Medtech ALEX® Implementation Guide
0.0.1 - draft International flag

Medtech ALEX® Implementation Guide - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Medtech IPS Example One - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="MedtechIpsBundleExample"/>
  <meta>
    <profile
             value="https://fhir.medtechglobal.com/StructureDefinition/medtech-ips-bundle"/>
  </meta>
  <identifier>
    <system value="urn:oid:2.16.724.4.8.10.200.10"/>
    <value value="fc36fc23-2c3f-4542-9e51-ebde03390a0b"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2023-11-13T03:34:15.929+13:00"/>
  <entry>
    <fullUrl value="urn:uuid:8137e6b8-a02e-4c4e-ad30-5518f95b2b44"/>
    <resource>
      <Composition>
        <id value="MedtechCompositionExample"/>
        <meta>
          <profile
                   value="https://fhir.medtechglobal.com/StructureDefinition/medtech-composition-ips"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_MedtechCompositionExample"> </a><p class="res-header-id"><b>Generated Narrative: Composition MedtechCompositionExample</b></p><a name="MedtechCompositionExample"> </a><a name="hcMedtechCompositionExample"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-medtech-composition-ips.html">Medtech Composition</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 60591-5}">Patient Summary Document</span></p><p><b>date</b>: 2023-11-13 03:34:15+1300</p><p><b>author</b>: <a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Device/ALEX">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></p><p><b>title</b>: Patient Summary</p><p><b>confidentiality</b>: unrestricted</p></div>
        </text>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="60591-5"/>
            <display value="Patient Summary Document"/>
          </coding>
        </type>
        <subject>
          <reference
                     value="https://alexapidev.medtechglobal.com/fhir/Patient/e92d8ded1459f2d6c5096282382ca67b"/>
        </subject>
        <date value="2023-11-13T03:34:15.929+13:00"/>
        <author>
          <reference
                     value="https://alexapidev.medtechglobal.com/fhir/Device/ALEX"/>
        </author>
        <title value="Patient Summary"/>
        <confidentiality value="U"/>
        <section>
          <title value="Device"/>
          <entry>
            <reference
                       value="https://alexapidev.medtechglobal.com/fhir/Device/ALEX"/>
          </entry>
        </section>
        <section>
          <title value="Active Problems"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="11450-4"/>
              <display value="Problem list Reported"/>
            </coding>
          </code>
          <entry>
            <reference
                       value="https://alexapidev.medtechglobal.com/fhir/Condition/03b1fb285d9a40c657df072e7d9ddad4"/>
          </entry>
        </section>
        <section>
          <title value="Medication"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10160-0"/>
              <display value="History of Medication use Narrative"/>
            </coding>
          </code>
          <entry>
            <reference
                       value="https://alexapidev.medtechglobal.com/fhir/MedicationStatement/10d95aa70809138c22ba650b03b26544"/>
          </entry>
        </section>
        <section>
          <title value="Results"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="30954-2"/>
              <display
                       value="Relevant diagnostic tests/laboratory data Narrative"/>
            </coding>
          </code>
          <entry>
            <reference
                       value="https://alexapidev.medtechglobal.com/fhir/Observation/46c3a589803d1485e0aa748e2505fbd7"/>
          </entry>
        </section>
        <section>
          <title value="Allergies and Intolerances"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48765-2"/>
              <display value="Allergies and adverse reactions Document"/>
            </coding>
          </code>
          <entry>
            <reference
                       value="https://alexapidev.medtechglobal.com/fhir/AllergyIntolerance/82a1d56cc25f729f458169cf7b899ba7"/>
          </entry>
        </section>
        <section>
          <title value="Immunizations"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="11369-6"/>
              <display value="History of Immunization Narrative"/>
            </coding>
          </code>
          <entry>
            <reference
                       value="https://alexapidev.medtechglobal.com/fhir/Immunization/65da648ba7a1d796c72e5a2af8747945"/>
          </entry>
        </section>
        <section>
          <title value="Document Reference Consultation Notes"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="11488-4"/>
              <display value="Consult note"/>
