HL7 FHIR Implementation Guide: Rwanda HIV
0.1.0 - ci-build International flag

HL7 FHIR Implementation Guide: Rwanda HIV, published by Jembi Health Systems. 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/jembi/Rwanda-HIV/ and changes regularly. See the Directory of published versions

: VLSMS VL Request Bundle - JSON Representation

Raw json | Download

{
  "resourceType" : "Bundle",
  "id" : "VLSMS-VL-Request-Transactional",
  "type" : "transaction",
  "entry" : [
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Patient/HIVPatientExample",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "HIVPatientExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/hiv-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_HIVPatientExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient HIVPatientExample</b></p><a name=\"HIVPatientExample\"> </a><a name=\"hcHIVPatientExample\"> </a><a name=\"HIVPatientExample-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Jane Maria Smith (official) Female, DoB: 1990-12-12</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"tel:+27821234567\">+27821234567</a></li><li><a href=\"mailto:someone@example.com\">someone@example.com</a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>Managing Organization: <a href=\"Organization-HIVOrganizationExample.html\">Organization HIV Test Services Health Facility</a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Age of the patient calculated in months.\"><a href=\"StructureDefinition-patient-age-months.html\">Patient Age In Months</a></td><td colspan=\"3\">388</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Age of the patient calculated in years.\"><a href=\"StructureDefinition-patient-age-years.html\">Patient Age In Years</a></td><td colspan=\"3\">32</td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://moh.gov.rw/fhir/StructureDefinition/patient-age-months",
            "valueInteger" : 388
          },
          {
            "url" : "http://moh.gov.rw/fhir/StructureDefinition/patient-age-years",
            "valueInteger" : 32
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Smith",
            "given" : [
              "Jane",
              "Maria"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+27821234567"
          },
          {
            "system" : "email",
            "value" : "someone@example.com"
          }
        ],
        "gender" : "female",
        "birthDate" : "1990-12-12",
        "managingOrganization" : {
          🔗 "reference" : "Organization/HIVOrganizationExample"
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "Patient/HIVPatientExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Specimen/VLSpecimenExample",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "VLSpecimenExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/viral-load-specimen"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_VLSpecimenExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen VLSpecimenExample</b></p><a name=\"VLSpecimenExample\"> </a><a name=\"hcVLSpecimenExample\"> </a><a name=\"VLSpecimenExample-en-US\"> </a><p><b>Sample reordered</b>: false</p><p><b>identifier</b>: App sample identifier/abc123, Remote sample identifier/def456, Sample identifier/ghi789, Universal Unique Identifier for the sample/123456abc</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 119361006}\">Specimen Type</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>receivedTime</b>: 2022-07-28</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2022-07-28</td></tr></table><h3>Processings</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Time[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2022-07-28</td></tr></table><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "extension" : [
          {
            "url" : "http://moh.gov.rw/fhir/StructureDefinition/sample-reordered",
            "valueBoolean" : false
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "USID",
                  "display" : "Unique Specimen ID"
                }
              ],
              "text" : "App sample identifier"
            },
            "system" : "http://moh.gov.rw/fhir/identifier/app-sample-code",
            "value" : "abc123"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "USID",
                  "display" : "Unique Specimen ID"
                }
              ],
              "text" : "Remote sample identifier"
            },
            "system" : "http://moh.gov.rw/fhir/identifier/remote-sample-code",
            "value" : "def456"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "USID",
                  "display" : "Unique Specimen ID"
                }
              ],
              "text" : "Sample identifier"
            },
            "system" : "http://moh.gov.rw/fhir/identifier/sample-code",
            "value" : "ghi789"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer Identifier"
                }
              ],
              "text" : "Universal Unique Identifier for the sample"
            },
            "system" : "http://moh.gov.rw/fhir/identifier/uniqueID",
            "value" : "123456abc"
          }
        ],
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "119361006",
              "display" : "Plasma specimen (specimen)"
            }
          ],
          "text" : "Specimen Type"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "receivedTime" : "2022-07-28",
        "collection" : {
          "collectedDateTime" : "2022-07-28"
        },
        "processing" : [
          {
            "timeDateTime" : "2022-07-28"
          }
        ],
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Specimen/VLSpecimenExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Organization/RequestingOrganizationExample",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "RequestingOrganizationExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/requesting-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_RequestingOrganizationExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization RequestingOrganizationExample</b></p><a name=\"RequestingOrganizationExample\"> </a><a name=\"hcRequestingOrganizationExample\"> </a><a name=\"RequestingOrganizationExample-en-US\"> </a><p><b>identifier</b>: Requesting Organization identifier/facility5</p><p><b>name</b>: A facility name</p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "XX",
                  "display" : "Organization identifier"
                }
              ],
              "text" : "Requesting Organization identifier"
            },
            "system" : "http://moh.gov.rw/fhir/identifier/organization-id",
            "value" : "facility5"
          }
        ],
        "name" : "A facility name"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Organization/RequestingOrganizationExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Organization/PerformingOrganizationExample",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "PerformingOrganizationExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/performing-organization"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_PerformingOrganizationExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization PerformingOrganizationExample</b></p><a name=\"PerformingOrganizationExample\"> </a><a name=\"hcPerformingOrganizationExample\"> </a><a name=\"PerformingOrganizationExample-en-US\"> </a><p><b>Performing Organization Province</b>: 4</p><p><b>Performing Organization District</b>: 9</p><p><b>identifier</b>: Performing Organization identifier/laboratory1</p><p><b>name</b>: A Laboratory name</p><h3>Contacts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Address</b></td></tr><tr><td style=\"display: none\">*</td><td>A province name </td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://moh.gov.rw/fhir/StructureDefinition/performing-organization-province-index",
