Composition/ee05e1da-df1b-7f7e-166c-e182e1d39f86

{
  "date" : "2023-02-02",
  "encounter" : {
    "reference" : "urn:uuid:7cea44f9-8268-f31c-3fd1-b4b0748d867c"
  },
  "section" : [ {
    "title" : "Medications",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <caption>Medications List</caption>\n                     <thead>\n                        <tr>\n                           <th>Medication</th>\n                           <th>Timing</th>\n                           <th>Route</th>\n                           <th>Freq</th>\n                           <th>Dose</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>Ceftriaxone 100 MG/ML</td>\n                           <td>~</td>\n                           <td>Injection</td>\n                           <td>Injectable, two times daily, 1 unit</td>\n                           <td>1 </td>\n                        </tr>\n                        <tr>\n                           <td>Tylenol 500mg</td>\n                           <td>~</td>\n                           <td>Oral</td>\n                           <td>PRN</td>\n                           <td>1 </td>\n                        </tr>\n                        <tr>\n                           <td>Aranesp 0.5 MG/ML</td>\n                           <td>~</td>\n                           <td>Injection</td>\n                           <td>Injectable, once a week, 1 unit</td>\n                           <td>1 </td>\n                        </tr>\n                     </tbody>\n                  </table>\n                  <table border=\"1\" width=\"100%\">\n                     <caption>Administered Medications</caption>\n                     <thead>\n                        <tr>\n                           <th>Medication</th>\n                           <th>Date</th>\n                           <th>Route</th>\n                           <th>Dose</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td colspan=\"4\">No records</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
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    "entry" : [ {
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    }, {
      "reference" : "urn:uuid:5504594f-861a-9ef9-29a2-67ed970fbbca"
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    "code" : {
      "text" : "History of Medication use",
      "coding" : [ {
        "code" : "10160-0",
        "display" : "History of Medication use",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Problems",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <caption>Active Problems</caption>\n                     <thead>\n                        <tr>\n                           <th>Problem</th>\n                           <th>Noted Date</th>\n                           <th>Diagnosed Date</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>Essential hypertension</td>\n                           <td>~</td>\n                           <td>~</td>\n                        </tr>\n                        <tr>\n                           <td>Severe hypothyroidism</td>\n                           <td>~</td>\n                           <td>~</td>\n                        </tr>\n                        <tr>\n                           <td>Chronic rejection of renal transplant</td>\n                           <td>~</td>\n                           <td>~</td>\n                        </tr>\n                        <tr>\n                           <td>Fever (finding)</td>\n                           <td>~</td>\n                           <td>~</td>\n                        </tr>\n                     </tbody>\n                  </table>\n                  <table border=\"1\" width=\"100%\">\n                     <caption>Resolved Problems</caption>\n                     <thead>\n                        <tr>\n                           <th>Problem</th>\n                           <th>Noted Date</th>\n                           <th>Diagnosed Date</th>\n                           <th>Resolved Date</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>Overweight (finding)</td>\n                           <td>12/31/2006 12:00AM UTC</td>\n                           <td>~</td>\n                           <td>~</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
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    "extension" : [ {
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    "entry" : [ {
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      "reference" : "urn:uuid:0d0d5e1b-4c7c-0ba3-0262-fca578dc30b5"
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    "code" : {
      "text" : "Problems",
      "coding" : [ {
        "code" : "11450-4",
        "display" : "Problems",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Goals",
    "text" : {
      "div" : "a. Get rid of intermittent fever that is occurring every few weeks. \n\n    b. Need to gain more energy to do regular activities",
      "status" : "generated"
    },
    "code" : {
      "text" : "Goals",
      "coding" : [ {
        "code" : "61146-7",
        "display" : "Goals",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Results",
    "text" : {
      "div" : "\n                  <list>\n                     <item>\n                        <caption>Urinanalysis macro (dipstick) panel, No performer ID, No Lab, No Lab Address</caption>\n                        <table border=\"1\" width=\"100%\">\n                           <thead>\n                              <tr>\n                                 <th>Code</th>\n                                 <th>Value</th>\n                                 <th>Date</th>\n                              </tr>\n                           </thead>\n                           <tbody>\n                              <tr>\n                                 <td>Color of urine</td>\n                                 <td>YELLOW</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>Appearance of urine</td>\n                                 <td>CLEAR</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>Specific gravity of urine by test strip</td>\n                                 <td>1.015 1</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>pH of urine by test strip</td>\n                                 <td>5.0 [pH]</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>Glucose [Mass/volume] in urine by test strip</td>\n                                 <td>50 mg/dL</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>Ketones [Mass/Volume] in urine by test strip</td>\n                                 <td>Negative</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>Protein [Mass/Volume] in urine by test strip</td>\n                                 <td>100 mg/dL</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                           </tbody>\n                        </table>\n                     </item>\n                  </list>\n               ",
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    "code" : {
      "text" : "Results",
      "coding" : [ {
        "code" : "30954-2",
        "display" : "Results",
        "system" : "http://loinc.org"
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    }
  }, {
    "title" : "Social History",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <thead>\n                        <tr>\n                           <th>Element</th>\n                           <th>Date</th>\n                           <th>Value</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>Tobacco smoking status NHIS</td>\n                           <td>06/22/2015 12:00AM UTC</td>\n                           <td>Current every day smoker</td>\n                        </tr>\n                        <tr>\n                           <td>Sex Assigned At Birth</td>\n                           <td>~</td>\n                           <td>Female</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
    },
    "entry" : [ {
      "reference" : "urn:uuid:51f6aecc-48a5-9a00-5946-37a24c82a187"
    }, {
      "reference" : "urn:uuid:3f35fa99-ece7-53aa-de2f-6b8dc59987a1"
    } ],
    "code" : {
      "text" : "Social History",
      "coding" : [ {
        "code" : "29762-2",