            </coding>
          </code>
          <entry>
            <reference
                       value="https://alexapidev.medtechglobal.com/fhir/DocumentReference/adad1278c15c7f643bc197d4e4aaa385"/>
          </entry>
        </section>
        <section>
          <title value="Document Reference RSD Inbox Messages"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="34109-9"/>
              <display value="Note"/>
            </coding>
          </code>
          <entry>
            <reference
                       value="https://alexapidev.medtechglobal.com/fhir/DocumentReference/20c6b8960ad026b2cade77666e641fda"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://alexapidev.medtechglobal.com/fhir/Patient/e92d8ded1459f2d6c5096282382ca67b"/>
    <resource>
      <Patient>
        <id value="e92d8ded1459f2d6c5096282382ca67b"/>
        <meta>
          <profile
                   value="https://fhir.medtechglobal.com/StructureDefinition/medtech-patient-ips"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_e92d8ded1459f2d6c5096282382ca67b"> </a><p class="res-header-id"><b>Generated Narrative: Patient e92d8ded1459f2d6c5096282382ca67b</b></p><a name="e92d8ded1459f2d6c5096282382ca67b"> </a><a name="hce92d8ded1459f2d6c5096282382ca67b"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-medtech-patient-ips.html">Medtech IPS Patient Profile</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">PATIENT ABNORMAL (official) Male, DoB: 1958-09-10 ( https://standards.digital.health.nz/ns/nhi-id#NHI#ZZZ0032 (use: official, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 731-554-4654(Home)</li><li><a href="mailto:email@example.com">email@example.com</a></li><li>187 Ledger Road Britannia Heights C30 Nelson 7010 New Zealand </li><li>200 Ledger Road Britannia Heights D30 Nelson 7010 Bolivia </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Language spoken">Language:</td><td colspan="3"><span title="Codes:">Afrikaans</span></td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: Next-of-kin">Next-of-kin:</td><td colspan="3"><ul><li>TEST NOK3 </li><li>Market road Newmarket 14 Auckland 2010 </li><li>ph: 123321(Home)</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: Employer">Employer:</td><td colspan="3"><ul><li>25 Teed street, newmarket Auckland 2010 New Zealand </li><li>ph: 03319876(Work)</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Patient Links">Links:</td><td colspan="3"><ul><li>General Practitioner: <a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Practitioner/9bf0832786e2293848942167532e0a91">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Patient Resource - GMS Status (Patient Register Screen)"><a href="StructureDefinition-patient-gmsstatus.html">Medtech GMS status extension</a></td><td colspan="3"><span title="Codes:{https://alexapi.medtechglobal.com/fhir/CodeSystem/gmsstatus-code A}">Adult</span></td></tr><tr><td style="background-color: #f3f5da" title="Patient Resource - Patient Country of Birth (Patient Register Screen)"><a href="StructureDefinition-country-of-birth.html">Medtech Country of Birth extension</a></td><td colspan="3"><span title="Codes:">Australia</span></td></tr><tr><td style="background-color: #f3f5da" title="A person’s sex at the time of their birth (considered to be immutable)."><a href="https://build.fhir.org/ig/HL7NZ/nzbase/StructureDefinition-sex-at-birth.html">Sex At Birth</a></td><td colspan="3"><span title="Codes:{http://hl7.org/fhir/administrative-gender male}">Male</span></td></tr><tr><td style="background-color: #f3f5da" title="Persons Iwi affiliation"><a href="https://build.fhir.org/ig/HL7NZ/nzbase/StructureDefinition-nz-iwi.html"/></td><td colspan="3"><span title="Codes:{https://alexapi.medtechglobal.com/fhir/CodeSystem/iwi-codes 106}">Te Rarawa</span></td></tr><tr><td style="background-color: #f3f5da" title="Patient Resource - Registration Status (Patient Register Screen)"><a href="StructureDefinition-patient-registration-status.html">Medtech Patient Registration status extension</a></td><td colspan="3"><span title="Codes:{https://alexapi.medtechglobal.com/fhir/CodeSystem/registration-status-code R}">Registered</span></td></tr><tr><td style="background-color: #f3f5da" title="Patient Resource - Patient Occupation (Patient Register Screen)"><a href="StructureDefinition-patient-occupation.html">Medtech Patient Occupation extension</a></td><td colspan="3"><span title="Codes:{https://alexapi.medtechglobal.com/fhir/CodeSystem/patient-occupation 3114.033}">Telephone Technician (3114.033)</span></td></tr><tr><td style="background-color: #f3f5da" title="The ethnic group or groups that a person identifies with or feels they belong to.  Ethnicity is a measure of cultural affiliation as opposed to race, ancestry, nationality or citizen.  Ethnicity is self-perceived and a person can belong to more than one group.

