International Patient Summary Implementation Guide
2.0.0 -
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
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"system" : "http://loinc.org",
"code" : "47420-5",
"display" : "Functional status assessment note"
}
]
},
"text" : {
"extension" : [
{
"extension" : [
{
"url" : "htmlid",
"valueString" : "4f3d8f79-2f96-48c5-b346-d47f0c66c981"
},
{
"url" : "data",
"valueUri" : "https://fhir.example.com/Condition/4f3d8f79-2f96-48c5-b346-d47f0c66c981"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/textLink"
}
],
"status" : "generated"
},
"entry" : [
{
"reference" : "Condition/4f3d8f79-2f96-48c5-b346-d47f0c66c981"
}
]
},
{
"title" : "History of Past Problems",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11348-0",
"display" : "History of Past illness note"
}
]
},
"text" : {
"extension" : [
{
"extension" : [
{
"url" : "htmlid",
"valueString" : "77efacd9-b5a6-4b35-9764-269017ea7567"
},
{
"url" : "data",
"valueUri" : "https://fhir.example.com/Condition/77efacd9-b5a6-4b35-9764-269017ea7567"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/textLink"
}
],
"status" : "generated"
},
"entry" : [
{
"reference" : "Condition/77efacd9-b5a6-4b35-9764-269017ea7567"
}
]
},
{
"title" : "History of Pregnancy",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10162-6",
"display" : "History of pregnancies Narrative"
}
]
},
"text" : {
"extension" : [
{
"extension" : [
{
"url" : "htmlid",
"valueString" : "f241ac65-5eab-49a0-8b92-7fb263274110"
},
{
"url" : "data",
"valueUri" : "https://fhir.example.com/Observation/f241ac65-5eab-49a0-8b92-7fb263274110"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/textLink"
}
],
"status" : "generated"
},
"entry" : [
{
"reference" : "Observation/f241ac65-5eab-49a0-8b92-7fb263274110"
}
]
},
{
"title" : "Plan of Care",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5",
"display" : "Plan of care note"
}
]
},
"text" : {
"extension" : [
{
"extension" : [
{
"url" : "htmlid",
"valueString" : "85d57ac7-ea2d-47cf-b019-b867f876ee7c"
},
{
"url" : "data",
"valueUri" : "https://fhir.example.com/CarePlan/85d57ac7-ea2d-47cf-b019-b867f876ee7c"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/textLink"
}
],
"status" : "generated"
},
"entry" : [
{
"reference" : "CarePlan/85d57ac7-ea2d-47cf-b019-b867f876ee7c"
}
]
}
]
}
},
{
"fullUrl" : "https://fhir.example.com/Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f",
"resource" : {
"resourceType" : "Patient",
"id" : "d174bd1a-b368-41e6-83a2-af77f2b3c60f",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"identifier" : [
{
"system" : "https://standards.digital.health.nz/ns/nhi-id",
"value" : "ABC1234"
}
],
"name" : [
{
"use" : "usual",
"family" : "JORDANA",
"given" : [
"Patricia"
]
}
],
"telecom" : [
{
"system" : "other",
"value" : "+1234567890",
"use" : "mobile"
}
],
"gender" : "female",
"birthDate" : "1956-09-30",
"address" : [
{
"use" : "home",
"type" : "physical",
"line" : [
"3",
"Worcester Drive",
"Rototuna North"
],
"city" : "Hamilton",
"postalCode" : "3210"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "M",
"display" : "Married"
}
]
},
"contact" : [
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
"code" : "C",
"display" : "Emergency Contact"
}
]
}
],
"name" : {
"use" : "usual",
"family" : "JORDANA",
"given" : [
"Vincent",
"JORDANA"
]
},
"telecom" : [
{
"system" : "phone",
"value" : "21884820",
"use" : "mobile"
},
{
"system" : "phone",
"value" : "853 3279",
"use" : "work"
}
],
"address" : {
"use" : "home",
"type" : "physical",
"line" : [
"3 Worcester Drive",
"Rototuna North"
],
"city" : "Hamilton"
}
}
]
}
},
{
"fullUrl" : "https://fhir.example.com/Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881",
"resource" : {
"resourceType" : "Organization",
"id" : "7a17027f-acc0-4d77-bf84-c0dad8f7c881",
"language" : "en",
"text" : {
"status" : "generated"
},
"identifier" : [
{
"system" : "https://standards.digital.health.nz/ns/hpi-facility-id",
"value" : "F2N000"
}
],
"name" : "NorthCare Pukete Road-Thomas Road",
"partOf" : {