            "valueInteger" : 4
          },
          {
            "url" : "http://moh.gov.rw/fhir/StructureDefinition/performing-organization-district-index",
            "valueInteger" : 9
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "XX",
                  "display" : "Organization identifier"
                }
              ],
              "text" : "Performing Organization identifier"
            },
            "system" : "http://moh.gov.rw/fhir/identifier/organization-id",
            "value" : "laboratory1"
          }
        ],
        "name" : "A Laboratory name",
        "contact" : [
          {
            "address" : {
              "district" : "A district name",
              "state" : "A province name"
            }
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Organization/PerformingOrganizationExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/ServiceRequest/HIVServiceRequestExample",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "HIVServiceRequestExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/HIV-lab-order"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_HIVServiceRequestExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest HIVServiceRequestExample</b></p><a name=\"HIVServiceRequestExample\"> </a><a name=\"hcHIVServiceRequestExample\"> </a><a name=\"HIVServiceRequestExample-en-US\"> </a><p><b>identifier</b>: HIV lab service request identifier/ORDER12345</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><h3>Codes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 25836-8}\">Test Type</span></td></tr></table><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>occurrence</b>: 2012-01-05</p><p><b>requester</b>: <a href=\"Practitioner-RequestingPractitionerExample.html\">Practitioner James Smith </a></p><p><b>performer</b>: <a href=\"Practitioner-PerformingPractitionerExample.html\">Practitioner Amy White </a></p><h3>Reasons</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Observation-ReasonForHIVTestingExample.html\">Observation Human immunodeficiency virus antibody test</a></td></tr></table><p><b>specimen</b>: <a href=\"Specimen-VLSpecimenExample.html\">Specimen: extension = false; identifier = App sample identifier:\u00a0abc123,Remote sample identifier:\u00a0def456,Sample identifier:\u00a0ghi789,Universal Unique Identifier for the sample:\u00a0123456abc; type = Plasma specimen (specimen); receivedTime = 2022-07-28; note = additional notes here</a></p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer Identifier"
                }
              ],
              "text" : "HIV lab service request identifier"
            },
            "system" : "http://moh.gov.rw/fhir/identifier/lab-order-identifier",
            "value" : "ORDER12345"
          }
        ],
        "status" : "completed",
        "intent" : "order",
        "code" : {
          "concept" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "25836-8",
                "display" : "HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"
              }
            ],
            "text" : "Test Type"
          }
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "occurrenceDateTime" : "2012-01-05",
        "requester" : {
          🔗 "reference" : "Practitioner/RequestingPractitionerExample"
        },
        "performer" : [
          {
            🔗 "reference" : "Practitioner/PerformingPractitionerExample"
          }
        ],
        "reason" : [
          {
            "reference" : {
              🔗 "reference" : "Observation/ReasonForHIVTestingExample"
            }
          }
        ],
        "specimen" : [
          {
            🔗 "reference" : "Specimen/VLSpecimenExample"
          }
        ],
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "ServiceRequest/HIVServiceRequestExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Practitioner/RequestingPractitionerExample",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "RequestingPractitionerExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/hiv-practitioner"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_RequestingPractitionerExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner RequestingPractitionerExample</b></p><a name=\"RequestingPractitionerExample\"> </a><a name=\"hcRequestingPractitionerExample\"> </a><a name=\"RequestingPractitionerExample-en-US\"> </a><p><b>Clinician User Index</b>: 2</p><p><b>name</b>: James Smith </p><p><b>telecom</b>: ph: 27537652509</p></div>"
        },
        "extension" : [
          {
            "url" : "http://moh.gov.rw/fhir/StructureDefinition/clinician-user-index",
            "valueInteger" : 2
          }
        ],
        "name" : [
          {
            "family" : "Smith",
            "given" : [
              "James"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "27537652509"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Practitioner/RequestingPractitionerExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Practitioner/PerformingPractitionerExample",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "PerformingPractitionerExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/hiv-practitioner"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_PerformingPractitionerExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner PerformingPractitionerExample</b></p><a name=\"PerformingPractitionerExample\"> </a><a name=\"hcPerformingPractitionerExample\"> </a><a name=\"PerformingPractitionerExample-en-US\"> </a><p><b>Clinician User Index</b>: 6</p><p><b>name</b>: Amy White </p><p><b>telecom</b>: ph: 27537687534</p></div>"
        },
        "extension" : [
          {
            "url" : "http://moh.gov.rw/fhir/StructureDefinition/clinician-user-index",
            "valueInteger" : 6
          }
        ],
        "name" : [
          {
            "family" : "White",
            "given" : [
              "Amy"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "27537687534"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Practitioner/PerformingPractitionerExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Observation/ReasonForHIVTestingExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ReasonForHIVTestingExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/reason-for-hiv-testing"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ReasonForHIVTestingExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ReasonForHIVTestingExample</b></p><a name=\"ReasonForHIVTestingExample\"> </a><a name=\"hcReasonForHIVTestingExample\"> </a><a name=\"ReasonForHIVTestingExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 165813002}\">HIV Test</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner Amy White </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 2528003}\">Reason for testing</span></p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "165813002",
              "display" : "Human immunodeficiency virus antibody test"
            }
          ],
          "text" : "HIV Test"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            🔗 "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "2528003",
              "display" : "Viremia"
