International Patient Summary Implementation Guide
2.0.0 -

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

## : Bundle - IPS with All Sections

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    {
      "resourceType" : "Bundle",
      "id" : "bundle-ips-all-sections",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"
        ],
        "security" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
            "code" : "N",
            "display" : "normal"
          }
        ]
      },
      "language" : "en",
      "identifier" : {
        "system" : "urn:oid:2.16.724.4.8.10.200.10",
        "value" : "ac7a747c-a2c9-493c-ba39-4ac6997eed1e"
      },
      "type" : "document",
      "timestamp" : "2024-09-21T18:53:00.8116604+00:00",
      "entry" : [
        {
          "fullUrl" : "https://fhir.example.com/Composition/9c98f78e-f324-4ad5-97a1-8eb9ef9a1172",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "9c98f78e-f324-4ad5-97a1-8eb9ef9a1172",
            "meta" : {
              "versionId" : "1",
              "profile" : [
                🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated"
            },
            "identifier" : {
              "system" : "urn:oid:2.16.840.1.113883.2.18.7.2",
              "value" : "ac7a747c-a2c9-493c-ba39-4ac6997eed1e"
            },
            "status" : "final",
            "type" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "60591-5",
                  "display" : "Patient summary Document"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
            },
            "date" : "2024-09-13",
            "author" : [
              {
                "reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
              }
            ],
            "title" : "International Patient Summary",
            "confidentiality" : "N",
            "attester" : [
              {
                "mode" : "professional",
                "time" : "2024-09-13",
                "party" : {
                  "reference" : "PractitionerRole/94d12c8d-a3df-47a7-a0bb-0f29d64bafe2"
                }
              }
            ],
            "custodian" : {
              "reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
            },
            "relatesTo" : [
              {
                "code" : "transforms",
                "targetIdentifier" : {
                  "system" : "urn:oid:2.16.840.1.113883.2.18.7.2",
                  "value" : "ac7a747c-a2c9-493c-ba39-4ac6997eed1e"
                }
              }
            ],
            "event" : [
              {
                "code" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
                        "code" : "PCPR"
                      }
                    ]
                  }
                ],
                "period" : {
                  "end" : "2024-09-13"
                }
              }
            ],
            "section" : [
              {
                "title" : "Problem List",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "11450-4",
                      "display" : "Problem list - Reported"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
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                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "8039e4a7-d459-454c-92a5-6c17ca2a824b"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b"
                  },
                  {
                    "reference" : "Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"
                  }
                ]
              },
              {
                "title" : "Allergies and Intolerances",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "48765-2",
                      "display" : "Allergies and adverse reactions Document"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "9838cf73-c30d-4aa5-8ed8-36a079060b81"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81"
                  }
                ]
              },
              {
                "title" : "Medication Summary",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "10160-0",
                      "display" : "History of Medication use Narrative"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/MedicationStatement/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
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                          "url" : "htmlid",
                          "valueString" : "b8dac343-16d7-49bf-ac36-b15e6726c343"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/MedicationStatement/b8dac343-16d7-49bf-ac36-b15e6726c343"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "b8e4d4a8-2c18-4f03-88dc-06f5f44f8058"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/MedicationStatement/b8e4d4a8-2c18-4f03-88dc-06f5f44f8058"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "MedicationStatement/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"
                  },
                  {
                    "reference" : "MedicationStatement/b8dac343-16d7-49bf-ac36-b15e6726c343"
                  },
                  {
                    "reference" : "MedicationStatement/b8e4d4a8-2c18-4f03-88dc-06f5f44f8058"
                  }
                ]
              },
              {
                "title" : "Immunizations",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "11369-6",
                      "display" : "History of Immunization note"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "17b5a6d7-307b-4726-8c8c-0031e61582ce"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "14e8b0d8-b4e4-4f8e-b263-ef385787453b"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Immunization/14e8b0d8-b4e4-4f8e-b263-ef385787453b"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "47befa30-026c-421a-ad32-c0b134597a30"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Immunization/47befa30-026c-421a-ad32-c0b134597a30"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "2f05b590-ce75-4ac6-be97-c2a275e21cbc"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Immunization/2f05b590-ce75-4ac6-be97-c2a275e21cbc"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "c1d3ccb9-8b7d-4732-8e03-abe63be1984c"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Immunization/c1d3ccb9-8b7d-4732-8e03-abe63be1984c"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "79b66c21-fbd3-4c7f-ae82-ac958ae62e0a"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Immunization/79b66c21-fbd3-4c7f-ae82-ac958ae62e0a"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "9910b96a-793b-4e96-91a9-291c27357f83"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Immunization/9910b96a-793b-4e96-91a9-291c27357f83"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "5b028fb0-bd04-4e75-b2bc-6952771173ea"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Immunization/5b028fb0-bd04-4e75-b2bc-6952771173ea"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce"
