Gravitate Health FHIR Implementation Guide (FHIR R4)
0.1.0 - CI Build

Gravitate Health FHIR Implementation Guide (FHIR R4), published by . This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/gravitate-health-ips/ and changes regularly. See the Directory of published versions

## : Cecilia Gravitate's IPS - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="gravitate-Cecilia"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"/>
      </meta>
      <identifier>
        <system value="https://www.gravitatehealth.eu/sid/doc"/>
        <value value="Cecilia-ips-1"/>
      </identifier>
      <type value="document"/>
      <timestamp value="2021-09-03T08:38:00+02:00"/>
      <entry>
        <fullUrl value="https://myserver.org/Composition/cecilia-comp"/>
        <resource>
          <Composition>
            <id value="gravitate-Cecilia"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_gravitate-Cecilia"> </a><b>Id:</b> gravitate-Cecilia<br/><b>status:</b> final<br/><b>Type:</b> Patient summary Document<br/><b>Subject:</b> Cecilia Gravitate<br/><b>Sections:</b><br/><ul><li><b>Title:</b> Problem List<br/><b>Code:</b> Problem list Reported (11450-4)</li><br/><ul><li><b>Entry:</b> <a href="Condition-cecilia-cond-1.html">COPD</a></li><br/><li><b>Entry:</b> <a href="Condition-cecilia-cond-2.html">Diabetese Type 2</a></li><br/><li><b>Entry:</b> <a href="Condition-cecilia-cond-3.html">Osteoporosis</a></li><br/><li><b>Entry:</b> <a href="Condition-cecilia-cond-4.html">Congestive Heart Failure</a></li><br/></ul><li><b>Title:</b> Medication Summary<br/><b>Code:</b> Hx of Medication use (10160-0)</li><br/><ul><li><b>Entry:</b> <a href="MedicationStatement-cecilia-med-stat-1.html">Fosamax 70 mg tablets</a></li><br/><li><b>Entry:</b> <a href="MedicationStatement-cecilia-med-stat-2.html">Metformine + sitagliptine</a></li><br/><li><b>Entry:</b> <a href="MedicationStatement-cecilia-med-stat-3.html">Fluticasone 92mcg + vilanterol 22mcg</a></li><br/><li><b>Entry:</b> <a href="MedicationStatement-cecilia-med-stat-4.html">Digoxin</a></li><br/></ul></ul></div>
            </text>
            <status value="final"/>
            <type>
              <coding>
                <system value="http://loinc.org"/>
                <code value="60591-5"/>
                <display value="Patient summary Document"/>
              </coding>
            </type>
            <subject>
              <reference value="Patient/cecilia-patient"/>
              <display value="Cecilia Gravitate"/>
            </subject>
            <date value="2018-07-10T15:22:00+02:00"/>
            <author>
              <reference value="Practitioner/cecilia-pract"/>
              <display value="Dr. Anna Karlsson"/>
            </author>
            <title value="Patient Summary (Cecilia Gravitate)"/>
            <confidentiality value="N"/>
            <section>
              <title value="Problem List"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11450-4"/>
                  <display value="Problem list Reported"/>
                </coding>
              </code>
              <entry>
                <reference value="Condition/cecilia-cond-1"/>
                <display value="COPD"/>
              </entry>
              <entry>
                <reference value="Condition/cecilia-cond-2"/>
                <display value="Congestive Heart Failure"/>
              </entry>
              <entry>
                <reference value="Condition/cecilia-cond-3"/>
                <display value="Osteoporosis"/>
              </entry>
              <entry>
                <reference value="Condition/cecilia-cond-4"/>
                <display value="Diabetese Type 2"/>
              </entry>
            </section>
            <section>
              <title value="Medication Summary"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="10160-0"/>
                  <display value="Hx of Medication use"/>
                </coding>
              </code>
              <entry>
                <reference value="MedicationStatement/cecilia-med-stat-1"/>
                <display value="Fosamax 70 mg tablets"/>
              </entry>
              <entry>
                <reference value="MedicationStatement/cecilia-med-stat-2"/>
                <display value="Metformine + sitagliptine"/>
              </entry>
              <entry>
                <reference value="MedicationStatement/cecilia-med-stat-3"/>
                <display value="Fluticasone 92mcg + vilanterol 22mcg"/>
              </entry>
              <entry>
                <reference value="MedicationStatement/cecilia-med-stat-4"/>
                <display value="Digoxin"/>
              </entry>
            </section>
          </Composition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="https://myserver.org/Patient/cecilia-patient"/>
        <resource>
          <Patient>
            <id value="cecilia-patient"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_cecilia-patient"> </a><p class="res-header-id"><b>Generated Narrative: Patient cecilia-patient</b></p><a name="cecilia-patient"> </a><a name="hccecilia-patient"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Cecilia Gravitate  Female, DoB: 1946-05-05 ( https://www.gravitatehealth.eu/sid/doc#Cecilia-1)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr><tr><td style="background-color: #f3f5da" title="The patient's legal status as citizen of a country.">Patient Citizenship:</td><td colspan="3"><ul><li>code: <span title="Codes:{urn:iso:std:iso:3166 SWE}">Sweden</span></li></ul></td></tr></table></div>
