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 Required Sections and Immunization

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="IPS-examples-Bundle-with-immunization"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"/>
      </meta>
      <language value="en"/>
      <identifier>
        <system value="urn:oid:2.16.724.4.8.10.200.10"/>
        <value value="175bd032-8b00-4728-b2dc-748bb1501aed"/>
      </identifier>
      <type value="document"/>
      <timestamp value="2017-12-11T14:30:00+01:00"/>
      <entry>
        <fullUrl value="urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d"/>
        <resource>
          <Composition>
            <id value="30551ce1-5a28-4356-b684-1e639094ad4d"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
            </text>
            <identifier>
              <system value="urn:oid:2.16.724.4.8.10.200.10"/>
              <value value="3f69e0a5-2177-4540-baab-7a5d0877428f"/>
            </identifier>
            <status value="final"/>
            <type>
              <coding>
                <system value="http://loinc.org"/>
                <code value="60591-5"/>
                <display value="Patient summary Document"/>
              </coding>
            </type>
            <subject>
              <reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
            </subject>
            <date value="2017-12-11T14:30:00+01:00"/>
            <author>
              <reference value="urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef"/>
            </author>
            <title value="Patient Summary as of December 11, 2017 14:30"/>
            <confidentiality value="N"/>
            <attester>
              <mode value="legal"/>
              <time value="2017-12-11T14:30:00+01:00"/>
              <party>
                <reference value="urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef"/>
              </party>
            </attester>
            <attester>
              <mode value="legal"/>
              <time value="2017-12-11T14:30:00+01:00"/>
              <party>
                <reference value="urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15"/>
              </party>
            </attester>
            <custodian>
              <reference value="urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15"/>
            </custodian>
            <relatesTo>
              <code value="appends"/>
              <targetIdentifier>
                <system value="urn:oid:2.16.724.4.8.10.200.10"/>
                <value value="c2277753-9f90-4a95-8ddb-a0b3f6e7d292"/>
              </targetIdentifier>
            </relatesTo>
            <event>
              <code>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-ActClass"/>
                  <code value="PCPR"/>
                </coding>
              </code>
              <period>
                <end value="2017-12-11T14:30:00+01:00"/>
              </period>
            </event>
            <section>
              <title value="Active Problems"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11450-4"/>
                  <display value="Problem list - Reported"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
              </text>
              <entry>
                <reference value="urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"/>
              </entry>
            </section>
            <section>
              <title value="Medication"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="10160-0"/>
                  <display value="History of Medication use Narrative"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
              </text>
              <entry>
                <reference value="urn:uuid:c220e36c-eb67-4fc4-9ba1-2fabc52acec6"/>
              </entry>
              <entry>
                <reference value="urn:uuid:47524493-846a-4a26-bae2-4ab03e60f02e"/>
              </entry>
            </section>
            <section>
              <title value="Allergies and Intolerances"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="48765-2"/>
                  <display value="Allergies and adverse reactions Document"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
              </text>
              <entry>
                <reference value="urn:uuid:72884cad-ebe6-4f43-a51a-2f978275f132"/>
              </entry>
              <entry>
                <reference value="urn:uuid:c7781f44-6df8-4a8b-9e06-0b34263a47c5"/>
              </entry>
            </section>
            <section>
              <title value="History of Past Problems"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11348-0"/>
                  <display value="History of Past illness note"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
              </text>
              <entry>
                <reference value="urn:uuid:c4597aa2-688a-401b-a658-70acc6de28c6"/>
              </entry>
            </section>
            <section>
              <title value="Plan of Treatment"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="18776-5"/>
                  <display value="Plan of care note"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
              </text>
            </section>
            <section>
              <title value="Results"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="30954-2"/>
                  <display
                           value="Relevant diagnostic tests/laboratory data note"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
              </text>
              <entry>
                <reference value="urn:uuid:2639657a-c19a-48e2-82cc-471e13b8ad94"/>
              </entry>
              <entry>
                <reference value="urn:uuid:cc354e00-a419-47ea-8b6c-1768b2a01646"/>
              </entry>
              <entry>
                <reference value="urn:uuid:26bee0a9-5997-4557-ab9d-c6adbb05b572"/>
              </entry>
            </section>
            <section>
              <title value="Immunizations"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11369-6"/>
                  <display value="History of Immunization note"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
              </text>
              <entry>
                <reference value="urn:uuid:40b7b6a0-c043-423a-9959-be3707e728b2"/>
              </entry>
            </section>
          </Composition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
        <resource>
          <Patient>
            <id value="2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
            </text>
            <identifier>
              <system value="urn:oid:2.16.840.1.113883.2.4.6.3"/>
              <value value="574687583"/>
            </identifier>
            <active value="true"/>
            <name>
              <family value="DeLarosa"/>
              <given value="Martha"/>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="+31788700800"/>
