Cross Border Data Exchange IG
1.0.0 - CI Build
Cross Border Data Exchange IG, published by IEHR-Workgroup. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/InteropEHRate-project/cross-border-data-exchange/ and changes regularly. See the Directory of published versions
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"entry" : [
{
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"resource" : {
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"id" : "69208519",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_69208519\"> </a><p><b>Generated Narrative: Composition</b><a name=\"69208519\"> </a><a name=\"hc69208519\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Composition "69208519" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Composition-HospitalDischargeReport-IEHR.html\">HospitalDischargeReport-IEHR</a></p></div><p><b>ProvenanceExtension-IEHR</b>: See on this page: Provenance/16</p><p><b>status</b>: final</p><p><b>type</b>: Discharge Sum C-CDA R2.1 Sections <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#81218-0)</span></p><p><b>date</b>: 2022-05-31 11:16:01+0200</p><p><b>author</b>: See on this page: Practitioner/21</p><p><b>title</b>: Hospital discharge summary</p></div>"
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"date" : "2022-05-31T11:16:01+02:00",
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"title" : "Hospital discharge summary",
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{
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{
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"code" : "47039-3",
"display" : "Hosp Admit H&P note"
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the Hospital Admission History section</div>"
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{
"title" : "History General",
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the general history section</div>"
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{
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the physical examination section</div>"
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{
"title" : "Medications On Admission",
"code" : {
"coding" : [
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"code" : "42346-7",
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the medications on admission section</div>"
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{
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"coding" : [
{
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"code" : "8648-8",
"display" : "Hospital course"
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the hospital course section</div>"
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},
{
"title" : "Relevant Diagnostic Tests And/Or Laboratory Data",
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"coding" : [
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"code" : "30954-2",
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the laboratory data section</div>"
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"entry" : [
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🔗 "reference" : "Observation/69208519"
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{
"title" : "Hospital Discharge Studies Summary",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11493-4",
"display" : "Hospital discharge studies summary"
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]
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the studies summary section</div>"
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},
{
"title" : "Selected Medicine Administered During Hospitalization",
"code" : {
"coding" : [
{
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"code" : "8677-7",
"display" : "Hx of Medication use"
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]
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the medicine administered during hospitalisation section</div>"
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},
{
"title" : "Hospital Discharge Dx",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11535-2",
"display" : "Hospital discharge Dx"
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]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the hospital discharge Dx section</div>"
}
},
{
"title" : "Discharge Medications",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10183-2",
"display" : "Hospital discharge medications"
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]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the discharge medications section</div>"
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"entry" : [
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🔗 "reference" : "MedicationRequest/69208519"
}
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{
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"code" : "18776-5",
"display" : "Plan of care note"
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]
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the treatment plan section</div>"
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},
{
"title" : "Allergies",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Allergies &or adverse reactions Doc"
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]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the allergy section</div>"
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}
]
}
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{
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"resource" : {
"resourceType" : "Patient",
"id" : "3466",
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"language" : "it-IT",
"text" : {
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"it-IT\" lang=\"it-IT\"><a name=\"Patient_3466\"> </a><p><b>Generated Narrative: Patient</b><a name=\"3466\"> </a><a name=\"hc3466\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient "3466" (Language "it-IT") </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Patient-IEHR.html\">Patient-IEHR</a></p></div><p><b>identifier</b>: <code>http://interopEHRate.eu/fhir-resource/</code>/Patient/MS01</p><p><b>name</b>: Markus Smith </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 2013-12-05</p><p><b>address</b>: Rome ITA (home)</p><p><b>generalPractitioner</b>: See on this page: Practitioner/21</p></div>"