The Stats New Zealand standard can be found [here](http://aria.stats.govt.nz/aria/#ClassificationView:uri=http://stats.govt.nz/cms/ClassificationVersion/YVqOcFHSlguKkT17)."><a href="https://build.fhir.org/ig/HL7NZ/nzbase/StructureDefinition-nz-ethnicity.html">NZ Ethnicity</a></td><td colspan="3"><span title="Codes:{https://standards.digital.health.nz/ns/ethnic-group-level-4-code 41499}">Other Southeast Asian NEC</span></td></tr></table></div>
        </text>
        <extension
                   url="http://alexapi.medtechglobal.com/fhir/StructureDefinition/country-of-birth">
          <valueCodeableConcept>
            <text value="Australia"/>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity">
          <valueCodeableConcept>
            <coding>
              <system
                      value="https://standards.digital.health.nz/ns/ethnic-group-level-4-code"/>
              <code value="41499"/>
              <display value="Other Southeast Asian NEC"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org.nz/fhir/StructureDefinition/nz-iwi">
          <valueCodeableConcept>
            <coding>
              <system
                      value="https://alexapi.medtechglobal.com/fhir/CodeSystem/iwi-codes"/>
              <code value="106"/>
              <display value="Te Rarawa"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/administrative-gender"/>
              <code value="male"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://alexapi.medtechglobal.com/fhir/StructureDefinition/patient-gmsstatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="https://alexapi.medtechglobal.com/fhir/CodeSystem/gmsstatus-code"/>
              <code value="A"/>
              <display value="Adult"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://alexapi.medtechglobal.com/fhir/StructureDefinition/patient-registration-status">
          <valueCodeableConcept>
            <coding>
              <system
                      value="https://alexapi.medtechglobal.com/fhir/CodeSystem/registration-status-code"/>
              <code value="R"/>
              <display value="Registered"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://alexapi.medtechglobal.com/fhir/StructureDefinition/patient-occupation">
          <valueCodeableConcept>
            <coding>
              <system
                      value="https://alexapi.medtechglobal.com/fhir/CodeSystem/patient-occupation"/>
              <code value="3114.033"/>
              <display value="Telephone Technician (3114.033)"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <identifier>
          <use value="official"/>
          <system value="https://standards.digital.health.nz/ns/nhi-id"/>
          <value value="ZZZ0032"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="ABNORMAL"/>
          <given value="PATIENT"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="731-554-4654"/>
          <use value="home"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="email@example.com"/>
        </telecom>
        <gender value="male"/>
        <birthDate value="1958-09-10"/>
        <address>
          <type value="physical"/>
          <line value="187 Ledger Road"/>
          <line value="Britannia Heights"/>
          <line value="C30"/>
          <city value="Nelson"/>
          <postalCode value="7010"/>
          <country value="New Zealand"/>
        </address>
        <address>
          <type value="postal"/>
          <line value="200 Ledger Road"/>
          <line value="Britannia Heights"/>
          <line value="D30"/>
          <city value="Nelson"/>
          <postalCode value="7010"/>
          <country value="Bolivia"/>
        </address>
        <contact>
          <relationship>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
              <code value="N"/>
              <display value="Next-of-kin"/>
            </coding>
            <text value="Father"/>
          </relationship>
          <name>
            <family value="NOK3"/>
            <given value="TEST"/>
            <prefix value="MR"/>
          </name>
          <telecom>
            <system value="phone"/>
            <value value="123321"/>
            <use value="home"/>
          </telecom>
          <address>
            <type value="physical"/>
            <line value="Market road"/>
            <line value="Newmarket"/>
            <line value="14"/>
            <city value="Auckland"/>
            <postalCode value="2010"/>
          </address>
        </contact>
        <contact>
          <relationship>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
              <code value="E"/>
              <display value="Employer"/>
            </coding>
            <text value="Employer ALEX"/>