              <use value="home"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1972-05-01"/>
            <address>
              <line value="Laan Van Europa 1600"/>
              <city value="Dordrecht"/>
              <postalCode value="3317 DB"/>
              <country value="NL"/>
            </address>
            <contact>
              <relationship>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
                  <code value="MTH"/>
                </coding>
              </relationship>
              <name>
                <family value="Mum"/>
                <given value="Martha"/>
              </name>
              <telecom>
                <system value="phone"/>
                <value value="+33-555-20036"/>
                <use value="home"/>
              </telecom>
              <address>
                <line value="Promenade des Anglais 111"/>
                <city value="Lyon"/>
                <postalCode value="69001"/>
                <country value="FR"/>
              </address>
            </contact>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef"/>
        <resource>
          <Practitioner>
            <id value="1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
            </text>
            <identifier>
              <system value="urn:oid:2.16.528.1.1007.3.1"/>
              <value value="129854633"/>
              <assigner>
                <display value="CIBG"/>
              </assigner>
            </identifier>
            <active value="true"/>
            <name>
              <family value="van Hulp"/>
              <given value="Beetje"/>
            </name>
            <qualification>
              <code>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0360"/>
                  <version value="2.7"/>
                  <code value="MD"/>
                  <display value="Doctor of Medicine"/>
                </coding>
              </code>
            </qualification>
          </Practitioner>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15"/>
        <resource>
          <Organization>
            <id value="890751f4-2924-4636-bab7-efffc7f3cf15-with-immunization"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
            </text>
            <identifier>
              <system value="urn:oid:2.16.528.1.1007.3.3"/>
              <value value="564738757"/>
            </identifier>
            <active value="true"/>
            <name value="Anorg Aniza Tion BV / The best custodian ever"/>
            <telecom>
              <system value="phone"/>
              <value value="+31-51-34343400"/>
              <use value="work"/>
            </telecom>
            <address>
              <use value="work"/>
              <line value="Houttuinen 27"/>
              <city value="Dordrecht"/>
              <postalCode value="3311 CE"/>
              <country value="NL"/>
            </address>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"/>
        <resource>
          <Condition>
            <id value="c64139e7-f02d-409c-bf34-75e8bf23bc80-with-immunization"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
            </text>
            <identifier>
              <system value="urn:oid:1.2.3.999"/>
              <value value="c87bf51c-e53c-4bfe-b8b7-aa62bdd93002"/>
            </identifier>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
              </coding>
            </clinicalStatus>
            <verificationStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
                <code value="confirmed"/>
              </coding>
            </verificationStatus>
            <category>
              <coding>
                <system value="http://loinc.org"/>
                <code value="75326-9"/>
                <display value="Problem"/>
              </coding>
            </category>
            <severity>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="6736007"/>
                <display value="Moderate severity"/>
              </coding>
            </severity>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="198436008"/>
                <display value="Menopausal flushing (finding)"/>
              </coding>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10"/>
                <code value="N95.1"/>
                <display value="Menopausal and female climacteric states"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
            </subject>
            <onsetDateTime value="2015"/>
            <recordedDate value="2016-10"/>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:c220e36c-eb67-4fc4-9ba1-2fabc52acec6"/>
        <resource>
          <MedicationStatement>
            <id value="c220e36c-eb67-4fc4-9ba1-2fabc52acec6-with-immunization"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
            </text>
            <identifier>
              <system value="urn:oid:1.2.3.999"/>
              <value value="b75f92cb-61d4-469a-9387-df5ef70d25f0"/>
            </identifier>
            <status value="active"/>
            <medicationReference>
              <reference value="urn:uuid:976d0804-cae0-45ae-afe3-a19f3ceba6bc"/>
            </medicationReference>
            <subject>
              <reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
            </subject>
            <effectivePeriod>
              <start value="2015-03"/>
            </effectivePeriod>
            <dosage>
              <timing>
                <repeat>
                  <count value="1"/>
                  <periodUnit value="d"/>
                </repeat>
              </timing>
              <route>
                <coding>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="20053000"/>
                  <display value="Oral use"/>
                </coding>
              </route>
              <doseAndRate>
                <doseQuantity>
                  <value value="1"/>
                  <unit value="tablet"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="1"/>
                </doseQuantity>
              </doseAndRate>
            </dosage>
          </MedicationStatement>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:47524493-846a-4a26-bae2-4ab03e60f02e"/>
        <resource>
          <MedicationStatement>
            <id value="47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
            </text>
            <identifier>
              <system value="urn:oid:1.2.3.999"/>
              <value value="9e312d6b-c6b6-439a-a730-6efaa5dcf8bc"/>
            </identifier>
            <status value="active"/>
            <medicationReference>
              <reference value="urn:uuid:8adc0999-9468-4ac9-9557-680fa133d626"/>
            </medicationReference>
            <subject>
              <reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
            </subject>
            <effectivePeriod>
