"Codes:{http://snomed.info/sct 6736007}\">Moderate severity</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 198436008}, {http://hl7.org/fhir/sid/icd-10 N95.1}\">Menopausal flushing (finding)</span></p><p><b>subject</b>: <a href=\"Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>onset</b>: 2015</p><p><b>recordedDate</b>: 2016-10</p></div>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:1.2.3.999",
                "value" : "c87bf51c-e53c-4bfe-b8b7-aa62bdd93002"
              }
            ],
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active"
                }
              ]
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                  "code" : "confirmed"
                }
              ]
            },
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "75326-9",
                    "display" : "Problem"
                  }
                ]
              }
            ],
            "severity" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "6736007",
                  "display" : "Moderate severity"
                }
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "198436008",
                  "display" : "Menopausal flushing (finding)",
                  "_display" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "nl-NL"
                          },
                          {
                            "url" : "content",
                            "valueString" : "opvliegers"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                },
                {
                  "system" : "http://hl7.org/fhir/sid/icd-10",
                  "code" : "N95.1",
                  "display" : "Menopausal and female climacteric states"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            },
            "onsetDateTime" : "2015",
            "recordedDate" : "2016-10"
          }
        },
        {
          "fullUrl" : "urn:uuid:c220e36c-eb67-4fc4-9ba1-2fabc52acec6",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "c220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_c220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement c220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization</b></p><a name=\"c220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization\"> </a><a name=\"hcc220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization\"> </a><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/b75f92cb-61d4-469a-9387-df5ef70d25f0</p><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-976d0804-cae0-45ae-afe3-a19f3ceba6bc\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>subject</b>: <a href=\"Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2015-03 --&gt; (ongoing)</p><blockquote><p><b>dosage</b></p><p><b>timing</b>: Count 1  times, Once</p><p><b>route</b>: <span title=\"Codes:{http://standardterms.edqm.eu 20053000}\">Oral use</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1 tablet<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td></tr></table></blockquote></div>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:1.2.3.999",
                "value" : "b75f92cb-61d4-469a-9387-df5ef70d25f0"
              }
            ],
            "status" : "active",
            "medicationReference" : {
              "reference" : "urn:uuid:976d0804-cae0-45ae-afe3-a19f3ceba6bc"
            },
            "subject" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            },
            "effectivePeriod" : {
              "start" : "2015-03"
            },
            "dosage" : [
              {
                "timing" : {
                  "repeat" : {
                    "count" : 1,
                    "periodUnit" : "d"
                  }
                },
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20053000",
                      "display" : "Oral use"
                    }
                  ]
                },
                "doseAndRate" : [
                  {
                    "doseQuantity" : {
                      "value" : 1,
                      "unit" : "tablet",
                      "system" : "http://unitsofmeasure.org",
                      "code" : "1"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:47524493-846a-4a26-bae2-4ab03e60f02e",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement 47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization</b></p><a name=\"47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization\"> </a><a name=\"hc47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization\"> </a><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/9e312d6b-c6b6-439a-a730-6efaa5dcf8bc</p><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-8adc0999-9468-4ac9-9557-680fa133d626\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>subject</b>: <a href=\"Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2016-01 --&gt; (ongoing)</p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Route</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://standardterms.edqm.eu 20053000}\">Oral use</span></td></tr></table></div>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:1.2.3.999",
                "value" : "9e312d6b-c6b6-439a-a730-6efaa5dcf8bc"
              }
            ],
            "status" : "active",
            "medicationReference" : {
              "reference" : "urn:uuid:8adc0999-9468-4ac9-9557-680fa133d626"
            },
            "subject" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            },
            "effectivePeriod" : {
              "start" : "2016-01"
            },
            "dosage" : [
              {
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://standardterms.edqm.eu",
                      "code" : "20053000",