          </relationship>
          <telecom>
            <system value="phone"/>
            <value value="03319876"/>
            <use value="work"/>
          </telecom>
          <address>
            <type value="physical"/>
            <line value="25 Teed street, newmarket"/>
            <city value="Auckland"/>
            <postalCode value="2010"/>
            <country value="New Zealand"/>
          </address>
        </contact>
        <communication>
          <language>
            <coding>
              <code value="AFRI"/>
              <display value="Afrikaans"/>
            </coding>
          </language>
        </communication>
        <generalPractitioner>
          <reference
                     value="https://alexapidev.medtechglobal.com/fhir/Practitioner/9bf0832786e2293848942167532e0a91"/>
        </generalPractitioner>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="https://alexapidev.medtechglobal.com/fhir/Device/ALEX"/>
    <resource>
      <Device>
        <id value="ALEX"/>
        <meta>
          <profile
                   value="https://fhir.medtechglobal.com/StructureDefinition/medtech-device-ips"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_ALEX"> </a><p class="res-header-id"><b>Generated Narrative: Device ALEX</b></p><a name="ALEX"> </a><a name="hcALEX"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-medtech-device-ips.html">Medtech Device profile</a></p></div><h3>DeviceNames</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>Application Layer Exchange</td><td>other</td></tr></table></div>
        </text>
        <deviceName>
          <name value="Application Layer Exchange"/>
          <type value="other"/>
        </deviceName>
      </Device>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://alexapidev.medtechglobal.com/fhir/Condition/03b1fb285d9a40c657df072e7d9ddad4"/>
    <resource>
      <Condition>
        <id value="03b1fb285d9a40c657df072e7d9ddad4"/>
        <meta>
          <profile
                   value="https://fhir.medtechglobal.com/StructureDefinition/medtech-condition-ips"/>
          <security>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
            <code value="U"/>
            <display value="unrestricted"/>
          </security>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_03b1fb285d9a40c657df072e7d9ddad4"> </a><p class="res-header-id"><b>Generated Narrative: Condition 03b1fb285d9a40c657df072e7d9ddad4</b></p><a name="03b1fb285d9a40c657df072e7d9ddad4"> </a><a name="hc03b1fb285d9a40c657df072e7d9ddad4"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-medtech-condition-ips.html">Medtech Condition profile</a></p><p style="margin-bottom: 0px">Security Label: unrestricted (Details: Confidentiality code U = 'unrestricted')</p></div><p><b>Medtech Highlight Condition extension</b>: false</p><p><b>Long Term Condition Indicator</b>: true</p><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status provisional}">Provisional</span></p><p><b>severity</b>: <span title="Codes:{http://snomed.info/sct 6736007}">Moderate</span></p><p><b>code</b>: <span title="Codes:{http://health.govt.nz/read-codes G20.00}">Essential hypertension</span></p><p><b>subject</b>: <a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Patient/e92d8ded1459f2d6c5096282382ca67b">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></p><p><b>onset</b>: 1997-10-21 00:00:00+1300</p><p><b>recordedDate</b>: 2021-04-21 16:58:17+1200</p><p><b>recorder</b>: <a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Practitioner/9bf0832786e2293848942167532e0a91">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></p><p><b>note</b>: </p><blockquote><div><p>Only Long Term</p>
</div></blockquote></div>
        </text>
        <extension
                   url="http://hl7.org.nz/fhir/StructureDefinition/highlight-condition">
          <valueBoolean value="false"/>
        </extension>
        <extension
                   url="http://hl7.org.nz/fhir/StructureDefinition/long-term-condition">
          <valueBoolean value="true"/>
        </extension>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="provisional"/>
          </coding>
        </verificationStatus>
        <severity>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="6736007"/>
            <display value="Moderate"/>
          </coding>
          <text value="Moderate"/>
        </severity>
        <code>
          <coding>
            <system value="http://health.govt.nz/read-codes"/>
            <code value="G20.00"/>
            <display value="Essential hypertension"/>
          </coding>
        </code>
        <subject>
          <reference
                     value="https://alexapidev.medtechglobal.com/fhir/Patient/e92d8ded1459f2d6c5096282382ca67b"/>