            </text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/patient-citizenship">
              <extension url="code">
                <valueCodeableConcept>
                  <coding>
                    <system value="urn:iso:std:iso:3166"/>
                    <code value="SWE"/>
                    <display value="Sweden"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
            </extension>
            <identifier>
              <system value="https://www.gravitatehealth.eu/sid/doc"/>
              <value value="Cecilia-1"/>
            </identifier>
            <active value="true"/>
            <name>
              <family value="Gravitate"/>
              <given value="Cecilia"/>
            </name>
            <gender value="female"/>
            <birthDate value="1946-05-05"/>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl value="https://myserver.org/Practitioner/cecilia-pract"/>
        <resource>
          <Practitioner>
            <id value="cecilia-pract"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_cecilia-pract"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner cecilia-pract</b></p><a name="cecilia-pract"> </a><a name="hccecilia-pract"> </a><p><b>name</b>: Anne Karlsson </p></div>
            </text>
            <name>
              <family value="Karlsson"/>
              <given value="Anne"/>
              <prefix value="Dr."/>
            </name>
          </Practitioner>
        </resource>
      </entry>
      <entry>
        <fullUrl value="https://myserver.org/Condition/cecilia-cond-1"/>
        <resource>
          <Condition>
            <id value="cecilia-cond-1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_cecilia-cond-1"> </a><p class="res-header-id"><b>Generated Narrative: Condition cecilia-cond-1</b></p><a name="cecilia-cond-1"> </a><a name="hccecilia-cond-1"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 13645005}">COPD - Chronic obstructive pulmonary disease</span></p><p><b>subject</b>: <a href="Bundle-gravitate-Cecilia.html#Patient_cecilia-patient">Cecilia Gravitate</a></p><p><b>asserter</b>: <a href="Bundle-gravitate-Cecilia.html#Practitioner_cecilia-pract">Dr. Anna Karlsson</a></p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
              </coding>
            </clinicalStatus>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="13645005"/>
                <display value="Chronic obstructive lung disease"/>
              </coding>
              <text value="COPD - Chronic obstructive pulmonary disease"/>
            </code>
            <subject>
              <reference value="Patient/cecilia-patient"/>
              <display value="Cecilia Gravitate"/>
            </subject>
            <asserter>
              <reference value="Practitioner/cecilia-pract"/>
              <display value="Dr. Anna Karlsson"/>
            </asserter>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="https://myserver.org/Condition/cecilia-cond-2"/>
        <resource>
          <Condition>
            <id value="cecilia-cond-2"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_cecilia-cond-2"> </a><p class="res-header-id"><b>Generated Narrative: Condition cecilia-cond-2</b></p><a name="cecilia-cond-2"> </a><a name="hccecilia-cond-2"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 42343007}">Congestive heart failure</span></p><p><b>subject</b>: <a href="Bundle-gravitate-Cecilia.html#Patient_cecilia-patient">Cecilia Gravitate</a></p><p><b>onset</b>: 2015</p><p><b>asserter</b>: <a href="Bundle-gravitate-Cecilia.html#Practitioner_cecilia-pract">Dr. Anna Karlsson</a></p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
              </coding>
            </clinicalStatus>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="42343007"/>
                <display value="Congestive heart failure"/>
              </coding>
              <text value="Congestive heart failure"/>
            </code>
            <subject>
              <reference value="Patient/cecilia-patient"/>
              <display value="Cecilia Gravitate"/>
            </subject>
            <onsetDateTime value="2015"/>
            <asserter>
              <reference value="Practitioner/cecilia-pract"/>
              <display value="Dr. Anna Karlsson"/>
            </asserter>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="https://myserver.org/Condition/cecilia-cond-3"/>
        <resource>
          <Condition>
            <id value="cecilia-cond-3"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_cecilia-cond-3"> </a><p class="res-header-id"><b>Generated Narrative: Condition cecilia-cond-3</b></p><a name="cecilia-cond-3"> </a><a name="hccecilia-cond-3"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 64859006}">Osteoporosis</span></p><p><b>subject</b>: <a href="Bundle-gravitate-Cecilia.html#Patient_cecilia-patient">Cecilia Gravitate</a></p><p><b>onset</b>: 1993</p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
