PanCareSurPass Project HL7 FHIR Implementation Guide
1.0.0 - release 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. 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/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions

## : Austria - Bundle: Example of a Childhood Cancer Survivor Passport - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="54"/>
      <meta>
        <profile
                 value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Bundle-eu-pcsp"/>
      </meta>
      <identifier>
        <system value="http://fhir.ehealth-systems.at/identifier/pcsp-bundle"/>
        <value value="b32a66ac5fed32e4d8670ba71d8191c24c3bcd63"/>
      </identifier>
      <type value="document"/>
      <timestamp value="2025-06-11T07:41:51.868411+00:00"/>
      <entry>
        <fullUrl value="urn:uuid:1cd43b1c-a24f-4118-b351-70c9d904252f"/>
        <resource>
          <Composition>
            <id value="composition"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Composition-surpass-eu-pcsp"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_composition"> </a><p class="res-header-id"><b>Generated Narrative: Composition composition</b></p><a name="composition"> </a><a name="hccomposition"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Composition-surpass-eu-pcsp.html">Composition: Survivor Passport</a></p></div><p><b>status</b>: Preliminary</p><p><b>type</b>: <span title="Codes:{http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp surpass}">Childhood Cancer Survivor Passport</span></p><p><b>date</b>: 2025-06-11 07:41:51+0000</p><p><b>author</b>: Identifier: test</p><p><b>title</b>: Childhood Cancer Survivor Passport</p></div>
            </text>
            <status value="preliminary"/>
            <type>
              <coding>
                <system
                        value="http://hl7.eu/fhir/ig/pcsp/CodeSystem/cs-generic-eu-pcsp"/>
                <code value="surpass"/>
              </coding>
            </type>
            <subject>
              <reference value="urn:uuid:04394254-c137-4ac6-82a8-c4ad2f973107"/>
            </subject>
            <date value="2025-06-11T07:41:51.417033+00:00"/>
            <author>
              <identifier>
                <value value="test"/>
              </identifier>
            </author>
            <title value="Childhood Cancer Survivor Passport"/>
            <section>
              <title value="FLT 1"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="72135-7"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p>Primary Cancer ...</p></div>
              </text>
              <entry>
                <reference value="urn:uuid:64c55208-f9d4-45d1-a4fa-2ce338630536"/>
              </entry>
              <entry>
                <reference value="urn:uuid:a2d6d445-41e3-437d-8422-307a40e35329"/>
              </entry>
              <section>
                <title value="Major Surgery"/>
                <code>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="8690-0"/>
                  </coding>
                </code>
                <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml"><p>Major Surgery ...</p></div>
                </text>
                <entry>
                  <reference
                             value="urn:uuid:567cd26b-ab14-490c-8d51-256edb3ff940"/>
                </entry>
              </section>
            </section>
          </Composition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:04394254-c137-4ac6-82a8-c4ad2f973107"/>
        <resource>
          <Patient>
            <id value="new-patient"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Patient-eu-pcsp"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_new-patient"> </a><p class="res-header-id"><b>Generated Narrative: Patient new-patient</b></p><a name="new-patient"> </a><a name="hcnew-patient"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Patient-eu-pcsp.html">Patient: PCSP</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Test Patient  Male, DoB: 1995-01-01 ( https://fhir.ehealth-systems.at/kiola/identifier/subject#k3TaRUeHagAVTwTVZTgvm5)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Other Id (see the one above)">Other Id:</td><td colspan="3"><code>http://fhir.ehealth-systems.at/identifier/patients/supa-transaction-id</code>/22e6e42b0babdd4226a0 (use: temp, )</td></tr></table></div>
            </text>
            <identifier>
              <use value="temp"/>
              <system
                      value="http://fhir.ehealth-systems.at/identifier/patients/supa-transaction-id"/>
              <value value="22e6e42b0babdd4226a0"/>
            </identifier>
            <identifier>
              <system
                      value="https://fhir.ehealth-systems.at/kiola/identifier/subject"/>
              <value value="k3TaRUeHagAVTwTVZTgvm5"/>
            </identifier>
            <name>
              <family value="Patient"/>
              <given value="Test"/>
            </name>
            <gender value="male"/>
            <birthDate value="1995-01-01"/>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:64c55208-f9d4-45d1-a4fa-2ce338630536"/>
        <resource>
          <Condition>
            <id value="primary-cancer-condition-1-0"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp"/>