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"identifier" : [
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"value" : "Patient/MS01"
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"name" : [
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"family" : "Smith",
"given" : [
"Markus"
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],
"gender" : "male",
"birthDate" : "2013-12-05",
"address" : [
{
"use" : "home",
"type" : "physical",
"city" : "Rome",
"country" : "ITA"
}
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"generalPractitioner" : [
{
🔗 "reference" : "Practitioner/21"
}
]
}
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{
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"resource" : {
"resourceType" : "Organization",
"id" : "34432",
"meta" : {
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🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips"
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"language" : "it-IT",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"it-IT\" lang=\"it-IT\"><a name=\"Organization_34432\"> </a><p><b>Generated Narrative: Organization</b><a name=\"34432\"> </a><a name=\"hc34432\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization "34432" (Language "it-IT") </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/uv/ips/STU1/StructureDefinition-Organization-uv-ips.html\">Organization (IPS)</a></p></div><p><b>identifier</b>: <code>http://interopEHRate.eu/fhir-resource/</code>/Organization/FTGM01</p><p><b>name</b>: Fondazione Gabriele Monasterio</p><p><b>address</b>: Via Giuseppe Moruzzi 1 Pisa IT </p></div>"
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"identifier" : [
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"value" : "Organization/FTGM01"
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],
"name" : "Fondazione Gabriele Monasterio",
"address" : [
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"city" : "Pisa",
"country" : "IT"
}
]
}
},
{
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"resource" : {
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"id" : "21",
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"language" : "it-IT",
"text" : {
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"it-IT\" lang=\"it-IT\"><a name=\"Practitioner_21\"> </a><p><b>Generated Narrative: Practitioner</b><a name=\"21\"> </a><a name=\"hc21\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner "21" (Language "it-IT") </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/uv/ips/STU1/StructureDefinition-Practitioner-uv-ips.html\">Practitioner (IPS)</a></p></div><p><b>identifier</b>: <code>http://interopEHRate.eu/fhir-resource/</code>/Practitioner/MA01</p><p><b>name</b>: Mark Antonio </p></div>"
},
"identifier" : [
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"value" : "Practitioner/MA01"
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],
"name" : [
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"family" : "Antonio",
"given" : [
"Mark"
]
}
]
}
},
{
"fullUrl" : "http://interopEHRate.eu/fhir-resource/MedicationRequest/69208519",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "69208519",
"meta" : {
"profile" : [
🔗 "http://interopehrate.eu/fhir/StructureDefinition/MedicationRequest-prescription-IEHR"
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_69208519\"> </a><p><b>Generated Narrative: MedicationRequest</b><a name=\"69208519\"> </a><a name=\"hc69208519\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest "69208519" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MedicationRequest-prescription-IEHR.html\">MedicationRequestPrescription-IEHR</a></p></div><p><b>ProvenanceExtension-IEHR</b>: See on this page: Provenance/16</p><p><b>identifier</b>: <code>http://interopEHRate.eu/fhir-resource/</code>/MR1</p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>category</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-medicationrequest-category.html\">MedicationRequest Category Codes</a>#outpatient)</span></p><p><b>medication</b>: Azacyclonol <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#3142009)</span></p><p><b>subject</b>: See on this page: Patient/3466</p><p><b>authoredOn</b>: 2022-05-31 11:16:00+0200</p><p><b>requester</b>: See on this page: Practitioner/21</p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Code: BID, 2 per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div>"
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🔗 "reference" : "Provenance/16"
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}
],
"identifier" : [
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"system" : "http://interopEHRate.eu/fhir-resource/",
"value" : "MR1"
}
],
"status" : "active",
"intent" : "plan",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code" : "outpatient",
"display" : "Outpatient"
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]
}
],
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3142009",
"display" : "Azacyclonol"
}
]
},
"subject" : {
🔗 "reference" : "Patient/3466"
},
"authoredOn" : "2022-05-31T11:16:00+02:00",
"requester" : {
🔗 "reference" : "Practitioner/21"
},
"dosageInstruction" : [
{
"timing" : {
"repeat" : {
"frequency" : 2,
"period" : 1,
"periodUnit" : "d",
"timeOfDay" : [
"08:00:00",
"16:00:00"
]
},
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
"code" : "BID",
"display" : "BID"
}
]
}
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}
]
},
"doseQuantity" : {
"value" : 3,
"unit" : "milliliter",
"system" : "http://unitsofmeasure.org",
"code" : "mL"
}
},
{
"type" : {
"coding" : [
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"code" : "ordered",
"display" : "Ordered"
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]
}
}
]
}
]
}
},
{
"fullUrl" : "http://interopEHRate.eu/fhir-resource/Observation/69208519",
"resource" : {
"resourceType" : "Observation",
"id" : "69208519",
"meta" : {
"profile" : [
🔗 "http://interopehrate.eu/fhir/StructureDefinition/Observation-BioSignal-IEHR"