            }
          ],
          "text" : "Reason for testing"
        },
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/ReasonForHIVTestingExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Observation/PatientPregnantExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "PatientPregnantExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/hiv-patient-pregnant"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_PatientPregnantExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation PatientPregnantExample</b></p><a name=\"PatientPregnantExample\"> </a><a name=\"hcPatientPregnantExample\"> </a><a name=\"PatientPregnantExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 250421003}\">Pregnancy status</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner Amy White </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 250423000}\">Pregnancy test result</span></p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "250421003"
            }
          ],
          "text" : "Pregnancy status"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            🔗 "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "250423000",
              "display" : "Pregnancy test positive"
            }
          ],
          "text" : "Pregnancy test result"
        },
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/PatientPregnantExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Observation/HIVPatientIsNewExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "HIVPatientIsNewExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/hiv-patient-is-new"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_HIVPatientIsNewExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation HIVPatientIsNewExample</b></p><a name=\"HIVPatientIsNewExample\"> </a><a name=\"hcHIVPatientIsNewExample\"> </a><a name=\"HIVPatientIsNewExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 769681006}\">New Patient Indication</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner Amy White </a></p><p><b>value</b>: true</p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "769681006"
            }
          ],
          "text" : "New Patient Indication"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            🔗 "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "valueBoolean" : true,
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/HIVPatientIsNewExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Observation/BreastfeedingExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "BreastfeedingExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/hiv-patient-breastfeeding"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_BreastfeedingExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation BreastfeedingExample</b></p><a name=\"BreastfeedingExample\"> </a><a name=\"hcBreastfeedingExample\"> </a><a name=\"BreastfeedingExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 866041003}\">Breastfeeding</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner Amy White </a></p><p><b>value</b>: true</p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "866041003"
            }
          ],
          "text" : "Breastfeeding"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            🔗 "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "valueBoolean" : true,
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/BreastfeedingExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/CarePlan/ARVTreatmentRegimenChangedExample",
      "resource" : {
        "resourceType" : "CarePlan",
        "id" : "ARVTreatmentRegimenChangedExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/hiv-arv-treatment"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_ARVTreatmentRegimenChangedExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan ARVTreatmentRegimenChangedExample</b></p><a name=\"ARVTreatmentRegimenChangedExample\"> </a><a name=\"hcARVTreatmentRegimenChangedExample\"> </a><a name=\"ARVTreatmentRegimenChangedExample-en-US\"> </a><p><b>identifier</b>: Unique ART number/UAN000123</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>period</b>: 2022-12-01 --&gt; 2022-12-01</p><h3>Activities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>PlannedActivityReference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"MedicationRequest-ARVRegimenMedicationRequestRegimenChangedExample.html\">MedicationRequest: status = completed; intent = order</a></td></tr></table><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer identifier"
                }
              ],
              "text" : "Unique ART number"
            },
            "system" : "http://moh.gov.rw/fhir/identifier/uan",
            "value" : "UAN000123"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "period" : {
          "start" : "2022-12-01",
          "end" : "2022-12-01"
        },
        "activity" : [
          {
            "plannedActivityReference" : {
              🔗 "reference" : "MedicationRequest/ARVRegimenMedicationRequestRegimenChangedExample"
            }
          }
        ],
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "CarePlan/ARVTreatmentRegimenChangedExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/CarePlan/ARVTreatmentInitiatedExample",
      "resource" : {
        "resourceType" : "CarePlan",
        "id" : "ARVTreatmentInitiatedExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/hiv-arv-treatment"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_ARVTreatmentInitiatedExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan ARVTreatmentInitiatedExample</b></p><a name=\"ARVTreatmentInitiatedExample\"> </a><a name=\"hcARVTreatmentInitiatedExample\"> </a><a name=\"ARVTreatmentInitiatedExample-en-US\"> </a><p><b>identifier</b>: Unique ART number/UAN000123</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>period</b>: 2022-12-01 --&gt; 2022-12-01</p><h3>Activities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>PlannedActivityReference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"MedicationRequest-ARVRegimenMedicationRequestARVExample.html\">MedicationRequest: status = completed; intent = order</a></td></tr></table><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer identifier"
                }
              ],
              "text" : "Unique ART number"
            },
            "system" : "http://moh.gov.rw/fhir/identifier/uan",
            "value" : "UAN000123"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "period" : {
          "start" : "2022-12-01",
          "end" : "2022-12-01"
        },
        "activity" : [
          {
            "plannedActivityReference" : {
              🔗 "reference" : "MedicationRequest/ARVRegimenMedicationRequestARVExample"
            }
          }
        ],
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "CarePlan/ARVTreatmentInitiatedExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/MedicationRequest/ARVRegimenMedicationRequestRegimenChangedExample",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "ARVRegimenMedicationRequestRegimenChangedExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/arv-regimen-medication-request"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_ARVRegimenMedicationRequestRegimenChangedExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest ARVRegimenMedicationRequestRegimenChangedExample</b></p><a name=\"ARVRegimenMedicationRequestRegimenChangedExample\"> </a><a name=\"hcARVRegimenMedicationRequestRegimenChangedExample\"> </a><a name=\"ARVRegimenMedicationRequestRegimenChangedExample-en-US\"> </a><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><h3>Medications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 427314002}\">ARV regimen</span></td></tr></table><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><h3>Reasons</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Observation-ARTRegimenSwitchedOrSubstitutedExample.html\">Observation Change of medication</a></td></tr></table></div>"