                      "display" : "Oral use"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:976d0804-cae0-45ae-afe3-a19f3ceba6bc",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "976d0804-cae0-45ae-afe3-a19f3ceba6bc-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_976d0804-cae0-45ae-afe3-a19f3ceba6bc-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication 976d0804-cae0-45ae-afe3-a19f3ceba6bc-with-immunization</b></p><a name=\"976d0804-cae0-45ae-afe3-a19f3ceba6bc-with-immunization\"> </a><a name=\"hc976d0804-cae0-45ae-afe3-a19f3ceba6bc-with-immunization\"> </a><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 108774000}, {urn:oid:2.16.840.1.113883.2.4.4.1 99872}, {urn:oid:2.16.840.1.113883.2.4.4.7 2076667}, {http://www.whocc.no/atc L02BG03}\">Product containing anastrozole (medicinal product)</span></p></div>"
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "108774000",
                  "display" : "Product containing anastrozole (medicinal product)"
                },
                {
                  "system" : "urn:oid:2.16.840.1.113883.2.4.4.1",
                  "code" : "99872",
                  "display" : "ANASTROZOL 1MG TABLET"
                },
                {
                  "system" : "urn:oid:2.16.840.1.113883.2.4.4.7",
                  "code" : "2076667",
                  "display" : "ANASTROZOL CF TABLET FILMOMHULD 1MG"
                },
                {
                  "system" : "http://www.whocc.no/atc",
                  "code" : "L02BG03",
                  "display" : "anastrozole"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:8adc0999-9468-4ac9-9557-680fa133d626",
          "resource" : {
            "resourceType" : "Medication",
            "id" : "8adc0999-9468-4ac9-9557-680fa133d626-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_8adc0999-9468-4ac9-9557-680fa133d626-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication 8adc0999-9468-4ac9-9557-680fa133d626-with-immunization</b></p><a name=\"8adc0999-9468-4ac9-9557-680fa133d626-with-immunization\"> </a><a name=\"hc8adc0999-9468-4ac9-9557-680fa133d626-with-immunization\"> </a><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 412588001}, {http://www.whocc.no/atc G02CX04}\">Black Cohosh Extract herbal supplement</span></p></div>"
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "412588001",
                  "display" : "Cimicifuga racemosa extract (substance)",
                  "_display" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "nl-NL"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Zwarte Cohosh Extract"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                },
                {
                  "system" : "http://www.whocc.no/atc",
                  "code" : "G02CX04",
                  "display" : "Cimicifugae rhizoma"
                }
              ],
              "text" : "Black Cohosh Extract herbal supplement"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:72884cad-ebe6-4f43-a51a-2f978275f132",
          "resource" : {
            "resourceType" : "AllergyIntolerance",
            "id" : "72884cad-ebe6-4f43-a51a-2f978275f132-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_72884cad-ebe6-4f43-a51a-2f978275f132-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance 72884cad-ebe6-4f43-a51a-2f978275f132-with-immunization</b></p><a name=\"72884cad-ebe6-4f43-a51a-2f978275f132-with-immunization\"> </a><a name=\"hc72884cad-ebe6-4f43-a51a-2f978275f132-with-immunization\"> </a><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/3a462598-009c-484a-965c-d6b24a821424</p><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 confirmed}\">Confirmed</span></p><p><b>type</b>: Allergy</p><p><b>category</b>: Medication</p><p><b>criticality</b>: High Risk</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 764146007}\">Substance with penicillin structure (substance)</span></p><p><b>patient</b>: <a href=\"Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>onset</b>: 2010</p></div>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:1.2.3.999",
                "value" : "3a462598-009c-484a-965c-d6b24a821424"
              }
            ],
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                  "code" : "active"
                }
              ]
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
                  "code" : "confirmed"
                }
              ]
            },
            "type" : "allergy",
            "category" : [
              "medication"
            ],
            "criticality" : "high",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "764146007",
                  "display" : "Substance with penicillin structure (substance)"
                }
              ]
            },
            "patient" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            },
            "onsetDateTime" : "2010"
          }
        },
        {
          "fullUrl" : "urn:uuid:c4597aa2-688a-401b-a658-70acc6de28c6",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "c4597aa2-688a-401b-a658-70acc6de28c6-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_c4597aa2-688a-401b-a658-70acc6de28c6-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition c4597aa2-688a-401b-a658-70acc6de28c6-with-immunization</b></p><a name=\"c4597aa2-688a-401b-a658-70acc6de28c6-with-immunization\"> </a><a name=\"hcc4597aa2-688a-401b-a658-70acc6de28c6-with-immunization\"> </a><p><b>identifier</b>: <code>urn:oid:1.2.3.999</code>/66d4a8c7-9081-43e0-a63f-489c2ae6edd6</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical remission}\">Remission</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 75326-9}\">Problem</span></p><p><b>severity</b>: <span title=\"Codes:{http://snomed.info/sct 24484000}\">Severe</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 254837009}, {http://terminology.hl7.org/CodeSystem/icd-o-3 8500/3}\">Malignant tumor of breast</span></p><p><b>subject</b>: <a href=\"Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>onset</b>: 2015-01</p><p><b>abatement</b>: 2015-03</p></div>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:1.2.3.999",
                "value" : "66d4a8c7-9081-43e0-a63f-489c2ae6edd6"
              }
            ],
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "remission"
                }
              ]
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                  "code" : "confirmed"
                }
              ]
            },
