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 - XML Representation

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