Mobile access to Health Documents (MHD)
4.2.3-current - ci-build International flag

Mobile access to Health Documents (MHD), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 4.2.3-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.MHD/ and changes regularly. See the Directory of published versions

: Example Provide Bundle with a FHIR-Document - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ex-comprehensiveProvideDocumentBundleDocument"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.ProvideBundle"^^xsd:anyURI ;
fhir:link <https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.ProvideBundle>     ] ) ;
    ( fhir:security [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "HTEST" ]     ] )
  ] ; # 
  fhir:type [ fhir:v "transaction"] ; # 
  fhir:timestamp [ fhir:v "2004-10-25T23:50:50-05:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300001"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300001> ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "List"^^xsd:anyURI ]     ]
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300002"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300002> ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "DocumentReference"^^xsd:anyURI ]     ]
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003> ) ;
fhir:request [
fhir:method [ fhir:v "POST" ] ;
fhir:url [ fhir:v "Bundle"^^xsd:anyURI ]     ]
  ] ) . # 

<urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300001> a fhir:List ;
  fhir:id [ fhir:v "aaaaaaaa-bbbb-cccc-dddd-e00333300001"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.SubmissionSet"^^xsd:anyURI ;
fhir:link <https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.SubmissionSet>     ] ) ;
    ( fhir:security [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "HTEST" ]     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">SubmissionSet with Patient</div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:225728007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "225728007" ]       ] )     ]
  ] [
fhir:url [ fhir:v "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId"^^xsd:anyURI ] ;
fhir:value [
a fhir:Identifier ;
fhir:value [ fhir:v "urn:oid:1.2.3.4" ]     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:uuid:5d3d3a7d-82a6-4fe0-8d87-ee2cb87fa219" ]
  ] [
fhir:use [ fhir:v "usual" ] ;
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:1.2.129.6.58.92.88337.1" ]
  ] ) ; # 
  fhir:status [ fhir:v "current"] ; # 
  fhir:mode [ fhir:v "working"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "submissionset" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/ex-patient" ]
  ] ; # 
  fhir:date [ fhir:v "2004-10-25T23:50:50-05:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:item [
fhir:reference [ fhir:v "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300002" ]     ]
  ] ) . # 

<urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300002> a fhir:DocumentReference ;
  fhir:id [ fhir:v "aaaaaaaa-bbbb-cccc-dddd-e00333300002"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference"^^xsd:anyURI ;
fhir:link <https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference>     ] ) ;
    ( fhir:security [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "HTEST" ]     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_aaaaaaaa-bbbb-cccc-dddd-e00333300002\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference aaaaaaaa-bbbb-cccc-dddd-e00333300002</b></p><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00333300002\"> </a><a name=\"hcaaaaaaaa-bbbb-cccc-dddd-e00333300002\"> </a><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00333300002-en-US\"> </a><p><b>masterIdentifier</b>: <a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0</p><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d (use: official, )</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 28655-9}\">Attending Discharge summary</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 11369-6}\">History of Immunization Narrative</span></p><p><b>subject</b>: <a href=\"Patient-ex-patient.html\">John Schmidt  Other, DoB: 1923-07-25</a></p><p><b>date</b>: 2020-02-01 23:50:50-0500</p><p><b>author</b>: <a href=\"#hcaaaaaaaa-bbbb-cccc-dddd-e00333300002/aaaaaaaa-bbbb-cccc-dddd-e00333300006\">Practitioner Adam Careful </a></p><p><b>securityLabel</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-Confidentiality N}\">normal</span></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Language</b></td><td><b>Url</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style=\"display: none\">*</td><td>application/fhir+json</td><td>English</td><td><a href=\"Bundle-ex-comprehensiveProvideDocumentBundleSimple.html#urn-uuid-aaaaaaaa-bbbb-cccc-dddd-e00333300003\">Bundle: type = transaction; timestamp = 2004-10-25 23:50:50-0500</a></td><td>Discharge Summary from Responsible Clinician</td><td>2013-05-28 22:12:21+0000</td></tr></table><p><b>format</b>: <a href=\"https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.3.0/CodeSystem-formatcode.html#formatcode-urn.58ihe.58iti.58xds.582017.58mimeTypeSufficient\">IHE Format Code set for use with Document Sharing</a> urn:ihe:iti:xds:2017:mimeTypeSufficient: mimeType Sufficient</p></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Encounter</b></td><td><b>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-ex-fhir-document-bundle.html#http-//example.org/fhir/Encounter/doc-example\">Bundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2013-05-28 22:12:21+0000</a></td><td><span title=\"Codes:{http://snomed.info/sct 82242000}\">Children's hospital</span></td><td><span title=\"Codes:{http://snomed.info/sct 408467006}\">Adult mental illness - specialty (qualifier value)</span></td><td><a href=\"#hcaaaaaaaa-bbbb-cccc-dddd-e00333300002/aaaaaaaa-bbbb-cccc-dddd-e00333300004\">Dee Schmidt  (no stated gender), DoB Unknown ( http://example.org/patients#mrn-1234)</a></td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Patient  #aaaaaaaa-bbbb-cccc-dddd-e00333300004</b></p><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00333300002/aaaaaaaa-bbbb-cccc-dddd-e00333300004\"> </a><a name=\"hcaaaaaaaa-bbbb-cccc-dddd-e00333300002/aaaaaaaa-bbbb-cccc-dddd-e00333300004\"> </a><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00333300002/aaaaaaaa-bbbb-cccc-dddd-e00333300004-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Dee Schmidt  (no stated gender), DoB Unknown ( http://example.org/patients#mrn-1234)</p><hr/></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner  #aaaaaaaa-bbbb-cccc-dddd-e00333300006</b></p><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00333300002/aaaaaaaa-bbbb-cccc-dddd-e00333300006\"> </a><a name=\"hcaaaaaaaa-bbbb-cccc-dddd-e00333300002/aaaaaaaa-bbbb-cccc-dddd-e00333300006\"> </a><a name=\"aaaaaaaa-bbbb-cccc-dddd-e00333300002/aaaaaaaa-bbbb-cccc-dddd-e00333300006-en-US\"> </a><p><b>identifier</b>: <code>http://www.acme.org/practitioners</code>/23</p><p><b>name</b>: Adam Careful </p></blockquote></div>"
  ] ; # 
  fhir:contained ( [
a fhir:Patient ;
fhir:id [ fhir:v "aaaaaaaa-bbbb-cccc-dddd-e00333300004" ] ;
    ( fhir:identifier [
fhir:system [ fhir:v "http://example.org/patients"^^xsd:anyURI ] ;
fhir:value [ fhir:v "mrn-1234" ]     ] ) ;
    ( fhir:name [
fhir:family [ fhir:v "Schmidt" ] ;
      ( fhir:given [ fhir:v "Dee" ] )     ] )
  ] [
a fhir:Practitioner ;
fhir:id [ fhir:v "aaaaaaaa-bbbb-cccc-dddd-e00333300006" ] ;
    ( fhir:identifier [
fhir:system [ fhir:v "http://www.acme.org/practitioners"^^xsd:anyURI ] ;
fhir:value [ fhir:v "23" ]     ] ) ;
    ( fhir:name [
fhir:family [ fhir:v "Careful" ] ;
      ( fhir:given [ fhir:v "Adam" ] ) ;
      ( fhir:prefix [ fhir:v "Dr" ] )     ] )
  ] ) ; # 
  fhir:masterIdentifier [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0" ]
  ] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d" ]
  ] ) ; # 
  fhir:status [ fhir:v "current"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:28655-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "28655-9" ]     ] )
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
a loinc:11369-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11369-6" ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/ex-patient" ]
  ] ; # 
  fhir:date [ fhir:v "2020-02-01T23:50:50-05:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "#aaaaaaaa-bbbb-cccc-dddd-e00333300006" ]
  ] ) ; # 
  fhir:securityLabel ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
fhir:code [ fhir:v "N" ]     ] )
  ] ) ; # 
  fhir:content ( [
fhir:attachment [
fhir:contentType [ fhir:v "application/fhir+json" ] ;
fhir:language [ fhir:v "en" ] ;
fhir:url [ fhir:v "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003"^^xsd:anyURI ] ;
fhir:title [ fhir:v "Discharge Summary from Responsible Clinician" ] ;
fhir:creation [ fhir:v "2013-05-28T22:12:21Z"^^xsd:dateTime ]     ] ;
fhir:format [
fhir:system [ fhir:v "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "urn:ihe:iti:xds:2017:mimeTypeSufficient" ]     ]
  ] ) ; # 
  fhir:context [
    ( fhir:encounter [
fhir:link <http://example.org/fhir/Encounter/doc-example> ;
fhir:reference [ fhir:v "http://example.org/fhir/Encounter/doc-example" ]     ] ) ;
fhir:facilityType [
      ( fhir:coding [
a sct:82242000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "82242000" ]       ] )     ] ;
fhir:practiceSetting [
      ( fhir:coding [
a sct:408467006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "408467006" ]       ] )     ] ;
fhir:sourcePatientInfo [
fhir:reference [ fhir:v "#aaaaaaaa-bbbb-cccc-dddd-e00333300004" ]     ]
  ] . # 

<urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003> a fhir:Bundle ;
  fhir:id [ fhir:v "father"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-28T22:12:21Z"^^xsd:dateTime ]
  ] ; # 
  fhir:identifier [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0" ]
  ] ; # 
  fhir:type [ fhir:v "document"] ; # 
  fhir:timestamp [ fhir:v "2013-05-28T22:12:21Z"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Practitioner/ex-practitioner"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/Practitioner/ex-practitioner> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Patient/ex-patient"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/Patient/ex-patient> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Encounter/doc-example"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/Encounter/doc-example> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637> )
  ] ) . # 

<http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57> a fhir:Composition ;
  fhir:id [ fhir:v "180f219f-97a8-486d-99d9-ed631fe4fc57"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-28T22:12:21Z"^^xsd:dateTime ]
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:28655-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "28655-9" ]     ] ) ;
fhir:text [ fhir:v "Discharge Summary from Responsible Clinician" ]
  ] ; # 
  fhir:subject [
fhir:link <http://example.org/fhir/Patient/ex-patient> ;
fhir:reference [ fhir:v "http://example.org/fhir/Patient/ex-patient" ]
  ] ; # 
  fhir:encounter [
fhir:link <http://example.org/fhir/Encounter/doc-example> ;
fhir:reference [ fhir:v "http://example.org/fhir/Encounter/doc-example" ]
  ] ; # 
  fhir:date [ fhir:v "2013-02-01T12:30:02Z"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "Practitioner/ex-practitioner" ]
  ] ) ; # 
  fhir:title [ fhir:v "Discharge Summary"] ; # 
  fhir:confidentiality [ fhir:v "N"] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Reason for admission" ] ;
fhir:code [
      ( fhir:coding [
a loinc:29299-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "29299-5" ] ;
fhir:display [ fhir:v "Reason for visit Narrative" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n              <table>\n\n                <thead>\n\n                  <tr>\n\n                    <td>Details</td>\n\n                    <td/>\n\n                  </tr>\n\n                </thead>\n\n                <tbody>\n\n                  <tr>\n\n                    <td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td>\n\n                    <td/>\n\n                  </tr>\n\n                </tbody>\n\n              </table>\n\n            </div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81" ]     ] )
  ] [
fhir:title [ fhir:v "Medications on Discharge" ] ;
fhir:code [
      ( fhir:coding [
a loinc:10183-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10183-2" ] ;
fhir:display [ fhir:v "Hospital discharge medications Narrative" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n              <table>\n\n                <thead>\n\n                  <tr>\n\n                    <td>Medication</td>\n\n                    <td>Last Change</td>\n\n                    <td>Last ChangeReason</td>\n\n                  </tr>\n\n                </thead>\n\n                <tbody>\n\n                  <tr>\n\n                    <td>Theophylline 200mg BD after meals</td>\n\n                    <td>continued</td>\n\n                  </tr>\n\n                  <tr>\n\n                    <td>Ventolin Inhaler</td>\n\n                    <td>stopped</td>\n\n                    <td>Getting side effect of tremor</td>\n\n                  </tr>\n\n                </tbody>\n\n              </table>\n\n            </div>"     ] ;
fhir:mode [ fhir:v "working" ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86" ]     ] [
fhir:reference [ fhir:v "urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1" ]     ] )
  ] [
fhir:title [ fhir:v "Known allergies" ] ;
fhir:code [
      ( fhir:coding [
a loinc:48765-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48765-2" ] ;
fhir:display [ fhir:v "Allergies and adverse reactions Document" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n              <table>\n\n                <thead>\n\n                  <tr>\n\n                    <td>Allergen</td>\n\n                    <td>Reaction</td>\n\n                  </tr>\n\n                </thead>\n\n                <tbody>\n\n                  <tr>\n\n                    <td>Doxycycline</td>\n\n                    <td>Hives</td>\n\n                  </tr>\n\n                </tbody>\n\n              </table>\n\n            </div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637" ]     ] )
  ] ) . # 