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "75326-9",
                    "display" : "Problem"
                  }
                ]
              }
            ],
            "severity" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "24484000",
                  "display" : "Severe"
                }
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "254837009",
                  "display" : "Malignant tumor of breast",
                  "_display" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "nl-NL"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Borstkanker stadium II zonder aanwijzingen van recidieven na behandeling"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                },
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/icd-o-3",
                  "code" : "8500/3",
                  "display" : "Infiltrating duct carcinoma, NOS"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            },
            "onsetDateTime" : "2015-01",
            "abatementDateTime" : "2015-03"
          }
        },
        {
          "fullUrl" : "urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization</b></p><a name=\"45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization\"> </a><a name=\"hc45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization\"> </a><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type other}\">Other</span></p><p><b>name</b>: Laboratoire de charme</p></div>"
            },
            "active" : true,
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                    "code" : "other"
                  }
                ]
              }
            ],
            "name" : "Laboratoire de charme"
          }
        },
        {
          "fullUrl" : "urn:uuid:aa11a2be-3e36-4be7-b58a-6fc3dace2741",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "aa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_aa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation aa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization</b></p><a name=\"aa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization\"> </a><a name=\"hcaa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 882-1}\">ABO and Rh group [Type] in Blood</span></p><p><b>subject</b>: <a href=\"Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2015-10-10 09:15:00+0100</p><p><b>performer</b>: <a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 278149003}\">Blood group A Rh(D) positive</span></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "882-1",
                  "display" : "ABO and Rh group [Type] in Blood"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            },
            "effectiveDateTime" : "2015-10-10T09:15:00+01:00",
            "performer" : [
              {
                "reference" : "urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "278149003",
                  "display" : "Blood group A Rh(D) positive"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:6e39ccf3-f997-4a2b-8f28-b4b71c778c70",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "6e39ccf3-f997-4a2b-8f28-b4b71c778c70-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_6e39ccf3-f997-4a2b-8f28-b4b71c778c70-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 6e39ccf3-f997-4a2b-8f28-b4b71c778c70-with-immunization</b></p><a name=\"6e39ccf3-f997-4a2b-8f28-b4b71c778c70-with-immunization\"> </a><a name=\"hc6e39ccf3-f997-4a2b-8f28-b4b71c778c70-with-immunization\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 945-6}\">C Ab [Presence] in Serum or Plasma</span></p><p><b>subject</b>: <a href=\"Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2015-10-10 09:35:00+0100</p><p><b>performer</b>: <a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 10828004}\">Positive</span></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "945-6",
                  "display" : "C Ab [Presence] in Serum or Plasma"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            },
            "effectiveDateTime" : "2015-10-10T09:35:00+01:00",
            "performer" : [
              {
                "reference" : "urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "10828004",
                  "display" : "Positive"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:b4916505-a06b-460c-9be8-011609282457",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "b4916505-a06b-460c-9be8-011609282457-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_b4916505-a06b-460c-9be8-011609282457-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation b4916505-a06b-460c-9be8-011609282457-with-immunization</b></p><a name=\"b4916505-a06b-460c-9be8-011609282457-with-immunization\"> </a><a name=\"hcb4916505-a06b-460c-9be8-011609282457-with-immunization\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 1018-1}\">E Ab [Presence] in Serum or Plasma</span></p><p><b>subject</b>: <a href=\"Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2015-10-10 09:35:00+0100</p><p><b>performer</b>: <a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 10828004}\">Positive</span></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "1018-1",
                  "display" : "E Ab [Presence] in Serum or Plasma"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            },
            "effectiveDateTime" : "2015-10-10T09:35:00+01:00",
            "performer" : [
              {
                "reference" : "urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "10828004",
                  "display" : "Positive"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4-with-immunization</b></p><a name=\"a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4-with-immunization\"> </a><a name=\"hca6a5a1d5-c896-4c7e-b922-888fcc7e6ae4-with-immunization\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 1156-9}\">little c Ab [Presence] in Serum or Plasma</span></p><p><b>subject</b>: <a href=\"Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2015-10-10 09:35:00+0100</p><p><b>performer</b>: <a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 260385009}\">Negative</span></p></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "1156-9",