        </subject>
        <onsetDateTime value="1997-10-21T00:00:00.000+13:00"/>
        <recordedDate value="2021-04-21T16:58:17.000+12:00"/>
        <recorder>
          <reference
                     value="https://alexapidev.medtechglobal.com/fhir/Practitioner/9bf0832786e2293848942167532e0a91"/>
        </recorder>
        <note>
          <text value="Only Long Term"/>
        </note>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://alexapidev.medtechglobal.com/fhir/DocumentReference/20c6b8960ad026b2cade77666e641fda"/>
    <resource>
      <DocumentReference>
        <id value="20c6b8960ad026b2cade77666e641fda"/>
        <meta>
          <profile
                   value="https://fhir.medtechglobal.com/StructureDefinition/medtech-documentreference-ips"/>
          <security>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
            <code value="U"/>
            <display value="unrestricted"/>
          </security>
        </meta>
        <text>
          <status value="generated"/>
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        <status value="current"/>
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            <system value="http://loinc.org"/>
            <code value="34109-9"/>
            <display value="External Document"/>
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        <subject>
          <reference
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        <id value="adad1278c15c7f643bc197d4e4aaa385"/>
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          <profile
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          <security>
            <system
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            <code value="U"/>
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        <text>
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          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DocumentReference_adad1278c15c7f643bc197d4e4aaa385"> </a><p class="res-header-id"><b>Generated Narrative: DocumentReference adad1278c15c7f643bc197d4e4aaa385</b></p><a name="adad1278c15c7f643bc197d4e4aaa385"> </a><a name="hcadad1278c15c7f643bc197d4e4aaa385"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-medtech-documentreference-ips.html">Medtech DocumentReference profile</a></p><p style="margin-bottom: 0px">Security Label: unrestricted (Details: Confidentiality code U = 'unrestricted')</p></div><p><b>status</b>: Current</p><p><b>type</b>: <span title="Codes:{http://loinc.org 11488-4}">Consult Note</span></p><p><b>subject</b>: <a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Patient/e92d8ded1459f2d6c5096282382ca67b">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></p><p><b>author</b>: <a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Practitioner/9bf0832786e2293848942167532e0a91">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td></tr><tr><td style="display: none">*</td><td/></tr></table></blockquote><h3>Contexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Period</b></td></tr><tr><td style="display: none">*</td><td>2022-02-26 22:35:39+1300 --&gt; (ongoing)</td></tr></table></div>
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            <code value="11488-4"/>
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          <reference
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        <id value="65da648ba7a1d796c72e5a2af8747945"/>
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          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Immunization_65da648ba7a1d796c72e5a2af8747945"> </a><p class="res-header-id"><b>Generated Narrative: Immunization 65da648ba7a1d796c72e5a2af8747945</b></p><a name="65da648ba7a1d796c72e5a2af8747945"> </a><a name="hc65da648ba7a1d796c72e5a2af8747945"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-medtech-immunization-ips.html">Medtech Immunization profile</a></p></div><p><b>status</b>: Not Done</p><p><b>statusReason</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason PATOBJ}">patient objection</span></p><p><b>vaccineCode</b>: <span title="Codes:{https://standards.digital.health.nz/ns/immunisation-code 99006}">Influenza</span></p><p><b>patient</b>: <a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Patient/e92d8ded1459f2d6c5096282382ca67b">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></p><p><b>occurrence</b>: 2016-06-16 17:05:46+1200</p><p><b>recorded</b>: 2021-04-21 17:05:46+1200</p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0443 OP}">Ordering Provider</span></td><td><a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Practitioner/9bf0832786e2293848942167532e0a91">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></td></tr></table><p><b>note</b>: </p><blockquote><div><p>add note to test</p>