                  },
                  {
                    "reference" : "Immunization/14e8b0d8-b4e4-4f8e-b263-ef385787453b"
                  },
                  {
                    "reference" : "Immunization/47befa30-026c-421a-ad32-c0b134597a30"
                  },
                  {
                    "reference" : "Immunization/2f05b590-ce75-4ac6-be97-c2a275e21cbc"
                  },
                  {
                    "reference" : "Immunization/c1d3ccb9-8b7d-4732-8e03-abe63be1984c"
                  },
                  {
                    "reference" : "Immunization/79b66c21-fbd3-4c7f-ae82-ac958ae62e0a"
                  },
                  {
                    "reference" : "Immunization/9910b96a-793b-4e96-91a9-291c27357f83"
                  },
                  {
                    "reference" : "Immunization/5b028fb0-bd04-4e75-b2bc-6952771173ea"
                  }
                ]
              },
              {
                "title" : "Results",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "30954-2",
                      "display" : "Relevant diagnostic tests/laboratory data note"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "b0187efd-5f9b-474d-87bc-efebf877449a"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Observation/b0187efd-5f9b-474d-87bc-efebf877449a"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "f40b9e26-93b4-462b-8811-bdd6943873aa"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Observation/f40b9e26-93b4-462b-8811-bdd6943873aa"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "612b7e6a-c902-45cb-b45c-d1894458a26b"
                        },
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                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Observation/612b7e6a-c902-45cb-b45c-d1894458a26b"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "15bd8c0c-fa53-4f5b-994b-487c7db3dc78"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Observation/15bd8c0c-fa53-4f5b-994b-487c7db3dc78"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "5019909f-097d-4a43-84d9-cc50143b8c82"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Observation/5019909f-097d-4a43-84d9-cc50143b8c82"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "5d269392-79c1-4129-a142-0cdee6b49ea4"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Observation/5d269392-79c1-4129-a142-0cdee6b49ea4"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "Observation/b0187efd-5f9b-474d-87bc-efebf877449a"
                  },
                  {
                    "reference" : "Observation/f40b9e26-93b4-462b-8811-bdd6943873aa"
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                  {
                    "reference" : "Observation/612b7e6a-c902-45cb-b45c-d1894458a26b"
                  },
                  {
                    "reference" : "Observation/15bd8c0c-fa53-4f5b-994b-487c7db3dc78"
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                  {
                    "reference" : "Observation/5019909f-097d-4a43-84d9-cc50143b8c82"
                  },
                  {
                    "reference" : "Observation/5d269392-79c1-4129-a142-0cdee6b49ea4"
                  }
                ]
              },
              {
                "title" : "History of Procedures",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "47519-4",
                      "display" : "History of Procedures Document"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "55f43bcb-9032-46c0-b44b-18330024f9aa"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Procedure/39252"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "Procedure/39252"
                  }
                ]
              },
              {
                "title" : "Device Use",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "46264-8",
                      "display" : "History of medical device use"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "e6ff83e1-4c35-43c6-a40b-d21642262844"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/DeviceUseStatement/eumfh-70-275-1"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    🔗 "reference" : "DeviceUseStatement/eumfh-70-275-1"
                  }
                ]
              },
              {
                "title" : "Vital Signs",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "8716-3",
                      "display" : "Vital signs note"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
                    {
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                          "valueString" : "36ff59b8-d5a7-438e-b8c6-cd54af10a4af"
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                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Observation/36ff59b8-d5a7-438e-b8c6-cd54af10a4af"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "96e33a60-dbd8-47ce-b613-be954243939e"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Observation/96e33a60-dbd8-47ce-b613-be954243939e"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
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                          "url" : "htmlid",
                          "valueString" : "4ea539e1-fff9-4f56-964f-650d9e69ce58"
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                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Observation/4ea539e1-fff9-4f56-964f-650d9e69ce58"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "Observation/36ff59b8-d5a7-438e-b8c6-cd54af10a4af"
                  },
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                  {
                    "reference" : "Observation/4ea539e1-fff9-4f56-964f-650d9e69ce58"
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                ]
              },
              {
                "title" : "Social History",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "29762-2",
                      "display" : "Social history note"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
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                      "extension" : [