        "display" : "Social History",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Vital Signs",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <thead>\n                        <tr>\n                           <th>Vital sign</th>\n                           <th>Date</th>\n                           <th>Value and units</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>Blood Pressure Systolic</td>\n                           <td>06/22/2015 3:08PM UTC</td>\n                           <td>145 mm[Hg]</td>\n                        </tr>\n                        <tr>\n                           <td>Blood Pressure Diastolic</td>\n                           <td>06/22/2015 3:08PM UTC</td>\n                           <td>88 mm[Hg]</td>\n                        </tr>\n                        <tr>\n                           <td>Heart Rate</td>\n                           <td>06/22/2015 3:10PM UTC</td>\n                           <td>80 /min</td>\n                        </tr>\n                        <tr>\n                           <td>Body Temperature</td>\n                           <td>06/22/2015 3:15PM UTC</td>\n                           <td>38 Cel</td>\n                        </tr>\n                        <tr>\n                           <td>Respiratory Rate</td>\n                           <td>06/22/2015 3:15PM UTC</td>\n                           <td>18 /min</td>\n                        </tr>\n                        <tr>\n                           <td>O2 % BldC Oximetry</td>\n                           <td>06/22/2015 3:12PM UTC</td>\n                           <td>95 %</td>\n                        </tr>\n                        <tr>\n                           <td>Inhaled Oxygen Concentration</td>\n                           <td>06/22/2015 3:12PM UTC</td>\n                           <td>36 %</td>\n                        </tr>\n                        <tr>\n                           <td>Weight</td>\n                           <td>06/22/2015 3:05PM UTC</td>\n                           <td>88 kg</td>\n                        </tr>\n                        <tr>\n                           <td>Height</td>\n                           <td>06/22/2015 3:05PM UTC</td>\n                           <td>177 cm</td>\n                        </tr>\n                        <tr>\n                           <td>BMI</td>\n                           <td>~</td>\n                           <td>~</td>\n                        </tr>\n                        <tr>\n                           <td>Head Occipital Circumference</td>\n                           <td>~</td>\n                           <td>~</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
    },
    "extension" : [ {
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    "entry" : [ {
      "reference" : "urn:uuid:d6816f09-b2b6-635d-cf7d-d2a7bea85ebf"
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      "reference" : "urn:uuid:5aa04ab6-1907-c68f-e9f1-4dd888d72cee"
    }, {
      "reference" : "urn:uuid:ca1aec55-d8dd-a9e0-546c-47d029cda2d3"
    }, {
      "reference" : "urn:uuid:ee5bd849-e16f-8794-61d9-c2f17c16bba5"
    }, {
      "reference" : "urn:uuid:e1859cd1-905c-fce6-5bf9-ce63162dd866"
    }, {
      "reference" : "urn:uuid:fe8f9772-838d-0f88-5637-85882b416929"
    }, {
      "reference" : "urn:uuid:e4e8698e-1ef5-7a8c-481d-b634dd02eb54"
    }, {
      "reference" : "urn:uuid:d09b31e9-6fc6-9df1-1ea2-783f4589c710"
    }, {
      "reference" : "urn:uuid:76cb314b-643c-b670-90fe-d956bcaaa22c"
    } ],
    "code" : {
      "text" : "Vitals",
      "coding" : [ {
        "code" : "8716-3",
        "display" : "Vitals",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Allergies and Intolerances",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <thead>\n                        <tr>\n                           <th>Type</th>\n                           <th>Substance</th>\n                           <th>Onset</th>\n                           <th>Reactions</th>\n                           <th>Status</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>allergy</td>\n                           <td>Ampicillin</td>\n                           <td>10/05/1980 12:00AM UTC</td>\n                           <td>\n                              <paragraph>10/05/1980 12:00AM UTC - Hives - moderate</paragraph>\n                           </td>\n                           <td>active</td>\n                        </tr>\n                        <tr>\n                           <td>N/A</td>\n                           <td>Penicillin G</td>\n                           <td>10/05/1980 12:00AM UTC</td>\n                           <td>\n                              <paragraph>10/05/1980 12:00AM UTC - Hives - moderate</paragraph>\n                           </td>\n                           <td>active</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
    },
    "extension" : [ {
      "valueBoolean" : true,
      "url" : "entries-required"
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    "entry" : [ {
      "reference" : "urn:uuid:b2867e9f-330b-52be-3e42-f80e9c9a281b"
    }, {
      "reference" : "urn:uuid:49d280d2-2cf8-0eb4-5aa3-876f1de53c1b"
    } ],
    "code" : {
      "text" : "Allergies",
      "coding" : [ {
        "code" : "48765-2",
        "display" : "Allergies",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Encounters",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <thead>\n                        <tr>\n                           <th>Date</th>\n                           <th>Type</th>\n                           <th>Department</th>\n                           <th>CareTeam</th>\n                           <th>Description</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td colspan=\"5\">No records</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
    },
    "extension" : [ {
      "valueBoolean" : true,
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    "code" : {
      "text" : "Encounters",
      "coding" : [ {
        "code" : "46240-8",
        "display" : "Encounters",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Functional Status",
    "text" : {
      "div" : "No data for section Functional Status",
      "status" : "generated"
    },
    "code" : {
      "text" : "Functional Status",
      "coding" : [ {
        "code" : "47420-5",
        "display" : "Functional Status",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Immunizations",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <thead>\n                        <tr>\n                           <th>Vaccine</th>\n                           <th>Date</th>\n                           <th>Status</th>\n                           <th>Lot</th>\n                           <th>Notes</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>Tetanus and diphtheria toxoids</td>\n                           <td>01/04/2012 12:00AM UTC</td>\n                           <td>completed</td>\n                           <td>N/A</td>\n                           <td>N/A</td>\n                        </tr>\n                        <tr>\n                           <td>Influenza, intradermal, quadrivalent, preservative-free</td>\n                           <td>06/22/2015 12:00AM UTC</td>\n                           <td>not-done</td>\n                           <td>No Lot number provided</td>\n                           <td>Immunization was not given - Patient rejected immunization</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
    },
    "extension" : [ {
      "valueBoolean" : true,
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    } ],
    "entry" : [ {
      "reference" : "urn:uuid:835f1fa3-ae6a-ab1c-08e9-868f68fbeb83"
    }, {
      "reference" : "urn:uuid:d3a539da-5627-e308-2a0d-0165ba89457b"
    } ],
    "code" : {
      "text" : "History of Immunization Narrative",
      "coding" : [ {
        "code" : "11369-6",
        "display" : "History of Immunization Narrative",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Medical Equipment",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <thead>\n                        <tr>\n                           <th>ID</th>\n                           <th>Assigning Auth</th>\n                           <th>Code</th>\n                           <th>Date</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>(01)00643169007222(17)160128(21)BLC200461H</td>\n                           <td>FDA</td>\n                           <td>Cardiac resynchronization therapy implantable pacemaker</td>\n                           <td>10/05/2011 12:00AM UTC</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
    },
    "entry" : [ {
      "reference" : "urn:uuid:546d0928-424b-05e8-ee6e-2a70331b09aa"
    } ],
    "code" : {
      "text" : "History of Medical Device Use",
      "coding" : [ {
        "code" : "46264-8",
        "display" : "History of Medical Device Use",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Mental Status",