"reference" : "Organization/8f8635dc-694e-408f-8ffe-1610d50f9823"
}
}
},
{
"fullUrl" : "https://fhir.example.com/Organization/8f8635dc-694e-408f-8ffe-1610d50f9823",
"resource" : {
"resourceType" : "Organization",
"id" : "8f8635dc-694e-408f-8ffe-1610d50f9823",
"language" : "en",
"text" : {
"status" : "generated"
},
"identifier" : [
{
"system" : "https://standards.digital.health.nz/ns/hpi-facility-id",
"value" : "F2N001"
}
],
"name" : "NorthCare Health System"
}
},
{
"fullUrl" : "https://fhir.example.com/PractitionerRole/94d12c8d-a3df-47a7-a0bb-0f29d64bafe2",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "94d12c8d-a3df-47a7-a0bb-0f29d64bafe2",
"language" : "en",
"text" : {
"status" : "generated"
},
"practitioner" : {
"reference" : "Practitioner/816cf057-b736-4e08-baed-cc21e081b784"
},
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "158965000",
"display" : "Doctor"
}
]
}
]
}
},
{
"fullUrl" : "https://fhir.example.com/Practitioner/816cf057-b736-4e08-baed-cc21e081b784",
"resource" : {
"resourceType" : "Practitioner",
"id" : "816cf057-b736-4e08-baed-cc21e081b784",
"language" : "en",
"text" : {
"status" : "generated"
},
"name" : [
{
"use" : "usual",
"family" : "COORAY",
"given" : [
"HASHIRA",
"COORAY"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "07 850 9900",
"use" : "work"
}
]
}
},
{
"fullUrl" : "https://fhir.example.com/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "9838cf73-c30d-4aa5-8ed8-36a079060b81",
"language" : "en",
"text" : {
"status" : "generated"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "764146007",
"display" : "Penicillin"
},
{
"system" : "http://www.whocc.no/atc",
"code" : "J01CA",
"display" : "Penicillins with extended spectrum"
}
]
},
"patient" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
}
}
},
{
"fullUrl" : "https://fhir.example.com/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b",
"resource" : {
"resourceType" : "Condition",
"id" : "8039e4a7-d459-454c-92a5-6c17ca2a824b",
"language" : "en",
"text" : {
"status" : "generated"
},
"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"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "59621000",
"display" : "Essential hypertension"
}
]
},
"subject" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"onsetDateTime" : "2016-05-25",
"recordedDate" : "2016-05-25",
"asserter" : {
"reference" : "Practitioner/816cf057-b736-4e08-baed-cc21e081b784"
}
}
},
{
"fullUrl" : "https://fhir.example.com/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1",
"resource" : {
"resourceType" : "Condition",
"id" : "f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1",
"language" : "en",
"text" : {
"status" : "generated"
},
"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"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "90560007",
"display" : "Gout"
}
]
},
"subject" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"onsetDateTime" : "2016-05-25",
"recordedDate" : "2020-10-01"
}
},
{
"fullUrl" : "https://fhir.example.com/MedicationStatement/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "c3d31980-2a88-45b6-a7af-3fe8d32cc6fa",
"language" : "en",
"text" : {
"status" : "generated"
},
"status" : "stopped",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "318913001",
"display" : "Product containing cilazapril (medicinal product)"
}
],
"text" : "cilazapril 500 microgram tablet, 90"
},
"subject" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"effectiveDateTime" : "2023-12-01",
"informationSource" : {
"reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
},
"dosage" : [
{
"text" : "Take 1 daily",
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 1,
"unit" : "tablet",
"system" : "http://snomed.info/sct",
"code" : "428673006"
}
}
]
}
]
}
},
{
"fullUrl" : "https://fhir.example.com/MedicationStatement/b8dac343-16d7-49bf-ac36-b15e6726c343",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "b8dac343-16d7-49bf-ac36-b15e6726c343",
"language" : "en",
"text" : {
"status" : "generated"
},
"status" : "active",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "108575001",