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                          "url" : "htmlid",
                          "valueString" : "9f906425-8c18-4580-ab30-61a56d7f4c05"
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                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Observation/9f906425-8c18-4580-ab30-61a56d7f4c05"
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                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    },
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "e2e3f8aa-df2a-4357-b01f-a9fba6bb9b41"
                        },
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                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Observation/e2e3f8aa-df2a-4357-b01f-a9fba6bb9b41"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "Observation/9f906425-8c18-4580-ab30-61a56d7f4c05"
                  },
                  {
                    "reference" : "Observation/e2e3f8aa-df2a-4357-b01f-a9fba6bb9b41"
                  }
                ]
              },
              {
                "title" : "Alerts",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "104605-1",
                      "display" : "Alert"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "e8ae9c4e-8f5a-4270-bfac-02368c567fcf"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Flag/e8ae9c4e-8f5a-4270-bfac-02368c567fcf"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "Flag/e8ae9c4e-8f5a-4270-bfac-02368c567fcf"
                  }
                ]
              },
              {
                "title" : "Patient Story",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "81338-6",
                      "display" : "Patient Goals, preferences, and priorities for care experience"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "Consent/080d85fa-c807-42d1-a3af-b3ee70858a54"
                  }
                ]
              },
              {
                "title" : "Advance Directives",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "42348-3",
                      "display" : "Advance healthcare directives"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "080d85fa-c807-42d1-a3af-b3ee70858a54"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Consent/080d85fa-c807-42d1-a3af-b3ee70858a54"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "Consent/080d85fa-c807-42d1-a3af-b3ee70858a54"
                  }
                ]
              },
              {
                "title" : "Functional Status",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "47420-5",
                      "display" : "Functional status assessment note"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "4f3d8f79-2f96-48c5-b346-d47f0c66c981"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Condition/4f3d8f79-2f96-48c5-b346-d47f0c66c981"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "Condition/4f3d8f79-2f96-48c5-b346-d47f0c66c981"
                  }
                ]
              },
              {
                "title" : "History of Past Problems",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "11348-0",
                      "display" : "History of Past illness note"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "77efacd9-b5a6-4b35-9764-269017ea7567"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Condition/77efacd9-b5a6-4b35-9764-269017ea7567"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "Condition/77efacd9-b5a6-4b35-9764-269017ea7567"
                  }
                ]
              },
              {
                "title" : "History of Pregnancy",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "10162-6",
                      "display" : "History of pregnancies Narrative"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "f241ac65-5eab-49a0-8b92-7fb263274110"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/Observation/f241ac65-5eab-49a0-8b92-7fb263274110"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "Observation/f241ac65-5eab-49a0-8b92-7fb263274110"
                  }
                ]
              },
              {
                "title" : "Plan of Care",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "18776-5",
                      "display" : "Plan of care note"
                    }
                  ]
                },
                "text" : {
                  "extension" : [
                    {
                      "extension" : [
                        {
                          "url" : "htmlid",
                          "valueString" : "85d57ac7-ea2d-47cf-b019-b867f876ee7c"
                        },
                        {
                          "url" : "data",
                          "valueUri" : "https://fhir.example.com/CarePlan/85d57ac7-ea2d-47cf-b019-b867f876ee7c"
                        }
                      ],
                      "url" : "http://hl7.org/fhir/StructureDefinition/textLink"
                    }
                  ],
                  "status" : "generated"
                },
                "entry" : [
                  {
                    "reference" : "CarePlan/85d57ac7-ea2d-47cf-b019-b867f876ee7c"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://fhir.example.com/Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "d174bd1a-b368-41e6-83a2-af77f2b3c60f",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips"
              ]
            },
            "language" : "en",
            "text" : {
              "status" : "generated"
            },
            "identifier" : [
              {
                "system" : "https://standards.digital.health.nz/ns/nhi-id",
                "value" : "ABC1234"
              }
            ],
            "name" : [
              {
                "use" : "usual",
                "family" : "JORDANA",
                "given" : [
                  "Patricia"
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "other",
                "value" : "+1234567890",
                "use" : "mobile"
              }
            ],
            "gender" : "female",
            "birthDate" : "1956-09-30",
            "address" : [
              {
                "use" : "home",
                "type" : "physical",
                "line" : [
                  "3",
                  "Worcester Drive",
                  "Rototuna North"
                ],
                "city" : "Hamilton",
                "postalCode" : "3210"
              }
            ],