</div></blockquote></div>
        </text>
        <status value="not-done"/>
        <statusReason>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
            <code value="PATOBJ"/>
            <display value="patient objection"/>
          </coding>
        </statusReason>
        <vaccineCode>
          <coding>
            <system
                    value="https://standards.digital.health.nz/ns/immunisation-code"/>
            <code value="99006"/>
            <display value="Flu Diabetes"/>
          </coding>
          <text value="Influenza"/>
        </vaccineCode>
        <patient>
          <reference
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        </patient>
        <occurrenceDateTime value="2016-06-16T17:05:46.000+12:00"/>
        <recorded value="2021-04-21T17:05:46.000+12:00"/>
        <performer>
          <function>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0443"/>
              <code value="OP"/>
              <display value="Ordering Provider"/>
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          <actor>
            <reference
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        <note>
          <text value="add note to test"/>
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      </Immunization>
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        <id value="82a1d56cc25f729f458169cf7b899ba7"/>
        <meta>
          <profile
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        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_82a1d56cc25f729f458169cf7b899ba7"> </a><p class="res-header-id"><b>Generated Narrative: AllergyIntolerance 82a1d56cc25f729f458169cf7b899ba7</b></p><a name="82a1d56cc25f729f458169cf7b899ba7"> </a><a name="hc82a1d56cc25f729f458169cf7b899ba7"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-medtech-allergyintolerance-ips.html">Medtech AllergyIntolerance profile</a></p></div><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}">Confirmed</span></p><p><b>patient</b>: <a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Patient/e92d8ded1459f2d6c5096282382ca67b">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></p><p><b>onset</b>: 2021-04-21 17:08:06+1200</p><p><b>recordedDate</b>: 2021-04-21 17:08:17+1200</p><p><b>recorder</b>: <a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Practitioner/9bf0832786e2293848942167532e0a91">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></p><p><b>asserter</b>: <a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Practitioner/9bf0832786e2293848942167532e0a91">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></p><p><b>note</b>: </p><blockquote><div><p>Allergy to Peanuts</p>
</div></blockquote></div>
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        <clinicalStatus>
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            <system
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        <verificationStatus>
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            <system
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            <code value="confirmed"/>
            <display value="Confirmed"/>
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        <patient>
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        <onsetDateTime value="2021-04-21T17:08:06.000+12:00"/>
        <recordedDate value="2021-04-21T17:08:17.000+12:00"/>
        <recorder>
          <reference
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        <asserter>
          <reference
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        <note>
          <text value="Allergy to Peanuts"/>
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  <entry>
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      <Observation>
        <id value="46c3a589803d1485e0aa748e2505fbd7"/>
        <meta>
          <profile
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          <security>
            <system
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            <code value="U"/>
            <display value="unrestricted"/>
