International Patient Summary Implementation Guide
2.0.0 - International flag

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

Raw json | Download

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