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 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"/>
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<timestamp value="2017-12-11T14:30:00+01:00"/>
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<value value="3f69e0a5-2177-4540-baab-7a5d0877428f"/>
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<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="60591-5"/>
<display value="Patient summary Document"/>
</coding>
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<subject>
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<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>
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<attester>
<mode value="legal"/>
<time value="2017-12-11T14:30:00+01:00"/>
<party>
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<custodian>
<reference value="urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15"/>
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<event>
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<coding>
<system
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<code value="PCPR"/>
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</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"/>
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<entry>
<reference value="urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"/>
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</section>
<section>
<title value="Medication"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10160-0"/>
<display value="History of Medication use Narrative"/>
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</code>
<text>
<status value="generated"/>
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<entry>
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<entry>
<reference value="urn:uuid:47524493-846a-4a26-bae2-4ab03e60f02e"/>
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<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"/>
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<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"/>
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<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"/>
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</section>
</Composition>
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</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"/>
<performer>
<reference value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="10828004"/>
<display value="Positive"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b4916505-a06b-460c-9be8-011609282457"/>
<resource>
<Observation>
<id value="b4916505-a06b-460c-9be8-011609282457-with-immunization"/>
<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="1018-1"/>
<display value="E Ab [Presence] in Serum or Plasma"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<effectiveDateTime value="2015-10-10T09:35:00+01:00"/>
<performer>
<reference value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="10828004"/>
<display value="Positive"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4"/>
<resource>
<Observation>
<id value="a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4-with-immunization"/>
<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="1156-9"/>
<display value="little c Ab [Presence] in Serum or Plasma"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<effectiveDateTime value="2015-10-10T09:35:00+01:00"/>
<performer>
<reference value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="260385009"/>
<display value="Negative"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2639657a-c19a-48e2-82cc-471e13b8ad94"/>
<resource>
<Observation>
<id value="2639657a-c19a-48e2-82cc-471e13b8ad94-with-immunization"/>
<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>
<text value="Blood typing"/>
</code>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<effectiveDateTime value="2015-10-10"/>
<performer>
<reference value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<hasMember>
<reference value="urn:uuid:aa11a2be-3e36-4be7-b58a-6fc3dace2741"/>
</hasMember>
<hasMember>
<reference value="urn:uuid:6e39ccf3-f997-4a2b-8f28-b4b71c778c70"/>
</hasMember>
<hasMember>
<reference value="urn:uuid:b4916505-a06b-460c-9be8-011609282457"/>
</hasMember>
<hasMember>
<reference value="urn:uuid:a6a5a1d5-c896-4c7e-b922-888fcc7e6ae4"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:cc354e00-a419-47ea-8b6c-1768b2a01646"/>
<resource>
<Observation>
<id value="cc354e00-a419-47ea-8b6c-1768b2a01646-with-immunization"/>
<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="17856-6"/>
<display
value="Hemoglobin A1c/Hemoglobin.total in Blood by HPLC"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<effectiveDateTime value="2017-11-10T08:20:00+01:00"/>
<performer>
<reference value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueQuantity>
<value value="7.5"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
<note>
<text value="Above stated goal of 7.0 %"/>
</note>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:26bee0a9-5997-4557-ab9d-c6adbb05b572"/>
<resource>
<Observation>
<id value="26bee0a9-5997-4557-ab9d-c6adbb05b572-with-immunization"/>
<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="42803-7"/>
<display value="Bacteria identified in Isolate"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</subject>
<effectiveDateTime value="2017-12-10T08:20:00+01:00"/>
<performer>
<reference value="urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="115329001"/>
<display value="Methicillin resistant Staphylococcus aureus"/>
</coding>
</valueCodeableConcept>
<note>
<text value="Healthy carrier of MRSA"/>
</note>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c7781f44-6df8-4a8b-9e06-0b34263a47c5"/>
<resource>
<AllergyIntolerance>
<id value="c7781f44-6df8-4a8b-9e06-0b34263a47c5-with-immunization"/>
<language value="en"/>
<text>
<status value="generated"/>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="429625007"/>
<display value="No known food allergy (situation)"/>
</coding>
</code>
<patient>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</patient>
</AllergyIntolerance>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:40b7b6a0-c043-423a-9959-be3707e728b2"/>
<resource>
<Immunization>
<id value="40b7b6a0-c043-423a-9959-be3707e728b2"/>
<language value="en"/>
<text>
<status value="generated"/>
</text>
<status value="completed"/>
<vaccineCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="871878002"/>
<display
value="Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae and Human poliovirus antigens only vaccine product"/>
</coding>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="J07CA02"/>
<display value="diphtheria-pertussis-poliomyelitis-tetanus"/>
</coding>
<text
value="Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite"/>
</vaccineCode>
<patient>
<reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
</patient>
<occurrenceDateTime value="1998-06-04T00:00:00+02:00"/>
<primarySource value="true"/>
<lotNumber value="AXK23RWERS"/>
<expirationDate value="2000-06-01"/>
<site>
<coding>
<system value="http://snomed.info/sct"/>
<code value="11207009"/>
<display value="Right thigh"/>
</coding>
<text value="Cuisse droite"/>
</site>
<route>
<coding>
<system value="http://standardterms.edqm.eu"/>
<code value="20035000"/>
<display value="Intramuscular use"/>
</coding>
<text value="Voie intramusculaire"/>
</route>
<protocolApplied>
<targetDisease>
<coding>
<system value="http://snomed.info/sct"/>
<code value="27836007"/>
<display value="Pertussis"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="76902006"/>
<display value="Tetanus"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="398102009"/>
<display value="Acute poliomyelitis"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="397430003"/>
<display
value="Diphtheria caused by Corynebacterium diphtheriae"/>
</coding>
</targetDisease>
<doseNumberPositiveInt value="1"/>
</protocolApplied>
</Immunization>
</resource>
</entry>
</Bundle>