              <start value="2016-01"/>
            </effectivePeriod>
            <dosage>
              <route>
                <coding>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="20053000"/>
                  <display value="Oral use"/>
                </coding>
              </route>
            </dosage>
          </MedicationStatement>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:976d0804-cae0-45ae-afe3-a19f3ceba6bc"/>
        <resource>
          <Medication>
            <id value="976d0804-cae0-45ae-afe3-a19f3ceba6bc-with-immunization"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
            </text>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="108774000"/>
                <display
                         value="Product containing anastrozole (medicinal product)"/>
              </coding>
              <coding>
                <system value="urn:oid:2.16.840.1.113883.2.4.4.1"/>
                <code value="99872"/>
                <display value="ANASTROZOL 1MG TABLET"/>
              </coding>
              <coding>
                <system value="urn:oid:2.16.840.1.113883.2.4.4.7"/>
                <code value="2076667"/>
                <display value="ANASTROZOL CF TABLET FILMOMHULD 1MG"/>
              </coding>
              <coding>
                <system value="http://www.whocc.no/atc"/>
                <code value="L02BG03"/>
                <display value="anastrozole"/>
              </coding>
            </code>
          </Medication>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:8adc0999-9468-4ac9-9557-680fa133d626"/>
        <resource>
          <Medication>
            <id value="8adc0999-9468-4ac9-9557-680fa133d626-with-immunization"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
            </text>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="412588001"/>
                <display value="Cimicifuga racemosa extract (substance)"/>
              </coding>
              <coding>
                <system value="http://www.whocc.no/atc"/>
                <code value="G02CX04"/>
                <display value="Cimicifugae rhizoma"/>
              </coding>
              <text value="Black Cohosh Extract herbal supplement"/>
            </code>
          </Medication>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:72884cad-ebe6-4f43-a51a-2f978275f132"/>
        <resource>
          <AllergyIntolerance>
            <id value="72884cad-ebe6-4f43-a51a-2f978275f132-with-immunization"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
            </text>
            <identifier>
              <system value="urn:oid:1.2.3.999"/>
              <value value="3a462598-009c-484a-965c-d6b24a821424"/>
            </identifier>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
                <code value="active"/>
              </coding>
            </clinicalStatus>
            <verificationStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
                <code value="confirmed"/>
              </coding>
            </verificationStatus>
            <type value="allergy"/>
            <category value="medication"/>
            <criticality value="high"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="764146007"/>
                <display value="Substance with penicillin structure (substance)"/>
              </coding>
            </code>
            <patient>
              <reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
            </patient>
            <onsetDateTime value="2010"/>
          </AllergyIntolerance>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:c4597aa2-688a-401b-a658-70acc6de28c6"/>
        <resource>
          <Condition>
            <id value="c4597aa2-688a-401b-a658-70acc6de28c6-with-immunization"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
            </text>
            <identifier>
              <system value="urn:oid:1.2.3.999"/>
              <value value="66d4a8c7-9081-43e0-a63f-489c2ae6edd6"/>
            </identifier>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="remission"/>
              </coding>
            </clinicalStatus>
            <verificationStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
                <code value="confirmed"/>
              </coding>
            </verificationStatus>
            <category>
              <coding>
                <system value="http://loinc.org"/>
                <code value="75326-9"/>
                <display value="Problem"/>
              </coding>
            </category>
            <severity>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="24484000"/>
                <display value="Severe"/>
              </coding>
            </severity>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="254837009"/>
                <display value="Malignant tumor of breast"/>
              </coding>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/icd-o-3"/>
                <code value="8500/3"/>
                <display value="Infiltrating duct carcinoma, NOS"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
            </subject>
            <onsetDateTime value="2015-01"/>
            <abatementDateTime value="2015-03"/>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
        <resource>
          <Organization>
            <id value="45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7-with-immunization"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
            </text>
            <active value="true"/>
            <name value="Laboratoire de charme"/>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:aa11a2be-3e36-4be7-b58a-6fc3dace2741"/>
        <resource>
          <Observation>
            <id value="aa11a2be-3e36-4be7-b58a-6fc3dace2741-with-immunization"/>
            <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="882-1"/>
                <display value="ABO and Rh group [Type] in Blood"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
            </subject>
            <effectiveDateTime value="2015-10-10T09:15:00+01:00"/>
            <performer>
              <reference value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
            </performer>
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="278149003"/>
                <display value="Blood group A Rh(D) positive"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:6e39ccf3-f997-4a2b-8f28-b4b71c778c70"/>
        <resource>
          <Observation>
            <id value="6e39ccf3-f997-4a2b-8f28-b4b71c778c70-with-immunization"/>
            <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="945-6"/>
                <display value="C Ab [Presence] in Serum or Plasma"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
            </subject>
            <effectiveDateTime value="2015-10-10T09:35:00+01:00"/>
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