        },
        "status" : "completed",
        "intent" : "order",
        "medication" : {
          "concept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "427314002",
                "display" : "Antiviral therapy"
              }
            ],
            "text" : "ARV regimen"
          }
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "reason" : [
          {
            "reference" : {
              🔗 "reference" : "Observation/ARTRegimenSwitchedOrSubstitutedExample"
            }
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "MedicationRequest/ARVRegimenMedicationRequestRegimenChangedExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/MedicationRequest/ARVRegimenMedicationRequestARVExample",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "ARVRegimenMedicationRequestARVExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/arv-regimen-medication-request"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_ARVRegimenMedicationRequestARVExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest ARVRegimenMedicationRequestARVExample</b></p><a name=\"ARVRegimenMedicationRequestARVExample\"> </a><a name=\"hcARVRegimenMedicationRequestARVExample\"> </a><a name=\"ARVRegimenMedicationRequestARVExample-en-US\"> </a><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><h3>Medications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 427314002}\">ARV regimen</span></td></tr></table><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><h3>Reasons</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Observation-ARTInitiatedExample.html\">Observation Date determined medically eligible and ready to start HIV treatment</a></td></tr></table></div>"
        },
        "status" : "completed",
        "intent" : "order",
        "medication" : {
          "concept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "427314002",
                "display" : "Antiviral therapy"
              }
            ],
            "text" : "ARV regimen"
          }
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "reason" : [
          {
            "reference" : {
              🔗 "reference" : "Observation/ARTInitiatedExample"
            }
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "MedicationRequest/ARVRegimenMedicationRequestARVExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Encounter/TargetFacilityEncounterExample",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "TargetFacilityEncounterExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/target-facility-encounter"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_TargetFacilityEncounterExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter TargetFacilityEncounterExample</b></p><a name=\"TargetFacilityEncounterExample\"> </a><a name=\"hcTargetFacilityEncounterExample\"> </a><a name=\"TargetFacilityEncounterExample-en-US\"> </a><p><b>status</b>: Completed</p><p><b>class</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>actualPeriod</b>: 2022-12-01 --&gt; 2023-01-20</p></div>"
        },
        "status" : "completed",
        "class" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "AMB"
              }
            ]
          }
        ],
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "actualPeriod" : {
          "start" : "2022-12-01",
          "end" : "2023-01-20"
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "Encounter/TargetFacilityEncounterExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Observation/HIVTestResultExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "HIVTestResultExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/viral-load-test-result"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_HIVTestResultExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation HIVTestResultExample</b></p><a name=\"HIVTestResultExample\"> </a><a name=\"hcHIVTestResultExample\"> </a><a name=\"HIVTestResultExample-en-US\"> </a><p><b>Test Result Entered Manually</b>: false</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 398579006}\">Viral Load Result</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization HIV Test Services Health Facility</a></p><p><b>value</b>: 1001</p><p><b>interpretation</b>: <span title=\"Codes:{http://snomed.info/sct 19032002}\">Viral Load Suppression Status</span></p><p><b>note</b>: Viral load not suppressed (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "extension" : [
          {
            "url" : "http://moh.gov.rw/fhir/StructureDefinition/result-entered-manually",
            "valueBoolean" : false
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398579006",
              "display" : "Human immunodeficiency virus-1 nucleic acid assay"
            }
          ],
          "text" : "Viral Load Result"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            🔗 "reference" : "Organization/HIVOrganizationExample"
          }
        ],
        "valueInteger" : 1001,
        "interpretation" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "19032002",
                "display" : "Uncontrolled"
              }
            ],
            "text" : "Viral Load Suppression Status"
          }
        ],
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Viral load not suppressed"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/HIVTestResultExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/SpecimenDefinition/SpecimenConservationExample",
      "resource" : {
        "resourceType" : "SpecimenDefinition",
        "id" : "SpecimenConservationExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/specimen-preservation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"SpecimenDefinition_SpecimenConservationExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: SpecimenDefinition SpecimenConservationExample</b></p><a name=\"SpecimenConservationExample\"> </a><a name=\"hcSpecimenConservationExample\"> </a><a name=\"SpecimenConservationExample-en-US\"> </a><p><b>status</b>: Active</p><blockquote><p><b>typeTested</b></p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 119361006}\">Plasma specimen</span></p><p><b>preference</b>: Preferred</p><blockquote><p><b>handling</b></p><p><b>temperatureRange</b>: 5-10</p><h3>MaxDurations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td>20</td></tr></table><p><b>instruction</b>: </p><div><p>Comments regarding the specimen conservation.</p>\n</div></blockquote></blockquote></div>"
        },
        "status" : "active",
        "typeTested" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "119361006"
                }
              ]
            },
            "preference" : "preferred",
            "handling" : [
              {
                "temperatureRange" : {
                  "low" : {
                    "value" : 5
                  },
                  "high" : {
                    "value" : 10
                  }
                },
                "maxDuration" : {
                  "value" : 20
                },
                "instruction" : "Comments regarding the specimen conservation."