"display" : "Product containing lisinopril (medicinal product)"
}
],
"text" : "lisinopril 5 mg tablet"
},
"subject" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"effectiveDateTime" : "2024-08-13",
"informationSource" : {
"reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
},
"dosage" : [
{
"text" : "Take One tablet once daily",
"timing" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"route" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
"code" : "PO",
"display" : "Swallow, oral"
}
]
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 1,
"unit" : "tablet",
"system" : "http://snomed.info/sct",
"code" : "428673006"
}
}
]
}
]
}
},
{
"fullUrl" : "https://fhir.example.com/MedicationStatement/b8e4d4a8-2c18-4f03-88dc-06f5f44f8058",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "b8e4d4a8-2c18-4f03-88dc-06f5f44f8058",
"language" : "en",
"text" : {
"status" : "generated"
},
"status" : "active",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.whocc.no/atc",
"code" : "C05AA08",
"display" : "Fluocortolone"
}
],
"text" : "Ultraproct - cinchocaine 0.5% (5 mg/g) + fluocortolone hexanoate 0.095% (945 microgram/g) + fluocortolone pivalate 0.092% (918 microgram/g) ointment"
},
"subject" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"effectiveDateTime" : "2024-08-30",
"informationSource" : {
"reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
},
"dosage" : [
{
"text" : "apply a small amount to the affected area up to 4 times daily on the first day, then twice daily for at least 1 week; continue for up to a maximum of 4 weeks",
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 1,
"unit" : "ointment",
"system" : "http://snomed.info/sct",
"code" : "385101003"
}
}
]
}
]
}
},
{
"fullUrl" : "https://fhir.example.com/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce",
"resource" : {
"resourceType" : "Immunization",
"id" : "17b5a6d7-307b-4726-8c8c-0031e61582ce",
"language" : "en",
"text" : {
"status" : "generated"
},
"status" : "completed",
"vaccineCode" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/cvx",
"code" : "141",
"display" : "Influenza, split virus, trivalent, preservative"
}
]
},
"patient" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"occurrenceDateTime" : "2024-04-10",
"lotNumber" : "H06",
"site" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "16217701000119102",
"display" : "Structure of left deltoid muscle"
}
]
},
"route" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
"code" : "IM",
"display" : "Injection, intramuscular"
}
]
},
"performer" : [
{
"actor" : {
"reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
}
}
],
"protocolApplied" : [
{
"series" : "1 (Over 65 years (Influenza))",
"doseNumberPositiveInt" : 1
}
]
}
},
{
"fullUrl" : "https://fhir.example.com/Immunization/14e8b0d8-b4e4-4f8e-b263-ef385787453b",
"resource" : {
"resourceType" : "Immunization",
"id" : "14e8b0d8-b4e4-4f8e-b263-ef385787453b",
"language" : "en",
"text" : {
"status" : "generated"
},
"status" : "completed",
"vaccineCode" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/cvx",
"code" : "300",
"display" : "COVID-19, mRNA, LNP-S, bivalent, PF, 30 mcg/0.3 mL dose"
}
]
},
"patient" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"occurrenceDateTime" : "2024-02-18",
"lotNumber" : "GK3908-068",
"route" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
"code" : "IM",
"display" : "Injection, intramuscular"
}
]
},
"performer" : [
{
"actor" : {
"reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
}
}
],
"protocolApplied" : [
{
"series" : "6 (Booster or Extra dose)",
"doseNumberPositiveInt" : 5
}
]
}
},
{
"fullUrl" : "https://fhir.example.com/Immunization/47befa30-026c-421a-ad32-c0b134597a30",
"resource" : {
"resourceType" : "Immunization",
"id" : "47befa30-026c-421a-ad32-c0b134597a30",
"language" : "en",
"text" : {
"status" : "generated"
},
"status" : "completed",
"vaccineCode" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/cvx",
"code" : "141",
"display" : "Influenza, split virus, trivalent, preservative"
}
]
},
"patient" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"occurrenceDateTime" : "2023-04-12",
