AU Patient Summary Implementation Guide
0.4.0-draft - Draft

AU Patient Summary Implementation Guide - Local Development build (v0.4.0-draft) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : Bundle - Basic summary - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="aups-basicsummary"/>
      <meta>
        <profile
                 value="http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-bundle"/>
      </meta>
      <language value="en-AU"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:uuid:0bd27fed-5f11-4344-beeb-c3b78c00f604"/>
      </identifier>
      <type value="document"/>
      <timestamp value="2025-02-05T19:33:11.0607701+10:00"/>
      <entry>
        <fullUrl value="urn:uuid:514af4c1-194d-48b4-8afe-7be09d3f895a"/>
        <resource>
          <Composition>
            <id value="514af4c1-194d-48b4-8afe-7be09d3f895a"/>
            <meta>
              <versionId value="1"/>
            </meta>
            <language value="en-AU"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-AU" lang="en-AU"><a name="Composition_514af4c1-194d-48b4-8afe-7be09d3f895a"> </a><p class="res-header-id"><b>Generated Narrative: Composition 514af4c1-194d-48b4-8afe-7be09d3f895a</b></p><a name="514af4c1-194d-48b4-8afe-7be09d3f895a"> </a><a name="hc514af4c1-194d-48b4-8afe-7be09d3f895a"> </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">version: 1; Language: en-AU</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>: 2025-02-03</p><p><b>author</b>: <a href="Bundle-aups-basicsummary.html#urn-uuid-463c2982-3759-4022-b40e-521bbe54d544">Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000</a></p><p><b>title</b>: International Patient Summary</p><p><b>custodian</b>: <a href="Bundle-aups-basicsummary.html#urn-uuid-70a756e3-20b3-4637-8601-a222983e295a">Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000</a></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="urn:uuid:9be88cc6-09e8-4dc6-b058-88676240dbc7"/>
            </subject>
            <date value="2025-02-03"/>
            <author>
              <reference value="urn:uuid:463c2982-3759-4022-b40e-521bbe54d544"/>
            </author>
            <title value="International Patient Summary"/>
            <custodian>
              <reference value="urn:uuid:70a756e3-20b3-4637-8601-a222983e295a"/>
            </custodian>
            <section>
              <title value="Active Problems"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11450-4"/>
                  <display value="Problem list - Reported"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-AU" lang="en-AU">21/12/2024 No current problem or disability.</div>
              </text>
              <entry>
                <reference value="urn:uuid:310f1593-d610-4144-a6e8-1f823d955e0d"/>
              </entry>
            </section>
            <section>
              <title value="Active Allergies or Intolerances"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="48765-2"/>
                  <display value="Allergies and adverse reactions Document"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-AU" lang="en-AU">
                <table border="1">
                  <thead>
                    <tr>
                      <th>Allergy, Intolerance, Substance</th>
                      <th>Onset</th>
                      <th>Recorded</th>
                      <th>Manifestation</th>
                      <th>Manifestation Severity</th>
                    </tr>
                  </thead>
                  <tbody>
                    <tr>
                      <td>Intolerance to lactose</td>
                      <td>2022</td>
                      <td>14/03/2023</td>
                      <td>Abdominal pain, Abdominal bloating, Diarrhoea</td>
                      <td>Mild</td>
                    </tr>
                    <tr>
                      <td>Gluten intolerance</td>
                      <td>1999</td>
                      <td>12/01/2023</td>
                      <td>Fatigue</td>
                      <td>Mild</td>
                    </tr>
                    <tr>
                      <td>Chlorhexidine</td>
                      <td>12/01/2023</td>
                      <td>09/09/2023</td>
                      <td>Hives</td>
                      <td>Mild</td>
                    </tr>
                  </tbody>
                </table>
                </div>
              </text>
              <entry>
                <reference value="urn:uuid:ad6fb7b7-c76f-441e-88a5-9051e795db26"/>
              </entry>
              <entry>
                <reference value="urn:uuid:06ba95f5-345b-412d-aa66-99e354470015"/>
              </entry>
              <entry>
                <reference value="urn:uuid:d24db2d5-3400-4158-892c-d018acdeba09"/>
              </entry>
            </section>
            <section>
              <title value="Current Medicines"/>
              <code>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="10160-0"/>
                  <display value="History of Medication use Narrative"/>
                </coding>
              </code>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-AU" lang="en-AU">
                  <table border="1">
                    <thead>
                      <tr>
                        <th>Medicine</th>
                        <th>Directions</th>
                        <th>Date asserted</th>