            </meta>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_primary-cancer-condition-1-0"> </a><p class="res-header-id"><b>Generated Narrative: Condition primary-cancer-condition-1-0</b></p><a name="primary-cancer-condition-1-0"> </a><a name="hcprimary-cancer-condition-1-0"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Condition-primaryCancer-eu-pcsp.html">Condition: Primary Cancer</a></p></div><p><b>Condition Asserted Date</b>: 2005-01-01</p><p><b>Histology-Morphology-Behavior Extension</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/icd-o-3 9186/3}">Zentrales Osteosarkom o.n.A.</span></p><p><b>identifier</b>: <code>http://fhir.ehealth-systems.at/identifier/supaapp/primary-cancer-condition</code>/1</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNC}">un-encoded</span></p><p><b>bodySite</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10 C41.9}">Bone and articular cartilage, unspecified</span></p><p><b>subject</b>: <a href="Bundle-54.html#urn-uuid-04394254-c137-4ac6-82a8-c4ad2f973107">Test Patient  Male, DoB: 1995-01-01 ( https://fhir.ehealth-systems.at/kiola/identifier/subject#k3TaRUeHagAVTwTVZTgvm5)</a></p><p><b>encounter</b>: <a href="Bundle-54.html#urn-uuid-5785bf99-8454-4bbe-924b-4433e638d075">Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2005-01-02 --&gt; (ongoing)</a></p><blockquote><p><b>evidence</b></p><p><b>detail</b>: <a href="Bundle-54.html#urn-uuid-1613689f-5599-4210-b9ff-ae26be3f7f19">Observation Diagnosis</a></p></blockquote><blockquote><p><b>evidence</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 32895009}">Hereditary disease</span></p><p><b>detail</b>: <a href="Bundle-54.html#urn-uuid-ccb9f2df-2879-4df2-b5c3-027a56151849">Observation Genetic predisposition</a></p></blockquote></div>
            </text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/condition-assertedDate">
              <valueDateTime value="2005-01-01"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior">
              <valueCodeableConcept>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/icd-o-3"/>
                  <code value="9186/3"/>
                  <display value="Zentrales Osteosarkom o.n.A."/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <identifier>
              <system
                      value="http://fhir.ehealth-systems.at/identifier/supaapp/primary-cancer-condition"/>
              <value value="1"/>
            </identifier>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
                <code value="UNC"/>
                <display value="un-encoded"/>
              </coding>
            </code>
            <bodySite>
              <extension
                         url="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier">
                <valueCodeableConcept>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
                    <code value="not-applicable"/>
                    <display value="Not Applicable"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10"/>
                <code value="C41.9"/>
                <display value="Bone and articular cartilage, unspecified"/>
              </coding>
            </bodySite>
            <subject>
              <reference value="urn:uuid:04394254-c137-4ac6-82a8-c4ad2f973107"/>
            </subject>
            <encounter>
              <reference value="urn:uuid:5785bf99-8454-4bbe-924b-4433e638d075"/>
            </encounter>
            <evidence>
              <detail>
                <reference value="urn:uuid:1613689f-5599-4210-b9ff-ae26be3f7f19"/>
              </detail>
            </evidence>
            <evidence>
              <code>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="32895009"/>
                  <display value="Hereditary disease"/>
                </coding>
              </code>
              <detail>
                <reference value="urn:uuid:ccb9f2df-2879-4df2-b5c3-027a56151849"/>
              </detail>
            </evidence>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:1613689f-5599-4210-b9ff-ae26be3f7f19"/>
        <resource>
          <Observation>
            <id value="diagnosis-observation-1"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-diagnosis-eu-pcsp"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_diagnosis-observation-1"> </a><p class="res-header-id"><b>Generated Narrative: Observation diagnosis-observation-1</b></p><a name="diagnosis-observation-1"> </a><a name="hcdiagnosis-observation-1"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-diagnosis-eu-pcsp.html">Observation: Diagnosis details</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 29308-4}">Diagnosis</span></p><p><b>subject</b>: <a href="Bundle-54.html#urn-uuid-04394254-c137-4ac6-82a8-c4ad2f973107">Test Patient  Male, DoB: 1995-01-01 ( https://fhir.ehealth-systems.at/kiola/identifier/subject#k3TaRUeHagAVTwTVZTgvm5)</a></p><p><b>effective</b>: 2005-01-01</p><p><b>performer</b>: <a href="Bundle-54.html#urn-uuid-57aa2be0-d267-4e5c-a88b-aa14921c35f0">Organization St Anna Kinderspital</a></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/icd-o-3 9186/3}">Zentrales Osteosarkom o.n.A.</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="29308-4"/>
                <display value="Diagnosis"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:04394254-c137-4ac6-82a8-c4ad2f973107"/>
            </subject>
            <effectiveDateTime value="2005-01-01"/>
            <performer>