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_69208519\"> </a><p><b>Generated Narrative: Observation</b><a name=\"69208519\"> </a><a name=\"hc69208519\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "69208519" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-BioSignal-IEHR.html\">BioSignal-IEHR</a></p></div><p><b>ProvenanceExtension-IEHR</b>: See on this page: Provenance/16</p><p><b>identifier</b>: <code>http://interopEHRate.eu/fhir-resource/</code>/O1</p><p><b>status</b>: final</p><p><b>code</b>: Cardiac echo study Procedure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#18106-5)</span></p><p><b>subject</b>: See on this page: Patient/3466</p><p><b>effective</b>: 2011-06-25 06:30:00+0000</p><p><b>performer</b>: See on this page: Organization/34432</p><p><b>interpretation</b>: Normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#N)</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Left ventricular End systolic volume <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#75989-4)</span></td><td>50 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td></tr></table></div>"
},
"extension" : [
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"url" : "http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR",
"valueReference" : {
🔗 "reference" : "Provenance/16"
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}
],
"identifier" : [
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"value" : "O1"
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],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18106-5",
"display" : "Cardiac echo study Procedure"
}
]
},
"subject" : {
🔗 "reference" : "Patient/3466"
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"effectiveDateTime" : "2011-06-25T06:30:00Z",
"performer" : [
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🔗 "reference" : "Organization/34432"
}
],
"interpretation" : [
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"coding" : [
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"code" : "N"
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]
}
],
"component" : [
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"coding" : [
{
"system" : "http://loinc.org",
"code" : "75989-4",
"display" : "Left ventricular End systolic volume"
}
]
},
"valueQuantity" : {
"value" : 50,
"unit" : "mL",
"system" : "http://unitsofmeasure.org",
"code" : "mL"
}
}
]
}
},
{
"fullUrl" : "http://interopEHRate.eu/fhir-resource/Condition/69208519",
"resource" : {
"resourceType" : "Condition",
"id" : "69208519",
"meta" : {
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🔗 "http://interopehrate.eu/fhir/StructureDefinition/Condition-IEHR"
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_69208519\"> </a><p><b>Generated Narrative: Condition</b><a name=\"69208519\"> </a><a name=\"hc69208519\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Condition "69208519" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Condition-IEHR.html\">Condition-IEHR</a></p></div><p><b>ProvenanceExtension-IEHR</b>: See on this page: Provenance/16</p><p><b>identifier</b>: <code>http://interopEHRate.eu/fhir-resource/</code>/C1</p><p><b>clinicalStatus</b>: Inactive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#inactive)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>code</b>: Alopecia areata, unspecified <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-icd10.html\">ICD-10</a>#L63.9)</span></p><p><b>subject</b>: See on this page: Patient/3466</p><p><b>onset</b>: 2012-12-05</p><p><b>abatement</b>: 2013-01-14</p></div>"
},
"extension" : [
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"url" : "http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR",
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🔗 "reference" : "Provenance/16"
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"identifier" : [
{
"system" : "http://interopEHRate.eu/fhir-resource/",
"value" : "C1"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "inactive",
"display" : "Inactive"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "L63.9",
"display" : "Alopecia areata, unspecified"
}
]
},
"subject" : {
🔗 "reference" : "Patient/3466"
},
"onsetDateTime" : "2012-12-05",
"abatementDateTime" : "2013-01-14"
}
},
{
"fullUrl" : "http://interopEHRate.eu/fhir-resource/Provenance/16",
"resource" : {
"resourceType" : "Provenance",
"id" : "16",
"meta" : {
"profile" : [
🔗 "http://interopehrate.eu/fhir/StructureDefinition/Provenance-IEHR"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_16\"> </a><p><b>Generated Narrative: Provenance</b><a name=\"16\"> </a><a name=\"hc16\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Provenance "16" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Provenance-IEHR.html\">Provenance-IEHR</a></p></div><p><b>target</b>: See on this page: Composition/69208519</p><p><b>recorded</b>: May 31, 2022, 9:15:49\u202fAM</p><blockquote><p><b>agent</b></p><p><b>type</b>: Author <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-provenance-participant-type.html\">Provenance participant type</a>#author)</span></p><p><b>who</b>: See on this page: Practitioner/21</p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: Custodian <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-provenance-participant-type.html\">Provenance participant type</a>#custodian)</span></p><p><b>who</b>: See on this page: Practitioner/21</p></blockquote><blockquote><p><b>signature</b></p><blockquote><p><b>id</b></p>Signature/04012022</blockquote><p><b>type</b>: Verification Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.5 = 'Verification Signature', stated as 'Verification Signature')</p><p><b>when</b>: May 31, 2022, 9:15:49\u202fAM</p><p><b>who</b>: See on this page: Practitioner/21</p><p><b>targetFormat</b>: json</p><p><b>sigFormat</b>: application/jose</p><p><b>data</b>: (base64 data - 5 bytes)</p></blockquote></div>"
},
"target" : [
{
🔗 "reference" : "Composition/69208519"
}
],
"recorded" : "2022-05-31T11:15:49.726+02:00",
"agent" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code" : "author",
"display" : "Author"
}
]
},
"who" : {
🔗 "reference" : "Practitioner/21"
}
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code" : "custodian",
"display" : "Custodian"
}
]
},
"who" : {
🔗 "reference" : "Practitioner/21"
}
}
],
"signature" : [
{
"id" : "Signature/04012022",
"type" : [
{
"system" : "urn:iso-astm:E1762-95:2013",
"code" : "1.2.840.10065.1.12.1.5",
"display" : "Verification Signature"
}
],
"when" : "2022-05-31T11:15:49.727+02:00",
"who" : {
🔗 "reference" : "Practitioner/21"
},
"targetFormat" : "json",
"sigFormat" : "application/jose",
"data" : "ZW1wdHk="
}
]
}
}
]
}