    "text" : {
      "div" : "No data for section Mental Status",
      "status" : "generated"
    },
    "code" : {
      "text" : "Mental Status Narrative",
      "coding" : [ {
        "code" : "10190-7",
        "display" : "Mental Status Narrative",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Payers",
    "text" : {
      "div" : "No data for section Payers",
      "status" : "generated"
    },
    "code" : {
      "text" : "Payment Sources Narrative",
      "coding" : [ {
        "code" : "48768-6",
        "display" : "Payment Sources Narrative",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Procedures",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <thead>\n                        <tr>\n                           <th>Procedures</th>\n                           <th>Date</th>\n                           <th>Status</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>Nebulizer Therapy</td>\n                           <td>06/22/2015 12:00AM UTC</td>\n                           <td>completed</td>\n                        </tr>\n                        <tr>\n                           <td>Introduction of cardiac pacemaker system via vein</td>\n                           <td>10/05/2011 12:00AM UTC</td>\n                           <td>completed</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
    },
    "extension" : [ {
      "valueBoolean" : true,
      "url" : "entries-required"
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    "entry" : [ {
      "reference" : "urn:uuid:043a0ac8-d6fa-3e7b-e256-3b5f47e58cce"
    }, {
      "reference" : "urn:uuid:546d0928-424b-05e8-ee6e-2a70331b09aa"
    } ],
    "code" : {
      "text" : "History of Procedures Document",
      "coding" : [ {
        "code" : "47519-4",
        "display" : "History of Procedures Document",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Hospital Course",
    "text" : {
      "div" : "Ms. Alice Newman is a 45 year old female with a history of Hypertension, Hypothyroidism, Iron\ndeficiency and is a recipient of Renal Allograft visits Neighborhood Physicians Practice on 6/22/2015 at\n10am EST. The patient disclosed history of nausea, loose stools and weakness. After initial examination\nthe patient was found to have fever, she was administered necessary medications and after examining\nthe history of the patient and the lab results, the doctor suspected anemia. So the patient was referred\nto Community Health Hospitals an Inpatient facility to get appropriate treatment and was asked to\nwatch for appropriate changes in body temperature, blood pressure and take nebulizer treatment as\nneeded. ",
      "status" : "generated"
    },
    "code" : {
      "text" : "Hospital course Narrative",
      "coding" : [ {
        "code" : "8648-8",
        "display" : "Hospital course Narrative",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Assesments",
    "text" : {
      "div" : "The patient was found to have fever and Dr Davis is suspecting Anemia\nbased on the patient history. So Dr Davis asked the patient to closely\nmonitor the temperature and blood pressure and get admitted to\nCommunity Health Hospitals if the fever does not subside within a day.",
      "status" : "generated"
    },
    "code" : {
      "text" : "Assessments",
      "coding" : [ {
        "code" : "51848-0",
        "display" : "Assessments",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Procedures Notes",
    "text" : {
      "div" : "\n                  <paragraph>\n                     <caption>Albert Davis - 06/22/2015 12:00AM UTC</caption>Dr Albert Davis examined Ms Alice Newman and found that the pacemaker is operating properly and the\nbreathlessness is due to high fever and anxiety.</paragraph>\n               ",
      "status" : "generated"
    },
    "entry" : [ {
      "reference" : "urn:uuid:10b12699-c759-8d17-1a3a-fbcbb7eec570"
    } ],
    "code" : {
      "text" : "Procedures Note",
      "coding" : [ {
        "code" : "28570-0",
        "display" : "Procedures Note",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "History And Physical Notes",
    "text" : {
      "div" : "No data for section History And Physical Notes",
      "status" : "generated"
    },
    "code" : {
      "text" : "History And Physical Note",
      "coding" : [ {
        "code" : "34117-2",
        "display" : "History And Physical Note",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Consultation Notes",
    "text" : {
      "div" : "No data for section Consultation Notes",
      "status" : "generated"
    },
    "code" : {
      "text" : "Consultation note",
      "coding" : [ {
        "code" : "11488-4",
        "display" : "Consultation note",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Progress Notes",
    "text" : {
      "div" : "\n                  <paragraph>\n                     <caption>Albert Davis - 06/22/2015 12:00AM UTC</caption>Ms Alice Newman seems to be developing high fever and hence we recommend her to get admitted to a\nnearby hospital using the provided referral.</paragraph>\n               ",
      "status" : "generated"
    },
    "entry" : [ {
      "reference" : "urn:uuid:082adcde-b455-4167-35e0-fc64c86a9cde"
    } ],
    "code" : {
      "text" : "Progress Note",
      "coding" : [ {
        "code" : "11506-3",
        "display" : "Progress Note",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Plan of treatment",
    "text" : {
      "div" : "i. Get an EKG done on 6/23/2015. \n\n    ii. Get a Chest X-ray done on 6/23/2015 showing the Lower Respiratory Tract\n    Structure. \n\n    iii. Take Clindamycin 300mg three times a day as needed if pain does not subside \n\n    iv. Schedule follow on visit with Neighborhood Physicians Practice on  7/1/2015\n\n    v. Urinanalysis macro (dipstick) panel (24356-8) on 6/29/2015",
      "status" : "generated"
    },
    "entry" : [ {
      "reference" : "urn:uuid:149f084e-0632-8de9-3ffa-40b19c82c8b3"
    } ],
    "code" : {
      "text" : "Plan of treatment",
      "coding" : [ {
        "code" : "18776-5",
        "display" : "Plan of treatment",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Health Concerns",
    "text" : {
      "div" : "a. Chronic Sickness exhibited by patient\nb. HealthCare Concerns refer to underlying clinical facts\ni. Documented HyperTension problem\nii. Documented HypoThyroidism problem\niii. Watch Weight of patient",
      "status" : "generated"
    },
    "code" : {
      "text" : "Health Concerns",
      "coding" : [ {
        "code" : "75310-3",
        "display" : "Health Concerns",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Laboratory Notes",
    "text" : {
      "div" : "\n                  <paragraph>\n                     <caption>Albert Davis - 06/22/2015 12:00AM UTC</caption>Ms Alice Newman was tested for the Urinanalysis macro panel and the results have been found to be\nnormal.</paragraph>\n               ",
      "status" : "generated"
    },
    "entry" : [ {
      "reference" : "urn:uuid:e96b69c1-ccda-62ef-a69e-b494e0ca6db7"
    } ],
    "code" : {
      "text" : "Laboratory Report",
      "coding" : [ {
        "code" : "11502-2",
        "display" : "Laboratory Report",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Discharge Instructions",
    "text" : {
      "div" : "No data for section Discharge Instructions",
      "status" : "generated"
    },
    "code" : {
      "text" : "Discharge instructions",
      "coding" : [ {
        "code" : "8653-8",
        "display" : "Discharge instructions",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Discharge Summary",
    "text" : {
      "div" : "No data for section Discharge Summary",
      "status" : "generated"
    },
    "code" : {
      "text" : "Discharge Summary",
      "coding" : [ {
        "code" : "18842-5",
        "display" : "Discharge Summary",
        "system" : "http://loinc.org"
      } ]
    }
  } ],
  "type" : {
    "text" : "Summarization of Episode Note",
    "coding" : [ {
      "code" : "34133-9",
      "display" : "Summarization of Episode Note",
      "system" : "http://loinc.org"
    } ]
  },
  "resourceType" : "Composition",
  "title" : "Summarization of Episode Note",
  "author" : [ {
    "reference" : "urn:uuid:eadba377-78d1-3140-a4bc-9b0f87867ef6"
  } ],
  "custodian" : {
    "reference" : "urn:uuid:abe6dad0-cfe3-2865-3d04-d97a7fa4e18d"
  },
  "status" : "final",
  "id" : "ee05e1da-df1b-7f7e-166c-e182e1d39f86",
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Patient/patient