                  "display" : "little c Ab [Presence] in Serum or Plasma"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            },
            "effectiveDateTime" : "2015-10-10T09:35:00+01:00",
            "performer" : [
              {
                "reference" : "urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "260385009",
                  "display" : "Negative"
                }
              ]
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:2639657a-c19a-48e2-82cc-471e13b8ad94",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "2639657a-c19a-48e2-82cc-471e13b8ad94-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_2639657a-c19a-48e2-82cc-471e13b8ad94-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 2639657a-c19a-48e2-82cc-471e13b8ad94-with-immunization</b></p><a name=\"2639657a-c19a-48e2-82cc-471e13b8ad94-with-immunization\"> </a><a name=\"hc2639657a-c19a-48e2-82cc-471e13b8ad94-with-immunization\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:\">Blood typing</span></p><p><b>subject</b>: <a href=\"Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2015-10-10</p><p><b>performer</b>: <a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>hasMember</b>: </p><ul><li><a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-aa11a2be-3e36-4be7-b58a-6fc3dace2741\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></li><li><a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-6e39ccf3-f997-4a2b-8f28-b4b71c778c70\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></li><li><a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-b4916505-a06b-460c-9be8-011609282457\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></li><li><a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></li></ul></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory"
                  }
                ]
              }
            ],
            "code" : {
              "text" : "Blood typing"
            },
            "subject" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            },
            "effectiveDateTime" : "2015-10-10",
            "performer" : [
              {
                "reference" : "urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"
              }
            ],
            "hasMember" : [
              {
                "reference" : "urn:uuid:aa11a2be-3e36-4be7-b58a-6fc3dace2741"
              },
              {
                "reference" : "urn:uuid:6e39ccf3-f997-4a2b-8f28-b4b71c778c70"
              },
              {
                "reference" : "urn:uuid:b4916505-a06b-460c-9be8-011609282457"
              },
              {
                "reference" : "urn:uuid:a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4"
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:cc354e00-a419-47ea-8b6c-1768b2a01646",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "cc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_cc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation cc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization</b></p><a name=\"cc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization\"> </a><a name=\"hccc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 17856-6}\">Hemoglobin A1c/Hemoglobin.total in Blood by HPLC</span></p><p><b>subject</b>: <a href=\"Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2017-11-10 08:20:00+0100</p><p><b>performer</b>: <a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>value</b>: 7.5 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><p><b>note</b>: </p><blockquote><div><p>Above stated goal of 7.0 %</p>\n</div></blockquote></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "17856-6",
                  "display" : "Hemoglobin A1c/Hemoglobin.total in Blood by HPLC"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            },
            "effectiveDateTime" : "2017-11-10T08:20:00+01:00",
            "performer" : [
              {
                "reference" : "urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"
              }
            ],
            "valueQuantity" : {
              "value" : 7.5,
              "unit" : "%",
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "note" : [
              {
                "text" : "Above stated goal of 7.0 %"
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:26bee0a9-5997-4557-ab9d-c6adbb05b572",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "26bee0a9-5997-4557-ab9d-c6adbb05b572-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_26bee0a9-5997-4557-ab9d-c6adbb05b572-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 26bee0a9-5997-4557-ab9d-c6adbb05b572-with-immunization</b></p><a name=\"26bee0a9-5997-4557-ab9d-c6adbb05b572-with-immunization\"> </a><a name=\"hc26bee0a9-5997-4557-ab9d-c6adbb05b572-with-immunization\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 42803-7}\">Bacteria identified in Isolate</span></p><p><b>subject</b>: <a href=\"Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>effective</b>: 2017-12-10 08:20:00+0100</p><p><b>performer</b>: <a href=\"Bundle-IPS-examples-Bundle-01.html#urn-uuid-45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 115329001}\">Methicillin resistant Staphylococcus aureus</span></p><p><b>note</b>: </p><blockquote><div><p>Healthy carrier of MRSA</p>\n</div></blockquote></div>"
            },
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "laboratory"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "42803-7",
                  "display" : "Bacteria identified in Isolate"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            },
            "effectiveDateTime" : "2017-12-10T08:20:00+01:00",
            "performer" : [
              {
                "reference" : "urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "115329001",
                  "display" : "Methicillin resistant Staphylococcus aureus"
                }
              ]
            },
            "note" : [
              {
                "text" : "Healthy carrier of MRSA"