              <reference value="urn:uuid:57aa2be0-d267-4e5c-a88b-aa14921c35f0"/>
            </performer>
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/icd-o-3"/>
                <code value="9186/3"/>
                <display value="Zentrales Osteosarkom o.n.A."/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:57aa2be0-d267-4e5c-a88b-aa14921c35f0"/>
        <resource>
          <Organization>
            <id value="diagnosis-organization-1"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Organization-center-eu-pcsp"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_diagnosis-organization-1"> </a><p class="res-header-id"><b>Generated Narrative: Organization diagnosis-organization-1</b></p><a name="diagnosis-organization-1"> </a><a name="hcdiagnosis-organization-1"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Organization-center-eu-pcsp.html">Organization: Primary Treatment Center / Center of diagnosis</a></p></div><p><b>name</b>: St Anna Kinderspital</p><p><b>address</b>: Wien Österreich </p></div>
            </text>
            <name value="St Anna Kinderspital"/>
            <address>
              <city value="Wien"/>
              <country value="Österreich"/>
            </address>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:2b20ecab-3277-4c53-b681-156042cc36e8"/>
        <resource>
          <Organization>
            <id value="treatment-organization-1"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Organization-center-eu-pcsp"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_treatment-organization-1"> </a><p class="res-header-id"><b>Generated Narrative: Organization treatment-organization-1</b></p><a name="treatment-organization-1"> </a><a name="hctreatment-organization-1"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Organization-center-eu-pcsp.html">Organization: Primary Treatment Center / Center of diagnosis</a></p></div><p><b>name</b>: St Anna Kinderspital</p><p><b>address</b>: Wien Österreich </p></div>
            </text>
            <name value="St Anna Kinderspital"/>
            <address>
              <city value="Wien"/>
              <country value="Österreich"/>
            </address>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:5785bf99-8454-4bbe-924b-4433e638d075"/>
        <resource>
          <Encounter>
            <id value="diagnosis-encounter-1"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Encounter-eu-pcsp"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_diagnosis-encounter-1"> </a><p class="res-header-id"><b>Generated Narrative: Encounter diagnosis-encounter-1</b></p><a name="diagnosis-encounter-1"> </a><a name="hcdiagnosis-encounter-1"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Encounter-eu-pcsp.html">Encounter: Treatment Center</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB">ActCode AMB</a>: ambulatory</p><p><b>period</b>: 2005-01-02 --&gt; (ongoing)</p><p><b>serviceProvider</b>: <a href="Bundle-54.html#urn-uuid-2b20ecab-3277-4c53-b681-156042cc36e8">Organization St Anna Kinderspital</a></p></div>
            </text>
            <status value="finished"/>
            <class>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="AMB"/>
            </class>
            <period>
              <start value="2005-01-02"/>
            </period>
            <serviceProvider>
              <reference value="urn:uuid:2b20ecab-3277-4c53-b681-156042cc36e8"/>
            </serviceProvider>
          </Encounter>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:ccb9f2df-2879-4df2-b5c3-027a56151849"/>
        <resource>
          <Observation>
            <id value="diagnosis-hereditary-predisposition-1"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-predisposition-eu-pcsp"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_diagnosis-hereditary-predisposition-1"> </a><p class="res-header-id"><b>Generated Narrative: Observation diagnosis-hereditary-predisposition-1</b></p><a name="diagnosis-hereditary-predisposition-1"> </a><a name="hcdiagnosis-hereditary-predisposition-1"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-predisposition-eu-pcsp.html">Observation: Hereditary Predisposition</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 47708004}">Genetic predisposition</span></p><p><b>subject</b>: <a href="Bundle-54.html#urn-uuid-04394254-c137-4ac6-82a8-c4ad2f973107">Test Patient  Male, DoB: 1995-01-01 ( https://fhir.ehealth-systems.at/kiola/identifier/subject#k3TaRUeHagAVTwTVZTgvm5)</a></p><p><b>value</b>: <span title="Codes:{https://www.orpha.net 357027}">Hereditary retinoblastoma</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="47708004"/>
                <display value="Genetic predisposition"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:04394254-c137-4ac6-82a8-c4ad2f973107"/>
            </subject>
            <valueCodeableConcept>
              <coding>
                <system value="https://www.orpha.net"/>
                <code value="357027"/>
                <display value="Hereditary retinoblastoma"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:a2d6d445-41e3-437d-8422-307a40e35329"/>
        <resource>
          <Procedure>