<http://example.org/fhir/Practitioner/ex-practitioner> a fhir:Practitioner ;
  fhir:id [ fhir:v "ex-practitioner"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n            <p>Dr Adam Careful</p>\n\n          </div>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://www.acme.org/practitioners"^^xsd:anyURI ] ;
fhir:value [ fhir:v "23" ]
  ] ) ; # 
  fhir:name ( [
fhir:family [ fhir:v "Careful" ] ;
    ( fhir:given [ fhir:v "Adam" ] ) ;
    ( fhir:prefix [ fhir:v "Dr" ] )
  ] ) . # 

<http://example.org/fhir/Patient/ex-patient> a fhir:Patient ;
  fhir:id [ fhir:v "ex-patient"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n            <h1>Eve Everywoman</h1>\n\n          </div>"
  ] ; # 
  fhir:active [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:name ( [
fhir:text [ fhir:v "Eve Everywoman" ] ;
fhir:family [ fhir:v "Everywoman1" ] ;
    ( fhir:given [ fhir:v "Eve" ] )
  ] ) ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "555-555-2003" ] ;
fhir:use [ fhir:v "work" ]
  ] ) ; # 
  fhir:gender [ fhir:v "female"] ; # 
  fhir:birthDate [ fhir:v "1955-01-06"^^xsd:date] ; # 
  fhir:address ( [
fhir:use [ fhir:v "home" ] ;
    ( fhir:line [ fhir:v "2222 Home Street" ] )
  ] ) . # 

<http://example.org/fhir/Encounter/doc-example> a fhir:Encounter ;
  fhir:id [ fhir:v "doc-example"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"> Admitted to Orthopedics Service,\n                        Middlemore Hospital between Jan 20 and Feb ist 2013 </div>"
  ] ; # 
  fhir:identifier ( [
fhir:value [ fhir:v "S100" ]
  ] ) ; # 
  fhir:status [ fhir:v "finished"] ; # 
  fhir:class [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "IMP" ] ;
fhir:display [ fhir:v "inpatient encounter" ]
  ] ; # 
  fhir:type ( [
fhir:text [ fhir:v "Orthopedic Admission" ]
  ] ) ; # 
  fhir:subject [
fhir:link <http://example.org/fhir/Patient/ex-patient> ;
fhir:reference [ fhir:v "http://example.org/fhir/Patient/ex-patient" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2013-01-20T12:30:02Z"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2013-02-01T12:30:02Z"^^xsd:dateTime ]
  ] ; # 
  fhir:hospitalization [
fhir:dischargeDisposition [
fhir:text [ fhir:v "Discharged to care of GP" ]     ]
  ] . # 

<urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81> a fhir:Observation ;
  fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"> Acute Asthmatic attack. Was wheezing\n                        for days prior to admission. </div>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
a loinc:46241-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "46241-6" ]     ] ) ;
fhir:text [ fhir:v "Reason for admission" ]
  ] ; # 
  fhir:subject [
fhir:link <http://example.org/fhir/Patient/ex-patient> ;
fhir:reference [ fhir:v "http://example.org/fhir/Patient/ex-patient" ]
  ] ; # 
  fhir:encounter [
fhir:link <http://example.org/fhir/Encounter/doc-example> ;
fhir:reference [ fhir:v "http://example.org/fhir/Encounter/doc-example" ]
  ] ; # 
  fhir:value [ fhir:v "Acute Asthmatic attack. Was wheezing for days prior to admission."] . # 

<urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86> a fhir:MedicationRequest ;
  fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n            <p>Theophylline 200mg twice a day</p>\n\n          </div>"
  ] ; # 
  fhir:status [ fhir:v "unknown"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:medication [
a fhir:CodeableConcept ;
    ( fhir:coding [
a sct:66493003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "66493003" ]     ] ) ;
fhir:text [ fhir:v "Theophylline 200mg" ]
  ] ; # 
  fhir:subject [
fhir:link <http://example.org/fhir/Patient/ex-patient> ;
fhir:reference [ fhir:v "http://example.org/fhir/Patient/ex-patient" ]
  ] ; # 
  fhir:requester [
fhir:link <http://example.org/fhir/Practitioner/ex-practitioner> ;
fhir:reference [ fhir:v "http://example.org/fhir/Practitioner/ex-practitioner" ]
  ] ; # 
  fhir:reasonCode ( [
fhir:text [ fhir:v "Management of Asthma" ]
  ] ) ; # 
  fhir:dosageInstruction ( [
    ( fhir:additionalInstruction [
fhir:text [ fhir:v "Take with Food" ]     ] ) ;
fhir:timing [
fhir:repeat [
fhir:frequency [ fhir:v "2"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "d" ]       ]     ] ;
fhir:route [
      ( fhir:coding [
a sct:394899003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "394899003" ] ;
fhir:display [ fhir:v "oral administration of treatment" ]       ] )     ] ;
    ( fhir:doseAndRate [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ordered" ] ;
fhir:display [ fhir:v "Ordered" ]         ] )       ] ;
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:unit [ fhir:v "tablet" ] ;
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TAB" ]       ]     ] )
  ] ) . # 

<urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1> a fhir:MedicationStatement ;
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n            <p>Ventolin inhaler discontinued</p>\n\n          </div>"
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:statusReason ( [
fhir:text [ fhir:v "Management of Asthma" ]
  ] ) ; # 
  fhir:medication [
a fhir:CodeableConcept ;
fhir:text [ fhir:v "Ventolin Inhaler" ]
  ] ; # 
  fhir:subject [
fhir:link <http://example.org/fhir/Patient/ex-patient> ;
fhir:reference [ fhir:v "http://example.org/fhir/Patient/ex-patient" ]
  ] ; # 
  fhir:dateAsserted [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime] . # 

<urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637> a fhir:AllergyIntolerance ;
  fhir:meta [
fhir:lastUpdated [ fhir:v "2013-05-05T16:13:03Z"^^xsd:dateTime ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Sensitivity to Doxycycline :\n                        Hives</div>"
  ] ; # 
  fhir:clinicalStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"^^xsd:anyURI ] ;
fhir:code [ fhir:v "active" ] ;
fhir:display [ fhir:v "Active" ]     ] )
  ] ; # 
  fhir:verificationStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"^^xsd:anyURI ] ;
fhir:code [ fhir:v "confirmed" ] ;
fhir:display [ fhir:v "Confirmed" ]     ] )
  ] ; # 
  fhir:type [ fhir:v "allergy"] ; # 
  fhir:criticality [ fhir:v "high"] ; # 
  fhir:code [
fhir:text [ fhir:v "Doxycycline" ]
  ] ; # 
  fhir:patient [
fhir:link <http://example.org/fhir/Patient/ex-patient> ;
fhir:reference [ fhir:v "http://example.org/fhir/Patient/ex-patient" ]
  ] ; # 
  fhir:recordedDate [ fhir:v "2012-09-17"^^xsd:date] ; # 
  fhir:reaction ( [
    ( fhir:manifestation [
fhir:text [ fhir:v "Hives" ]     ] )
  ] ) . #