The following content has been modified for better visualization. Validation will be performed on original content
| 1 |
{
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| 2 |
"resourceType" : "Bundle",
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| 3 |
"id" : "ipsbundle0001",
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| 4 |
"meta" : {
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| 5 |
"profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips|1.1.0" ]
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| 6 |
},
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| 7 |
"identifier" : {
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| 8 |
"system" : "urn:ietf:rfc:3986",
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"value" : "urn:uuid:4f7e9d8a-1234-4bcb-a7d0-0e2f3a4b5c6d"
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"type" : "document",
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"timestamp" : "2025-11-12T12:00:00Z",
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"entry" : [ {
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"fullUrl" : "urn:uuid:3b2f0e3a-4d5c-4a3e-bf67-d89f12345678",
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"resource" : {
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"meta" : {
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"profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips|1.1.0" ]
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| 21 |
"identifier" : {
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| 22 |
"system" : "urn:ietf:rfc:3986",
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"value" : "urn:uuid:3b2f0e3a-4d5c-4a3e-bf67-d89f12345678"
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},
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"status" : "final",
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"type" : {
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| 27 |
"coding" : [ {
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| 28 |
"system" : "http://loinc.org",
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| 29 |
"code" : "60591-5",
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| 30 |
"display" : "Patient summary Document"
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| 31 |
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"subject" : {
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"reference" : "urn:uuid:1a2b3c4d-5e6f-7a8b-9c0d-1e2f3a4b5c6d"
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},
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"date" : "2025-11-12T12:00:00Z",
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"author" : [ {
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"reference" : "urn:uuid:6d5c4b3a-2f1e-0d9c-8b7a-6f5e4d3c2b1a"
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| 39 |
} ],
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"custodian" : {
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| 41 |
"reference" : "urn:uuid:7f8e9d0c-1b2a-3c4d-5e6f-7a8b9c0d1e2f"
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| 42 |
},
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| 43 |
"section" : [ {
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| 44 |
"title" : "Patient Demographics",
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| 45 |
"code" : {
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| 46 |
"coding" : [ {
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| 47 |
"system" : "http://loinc.org",
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| 48 |
"code" : "55111-5",
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| 49 |
"display" : "Patient demographics"
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| 50 |
} ]
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| 51 |
},
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| 52 |
"text" : {
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| 53 |
"status" : "generated",
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| 54 |
"div" : "<div xmlns='http://www.w3.org/1999/xhtml'><p>Patient demographics summary.</p></div>"
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| 55 |
},
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| 56 |
"entry" : [ {
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"reference" : "urn:uuid:1a2b3c4d-5e6f-7a8b-9c0d-1e2f3a4b5c6d"
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| 58 |
} ]
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| 59 |
}, {
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| 60 |
"title" : "Allergies and Intolerances",
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| 61 |
"code" : {
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| 62 |
"coding" : [ {
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| 63 |
"system" : "http://loinc.org",
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| 64 |
"code" : "48765-2",
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| 65 |
"display" : "Allergies and adverse reactions"
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| 66 |
} ]
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| 67 |
},
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| 68 |
"text" : {
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| 69 |
"status" : "generated",
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| 70 |
"div" : "<div xmlns='http://www.w3.org/1999/xhtml'><p>No known allergies or intolerances.</p></div>"
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| 71 |
},
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| 72 |
"entry" : [ {
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| 73 |
"reference" : "urn:uuid:allergy-none-1"
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| 74 |
} ]
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| 75 |
}, {
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| 76 |
"title" : "Problem List",
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| 77 |
"code" : {
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| 78 |
"coding" : [ {
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| 79 |
"system" : "http://loinc.org",
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| 80 |
"code" : "11450-4",
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| 81 |
"display" : "Problem list - Reported"
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| 82 |
} ]
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| 83 |
},
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| 84 |
"text" : {
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| 85 |
"status" : "generated",
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| 86 |
"div" : "<div xmlns='http://www.w3.org/1999/xhtml'><p>Active condition: Type 2 Diabetes Mellitus.</p></div>"
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| 87 |
},
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| 88 |
"entry" : [ {
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| 89 |
"reference" : "urn:uuid:condition-ips-1"
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| 90 |
} ]
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| 91 |
}, {
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| 92 |
"title" : "Medications",
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| 93 |
"code" : {
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| 94 |
"coding" : [ {
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| 95 |
"system" : "http://loinc.org",
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| 96 |
"code" : "10160-0",
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| 97 |
"display" : "History of medication use"
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| 98 |
} ]
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| 99 |
},
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| 100 |
"text" : {
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| 101 |
"status" : "generated",
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| 102 |
"div" : "<div xmlns='http://www.w3.org/1999/xhtml'><p>Current active medication statement listed below.</p></div>"
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| 103 |
},
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| 104 |
"entry" : [ {
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| 105 |
"reference" : "urn:uuid:medicationstatement-ips-1"
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| 106 |
} ]
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| 107 |
}, {
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| 108 |
"title" : "Vital Signs and Laboratory Results",
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| 109 |
"code" : {