            "maritalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
                  "code" : "M",
                  "display" : "Married"
                }
              ]
            },
            "contact" : [
              {
                "relationship" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
                        "code" : "C",
                        "display" : "Emergency Contact"
                      }
                    ]
                  }
                ],
                "name" : {
                  "use" : "usual",
                  "family" : "JORDANA",
                  "given" : [
                    "Vincent",
                    "JORDANA"
                  ]
                },
                "telecom" : [
                  {
                    "system" : "phone",
                    "value" : "21884820",
                    "use" : "mobile"
                  },
                  {
                    "system" : "phone",
                    "value" : "853 3279",
                    "use" : "work"
                  }
                ],
                "address" : {
                  "use" : "home",
                  "type" : "physical",
                  "line" : [
                    "3 Worcester Drive",
                    "Rototuna North"
                  ],
                  "city" : "Hamilton"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "https://fhir.example.com/Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "7a17027f-acc0-4d77-bf84-c0dad8f7c881",
            "language" : "en",
            "text" : {
              "status" : "generated"
            },
            "identifier" : [
              {
                "system" : "https://standards.digital.health.nz/ns/hpi-facility-id",
                "value" : "F2N000"
              }
            ],
            "name" : "NorthCare Pukete Road-Thomas Road",
            "partOf" : {
              "reference" : "Organization/8f8635dc-694e-408f-8ffe-1610d50f9823"
            }
          }
        },
        {
          "fullUrl" : "https://fhir.example.com/Organization/8f8635dc-694e-408f-8ffe-1610d50f9823",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "8f8635dc-694e-408f-8ffe-1610d50f9823",
            "language" : "en",
            "text" : {
              "status" : "generated"
            },
            "identifier" : [
              {
                "system" : "https://standards.digital.health.nz/ns/hpi-facility-id",
                "value" : "F2N001"
              }
            ],
            "name" : "NorthCare Health System"
          }
        },
        {
          "fullUrl" : "https://fhir.example.com/PractitionerRole/94d12c8d-a3df-47a7-a0bb-0f29d64bafe2",
          "resource" : {
            "resourceType" : "PractitionerRole",
            "id" : "94d12c8d-a3df-47a7-a0bb-0f29d64bafe2",
            "language" : "en",
            "text" : {
              "status" : "generated"
            },
            "practitioner" : {
              "reference" : "Practitioner/816cf057-b736-4e08-baed-cc21e081b784"
            },
            "code" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "158965000",
                    "display" : "Doctor"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://fhir.example.com/Practitioner/816cf057-b736-4e08-baed-cc21e081b784",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "816cf057-b736-4e08-baed-cc21e081b784",
            "language" : "en",
            "text" : {
              "status" : "generated"
            },
            "name" : [
              {
                "use" : "usual",
                "family" : "COORAY",
                "given" : [
                  "HASHIRA",
                  "COORAY"
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "phone",
                "value" : "07 850 9900",
                "use" : "work"
              }
            ]
          }
        },
        {
          "fullUrl" : "https://fhir.example.com/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81",
          "resource" : {
            "resourceType" : "AllergyIntolerance",
            "id" : "9838cf73-c30d-4aa5-8ed8-36a079060b81",
            "language" : "en",
            "text" : {
              "status" : "generated"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                  "code" : "active"
                }
              ]
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
                  "code" : "confirmed"
                }
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "764146007",
                  "display" : "Penicillin"
                },
                {
                  "system" : "http://www.whocc.no/atc",
                  "code" : "J01CA",
                  "display" : "Penicillins with extended spectrum"
                }
              ]
            },
            "patient" : {
              "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
            }
          }
        },
        {
          "fullUrl" : "https://fhir.example.com/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "8039e4a7-d459-454c-92a5-6c17ca2a824b",
            "language" : "en",
            "text" : {
              "status" : "generated"
            },
            "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"
                }
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "59621000",
                  "display" : "Essential hypertension"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
            },
            "onsetDateTime" : "2016-05-25",
            "recordedDate" : "2016-05-25",
            "asserter" : {
              "reference" : "Practitioner/816cf057-b736-4e08-baed-cc21e081b784"
            }
          }
        },
        {
          "fullUrl" : "https://fhir.example.com/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1",
            "language" : "en",
            "text" : {
              "status" : "generated"
            },
            "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"
                }
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "90560007",
                  "display" : "Gout"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
            },
            "onsetDateTime" : "2016-05-25",
            "recordedDate" : "2020-10-01"
          }
        },
        {
          "fullUrl" : "https://fhir.example.com/MedicationStatement/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "c3d31980-2a88-45b6-a7af-3fe8d32cc6fa",
            "language" : "en",
            "text" : {
