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