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| 110 |
"coding" : [ {
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| 111 |
"system" : "http://loinc.org",
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| 112 |
"code" : "30954-2",
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| 113 |
"display" : "Relevant diagnostic tests/laboratory data Narrative"
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| 114 |
} ]
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| 115 |
},
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| 116 |
"text" : {
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| 117 |
"status" : "generated",
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| 118 |
"div" : "<div xmlns='http://www.w3.org/1999/xhtml'><p>Height, weight and latest lab results included.</p></div>"
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| 119 |
},
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| 120 |
"entry" : [ {
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| 121 |
"reference" : "urn:uuid:observation-height-ips-1"
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| 122 |
}, {
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| 123 |
"reference" : "urn:uuid:observation-weight-ips-1"
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| 124 |
}, {
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| 125 |
"reference" : "urn:uuid:observation-tsh-ips-1"
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| 126 |
}, {
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| 127 |
"reference" : "urn:uuid:lab-ips-1"
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| 128 |
} ]
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| 129 |
} ]
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}
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}, {
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"fullUrl" : "urn:uuid:1a2b3c4d-5e6f-7a8b-9c0d-1e2f3a4b5c6d",
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"resource" : {
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"resourceType" : "Patient",
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"id" : "1a2b3c4d-5e6f-7a8b9c0d1e2f3a4b5c6d",
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"meta" : {
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"profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips|1.1.0" ]
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},
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"identifier" : [ {
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"system" : "https://www.moh.gov.sa/patient-id",
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| 141 |
"value" : "2511219"
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| 142 |
} ],
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| 143 |
"name" : [ {
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| 144 |
"family" : "Al Jehani",
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| 145 |
"given" : [ "Abdulrahman", "Khalil" ],
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| 146 |
"text" : "Abdulrahman Abdulrazzak Khalil Al Jehani"
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| 147 |
} ],
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| 148 |
"gender" : "male",
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| 149 |
"birthDate" : "1949-08-26",
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| 150 |
"address" : [ {
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| 151 |
"text" : "Jed, JEDDA, SAUDI ARABIA",
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| 152 |
"city" : "JEDDA",
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| 153 |
"country" : "SAUDI ARABIA"
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| 154 |
} ],
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| 155 |
"telecom" : [ {
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"system" : "phone",
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"value" : "+971556532313",
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"rank" : 1
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} ]
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"fullUrl" : "urn:uuid:6d5c4b3a-2f1e-0d9c-8b7a-6f5e4d3c2b1a",
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"resource" : {
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"resourceType" : "Practitioner",
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"id" : "6d5c4b3a-2f1e-0d9c-8b7a-6f5e4d3c2b1a",
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"name" : [ {
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"family" : "Al‑Saidi",
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| 168 |
"given" : [ "Ahmed" ],
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| 169 |
"text" : "Dr. Ahmed Al‑Saidi"
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| 170 |
} ]
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"id" : "7f8e9d0c-1b2a-3c4d-5e6f-7a8b9c0d1e2f",
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"name" : "SiraTech Health Services"
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}, {
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"fullUrl" : "urn:uuid:allergy-none-1",
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| 181 |
"resource" : {
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| 182 |
"resourceType" : "AllergyIntolerance",
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| 183 |
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| 184 |
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| 185 |
"profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips|1.1.0" ]
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| 186 |
},
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| 187 |
"clinicalStatus" : {
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| 188 |
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| 189 |
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
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| 190 |
"code" : "inactive",
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| 191 |
"display" : "Inactive"
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| 192 |
} ]
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"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
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"patient" : {
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},
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"code" : {
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"text" : "No known allergies"
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| 205 |
},
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"recordedDate" : "2025-11-12T12:00:00Z"
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| 207 |
}
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}, {
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"fullUrl" : "urn:uuid:condition-ips-1",
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"resource" : {
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"resourceType" : "Condition",
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"id" : "condition-ips-1",
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"profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips|1.1.0" ]
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"clinicalStatus" : {
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| 217 |
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| 218 |
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
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| 219 |
"code" : "active",
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| 220 |
"display" : "Active"
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| 221 |
} ]
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},
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"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
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"code" : "confirmed"
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"code" : {
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"system" : "http://hl7.org/fhir/sid/icd-10",
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| 232 |
"code" : "E11.9",
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| 233 |
"display" : "Type 2 diabetes mellitus without complications"
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} ]
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"reference" : "urn:uuid:1a2b3c4d-5e6f-7a8b-9c0d-1e2f3a4b5c6d"
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},
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"onsetDateTime" : "2024-06-01T00:00:00Z"