              </coding>
            </clinicalStatus>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="64859006"/>
                <display value="Osteoporosis"/>
              </coding>
              <text value="Osteoporosis"/>
            </code>
            <subject>
              <reference value="Patient/cecilia-patient"/>
              <display value="Cecilia Gravitate"/>
            </subject>
            <onsetDateTime value="1993"/>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="https://myserver.org/Condition/cecilia-cond-4"/>
        <resource>
          <Condition>
            <id value="cecilia-cond-4"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_cecilia-cond-4"> </a><p class="res-header-id"><b>Generated Narrative: Condition cecilia-cond-4</b></p><a name="cecilia-cond-4"> </a><a name="hccecilia-cond-4"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 44054006}">Diabetes mellitus type 2</span></p><p><b>subject</b>: <a href="Bundle-gravitate-Cecilia.html#Patient_cecilia-patient">Cecilia Gravitate</a></p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
              </coding>
            </clinicalStatus>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="44054006"/>
                <display value="Diabetes mellitus type 2"/>
              </coding>
              <text value="Diabetes mellitus type 2"/>
            </code>
            <subject>
              <reference value="Patient/cecilia-patient"/>
              <display value="Cecilia Gravitate"/>
            </subject>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/MedicationStatement/cecilia-med-stat-1"/>
        <resource>
          <MedicationStatement>
            <id value="cecilia-med-stat-1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_cecilia-med-stat-1"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement cecilia-med-stat-1</b></p><a name="cecilia-med-stat-1"> </a><a name="hccecilia-med-stat-1"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href="Bundle-gravitate-Cecilia.html#Medication_b50ae644-e0b7-4007-809f-26f493cbe36c">Dimethyl fumarate 30 mg Tablet</a></p><p><b>subject</b>: <a href="Bundle-gravitate-Cecilia.html#Patient_cecilia-patient">Cecilia Gravitate</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Route</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://standardterms.edqm.eu 20053000}">Oral use</span></td></tr></table></div>
            </text>
            <status value="active"/>
            <medicationReference>
              <reference value="Medication/b50ae644-e0b7-4007-809f-26f493cbe36c"/>
              <display value="Dimethyl fumarate 30 mg Tablet"/>
            </medicationReference>
            <subject>
              <reference value="Patient/cecilia-patient"/>
              <display value="Cecilia Gravitate"/>
            </subject>
            <dosage>
              <route>
                <coding>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="20053000"/>
                  <display value="Oral use"/>
                </coding>
              </route>
            </dosage>
          </MedicationStatement>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/MedicationStatement/cecilia-med-stat-2"/>
        <resource>
          <MedicationStatement>
            <id value="cecilia-med-stat-2"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_cecilia-med-stat-2"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement cecilia-med-stat-2</b></p><a name="cecilia-med-stat-2"> </a><a name="hccecilia-med-stat-2"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href="Bundle-gravitate-Cecilia.html#Medication_de131e15-ed13-4b31-b38c-3204a84d99c4">Irbesartan 75 mg Tablet</a></p><p><b>subject</b>: <a href="Bundle-gravitate-Cecilia.html#Patient_cecilia-patient">Cecilia Gravitate</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Route</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://standardterms.edqm.eu 20053000}">Oral use</span></td></tr></table></div>
            </text>
            <status value="active"/>
            <medicationReference>
              <reference value="Medication/de131e15-ed13-4b31-b38c-3204a84d99c4"/>
              <display value="Irbesartan 75 mg Tablet"/>
            </medicationReference>
            <subject>
              <reference value="Patient/cecilia-patient"/>
              <display value="Cecilia Gravitate"/>
            </subject>
            <dosage>
              <route>
                <coding>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="20053000"/>
                  <display value="Oral use"/>
                </coding>
              </route>
            </dosage>
          </MedicationStatement>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/MedicationStatement/cecilia-med-stat-3"/>
        <resource>
          <MedicationStatement>
            <id value="cecilia-med-stat-3"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_cecilia-med-stat-3"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement cecilia-med-stat-3</b></p><a name="cecilia-med-stat-3"> </a><a name="hccecilia-med-stat-3"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href="Bundle-gravitate-Cecilia.html#Medication_9ac3356c-4ea4-4814-84c3-235484f2ef19">Oxymetazoline hydrochloride  0.05 mg / 1 ml Spray</a></p><p><b>subject</b>: <a href="Bundle-gravitate-Cecilia.html#Patient_cecilia-patient">Cecilia Gravitate</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Route</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://standardterms.edqm.eu 20049000}">Nasal use</span></td></tr></table></div>