"lotNumber" : "358899",
"site" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "16217661000119109",
"display" : "Structure of right deltoid muscle"
}
]
},
"route" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
"code" : "IM",
"display" : "Injection, intramuscular"
}
]
},
"performer" : [
{
"actor" : {
"reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
}
}
],
"protocolApplied" : [
{
"series" : "1 (Over 65 years (Influenza))",
"doseNumberPositiveInt" : 1
}
]
}
},
{
"fullUrl" : "https://fhir.example.com/Immunization/2f05b590-ce75-4ac6-be97-c2a275e21cbc",
"resource" : {
"resourceType" : "Immunization",
"id" : "2f05b590-ce75-4ac6-be97-c2a275e21cbc",
"language" : "en",
"text" : {
"status" : "generated"
},
"status" : "completed",
"vaccineCode" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/cvx",
"code" : "208",
"display" : "COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose"
}
]
},
"patient" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"occurrenceDateTime" : "2022-08-01",
"lotNumber" : "PCB0008-07",
"site" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "16217701000119102",
"display" : "Structure of left deltoid muscle"
}
]
},
"route" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
"code" : "IM",
"display" : "Injection, intramuscular"
}
]
},
"performer" : [
{
"actor" : {
"reference" : "Organization/7a17027f-acc0-4d77-bf84-c0dad8f7c881"
}
}
],
"protocolApplied" : [
{
"series" : "12 (At risk, no previous history)",
"doseNumberPositiveInt" : 4
}
]
}
},
{
"fullUrl" : "https://fhir.example.com/Immunization/c1d3ccb9-8b7d-4732-8e03-abe63be1984c",
"resource" : {
"resourceType" : "Immunization",
"id" : "c1d3ccb9-8b7d-4732-8e03-abe63be1984c",
"language" : "en",
"text" : {
"status" : "generated"
},
"status" : "completed",
"vaccineCode" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/cvx",
"code" : "121",
"display" : "zoster live"
}
]
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{
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"resource" : {
"resourceType" : "Procedure",
"id" : "39252",
"language" : "en",
"text" : {
"status" : "generated"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "52734007",
"display" : "Total hip replacement"
}
],
"text" : "Total hip replacement"
},
"subject" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"performedDateTime" : "2000-04-28"
}
},
{
"fullUrl" : "https://fhir.example.com/DeviceUseStatement/eumfh-70-275-1",
"resource" : {
"resourceType" : "DeviceUseStatement",
"id" : "eumfh-70-275-1",
"language" : "en",
"text" : {
"status" : "extensions"
},
"status" : "active",
"subject" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"_timingDateTime" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unknown"
}
]
},
"device" : {
"reference" : "Device/eumfh-70-275-2",
"display" : "Hip prosthesis"
}
}
},
{
"fullUrl" : "https://fhir.example.com/Device/eumfh-70-275-2",
"resource" : {
"resourceType" : "Device",
"id" : "eumfh-70-275-2",
"language" : "en",
"text" : {
"status" : "generated"
},
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "67270000",
"display" : "Hip prosthesis, device (physical object)"
}
]
}
}
},
{
"fullUrl" : "https://fhir.example.com/Consent/080d85fa-c807-42d1-a3af-b3ee70858a54",
"resource" : {
"resourceType" : "Consent",
"id" : "080d85fa-c807-42d1-a3af-b3ee70858a54",
"language" : "en",
"text" : {
"status" : "generated"
},
"status" : "active",
"scope" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/consentscope",
"code" : "treatment",
"display" : "Treatment"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
"code" : "dnr",
"display" : "Do Not Resuscitate"
}
]
}
],
"patient" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"dateTime" : "2021-09-01",
"sourceReference" : {
"reference" : "DocumentReference/advance-directive-123"
},
"policyRule" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/consentpolicycodes",
"code" : "cric"
}
]
},
"provision" : {
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "304253006",
"display" : "Not for resuscitation"