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        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_46c3a589803d1485e0aa748e2505fbd7"> </a><p class="res-header-id"><b>Generated Narrative: Observation 46c3a589803d1485e0aa748e2505fbd7</b></p><a name="46c3a589803d1485e0aa748e2505fbd7"> </a><a name="hc46c3a589803d1485e0aa748e2505fbd7"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-medtech-observation-ips.html">Medtech Screening Observation profile</a></p><p style="margin-bottom: 0px">Security Label: unrestricted (Details: Confidentiality code U = 'unrestricted')</p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:">Chloride</span></p><p><b>subject</b>: <a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Patient/e92d8ded1459f2d6c5096282382ca67b">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></p><p><b>effective</b>: 2022-04-09 10:58:53+1200</p><p><b>performer</b>: <a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Practitioner/9bf0832786e2293848942167532e0a91">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:">chloride</span></td><td>160 mmol<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT  code385432009 = 'Not applicable (qualifier value)')</span></td></tr></table></div>
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            <unit value="mmol"/>
            <system value="http://snomed.info/sct"/>
            <code value="385432009"/>
          </valueQuantity>
        </component>
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    <resource>
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        <id value="10d95aa70809138c22ba650b03b26544"/>
        <meta>
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          <security>
            <system
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            <code value="U"/>
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        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_10d95aa70809138c22ba650b03b26544"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement 10d95aa70809138c22ba650b03b26544</b></p><a name="10d95aa70809138c22ba650b03b26544"> </a><a name="hc10d95aa70809138c22ba650b03b26544"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-medtech-medicationstatement-ips.html">Medtech MedicationStatement profile</a></p><p style="margin-bottom: 0px">Security Label: unrestricted (Details: Confidentiality code U = 'unrestricted')</p></div><p><b>NZePS Long Term Medication Indicator</b>: true</p><p><b>status</b>: Active</p><p><b>medication</b>: <span title="Codes:{urn:oid:2.16.840.1.113883.2.18.26.2 10304851000116108}">GLIPIZIDE - 5mg Tab</span></p><p><b>subject</b>: <a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Patient/e92d8ded1459f2d6c5096282382ca67b">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></p><p><b>dateAsserted</b>: 2021-04-21 17:02:35+1200</p><p><b>informationSource</b>: <a href="Bundle-MedtechIpsBundleExample.html#https-//alexapidev.medtechglobal.com/fhir/Practitioner/9bf0832786e2293848942167532e0a91">Bundle: identifier = urn:oid:2.16.724.4.8.10.200.10#fc36fc23-2c3f-4542-9e51-ebde03390a0b; type = document; timestamp = 2023-11-13 03:34:15+1300</a></p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td><td><b>Route</b></td></tr><tr><td style="display: none">*</td><td>1 tablet in afternoon daily</td><td><span title="Codes:{http://snomed.info/sct 31099001}">Systemic</span></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org.nz/fhir/StructureDefinition/nzeps-long-term-medication">
          <valueBoolean value="true"/>
        </extension>
        <status value="active"/>
        <medicationCodeableConcept>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.2.18.26.2"/>
            <code value="10304851000116108"/>
            <display value="GLIPIZIDE - 5mg Tab"/>
          </coding>
          <text value="GLIPIZIDE - 5mg Tab"/>
        </medicationCodeableConcept>
        <subject>
          <reference
                     value="https://alexapidev.medtechglobal.com/fhir/Patient/e92d8ded1459f2d6c5096282382ca67b"/>
        </subject>
        <dateAsserted value="2021-04-21T17:02:35.000+12:00"/>
        <informationSource>
          <reference
                     value="https://alexapidev.medtechglobal.com/fhir/Practitioner/9bf0832786e2293848942167532e0a91"/>
        </informationSource>
        <dosage>
          <text value="1 tablet in afternoon daily"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="31099001"/>
              <display value="Systemic"/>
            </coding>
          </route>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://alexapidev.medtechglobal.com/fhir/Practitioner/9bf0832786e2293848942167532e0a91"/>
    <resource>
      <Practitioner>
        <id value="9bf0832786e2293848942167532e0a91"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_9bf0832786e2293848942167532e0a91"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 9bf0832786e2293848942167532e0a91</b></p><a name="9bf0832786e2293848942167532e0a91"> </a><a name="hc9bf0832786e2293848942167532e0a91"> </a><p><b>active</b>: true</p><p><b>name</b>: Alex Api (Official)</p></div>
        </text>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="Api"/>
          <given value="Alex"/>
        </name>
      </Practitioner>
    </resource>
  </entry>
</Bundle>