            </text>
            <status value="active"/>
            <medicationReference>
              <reference value="Medication/9ac3356c-4ea4-4814-84c3-235484f2ef19"/>
              <display value="Oxymetazoline hydrochloride  0.05 mg / 1 ml Spray"/>
            </medicationReference>
            <subject>
              <reference value="Patient/cecilia-patient"/>
              <display value="Cecilia Gravitate"/>
            </subject>
            <dosage>
              <route>
                <coding>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="20049000"/>
                  <display value="Nasal use"/>
                </coding>
              </route>
            </dosage>
          </MedicationStatement>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/MedicationStatement/cecilia-med-stat-4"/>
        <resource>
          <MedicationStatement>
            <id value="cecilia-med-stat-4"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_cecilia-med-stat-4"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement cecilia-med-stat-4</b></p><a name="cecilia-med-stat-4"> </a><a name="hccecilia-med-stat-4"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href="Bundle-gravitate-Cecilia.html#Medication_9ac3356c-4ea4-4814-84c3-235484f2ef19">Oxymetazoline hydrochloride  0.05 mg / 1 ml Spray</a></p><p><b>subject</b>: <a href="Bundle-gravitate-Cecilia.html#Patient_cecilia-patient">Cecilia Gravitate</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Route</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://standardterms.edqm.eu 20049000}">Nasal use</span></td></tr></table></div>
            </text>
            <status value="active"/>
            <medicationReference>
              <reference value="Medication/9ac3356c-4ea4-4814-84c3-235484f2ef19"/>
              <display value="Oxymetazoline hydrochloride  0.05 mg / 1 ml Spray"/>
            </medicationReference>
            <subject>
              <reference value="Patient/cecilia-patient"/>
              <display value="Cecilia Gravitate"/>
            </subject>
            <dosage>
              <route>
                <coding>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="20049000"/>
                  <display value="Nasal use"/>
                </coding>
              </route>
            </dosage>
          </MedicationStatement>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="https://myserver.org/Medication/b50ae644-e0b7-4007-809f-26f493cbe36c"/>
        <resource>
          <Medication>
            <id value="b50ae644-e0b7-4007-809f-26f493cbe36c"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_b50ae644-e0b7-4007-809f-26f493cbe36c"> </a><p class="res-header-id"><b>Generated Narrative: Medication b50ae644-e0b7-4007-809f-26f493cbe36c</b></p><a name="b50ae644-e0b7-4007-809f-26f493cbe36c"> </a><a name="hcb50ae644-e0b7-4007-809f-26f493cbe36c"> </a><p><b>code</b>: <span title="Codes:{https://spor.ema.europa.eu/pmswi EU/1/17/1201/002}, {https://www.who-umc.org/phpid 0x9982CA8A825D4561506CE808982E3B9D}, {http://www.whocc.no/atc L04AX07}">Skilarence 120 mg gastro-resistant tablets</span></p><p><b>form</b>: <span title="Codes:{http://standardterms.edqm.eu 10225000}">Gastro-resistant tablet</span></p><h3>Ingredients</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://fdasis.nlm.nih.gov FO2303MNI2}">dimethyl fumarate</span></td><td>30 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span>/1 Tablet<span style="background: LightGoldenRodYellow"> (Details: EDQM Standard Terms  code15054000 = 'Tablet')</span></td></tr></table></div>
            </text>
            <code>
              <coding>
                <system value="https://spor.ema.europa.eu/pmswi"/>
                <code value="EU/1/17/1201/002"/>
                <display value="Skilarence 120 mg gastro-resistant tablets"/>
              </coding>
              <coding>
                <system value="https://www.who-umc.org/phpid"/>
                <code value="0x9982CA8A825D4561506CE808982E3B9D"/>
                <display
                         value="dimethyl fumarate, 30 mg/ 1 tablet, Gastro-resistant tablet"/>
              </coding>
              <coding>
                <system value="http://www.whocc.no/atc"/>
                <code value="L04AX07"/>
                <display value="dimethyl fumarate"/>
              </coding>
            </code>
            <form>
              <coding>
                <system value="http://standardterms.edqm.eu"/>
                <code value="10225000"/>
                <display value="Gastro-resistant tablet"/>
              </coding>
            </form>
            <ingredient>
              <itemCodeableConcept>
                <coding>
                  <system value="http://fdasis.nlm.nih.gov"/>
                  <code value="FO2303MNI2"/>
                  <display value="dimethyl fumarate"/>
                </coding>
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