              }
            ]
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "SpecimenDefinition/SpecimenConservationExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Task/HIVLabResultTaskExample",
      "resource" : {
        "resourceType" : "Task",
        "id" : "HIVLabResultTaskExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/hiv-lab-task"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Task_HIVLabResultTaskExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Task HIVLabResultTaskExample</b></p><a name=\"HIVLabResultTaskExample\"> </a><a name=\"hcHIVLabResultTaskExample\"> </a><a name=\"HIVLabResultTaskExample-en-US\"> </a><p><b>Result Status Index</b>: 4</p><p><b>identifier</b>: Lab order number/ORDER12345</p><p><b>instantiatesCanonical</b>: <a href=\"ActivityDefinition-LabOrderTaskActivityExample.html\">ActivityDefinition[http://moh.gov.rw/fhir/ActivityDefinition/LabOrderTaskActivityExample|0.1.0]</a></p><p><b>basedOn</b>: </p><ul><li><a href=\"ServiceRequest-HIVServiceRequestExample.html\">ServiceRequest HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection</a></li><li><a href=\"Transport-SampleDispatchedToLabExample.html\">Transport: status = in-progress; intent = order; completionTime = 2022-07-28; authoredOn = 2022-07-28; note = additional notes here</a></li><li><a href=\"Transport-ResultDispatchedToRequestingFacilityExample.html\">Transport: status = in-progress; intent = order; authoredOn = 2022-07-28; note = additional notes here</a></li></ul><p><b>status</b>: Completed</p><p><b>intent</b>: original-order</p><p><b>for</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>executionPeriod</b>: ?? --&gt; 2022-07-30</p><p><b>lastModified</b>: 2022-07-30</p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p><h3>Outputs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 398579006}\">Viral Load Result</span></td><td><a href=\"DiagnosticReport-HIVLabResultsDiagnosticReportExample.html\">Diagnostic Report for 'HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection' for '-&gt;Jane Maria Smith (official) Female, DoB: 1990-12-12'</a></td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://moh.gov.rw/fhir/StructureDefinition/result-status-index",
            "valueInteger" : 4
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "FILL",
                  "display" : "Filler Identifier"
                }
              ],
              "text" : "Lab order number"
            },
            "system" : "http://moh.gov.rw/fhir/lab-integration/order-number",
            "value" : "ORDER12345"
          }
        ],
        "instantiatesCanonical" : "http://moh.gov.rw/fhir/ActivityDefinition/LabOrderTaskActivityExample",
        "basedOn" : [
          {
            🔗 "reference" : "ServiceRequest/HIVServiceRequestExample"
          },
          {
            🔗 "reference" : "Transport/SampleDispatchedToLabExample"
          },
          {
            🔗 "reference" : "Transport/ResultDispatchedToRequestingFacilityExample"
          }
        ],
        "status" : "completed",
        "intent" : "original-order",
        "for" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "executionPeriod" : {
          "end" : "2022-07-30"
        },
        "lastModified" : "2022-07-30",
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ],
        "output" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "398579006",
                  "display" : "Human immunodeficiency virus-1 nucleic acid assay"
                }
              ],
              "text" : "Viral Load Result"
            },
            "valueReference" : {
              🔗 "reference" : "DiagnosticReport/HIVLabResultsDiagnosticReportExample"
            }
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Task/HIVLabResultTaskExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/ActivityDefinition/LabOrderTaskActivityExample",
      "resource" : {
        "resourceType" : "ActivityDefinition",
        "id" : "LabOrderTaskActivityExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/hiv-lab-task-activity"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ActivityDefinition_LabOrderTaskActivityExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ActivityDefinition LabOrderTaskActivityExample</b></p><a name=\"LabOrderTaskActivityExample\"> </a><a name=\"hcLabOrderTaskActivityExample\"> </a><a name=\"LabOrderTaskActivityExample-en-US\"> </a><p><b>HIV Viral Load Result Revised By</b>: 2</p><p><b>status</b>: Active</p><p><b>date</b>: 2023-01-01</p><p><b>approvalDate</b>: 2023-01-01</p><p><b>lastReviewDate</b>: 2023-01-01</p><p><b>editor</b>: Sarah May: </p><p><b>reviewer</b>: Mark Jones: </p><p><b>endorser</b>: Tobias Menley: </p><p><b>specimenRequirement</b>: <code>http://moh.gov.rw/fhir/SpecimenDefinition/SpecimenConservationExample</code></p></div>"
        },
        "extension" : [
          {
            "url" : "http://moh.gov.rw/fhir/StructureDefinition/revised-by-user-index",
            "valueInteger" : 2
          }
        ],
        "status" : "active",
        "date" : "2023-01-01",
        "approvalDate" : "2023-01-01",
        "lastReviewDate" : "2023-01-01",
        "editor" : [
          {
            "name" : "Sarah May"
          }
        ],
        "reviewer" : [
          {
            "extension" : [
              {
                "url" : "http://moh.gov.rw/fhir/StructureDefinition/task-reviewed-by-user-index",
                "valueInteger" : 23
              }
            ],
            "name" : "Mark Jones"
          }
        ],
        "endorser" : [
          {
            "extension" : [
              {
                "url" : "http://moh.gov.rw/fhir/StructureDefinition/task-approved-by-user-index",
                "valueInteger" : 16
              }
            ],
            "name" : "Tobias Menley"
          }
        ],
        "specimenRequirement" : [
          🔗 "http://moh.gov.rw/fhir/SpecimenDefinition/SpecimenConservationExample"
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "ActivityDefinition/LabOrderTaskActivityExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Transport/SampleDispatchedToLabExample",
      "resource" : {
        "resourceType" : "Transport",
        "id" : "SampleDispatchedToLabExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/sample-dispatched-to-lab"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Transport_SampleDispatchedToLabExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Transport SampleDispatchedToLabExample</b></p><a name=\"SampleDispatchedToLabExample\"> </a><a name=\"hcSampleDispatchedToLabExample\"> </a><a name=\"SampleDispatchedToLabExample-en-US\"> </a><p><b>status</b>: In Progress</p><p><b>intent</b>: order</p><p><b>completionTime</b>: 2022-07-28</p><p><b>authoredOn</b>: 2022-07-28</p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p><p><b>requestedLocation</b>: <a href=\"Location-TransportRequestedLocationExample.html\">Location Requested location name</a></p><p><b>currentLocation</b>: <a href=\"Location-TransportCurrentLocationExample.html\">Location Current location name</a></p></div>"
        },
        "status" : "in-progress",
        "intent" : "order",
        "completionTime" : "2022-07-28",
        "authoredOn" : "2022-07-28",
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ],
        "requestedLocation" : {
          🔗 "reference" : "Location/TransportRequestedLocationExample"
        },
        "currentLocation" : {
          🔗 "reference" : "Location/TransportCurrentLocationExample"
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "Transport/SampleDispatchedToLabExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Transport/ResultDispatchedToRequestingFacilityExample",
      "resource" : {
        "resourceType" : "Transport",