{
  "address" : [ {
    "line" : [ "1357 Amber Dr" ],
    "use" : "home",
    "city" : "Beaverton",
    "state" : "OR",
    "postalCode" : "97006",
    "country" : "USA"
  } ],
  "name" : [ {
    "given" : [ "Alice", "Jones" ],
    "family" : "Newman",
    "use" : "official"
  }, {
    "given" : [ "Alicia" ],
    "family" : "Newman",
    "use" : "old"
  } ],
  "birthDate" : "1970-05-01",
  "resourceType" : "Patient",
  "extension" : [ {
    "extension" : [ {
      "valueCoding" : {
        "code" : "2106-3",
        "display" : "White",
        "system" : "urn:oid:2.16.840.1.113883.6.238"
      },
      "url" : "ombCategory"
    }, {
      "valueCoding" : {
        "code" : "2108-9",
        "display" : "White European",
        "system" : "urn:oid:2.16.840.1.113883.6.238"
      },
      "url" : "detailed"
    } ],
    "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
  }, {
    "valueCoding" : {
      "code" : "2186-5",
      "display" : "Not Hispanic or Latino",
      "system" : "urn:oid:2.16.840.1.113883.6.238"
    },
    "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
  } ],
  "communication" : [ {
    "language" : {
      "coding" : [ {
        "code" : "en",
        "display" : "en",
        "system" : "urn:oid:"
      } ]
    },
    "preferred" : true
  } ],
  "id" : "patient",
  "telecom" : [ {
    "system" : "phone",
    "value" : "+1-(555)777-1234",
    "use" : "mobile"
  }, {
    "system" : "phone",
    "value" : "+1-(555)723-1544",
    "use" : "home"
  } ],
  "gender" : "female",
  "maritalStatus" : {
    "coding" : [ {
      "code" : "UNK",
      "display" : "Unknown",
      "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"
    } ]
  }
}