            <id value="flt-procecure-1"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-flt-eu-pcsp"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_flt-procecure-1"> </a><p class="res-header-id"><b>Generated Narrative: Procedure flt-procecure-1</b></p><a name="flt-procecure-1"> </a><a name="hcflt-procecure-1"> </a><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Procedure-flt-eu-pcsp.html">Procedure: Front Line Treatment</a></p></div><p><b>instantiatesCanonical</b>: <code>https://fhir.ehealth-systems.at/PlanDefinition/supa-1f7dc934-fb28-43b7-bbc9-952d4af3d0b6</code></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 708255002}">First line treatment</span></p><p><b>subject</b>: <a href="Bundle-54.html#urn-uuid-04394254-c137-4ac6-82a8-c4ad2f973107">Test Patient  Male, DoB: 1995-01-01 ( https://fhir.ehealth-systems.at/kiola/identifier/subject#k3TaRUeHagAVTwTVZTgvm5)</a></p><p><b>performed</b>: ?? --&gt; 2005-09-01</p><p><b>reasonReference</b>: <a href="Bundle-54.html#urn-uuid-64c55208-f9d4-45d1-a4fa-2ce338630536">Condition un-encoded</a></p><p><b>outcome</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical inactive}">Inactive</span></p></div>
            </text>
            <instantiatesCanonical
                                   value="https://fhir.ehealth-systems.at/PlanDefinition/supa-1f7dc934-fb28-43b7-bbc9-952d4af3d0b6"/>
            <status value="completed"/>
            <category>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="708255002"/>
                <display value="First line treatment"/>
              </coding>
            </category>
            <subject>
              <reference value="urn:uuid:04394254-c137-4ac6-82a8-c4ad2f973107"/>
            </subject>
            <performedPeriod>
              <end value="2005-09-01"/>
            </performedPeriod>
            <reasonReference>
              <reference value="urn:uuid:64c55208-f9d4-45d1-a4fa-2ce338630536"/>
            </reasonReference>
            <outcome>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="inactive"/>
                <display value="Inactive"/>
              </coding>
            </outcome>
          </Procedure>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:567cd26b-ab14-490c-8d51-256edb3ff940"/>
        <resource>
          <Procedure>
            <id value="surgery-procedure-1-0-1"/>
            <meta>
              <profile
                       value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp"/>
            </meta>
            <text>
              <status value="additional"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_surgery-procedure-1-0-1"> </a>prox. Tibiaresektion links</div>
            </text>
            <extension
                       url="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-notAffectedOrgan">
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="32849002"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-notAffectedOrgan">
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="818983003"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-notAffectedOrgan">
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="12738006"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-notAffectedOrgan">
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="89545001"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-notAffectedOrgan">
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="10200004"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-notAffectedOrgan">
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="421060004"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-notAffectedOrgan">
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="2748008"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-notAffectedOrgan">
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="90456006"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-notAffectedOrgan">
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="51185008"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-notAffectedOrgan">
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="12921003"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-notAffectedOrgan">
              <valueCodeableConcept>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="53120007"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/surgery-sacrifiedOrgan">
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
                  <code value="OTH"/>
                  <display value="Other"/>
                </coding>
                <text value="Tibia"/>
              </valueCodeableConcept>
            </extension>
            <identifier>
              <system
                      value="http://fhir.ehealth-systems.at/identifier/supaapp/major-surgery"/>
              <value value="1"/>
            </identifier>
            <status value="completed"/>
            <category>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="387713003"/>
                <display value="Surgical procedure"/>
              </coding>
            </category>
            <subject>
              <reference value="urn:uuid:04394254-c137-4ac6-82a8-c4ad2f973107"/>
            </subject>
            <performedDateTime value="2005-08-01"/>
            <reasonReference>
              <reference value="urn:uuid:64c55208-f9d4-45d1-a4fa-2ce338630536"/>
            </reasonReference>
            <bodySite>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="61685007"/>
                <display value="Lower limb structure"/>
              </coding>
            </bodySite>
          </Procedure>
        </resource>
      </entry>
    </Bundle>