        "id" : "ResultDispatchedToRequestingFacilityExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/result-dispatched-to-facility"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Transport_ResultDispatchedToRequestingFacilityExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Transport ResultDispatchedToRequestingFacilityExample</b></p><a name=\"ResultDispatchedToRequestingFacilityExample\"> </a><a name=\"hcResultDispatchedToRequestingFacilityExample\"> </a><a name=\"ResultDispatchedToRequestingFacilityExample-en-US\"> </a><p><b>status</b>: In Progress</p><p><b>intent</b>: order</p><p><b>authoredOn</b>: 2022-07-28</p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p><p><b>requestedLocation</b>: <a href=\"Location-TransportRequestedLocationExample.html\">Location Requested location name</a></p><p><b>currentLocation</b>: <a href=\"Location-TransportCurrentLocationExample.html\">Location Current location name</a></p></div>"
        },
        "status" : "in-progress",
        "intent" : "order",
        "authoredOn" : "2022-07-28",
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ],
        "requestedLocation" : {
          🔗 "reference" : "Location/TransportRequestedLocationExample"
        },
        "currentLocation" : {
          🔗 "reference" : "Location/TransportCurrentLocationExample"
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "Transport/ResultDispatchedToRequestingFacilityExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Location/TransportRequestedLocationExample",
      "resource" : {
        "resourceType" : "Location",
        "id" : "TransportRequestedLocationExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/transport-location"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_TransportRequestedLocationExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location TransportRequestedLocationExample</b></p><a name=\"TransportRequestedLocationExample\"> </a><a name=\"hcTransportRequestedLocationExample\"> </a><a name=\"TransportRequestedLocationExample-en-US\"> </a><p><b>status</b>: Active</p><p><b>name</b>: Requested location name</p></div>"
        },
        "status" : "active",
        "name" : "Requested location name"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Location/TransportRequestedLocationExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Location/TransportCurrentLocationExample",
      "resource" : {
        "resourceType" : "Location",
        "id" : "TransportCurrentLocationExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/transport-location"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_TransportCurrentLocationExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location TransportCurrentLocationExample</b></p><a name=\"TransportCurrentLocationExample\"> </a><a name=\"hcTransportCurrentLocationExample\"> </a><a name=\"TransportCurrentLocationExample-en-US\"> </a><p><b>status</b>: Active</p><p><b>name</b>: Current location name</p></div>"
        },
        "status" : "active",
        "name" : "Current location name"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Location/TransportCurrentLocationExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/DiagnosticReport/HIVLabResultsDiagnosticReportExample",
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "HIVLabResultsDiagnosticReportExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/hiv-diagnostic-report"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_HIVLabResultsDiagnosticReportExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport HIVLabResultsDiagnosticReportExample</b></p><a name=\"HIVLabResultsDiagnosticReportExample\"> </a><a name=\"hcHIVLabResultsDiagnosticReportExample\"> </a><a name=\"HIVLabResultsDiagnosticReportExample-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 25836-8}\">Test Type</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Jane Maria Smith (official) Female, DoB: 1990-12-12</td></tr><tr><td>Performer</td><td> <a href=\"Practitioner-PerformingPractitionerExample.html\">Practitioner Amy White </a></td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Note</b></td><td><b>When For</b></td></tr><tr><td><a href=\"Observation-HIVTestResultExample.html\"><span title=\"Codes:{http://snomed.info/sct 398579006}\">Viral Load Result</span></a></td><td>1001</td><td>Final, <span title=\"Codes:{http://snomed.info/sct 19032002}\">Viral Load Suppression Status</span></td><td>Viral load not suppressed (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</td><td>2022-11-30</td></tr></table><div><p>Some conclusion text</p>\n</div></div>"
        },
        "extension" : [
          {
            "url" : "http://moh.gov.rw/fhir/StructureDefinition/tested-by-user-index",
            "valueInteger" : 7
          }
        ],
        "basedOn" : [
          {
            🔗 "reference" : "ServiceRequest/HIVServiceRequestExample"
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "25836-8",
              "display" : "HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"
            }
          ],
          "text" : "Test Type"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "performer" : [
          {
            🔗 "reference" : "Practitioner/PerformingPractitionerExample"
          }
        ],
        "resultsInterpreter" : [
          {
            🔗 "reference" : "Practitioner/ResultsInterpreterExample"
          }
        ],
        "result" : [
          {
            🔗 "reference" : "Observation/HIVTestResultExample"
          }
        ],
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ],
        "conclusion" : "Some conclusion text"
      },
      "request" : {
        "method" : "PUT",
        "url" : "DiagnosticReport/HIVLabResultsDiagnosticReportExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Practitioner/ResultsInterpreterExample",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "ResultsInterpreterExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/hiv-practitioner"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_ResultsInterpreterExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner ResultsInterpreterExample</b></p><a name=\"ResultsInterpreterExample\"> </a><a name=\"hcResultsInterpreterExample\"> </a><a name=\"ResultsInterpreterExample-en-US\"> </a><p><b>Clinician User Index</b>: 11</p><p><b>name</b>: Jhon Smith </p><p><b>telecom</b>: ph: 27539887534</p></div>"
        },
        "extension" : [
          {
            "url" : "http://moh.gov.rw/fhir/StructureDefinition/clinician-user-index",
            "valueInteger" : 11
          }
        ],
        "name" : [
          {
            "family" : "Smith",
            "given" : [
              "Jhon"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "27539887534"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Practitioner/ResultsInterpreterExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Consent/ReceiveSMSMessagesExample",
      "resource" : {
        "resourceType" : "Consent",
        "id" : "ReceiveSMSMessagesExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/receive-sms-messages"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Consent_ReceiveSMSMessagesExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Consent ReceiveSMSMessagesExample</b></p><a name=\"ReceiveSMSMessagesExample\"> </a><a name=\"hcReceiveSMSMessagesExample\"> </a><a name=\"ReceiveSMSMessagesExample-en-US\"> </a><p><b>status</b>: Active</p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 89057-4}\">Patient consent for SMS messages</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>decision</b>: Permit</p></div>"
        },
        "status" : "active",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "89057-4",
                "display" : "Permission to receive text messages"