}
]
}
]
}
}
},
{
"fullUrl" : "https://fhir.example.com/DocumentReference/advance-directive-123",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "advance-directive-123",
"language" : "en",
"text" : {
"status" : "generated"
},
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "75310-3",
"display" : "Health concerns Document"
},
{
"system" : "http://loinc.org",
"code" : "55188-7",
"display" : "Patient data Document"
}
]
},
"subject" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"date" : "2025-08-01T10:00:00Z",
"content" : [
{
"attachment" : {
"contentType" : "application/pdf",
"url" : "https://fhir.example.com/DocumentReference/advance-directive-123/content",
"title" : "Advance Directive Document"
}
}
]
}
},
{
"fullUrl" : "https://fhir.example.com/Condition/4f3d8f79-2f96-48c5-b346-d47f0c66c981",
"resource" : {
"resourceType" : "Condition",
"id" : "4f3d8f79-2f96-48c5-b346-d47f0c66c981",
"language" : "en",
"text" : {
"status" : "generated"
},
"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"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "82971005",
"display" : "Impaired Mobility"
}
]
},
"subject" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"onsetDateTime" : "2016-05-25",
"recordedDate" : "2016-05-25",
"asserter" : {
"reference" : "Practitioner/816cf057-b736-4e08-baed-cc21e081b784"
}
}
},
{
"fullUrl" : "https://fhir.example.com/Condition/77efacd9-b5a6-4b35-9764-269017ea7567",
"resource" : {
"resourceType" : "Condition",
"id" : "77efacd9-b5a6-4b35-9764-269017ea7567",
"language" : "en",
"text" : {
"status" : "generated"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "resolved"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "386661006",
"display" : "Fever"
}
]
},
"subject" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"onsetDateTime" : "2013-05-25",
"recordedDate" : "2016-05-25",
"asserter" : {
"reference" : "Practitioner/816cf057-b736-4e08-baed-cc21e081b784"
}
}
},
{
"fullUrl" : "https://fhir.example.com/CarePlan/85d57ac7-ea2d-47cf-b019-b867f876ee7c",
"resource" : {
"resourceType" : "CarePlan",
"id" : "85d57ac7-ea2d-47cf-b019-b867f876ee7c",
"language" : "en",
"text" : {
"status" : "additional"
},
"basedOn" : [
{
"display" : "Management of Hypertension"
}
],
"replaces" : [
{
"display" : "Plan from urgent care clinic"
}
],
"partOf" : [
{
"display" : "Overall wellness plan"
}
],
"status" : "active",
"intent" : "plan",
"category" : [
{
"text" : "Weight management plan"
}
],
"description" : "Manage obesity and weight loss",
"subject" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"period" : {
"end" : "2017-06-01"
},
"created" : "2016-01-01",
"activity" : [
{
"outcomeCodeableConcept" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "262285001",
"display" : "Weight decreased"
}
]
}
],
"detail" : {
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "3141-9",
"display" : "Weight Measured"
},
{
"system" : "http://snomed.info/sct",
"code" : "27113001",
"display" : "Body weight"
}
]
},
"status" : "completed",
"statusReason" : {
"text" : "Achieved weight loss to mitigate diabetes risk."
},
"doNotPerform" : false,
"scheduledTiming" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"location" : {
"display" : "Patient's home"
}
}
}
]
}
},
{
"fullUrl" : "https://fhir.example.com/Observation/f241ac65-5eab-49a0-8b92-7fb263274110",
"resource" : {
"resourceType" : "Observation",
"id" : "f241ac65-5eab-49a0-8b92-7fb263274110",
"language" : "en",
"text" : {
"status" : "generated"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "82810-3",
"display" : "Pregnancy status"
}
]
},
"subject" : {
"reference" : "Patient/d174bd1a-b368-41e6-83a2-af77f2b3c60f"
},
"effectiveDateTime" : "2020-01-10",
"performer" : [
{
"reference" : "Practitioner/816cf057-b736-4e08-baed-cc21e081b784"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "60001007",
"display" : "Not Pregnant"
}
]
}
}
}
]
}
IG © 2020+ HL7 International / Patient Care.
Package hl7.fhir.uv.ips#2.0.0 based on FHIR 4.0.1.
Generated 2025-10-29
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