PractitionerRole/6fb4eef9-561e-4fbd-ea5e-1e8817ce5de4

{
  "practitioner" : {
    "reference" : "urn:uuid:c9fd6361-151b-4bbf-ae45-802643f47070"
  },
  "id" : "6fb4eef9-561e-4fbd-ea5e-1e8817ce5de4",
  "organization" : {
    "reference" : "urn:uuid:abe6dad0-cfe3-2865-3d04-d97a7fa4e18d"
  },
  "resourceType" : "PractitionerRole",
  "period" : {
    "start" : "2015-06-22"
  }
}

Encounter/9fdca075-5b4a-c896-8856-8d87beebffeb

{
  "period" : {
    "start" : "2015-06-20",
    "end" : "2015-06-25"
  },
  "resourceType" : "Encounter",
  "status" : "finished",
  "class" : {
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
    "code" : "AMB",
    "display" : "AMB"
  },
  "id" : "9fdca075-5b4a-c896-8856-8d87beebffeb",
  "participant" : [ {
    "individual" : {
      "reference" : "urn:uuid:eadba377-78d1-3140-a4bc-9b0f87867ef6"
    }
  }, {
    "individual" : {
      "reference" : "urn:uuid:999fec79-8fbc-f8c7-a9d0-f3da469b7778"
    }
  } ]
}

MedicationStatement/f13f5e41-ec9d-5117-4e7e-1c213967311d

{
  "resourceType" : "MedicationStatement",
  "medicationCodeableConcept" : {
    "text" : "Ceftriaxone 100 MG/ML",
    "coding" : [ {
      "code" : "309090",
      "display" : "Ceftriaxone 100 MG/ML",
      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
    } ]
  },
  "id" : "f13f5e41-ec9d-5117-4e7e-1c213967311d",
  "status" : "active",
  "dosage" : [ {
    "route" : {
      "text" : "Injection",
      "coding" : [ {
        "code" : "C38276",
        "display" : "Injection",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "text" : "Injectable, two times daily, 1 unit",
    "doseAndRate" : [ {
      "doseQuantity" : {
        "value" : 1.0
      }
    } ],
    "asNeededBoolean" : true
  } ],
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

MedicationStatement/38b9bc17-bcfc-3db1-8be6-5a30c11cc4b1

{
  "resourceType" : "MedicationStatement",
  "medicationCodeableConcept" : {
    "text" : "Tylenol 500mg",
    "coding" : [ {
      "code" : "209459",
      "display" : "Tylenol 500mg",
      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
    } ]
  },
  "id" : "38b9bc17-bcfc-3db1-8be6-5a30c11cc4b1",
  "status" : "active",
  "dosage" : [ {
    "route" : {
      "text" : "Oral",
      "coding" : [ {
        "code" : "C38288",
        "display" : "Oral",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "text" : "Oral, as needed, 1 unit",
    "doseAndRate" : [ {
      "doseQuantity" : {
        "value" : 1.0
      }
    } ],
    "asNeededBoolean" : true
  } ],
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

MedicationStatement/d8aa38f1-e9e4-07b6-a264-949552d94e9e

{
  "resourceType" : "MedicationStatement",
  "medicationCodeableConcept" : {
    "text" : "Aranesp 0.5 MG/ML",
    "coding" : [ {
      "code" : "731241",
      "display" : "Aranesp 0.5 MG/ML",
      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
    } ]
  },
  "id" : "d8aa38f1-e9e4-07b6-a264-949552d94e9e",
  "status" : "active",
  "dosage" : [ {
    "route" : {
      "text" : "Injection",
      "coding" : [ {
        "code" : "C38276",
        "display" : "Injection",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "text" : "Injectable, once a week, 1 unit",
    "doseAndRate" : [ {
      "doseQuantity" : {
        "value" : 1.0
      }
    } ],
    "asNeededBoolean" : true
  } ],
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Condition/1c063b41-c058-b10c-746b-7d261e3d53ae

{
  "category" : [ {
    "coding" : [ {
      "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
      "code" : "problem-list-item",
      "display" : "Problem List Item"
    } ]
  } ],
  "clinicalStatus" : {
    "coding" : [ {
      "code" : "active",
      "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
    } ]
  },
  "meta" : {
    "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns" ]
  },
  "resourceType" : "Condition",
  "id" : "1c063b41-c058-b10c-746b-7d261e3d53ae",
  "code" : {
    "text" : "Essential hypertension",
    "coding" : [ {
      "code" : "59621000",
      "display" : "Essential hypertension",
      "system" : "http://snomed.info/sct"
    } ]
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Condition/9cb49672-ad78-e186-9484-8c2bb407d045

{
  "category" : [ {
    "coding" : [ {
      "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
      "code" : "problem-list-item",
      "display" : "Problem List Item"
    } ]
  } ],
  "clinicalStatus" : {
    "coding" : [ {
      "code" : "active",
      "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
    } ]
  },
  "meta" : {
    "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns" ]
  },
  "resourceType" : "Condition",
  "id" : "9cb49672-ad78-e186-9484-8c2bb407d045",
  "code" : {
    "text" : "Severe hypothyroidism",
    "coding" : [ {
      "code" : "83986005",
      "display" : "Severe hypothyroidism",
      "system" : "http://snomed.info/sct"
    } ]
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Condition/a0b57f97-9c33-5ce1-485e-c9cc6289d114