              }
            ],
            "text" : "Patient consent for SMS messages"
          }
        ],
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "decision" : "permit"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Consent/ReceiveSMSMessagesExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Observation/ARVAdherenceExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ARVAdherenceExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/hiv-arv-adherence"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ARVAdherenceExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ARVAdherenceExample</b></p><a name=\"ARVAdherenceExample\"> </a><a name=\"hcARVAdherenceExample\"> </a><a name=\"ARVAdherenceExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 386091000}\">Treatment compliance</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner Amy White </a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6763-2}\">ARV adherence</span></p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "386091000"
            }
          ],
          "text" : "Treatment compliance"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            🔗 "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA6763-2",
              "display" : "Good = 95% adherence"
            }
          ],
          "text" : "ARV adherence"
        },
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/ARVAdherenceExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Observation/RepeatHIVTestResultExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "RepeatHIVTestResultExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/viral-load-repeat-test-result"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_RepeatHIVTestResultExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation RepeatHIVTestResultExample</b></p><a name=\"RepeatHIVTestResultExample\"> </a><a name=\"hcRepeatHIVTestResultExample\"> </a><a name=\"RepeatHIVTestResultExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 398579006}\">Viral Load Result</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization HIV Test Services Health Facility</a></p><p><b>value</b>: 1001</p><p><b>note</b>: Viral load not suppressed (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398579006",
              "display" : "Human immunodeficiency virus-1 nucleic acid assay"
            }
          ],
          "text" : "Viral Load Result"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            🔗 "reference" : "Organization/HIVOrganizationExample"
          }
        ],
        "valueInteger" : 1001,
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Viral load not suppressed"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/RepeatHIVTestResultExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Observation/SuspendTreatmentHIVTestResultExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "SuspendTreatmentHIVTestResultExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/viral-load-suspend-treatment-test-result"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_SuspendTreatmentHIVTestResultExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation SuspendTreatmentHIVTestResultExample</b></p><a name=\"SuspendTreatmentHIVTestResultExample\"> </a><a name=\"hcSuspendTreatmentHIVTestResultExample\"> </a><a name=\"SuspendTreatmentHIVTestResultExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 398579006}\">Viral Load Result</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization HIV Test Services Health Facility</a></p><p><b>value</b>: 1001</p><p><b>note</b>: Viral load not suppressed (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398579006",
              "display" : "Human immunodeficiency virus-1 nucleic acid assay"
            }
          ],
          "text" : "Viral Load Result"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            🔗 "reference" : "Organization/HIVOrganizationExample"
          }
        ],
        "valueInteger" : 1001,
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Viral load not suppressed"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/SuspendTreatmentHIVTestResultExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Device/TestingPlatformExample",
      "resource" : {
        "resourceType" : "Device",
        "id" : "TestingPlatformExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/device-for-testing"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_TestingPlatformExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device TestingPlatformExample</b></p><a name=\"TestingPlatformExample\"> </a><a name=\"hcTestingPlatformExample\"> </a><a name=\"TestingPlatformExample-en-US\"> </a><p><b>manufacturer</b>: My testing platform</p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "manufacturer" : "My testing platform",
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Device/TestingPlatformExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Observation/HIVTestResultViralLoadLogExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "HIVTestResultViralLoadLogExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/viral-load-log"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_HIVTestResultViralLoadLogExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation HIVTestResultViralLoadLogExample</b></p><a name=\"HIVTestResultViralLoadLogExample\"> </a><a name=\"hcHIVTestResultViralLoadLogExample\"> </a><a name=\"HIVTestResultViralLoadLogExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 398579006}\">Viral Load Result</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization HIV Test Services Health Facility</a></p><p><b>value</b>: 2.55</p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p><p><b>derivedFrom</b>: <a href=\"Observation-HIVTestResultExample.html\">Observation Human immunodeficiency virus-1 nucleic acid assay</a></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398579006",
              "display" : "Human immunodeficiency virus-1 nucleic acid assay"
            }
          ],
          "text" : "Viral Load Result"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            🔗 "reference" : "Organization/HIVOrganizationExample"
          }
        ],
        "valueQuantity" : {
          "value" : 2.55
        },
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ],
        "derivedFrom" : [
          {
            🔗 "reference" : "Observation/HIVTestResultExample"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/HIVTestResultViralLoadLogExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Observation/HIVTestResultAbsoluteDecimalExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "HIVTestResultAbsoluteDecimalExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/viral-load-test-result-absolute-decimal"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_HIVTestResultAbsoluteDecimalExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation HIVTestResultAbsoluteDecimalExample</b></p><a name=\"HIVTestResultAbsoluteDecimalExample\"> </a><a name=\"hcHIVTestResultAbsoluteDecimalExample\"> </a><a name=\"HIVTestResultAbsoluteDecimalExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 398579006}\">Viral Load Result</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization HIV Test Services Health Facility</a></p><p><b>value</b>: 2.55</p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p><p><b>derivedFrom</b>: <a href=\"Observation-HIVTestResultExample.html\">Observation Human immunodeficiency virus-1 nucleic acid assay</a></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398579006",
              "display" : "Human immunodeficiency virus-1 nucleic acid assay"
            }
          ],
          "text" : "Viral Load Result"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            🔗 "reference" : "Organization/HIVOrganizationExample"
