Cross Border Data Exchange IG
1.0.0 - CI Build
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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<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 value="2022-05-31T11:16:01+02:00"/>
<author>🔗
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<title value="Hospital discharge summary"/>
<section>
<title value="Hospital Admission Dx"/>
<code>
<coding>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">This is the Hospital Admission section</div>
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<entry>🔗
<reference value="Condition/69208519"/>
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<section>
<title value="Hospital Admission History And Physical Note"/>
<code>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">This is the Hospital Admission History section</div>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">This is the general history section</div>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">This is the physical examination section</div>
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<section>
<title value="Medications On Admission"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="42346-7"/>
<display value="Medications on admission (narrative)"/>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">This is the medications on admission section</div>
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<section>
<title value="Hospital Course"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8648-8"/>
<display value="Hospital course"/>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">This is the hospital course section</div>
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<section>
<title value="Relevant Diagnostic Tests And/Or Laboratory Data"/>
<code>
<coding>
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<code value="30954-2"/>
<display value="Relevant Dx tests/lab data"/>
</coding>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">This is the laboratory data section</div>
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<entry>🔗
<reference value="Observation/69208519"/>
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</section>
<section>
<title value="Hospital Discharge Studies Summary"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11493-4"/>
<display value="Hospital discharge studies summary"/>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">This is the studies summary section</div>
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<section>
<title
value="Selected Medicine Administered During Hospitalization"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8677-7"/>
<display value="Hx of Medication use"/>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">This is the medicine administered during hospitalisation section</div>
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<section>
<title value="Hospital Discharge Dx"/>
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<coding>
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<code value="11535-2"/>
<display value="Hospital discharge Dx"/>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">This is the hospital discharge Dx section</div>
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<section>
<title value="Discharge Medications"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10183-2"/>
<display value="Hospital discharge medications"/>
</coding>
</code>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">This is the discharge medications section</div>
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<entry>🔗
<reference value="MedicationRequest/69208519"/>
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</section>
<section>
<title value="Treatment Plan"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18776-5"/>
<display value="Plan of care note"/>
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</code>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">This is the treatment plan section</div>
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<section>
<title value="Allergies"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
<display value="Allergies &or adverse reactions Doc"/>
</coding>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">This is the allergy section</div>
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<entry>
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<language value="it-IT"/>
<text>
<status value="generated"/>
<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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<name>
<family value="Smith"/>
<given value="Markus"/>
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<gender value="male"/>
<birthDate value="2013-12-05"/>
<address>
<use value="home"/>
<type value="physical"/>
<city value="Rome"/>
<country value="ITA"/>
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<generalPractitioner>🔗
<reference value="Practitioner/21"/>
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<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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<value value="Organization/FTGM01"/>
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<name value="Fondazione Gabriele Monasterio"/>
<address>
<line value="Via Giuseppe Moruzzi 1"/>
<city value="Pisa"/>
<country value="IT"/>
</address>
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<id value="21"/>
<meta>
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<language value="it-IT"/>
<text>
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<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>
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<identifier>
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<value value="Practitioner/MA01"/>
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<name>
<family value="Antonio"/>
<given value="Mark"/>
</name>
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<entry>
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<resource>
<MedicationRequest>
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<meta>
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<text>
<status value="extensions"/>
<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 value="Provenance/16"/>
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<identifier>
<system value="http://interopEHRate.eu/fhir-resource/"/>
<value value="MR1"/>
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<status value="active"/>
<intent value="plan"/>
<category>
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<code value="outpatient"/>
<display value="Outpatient"/>
</coding>
</category>
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="3142009"/>
<display value="Azacyclonol"/>
</coding>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/3466"/>
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<authoredOn value="2022-05-31T11:16:00+02:00"/>
<requester>🔗
<reference value="Practitioner/21"/>
</requester>
<dosageInstruction>
<timing>
<repeat>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
<timeOfDay value="08:00:00"/>
<timeOfDay value="16:00:00"/>
</repeat>
<code>
<coding>
<system
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<code value="BID"/>
<display value="BID"/>
</coding>
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</timing>
<doseAndRate>
<type>
<coding>
<system
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<code value="ordered"/>
<display value="Ordered"/>
</coding>
</type>
<doseQuantity>
<value value="3"/>
<unit value="milliliter"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
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<doseAndRate>
<type>
<coding>
<system
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<code value="ordered"/>
<display value="Ordered"/>
</coding>
</type>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
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<resource>
<Observation>
<id value="69208519"/>
<meta>
<profile
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<text>
<status value="extensions"/>
<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>
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<extension
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<valueReference>🔗
<reference value="Provenance/16"/>
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<identifier>
<system value="http://interopEHRate.eu/fhir-resource/"/>
<value value="O1"/>
</identifier>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18106-5"/>
<display value="Cardiac echo study Procedure"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/3466"/>
</subject>
<effectiveDateTime value="2011-06-25T06:30:00Z"/>
<performer>🔗
<reference value="Organization/34432"/>
</performer>
<interpretation>
<coding>
<system
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<code value="N"/>
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</interpretation>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="75989-4"/>
<display value="Left ventricular End systolic volume"/>
</coding>
</code>
<valueQuantity>
<value value="50"/>
<unit value="mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</valueQuantity>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://interopEHRate.eu/fhir-resource/Condition/69208519"/>
<resource>
<Condition>
<id value="69208519"/>
<meta>
<profile
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<text>
<status value="extensions"/>
<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>
</text>
<extension
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<valueReference>🔗
<reference value="Provenance/16"/>
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<identifier>
<system value="http://interopEHRate.eu/fhir-resource/"/>
<value value="C1"/>
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<clinicalStatus>
<coding>
<system
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<code value="inactive"/>
<display value="Inactive"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<code>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="L63.9"/>
<display value="Alopecia areata, unspecified"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/3466"/>
</subject>
<onsetDateTime value="2012-12-05"/>
<abatementDateTime value="2013-01-14"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="http://interopEHRate.eu/fhir-resource/Provenance/16"/>
<resource>
<Provenance>
<id value="16"/>
<meta>
<profile
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<text>
<status value="generated"/>
<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 AM</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 AM</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>
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<target>🔗
<reference value="Composition/69208519"/>
</target>
<recorded value="2022-05-31T11:15:49.726+02:00"/>
<agent>
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<coding>
<system
value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
<code value="author"/>
<display value="Author"/>
</coding>
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<who>🔗
<reference value="Practitioner/21"/>
</who>
</agent>
<agent>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
<code value="custodian"/>
<display value="Custodian"/>
</coding>
</type>
<who>🔗
<reference value="Practitioner/21"/>
</who>
</agent>
<signature id="Signature/04012022">
<type>
<system value="urn:iso-astm:E1762-95:2013"/>
<code value="1.2.840.10065.1.12.1.5"/>
<display value="Verification Signature"/>
</type>
<when value="2022-05-31T11:15:49.727+02:00"/>
<who>🔗
<reference value="Practitioner/21"/>
</who>
<targetFormat value="json"/>
<sigFormat value="application/jose"/>
<data value="ZW1wdHk="/>
</signature>
</Provenance>
</resource>
</entry>
</Bundle>