{
  "category" : [ {
    "coding" : [ {
      "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
      "code" : "problem-list-item",
      "display" : "Problem List Item"
    } ]
  } ],
  "clinicalStatus" : {
    "coding" : [ {
      "code" : "active",
      "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
    } ]
  },
  "meta" : {
    "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns" ]
  },
  "resourceType" : "Condition",
  "id" : "a0b57f97-9c33-5ce1-485e-c9cc6289d114",
  "code" : {
    "text" : "Chronic rejection of renal transplant",
    "coding" : [ {
      "code" : "236578006",
      "display" : "Chronic rejection of renal transplant",
      "system" : "http://snomed.info/sct"
    } ]
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Condition/25be3422-8dea-a003-03a1-4c9253b084cb

{
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    "coding" : [ {
      "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
      "code" : "problem-list-item",
      "display" : "Problem List Item"
    } ]
  } ],
  "clinicalStatus" : {
    "coding" : [ {
      "code" : "active",
      "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
    } ]
  },
  "meta" : {
    "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns" ]
  },
  "resourceType" : "Condition",
  "id" : "25be3422-8dea-a003-03a1-4c9253b084cb",
  "code" : {
    "text" : "Fever (finding)",
    "coding" : [ {
      "code" : "386661006",
      "display" : "Fever (finding)",
      "system" : "http://snomed.info/sct"
    } ]
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Condition/7d019ef8-b5a8-eecc-825a-af1f627de542

{
  "onsetDateTime" : "2006-12-31",
  "category" : [ {
    "coding" : [ {
      "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
      "code" : "problem-list-item",
      "display" : "Problem List Item"
    } ]
  } ],
  "clinicalStatus" : {
    "coding" : [ {
      "code" : "resolved",
      "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
    } ]
  },
  "meta" : {
    "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns" ]
  },
  "resourceType" : "Condition",
  "id" : "7d019ef8-b5a8-eecc-825a-af1f627de542",
  "code" : {
    "text" : "Overweight (finding)",
    "coding" : [ {
      "code" : "238131007",
      "display" : "Overweight (finding)",
      "system" : "http://snomed.info/sct"
    } ]
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Observation/1cf59783-94ad-f34c-1c14-ac398cdc26c0

{
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  "hasMember" : [ {
    "reference" : "urn:uuid:1486a305-ba49-6aa7-311b-8b207d6f0579"
  }, {
    "reference" : "urn:uuid:a6166fa5-5458-0cac-9673-6b6ea45601ad"
  }, {
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  }, {
    "reference" : "urn:uuid:af274b05-e27a-40aa-72c9-208c9e3a71de"
  }, {
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  } ],
  "id" : "1cf59783-94ad-f34c-1c14-ac398cdc26c0",
  "code" : {
    "text" : "Urinanalysis macro (dipstick) panel",
    "coding" : [ {
      "code" : "24357-6",
      "display" : "Urinanalysis macro (dipstick) panel",
      "system" : "http://loinc.org"
    } ]
  },
  "status" : "final",
  "category" : [ {
    "coding" : [ {
      "code" : "laboratory",
      "display" : "Laboratory",
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category"
    } ]
  } ],
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
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}

Observation/fbaaacd0-78b5-fbc5-259c-b4caeb23f928

{
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    "coding" : [ {
      "code" : "social-history",
      "display" : "Social History",
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category"
    } ]
  } ],
  "valueCodeableConcept" : {
    "text" : "Current every day smoker",
    "coding" : [ {
      "code" : "449868002",
      "display" : "Current every day smoker",
      "system" : "http://snomed.info/sct"
    } ]
  },
  "resourceType" : "Observation",
  "status" : "final",
  "effectiveDateTime" : "2015-06-22",
  "id" : "fbaaacd0-78b5-fbc5-259c-b4caeb23f928",
  "code" : {
    "text" : "Tobacco smoking status NHIS",
    "coding" : [ {
      "code" : "72166-2",
      "display" : "Tobacco smoking status NHIS",
      "system" : "http://loinc.org"
    } ]
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Observation/9e1b5cec-aba1-4791-e4e3-3a802aa8d6c1

{
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      "code" : "social-history",
      "display" : "Social History",
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category"
    } ]
  } ],
  "valueCodeableConcept" : {
    "text" : "Female",
    "coding" : [ {
      "code" : "F",
      "display" : "Female",
      "system" : "urn:oid:2.16.840.1.113883.5.1"
    } ]
  },
  "resourceType" : "Observation",
  "status" : "final",
  "id" : "9e1b5cec-aba1-4791-e4e3-3a802aa8d6c1",
  "code" : {
    "text" : "Sex Assigned At Birth",
    "coding" : [ {
      "code" : "76689-9",
      "display" : "Sex Assigned At Birth",
      "system" : "http://loinc.org"
    } ]
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
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}

Observation/92eff251-27f6-3afa-bc22-86bb719946a3

{
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      "display" : "Vital Signs",
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category"
    } ]
  } ],
  "valueQuantity" : {
    "value" : 88,
    "unit" : "kg"
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  "resourceType" : "Observation",
  "status" : "final",
  "effectiveDateTime" : "2015-06-22T10:05:00-05:00",
  "id" : "92eff251-27f6-3afa-bc22-86bb719946a3",
  "code" : {
    "text" : "Weight",
    "coding" : [ {
      "code" : "29463-7",
      "display" : "Weight",
      "system" : "http://loinc.org"
    } ]
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
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Observation/69389369-1147-9a8e-768c-a404ce4159bd