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"fullUrl" : "urn:uuid:observation-height-ips-1",
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"resource" : {
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"resourceType" : "Observation",
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"id" : "observation-height-ips-1",
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| 246 |
"meta" : {
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"profile" : [ "http://hl7.org/fhir/StructureDefinition/bodyheight" ]
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},
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"status" : "final",
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"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
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"code" : "vital-signs",
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| 254 |
"display" : "Vital Signs"
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} ]
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} ],
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"code" : {
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"coding" : [ {
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| 259 |
"system" : "http://loinc.org",
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"code" : "8302-2",
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"display" : "Body height"
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"subject" : {
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"code" : "cm"
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}
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}, {
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"fullUrl" : "urn:uuid:observation-weight-ips-1",
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| 277 |
"resource" : {
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"resourceType" : "Observation",
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"id" : "observation-weight-ips-1",
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| 280 |
"meta" : {
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| 281 |
"profile" : [ "http://hl7.org/fhir/StructureDefinition/bodyweight" ]
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"status" : "final",
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"category" : [ {
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| 285 |
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| 286 |
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
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| 287 |
"code" : "vital-signs",
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| 288 |
"display" : "Vital Signs"
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} ]
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"code" : {
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"coding" : [ {
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"system" : "http://loinc.org",
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"code" : "29463-7",
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| 295 |
"display" : "Body weight"
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"subject" : {
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"reference" : "urn:uuid:1a2b3c4d-5e6f-7a8b-9c0d-1e2f3a4b5c6d"
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"code" : "kg"
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"id" : "observation-tsh-ips-1",
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"meta" : {
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"profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-uv-ips|1.1.0" ]
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},
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"status" : "final",
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"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
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"code" : "laboratory",
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"system" : "http://loinc.org",
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"code" : "3016-3",
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"display" : "Thyrotropin [Units/volume] in Serum or Plasma"
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"text" : "TSH"
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"high" : {
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"system" : "http://unitsofmeasure.org",
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"code" : "m[IU]/L"
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},
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"text" : "TSH reference range"
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} ]
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}
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}, {
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"fullUrl" : "urn:uuid:lab-ips-1",
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"resource" : {
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"resourceType" : "Observation",
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"id" : "lab-ips-1",
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"meta" : {
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"profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-uv-ips|1.1.0" ]
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},
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"status" : "final",
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"coding" : [ {
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"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
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"code" : "laboratory",
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"display" : "Laboratory"
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} ]
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} ],
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"code" : {
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"coding" : [ {
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| 384 |
"system" : "http://loinc.org",
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| 385 |
"code" : "4548-4",
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| 386 |
"display" : "Hemoglobin A1c/HbA1c"
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} ]
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},
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"subject" : {
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"reference" : "urn:uuid:1a2b3c4d-5e6f-7a8b-9c0d-1e2f3a4b5c6d"
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},
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"value" : 6.8,
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"code" : "%"
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}
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}
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}, {
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"fullUrl" : "urn:uuid:medicationstatement-ips-1",
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| 402 |
"resource" : {
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| 403 |
"resourceType" : "MedicationStatement",
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"id" : "medicationstatement-ips-1",
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"profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips|1.1.0" ]
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},
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"status" : "active",
|
| 409 |
"medicationCodeableConcept" : {
|
| 410 |
"coding" : [ {
|
| 411 |
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
|
| 412 |
"code" : "1049630",
|
| 413 |
"display" : "Paracetamol 500mg Tablet"
|
| 414 |
} ],
|
| 415 |
"text" : "Paracetamol 500mg Tablet"
|
| 416 |
},
|
| 417 |
"subject" : {
|
| 418 |
"reference" : "urn:uuid:1a2b3c4d-5e6f-7a8b-9c0d-1e2f3a4b5c6d"
|
| 419 |
},
|
| 420 |
"effectiveDateTime" : "2025-11-12T08:00:00Z",
|
| 421 |
"dosage" : [ {
|
| 422 |
"text" : "Take 1 tablet orally twice a day",
|
| 423 |
"timing" : {
|
| 424 |
"repeat" : {
|
| 425 |
"frequency" : 2,
|
| 426 |
"period" : 1,
|
| 427 |
"periodUnit" : "d"
|
| 428 |
}
|
| 429 |
},
|
| 430 |
"route" : {
|
| 431 |
"coding" : [ {
|
| 432 |
"system" : "http://terminology.hl7.org/CodeSystem/route-codes",
|
| 433 |
"code" : "PO",
|
| 434 |
"display" : "Oral"
|
| 435 |
} ]
|
| 436 |
},
|
| 437 |
"doseAndRate" : [ {
|
| 438 |
"doseQuantity" : {
|
| 439 |
"value" : 1,
|
| 440 |
"unit" : "tablet",
|
| 441 |
"system" : "http://unitsofmeasure.org",
|
| 442 |
"code" : "{tbl}"
|
| 443 |
}
|
| 444 |
} ]
|
| 445 |
} ]
|
| 446 |
}
|
| 447 |
} ]
|
| 448 |
}
|