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:c7781f44-6df8-4a8b-9e06-0b34263a47c5",
          "resource" : {
            "resourceType" : "AllergyIntolerance",
            "id" : "c7781f44-6df8-4a8b-9e06-0b34263a47c5-with-immunization",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_c7781f44-6df8-4a8b-9e06-0b34263a47c5-with-immunization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance c7781f44-6df8-4a8b-9e06-0b34263a47c5-with-immunization</b></p><a name=\"c7781f44-6df8-4a8b-9e06-0b34263a47c5-with-immunization\"> </a><a name=\"hcc7781f44-6df8-4a8b-9e06-0b34263a47c5-with-immunization\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 429625007}\">No known food allergy (situation)</span></p><p><b>patient</b>: <a href=\"Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p></div>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                  "code" : "active"
                }
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "429625007",
                  "display" : "No known food allergy (situation)"
                }
              ]
            },
            "patient" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:40b7b6a0-c043-423a-9959-be3707e728b2",
          "resource" : {
            "resourceType" : "Immunization",
            "id" : "40b7b6a0-c043-423a-9959-be3707e728b2",
            "language" : "fr-LU",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"fr-LU\" lang=\"fr-LU\"><a name=\"Immunization_40b7b6a0-c043-423a-9959-be3707e728b2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Immunization 40b7b6a0-c043-423a-9959-be3707e728b2</b></p><a name=\"40b7b6a0-c043-423a-9959-be3707e728b2\"> </a><a name=\"hc40b7b6a0-c043-423a-9959-be3707e728b2\"> </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: fr-LU</p></div><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{http://snomed.info/sct 871878002}, {http://www.whocc.no/atc J07CA02}\">Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite</span></p><p><b>patient</b>: <a href=\"Bundle-IPS-examples-Bundle-with-immunization.html#urn-uuid-2b90dd2b-2dab-4c75-9bb9-a355e07401e1\">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#175bd032-8b00-4728-b2dc-748bb1501aed; type = document; timestamp = 2017-12-11 14:30:00+0100</a></p><p><b>occurrence</b>: 1998-06-04 00:00:00+0200</p><p><b>primarySource</b>: true</p><p><b>lotNumber</b>: AXK23RWERS</p><p><b>expirationDate</b>: 2000-06-01</p><p><b>site</b>: <span title=\"Codes:{http://snomed.info/sct 11207009}\">Cuisse droite</span></p><p><b>route</b>: <span title=\"Codes:{http://standardterms.edqm.eu 20035000}\">Voie intramusculaire</span></p><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>TargetDisease</b></td><td><b>DoseNumber[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 27836007}, {http://snomed.info/sct 76902006}, {http://snomed.info/sct 398102009}, {http://snomed.info/sct 397430003}\">Pertussis</span></td><td>1</td></tr></table></div>"
            },
            "status" : "completed",
            "vaccineCode" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "871878002",
                  "display" : "Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae and Human poliovirus antigens only vaccine product",
                  "_display" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "fr-LU"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                },
                {
                  "system" : "http://www.whocc.no/atc",
                  "code" : "J07CA02",
                  "display" : "diphtheria-pertussis-poliomyelitis-tetanus",
                  "_display" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "fr-LU"
                          },
                          {
                            "url" : "content",
                            "valueString" : "DIPHTERIE - COQUELUCHE - POLIOMYELITE - TETANOS"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              ],
              "text" : "Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite"
            },
            "patient" : {
              "reference" : "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
            },
            "occurrenceDateTime" : "1998-06-04T00:00:00+02:00",
            "primarySource" : true,
            "lotNumber" : "AXK23RWERS",
            "expirationDate" : "2000-06-01",
            "site" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "11207009",
                  "display" : "Right thigh",
                  "_display" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "fr-LU"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Cuisse droite"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              ],
              "text" : "Cuisse droite"
            },
            "route" : {
              "coding" : [
                {
                  "system" : "http://standardterms.edqm.eu",
                  "code" : "20035000",
                  "display" : "Intramuscular use",
                  "_display" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "fr-LU"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Voie intramusculaire"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              ],
              "text" : "Voie intramusculaire"
            },
            "protocolApplied" : [
              {
                "targetDisease" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "27836007",
                        "display" : "Pertussis"
                      },
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "76902006",
                        "display" : "Tetanus"
                      },
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "398102009",
                        "display" : "Acute poliomyelitis"
                      },
                      {
                        "system" : "http://snomed.info/sct",
                        "code" : "397430003",
                        "display" : "Diphtheria caused by Corynebacterium diphtheriae"
                      }
                    ]
                  }
                ],
                "doseNumberPositiveInt" : 1
              }
            ]
          }
        }
      ]
    }