              "status" : "generated"
            },
            "status" : "stopped",
            "medicationCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "318913001",
                  "display" : "Product containing cilazapril (medicinal product)"
                }
              ],
              "text" : "cilazapril 500 microgram tablet, 90"
            },
            "subject" : {
              "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
            },
            "effectiveDateTime" : "2023-12-01",
            "informationSource" : {
              "reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
            },
            "dosage" : [
              {
                "text" : "Take 1 daily",
                "doseAndRate" : [
                  {
                    "doseQuantity" : {
                      "value" : 1,
                      "unit" : "tablet",
                      "system" : "http://snomed.info/sct",
                      "code" : "428673006"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://fhir.example.com/MedicationStatement/b8dac343-16d7-49bf-ac36-b15e6726c343",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "b8dac343-16d7-49bf-ac36-b15e6726c343",
            "language" : "en",
            "text" : {
              "status" : "generated"
            },
            "status" : "active",
            "medicationCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "108575001",
                  "display" : "Product containing lisinopril (medicinal product)"
                }
              ],
              "text" : "lisinopril 5 mg tablet"
            },
            "subject" : {
              "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
            },
            "effectiveDateTime" : "2024-08-13",
            "informationSource" : {
              "reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
            },
            "dosage" : [
              {
                "text" : "Take One tablet once daily",
                "timing" : {
                  "repeat" : {
                    "frequency" : 1,
                    "period" : 1,
                    "periodUnit" : "d"
                  }
                },
                "route" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
                      "code" : "PO",
                      "display" : "Swallow, oral"
                    }
                  ]
                },
                "doseAndRate" : [
                  {
                    "doseQuantity" : {
                      "value" : 1,
                      "unit" : "tablet",
                      "system" : "http://snomed.info/sct",
                      "code" : "428673006"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://fhir.example.com/MedicationStatement/b8e4d4a8-2c18-4f03-88dc-06f5f44f8058",
          "resource" : {
            "resourceType" : "MedicationStatement",
            "id" : "b8e4d4a8-2c18-4f03-88dc-06f5f44f8058",
            "language" : "en",
            "text" : {
              "status" : "generated"
            },
            "status" : "active",
            "medicationCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://www.whocc.no/atc",
                  "code" : "C05AA08",
                  "display" : "Fluocortolone"
                }
              ],
              "text" : "Ultraproct - cinchocaine 0.5% (5 mg/g) + fluocortolone hexanoate 0.095% (945 microgram/g) + fluocortolone pivalate 0.092% (918 microgram/g) ointment"
            },
            "subject" : {
              "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
            },
            "effectiveDateTime" : "2024-08-30",
            "informationSource" : {
              "reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
            },
            "dosage" : [
              {
                "text" : "apply a small amount to the affected area up to 4 times daily on the first day, then twice daily for at least 1 week; continue for up to a maximum of 4 weeks",
                "doseAndRate" : [
                  {
                    "doseQuantity" : {
                      "value" : 1,
                      "unit" : "ointment",
                      "system" : "http://snomed.info/sct",
                      "code" : "385101003"
                    }
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "https://fhir.example.com/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce",
          "resource" : {
            "resourceType" : "Immunization",
            "id" : "17b5a6d7-307b-4726-8c8c-0031e61582ce",
            "language" : "en",
            "text" : {
              "status" : "generated"
            },
            "status" : "completed",
            "vaccineCode" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/sid/cvx",
                  "code" : "141",
                  "display" : "Influenza, split virus, trivalent, preservative"
                }
              ]
            },
            "patient" : {
              "reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
            },
            "occurrenceDateTime" : "2024-04-10",
            "lotNumber" : "H06",
            "site" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "16217701000119102",
                  "display" : "Structure of left deltoid muscle"
                }
              ]
            },
            "route" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
                  "code" : "IM",
                  "display" : "Injection, intramuscular"
                }
              ]
            },
            "performer" : [
              {
                "actor" : {
                  "reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
                }
              }
            ],
            "protocolApplied" : [
              {
                "series" : "1 (Over 65 years (Influenza))",
                "doseNumberPositiveInt" : 1
              }
            ]
          }
        },
        {
          "fullUrl" : "https://fhir.example.com/Immunization/14e8b0d8-b4e4-4f8e-b263-ef385787453b",
          "resource" : {
            "resourceType" : "Immunization",
            "id" : "14e8b0d8-b4e4-4f8e-b263-ef385787453b",
            "language" : "en",
            "text" : {
              "status" : "generated"
            },
            "status" : "completed",
            "vaccineCode" : {
              "coding" : [
                {
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