{
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      "code" : "vital-signs",
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  } ],
  "valueQuantity" : {
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    "unit" : "/min"
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  "effectiveDateTime" : "2015-06-22T10:10:00-05:00",
  "id" : "69389369-1147-9a8e-768c-a404ce4159bd",
  "code" : {
    "text" : "Heart Rate",
    "coding" : [ {
      "code" : "8867-4",
      "display" : "Heart Rate",
      "system" : "http://loinc.org"
    } ]
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
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}

Observation/5cef3588-c3a8-f272-839a-a354fe357baa

{
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  },
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Observation/d66c3562-f007-0815-4450-eaa7d5892d4b

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Observation/0b10f3ca-1303-381d-a682-cb755df65828

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  },
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Observation/ee745893-5338-378e-6153-a3bf5fce0bb8

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  "code" : {
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Observation/8fa4f85d-c889-a715-1ebc-8e6c85b0b5bf

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  "code" : {
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  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Observation/63dc71be-9ec9-6d30-4336-1dc386eedfcf

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  } ],
  "valueQuantity" : {
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  "effectiveDateTime" : "2015-06-22T10:12:00-05:00",
  "id" : "63dc71be-9ec9-6d30-4336-1dc386eedfcf",
  "code" : {
    "text" : "Inhaled Oxygen Concentration",
    "coding" : [ {
      "code" : "3150-0",
      "display" : "Inhaled Oxygen Concentration",
      "system" : "http://loinc.org"
    } ]
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Observation/9a4c7239-6053-d67f-5f25-e850ade9c3f0

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  "valueQuantity" : {
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  "id" : "9a4c7239-6053-d67f-5f25-e850ade9c3f0",
  "code" : {
    "text" : "Blood Pressure Systolic",
    "coding" : [ {
      "code" : "8480-6",
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      "system" : "http://loinc.org"
    } ]
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

AllergyIntolerance/c1c7861d-9571-1d86-d474-cddb42168d90

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  "criticality" : "high",
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  "resourceType" : "AllergyIntolerance",
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      "coding" : [ {
        "code" : "419199007",
        "display" : "Allergy to substance (disorder)",
        "system" : "http://snomed.info/sct"
      } ]
    },
    "url" : "http://onc.org/allergy-observation-value"
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      "coding" : [ {
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    },
    "url" : "http://onc.org/allergy-act-code"
  } ],
  "recordedDate" : "1980-10-05",
  "id" : "c1c7861d-9571-1d86-d474-cddb42168d90",
  "code" : {
    "text" : "Ampicillin",
    "coding" : [ {
      "code" : "733",
      "display" : "Ampicillin",
      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
    } ]
  },
  "onsetDateTime" : "1980-10-05",
  "reaction" : [ {
    "manifestation" : [ {
      "text" : "Hives",
      "coding" : [ {
        "code" : "247472004",
        "display" : "Hives",
        "system" : "http://snomed.info/sct"
      } ]
    } ],
    "onset" : "1980-10-05",
    "severity" : "moderate"
  } ]
}

AllergyIntolerance/e087ce6d-9008-f9e3-1ac8-28a807369554

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  "patient" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  },
  "criticality" : "unable-to-assess",
  "clinicalStatus" : {
    "coding" : [ {
      "code" : "active",
      "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
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  "meta" : {
    "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance" ]
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  "resourceType" : "AllergyIntolerance",
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    "url" : "http://onc.org/allergy-act-code"
  } ],
  "recordedDate" : "1980-10-05",
  "id" : "e087ce6d-9008-f9e3-1ac8-28a807369554",
  "code" : {
    "text" : "Penicillin G",
    "coding" : [ {
      "code" : "7980",
      "display" : "Penicillin G",
      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
    } ]
  },
  "onsetDateTime" : "1980-10-05",
  "reaction" : [ {
    "manifestation" : [ {
      "text" : "Hives",
      "coding" : [ {
        "code" : "247472004",
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        "system" : "http://snomed.info/sct"
      } ]
    } ],
    "onset" : "1980-10-05",
    "severity" : "moderate"
  } ]
}

Immunization/3eda4363-c631-9793-c446-789a1c4583ec

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  },
  "meta" : {
    "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
  },
  "vaccineCode" : {
    "text" : "Tetanus and diphtheria toxoids",
    "coding" : [ {
      "code" : "106",
      "display" : "Tetanus and diphtheria toxoids",
      "system" : "http://hl7.org/fhir/sid/cvx"
    } ]
  },
  "resourceType" : "Immunization",
  "primarySource" : false,
  "status" : "completed",
  "id" : "3eda4363-c631-9793-c446-789a1c4583ec",
  "lotNumber" : "N/A",
  "occurrenceDateTime" : "2012-01-04"
}

Immunization/d4935478-43cf-be05-049b-cf4705aa2dbc

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    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  },
  "meta" : {
    "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
  },
  "vaccineCode" : {
    "text" : "Influenza, intradermal, quadrivalent, preservative-free",
    "coding" : [ {
      "code" : "166",
      "display" : "Influenza, intradermal, quadrivalent, preservative-free",
      "system" : "http://hl7.org/fhir/sid/cvx"
    } ]
  },
  "statusReason" : {
    "text" : "patient objection",
    "coding" : [ {
      "code" : "PATOBJ",
      "display" : "patient objection",
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason"
    } ]
  },
  "resourceType" : "Immunization",
  "primarySource" : false,
  "status" : "not-done",
  "id" : "d4935478-43cf-be05-049b-cf4705aa2dbc",
  "lotNumber" : "No Lot number provided",
  "occurrenceDateTime" : "2015-06-22"
}