          }
        ],
        "valueQuantity" : {
          "value" : 2.55
        },
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ],
        "derivedFrom" : [
          {
            🔗 "reference" : "Observation/HIVTestResultExample"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/HIVTestResultAbsoluteDecimalExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Organization/FundingOrganizationExample",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "FundingOrganizationExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/funding-source"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_FundingOrganizationExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization FundingOrganizationExample</b></p><a name=\"FundingOrganizationExample\"> </a><a name=\"hcFundingOrganizationExample\"> </a><a name=\"FundingOrganizationExample-en-US\"> </a><p><b>Funding Organization</b>: 1</p><p><b>identifier</b>: Funding Organization identifier/funder1</p><p><b>name</b>: A funding organization name</p></div>"
        },
        "extension" : [
          {
            "url" : "http://moh.gov.rw/fhir/StructureDefinition/funding-source-index",
            "valueInteger" : 1
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "XX",
                  "display" : "Organization identifier"
                }
              ],
              "text" : "Funding Organization identifier"
            },
            "system" : "http://moh.gov.rw/fhir/identifier/organization-id",
            "value" : "funder1"
          }
        ],
        "name" : "A funding organization name"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Organization/FundingOrganizationExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Organization/ImplementingPartnerOrganizationExample",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "ImplementingPartnerOrganizationExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/implementing-partner"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ImplementingPartnerOrganizationExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization ImplementingPartnerOrganizationExample</b></p><a name=\"ImplementingPartnerOrganizationExample\"> </a><a name=\"hcImplementingPartnerOrganizationExample\"> </a><a name=\"ImplementingPartnerOrganizationExample-en-US\"> </a><p><b>Implementing Partner Organization</b>: 14</p><p><b>identifier</b>: Implementing Partner Organization identifier/implementing-partner-org1</p><p><b>name</b>: An implementing partner organization name</p></div>"
        },
        "extension" : [
          {
            "url" : "http://moh.gov.rw/fhir/StructureDefinition/implementing-partner-index",
            "valueInteger" : 14
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "XX",
                  "display" : "Organization identifier"
                }
              ],
              "text" : "Implementing Partner Organization identifier"
            },
            "system" : "http://moh.gov.rw/fhir/identifier/organization-id",
            "value" : "implementing-partner-org1"
          }
        ],
        "name" : "An implementing partner organization name"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Organization/ImplementingPartnerOrganizationExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Observation/ARTInitiatedExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ARTInitiatedExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/art-initiated"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ARTInitiatedExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ARTInitiatedExample</b></p><a name=\"ARTInitiatedExample\"> </a><a name=\"hcARTInitiatedExample\"> </a><a name=\"ARTInitiatedExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 47241-5}\">ART initiated</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner Amy White </a></p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "47241-5",
              "display" : "Date determined medically eligible and ready to start HIV treatment"
            }
          ],
          "text" : "ART initiated"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            🔗 "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/ARTInitiatedExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Observation/ARVRegimenChangeExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ARVRegimenChangeExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/arv-regimen-change"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ARVRegimenChangeExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ARVRegimenChangeExample</b></p><a name=\"ARVRegimenChangeExample\"> </a><a name=\"hcARVRegimenChangeExample\"> </a><a name=\"ARVRegimenChangeExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 182838006}\">ARV Regimen Change</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner Amy White </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 271737000}\">Regimen change reason</span></p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p><p><b>derivedFrom</b>: <a href=\"Observation-ARTRegimenSwitchedOrSubstitutedExample.html\">Observation Change of medication</a></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "182838006",
              "display" : "Change of medication"
            }
          ],
          "text" : "ARV Regimen Change"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            🔗 "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "271737000",
              "display" : "Anemia"
            }
          ],
          "text" : "Regimen change reason"
        },
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ],
        "derivedFrom" : [
          {
            🔗 "reference" : "Observation/ARTRegimenSwitchedOrSubstitutedExample"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/ARVRegimenChangeExample"
      }
    },
    {
      "fullUrl" : "http://hapi-fhir:8080/fhir/Observation/ARTRegimenSwitchedOrSubstitutedExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ARTRegimenSwitchedOrSubstitutedExample",
        "meta" : {
          "profile" : [
            🔗 "http://moh.gov.rw/fhir/StructureDefinition/art-regimen-switched-or-substituted"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ARTRegimenSwitchedOrSubstitutedExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ARTRegimenSwitchedOrSubstitutedExample</b></p><a name=\"ARTRegimenSwitchedOrSubstitutedExample\"> </a><a name=\"hcARTRegimenSwitchedOrSubstitutedExample\"> </a><a name=\"ARTRegimenSwitchedOrSubstitutedExample-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 182838006}\">ARV Regimen Change</span></p><p><b>subject</b>: <a href=\"Patient-HIVPatientExample.html\">Jane Maria Smith (official) Female, DoB: 1990-12-12</a></p><p><b>encounter</b>: <a href=\"Encounter-TargetFacilityEncounterExample.html\">Encounter: status = completed; class = ambulatory; actualPeriod = 2022-12-01 --&gt; 2023-01-20</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner Amy White </a></p><p><b>value</b>: true</p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @2015-02-07 13:28:17-0500)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "182838006",
              "display" : "Change of medication"
            }
          ],
          "text" : "ARV Regimen Change"
        },
        "subject" : {
          🔗 "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          🔗 "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            🔗 "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "valueBoolean" : true,
        "note" : [
          {
            "authorReference" : {
              🔗 "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/ARTRegimenSwitchedOrSubstitutedExample"
      }
    }
  ]
}