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

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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"/>
        <performer>
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            <system
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        <code>
          <coding>
            <system value="http://loinc.org"/>
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            <system
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        <code>
          <coding>
            <system value="http://loinc.org"/>
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            <display value="little c Ab [Presence] in Serum or Plasma"/>
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            <system value="http://snomed.info/sct"/>
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        <code>
          <text value="Blood typing"/>
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          <status value="generated"/>
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            <system
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        <code>
          <coding>
            <system value="http://loinc.org"/>
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            <display
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        </code>
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        <valueQuantity>
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          <unit value="%"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
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        <note>
          <text value="Above stated goal of 7.0 %"/>
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        <text>
          <status value="generated"/>
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            <system
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        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="42803-7"/>
            <display value="Bacteria identified in Isolate"/>
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        </code>
        <subject>
          <reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
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            <display value="Methicillin resistant Staphylococcus aureus"/>
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        </valueCodeableConcept>
        <note>
          <text value="Healthy carrier of MRSA"/>
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      </Observation>
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        <text>
          <status value="generated"/>
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        <clinicalStatus>
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            <system
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        </clinicalStatus>
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        <patient>
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      </AllergyIntolerance>
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        <status value="completed"/>
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          <coding>
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            <display
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          </coding>
          <coding>
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            <display value="diphtheria-pertussis-poliomyelitis-tetanus"/>
          </coding>
          <text
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        </vaccineCode>
        <patient>
          <reference value="urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"/>
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        <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>
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              <code value="27836007"/>
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            <coding>
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              <code value="76902006"/>
              <display value="Tetanus"/>
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            <coding>
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              <code value="398102009"/>
              <display value="Acute poliomyelitis"/>
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            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="397430003"/>
              <display
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          </targetDisease>
          <doseNumberPositiveInt value="1"/>
        </protocolApplied>
      </Immunization>
    </resource>
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</Bundle>