Procedure/c44ac11b-e5d4-888c-6b0e-15ccbc0bd3f5

{
  "focalDevice" : [ {
    "manipulated" : {
      "reference" : "urn:uuid:96367297-2eac-9b27-bf43-6b5071a1b82f"
    },
    "action" : {
      "text" : "Cardiac resynchronization therapy implantable pacemaker",
      "coding" : [ {
        "code" : "704708004",
        "display" : "Cardiac resynchronization therapy implantable pacemaker",
        "system" : "http://snomed.info/sct"
      } ]
    }
  } ],
  "resourceType" : "Procedure",
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  "status" : "completed",
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  "performedDateTime" : "2011-10-05T00:00:00Z",
  "code" : {
    "text" : "Introduction of cardiac pacemaker system via vein",
    "coding" : [ {
      "code" : "175135009",
      "display" : "Introduction of cardiac pacemaker system via vein",
      "system" : "http://snomed.info/sct"
    } ]
  },
  "bodySite" : [ {
    "text" : "Structure of subclavian vein",
    "coding" : [ {
      "code" : "9454009",
      "display" : "Structure of subclavian vein",
      "system" : "http://snomed.info/sct"
    } ]
  } ],
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Procedure/c44ac11b-e5d4-888c-6b0e-15ccbc0bd3f5

{
  "focalDevice" : [ {
    "manipulated" : {
      "reference" : "urn:uuid:96367297-2eac-9b27-bf43-6b5071a1b82f"
    },
    "action" : {
      "text" : "Cardiac resynchronization therapy implantable pacemaker",
      "coding" : [ {
        "code" : "704708004",
        "display" : "Cardiac resynchronization therapy implantable pacemaker",
        "system" : "http://snomed.info/sct"
      } ]
    }
  } ],
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  "status" : "completed",
  "id" : "c44ac11b-e5d4-888c-6b0e-15ccbc0bd3f5",
  "performedDateTime" : "2011-10-05T00:00:00Z",
  "code" : {
    "text" : "Introduction of cardiac pacemaker system via vein",
    "coding" : [ {
      "code" : "175135009",
      "display" : "Introduction of cardiac pacemaker system via vein",
      "system" : "http://snomed.info/sct"
    } ]
  },
  "bodySite" : [ {
    "text" : "Structure of subclavian vein",
    "coding" : [ {
      "code" : "9454009",
      "display" : "Structure of subclavian vein",
      "system" : "http://snomed.info/sct"
    } ]
  } ],
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Procedure/c5c3e76e-213c-e920-6e5e-9d0ddae53a1c

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  "performedDateTime" : "2015-06-22T00:00:00Z",
  "resourceType" : "Procedure",
  "extension" : [ {
    "valueCode" : "act",
    "url" : "rim-class"
  } ],
  "status" : "completed",
  "id" : "c5c3e76e-213c-e920-6e5e-9d0ddae53a1c",
  "code" : {
    "text" : "Nebulizer Therapy",
    "coding" : [ {
      "code" : "56251003",
      "display" : "Nebulizer Therapy",
      "system" : "http://snomed.info/sct"
    } ]
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Observation/a754e21c-4422-0bec-8871-a78989f82591

{
  "code" : {
    "coding" : [ {
      "code" : "28570-0",
      "system" : "http://loinc.org",
      "display" : "Procedures Note"
    } ]
  },
  "note" : [ {
    "text" : "Dr Albert Davis examined Ms Alice Newman and found that the pacemaker is operating properly and the\nbreathlessness is due to high fever and anxiety."
  } ],
  "effectiveDateTime" : "2015-06-22",
  "performer" : [ {
    "reference" : "urn:uuid:eadba377-78d1-3140-a4bc-9b0f87867ef6"
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  "status" : "final",
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  },
  "resourceType" : "Observation",
  "id" : "a754e21c-4422-0bec-8871-a78989f82591"
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Observation/ab0f4e4b-c509-ec22-fdf8-a30c307fd772

{
  "code" : {
    "coding" : [ {
      "code" : "11506-3",
      "system" : "http://loinc.org",
      "display" : "Progress Note"
    } ]
  },
  "note" : [ {
    "text" : "Ms Alice Newman seems to be developing high fever and hence we recommend her to get admitted to a\nnearby hospital using the provided referral."
  } ],
  "effectiveDateTime" : "2015-06-22",
  "performer" : [ {
    "reference" : "urn:uuid:eadba377-78d1-3140-a4bc-9b0f87867ef6"
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  "status" : "final",
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  },
  "resourceType" : "Observation",
  "id" : "ab0f4e4b-c509-ec22-fdf8-a30c307fd772"
}

Observation/f3d50e78-42e2-f89b-a915-2d784c48b256

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  "resourceType" : "Observation",
  "status" : "registered",
  "effectiveDateTime" : "2015-06-29T00:00:00Z",
  "id" : "f3d50e78-42e2-f89b-a915-2d784c48b256",
  "code" : {
    "text" : "Urinanalysis macro (dipstick) panel",
    "coding" : [ {
      "code" : "24356-8",
      "display" : "Urinanalysis macro (dipstick) panel",
      "system" : "http://loinc.org"
    } ]
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Observation/b8b05045-8f9d-e5ef-d94d-599d502e7d15

{
  "code" : {
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      "code" : "11502-2",
      "system" : "http://loinc.org",
      "display" : "Laboratory Report"
    } ]
  },
  "note" : [ {
    "text" : "Ms Alice Newman was tested for the Urinanalysis macro panel and the results have been found to be\nnormal."
  } ],
  "effectiveDateTime" : "2015-06-22",
  "performer" : [ {
    "reference" : "urn:uuid:eadba377-78d1-3140-a4bc-9b0f87867ef6"
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  "resourceType" : "Observation",
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