                      </tr>
                    </thead>
                    <tbody>
                      <tr>
                        <td><b>Bisoprolol</b> 2.5mg tab</td>
                        <td>Take 1/2 tablet in the morning</td>
                        <td>05/01/2025</td>
                      </tr>
                    </tbody>
                  </table>
                </div>
              </text>
              <entry>
                <reference value="urn:uuid:347e8435-cea1-4e94-9755-abb027926bb1"/>
              </entry>
            </section>
          </Composition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:9be88cc6-09e8-4dc6-b058-88676240dbc7"/>
        <resource>
          <Patient>
            <id value="9be88cc6-09e8-4dc6-b058-88676240dbc7"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_9be88cc6-09e8-4dc6-b058-88676240dbc7"> </a><p class="res-header-id"><b>Generated Narrative: Patient 9be88cc6-09e8-4dc6-b058-88676240dbc7</b></p><a name="9be88cc6-09e8-4dc6-b058-88676240dbc7"> </a><a name="hc9be88cc6-09e8-4dc6-b058-88676240dbc7"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Mia Leanne Banks  Female, DoB: 1983-08-25 ( IHI: Austalian Healthcare Identifier - Individual#8003608333647261)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 0270102724(Work)</li><li>ph: 0491574632(Mobile)</li><li>ph: 0270107520(Home)</li><li><a href="mailto:mia.banks@myownpersonaldomain.com">mia.banks@myownpersonaldomain.com</a></li><li>ph: 270107520(Home)</li><li>50 Sebastien St Minjary NSW 2720 AU </li></ul></td></tr><tr><td style="background-color: #f3f5da" title="The pronouns to use when referring to an individual in verbal or written communication.">Individual Pronouns:</td><td colspan="3"><ul><li>value: <span title="Codes:{http://loinc.org LA29519-8}">she/her/her/hers/herself</span></li></ul></td></tr><tr><td style="background-color: #f3f5da" title="An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else. This represents an individual’s identity, ascertained by asking them what that identity is.
     In the case where the gender identity is communicated by a third party, for example, if a spouse indicates the gender identity of their partner on an intake form, a Provenance resource can be used with a Provenance.target referring to the Patient, with a targetElement extension identifying the gender identity extension as the target element within the Patient resource.  When exchanging this concept, refer to the guidance in the [Gender Harmony Implementation Guide](http://hl7.org/xprod/ig/uv/gender-harmony/).">Individual Gender Identity:</td><td colspan="3"><ul><li>value: <span title="Codes:{http://snomed.info/sct 446141000124107}">Identifies as female gender</span></li></ul></td></tr></table></div>
            </text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/individual-genderIdentity">
              <extension url="value">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="446141000124107"/>
                    <display value="Identifies as female gender"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/individual-pronouns">
              <extension url="value">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://loinc.org"/>
                    <code value="LA29519-8"/>
                    <display value="she/her/her/hers/herself"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
            </extension>
            <identifier>
              <extension
                         url="http://hl7.org.au/fhir/StructureDefinition/ihi-status">
                <valueCoding>
                  <system
                          value="https://healthterminologies.gov.au/fhir/CodeSystem/ihi-status-1"/>
                  <code value="active"/>
                </valueCoding>
              </extension>
              <extension
                         url="http://hl7.org.au/fhir/StructureDefinition/ihi-record-status">
                <valueCoding>
                  <system
                          value="https://healthterminologies.gov.au/fhir/CodeSystem/ihi-record-status-1"/>
                  <code value="verified"/>
                  <display value="verified"/>
                </valueCoding>
              </extension>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="NI"/>
                </coding>
                <text value="IHI"/>
              </type>
              <system value="http://ns.electronichealth.net.au/id/hi/ihi/1.0"/>
              <value value="8003608333647261"/>
            </identifier>
            <name>
              <use value="usual"/>
              <family value="Banks"/>
              <given value="Mia"/>
              <given value="Leanne"/>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="0270102724"/>
              <use value="work"/>
            </telecom>
            <telecom>
              <system value="phone"/>
              <value value="0491574632"/>
              <use value="mobile"/>
            </telecom>
            <telecom>
              <system value="phone"/>
              <value value="0270107520"/>
              <use value="home"/>
            </telecom>
            <telecom>
              <system value="email"/>
              <value value="mia.banks@myownpersonaldomain.com"/>
            </telecom>
            <telecom>
              <system value="phone"/>
              <value value="270107520"/>
              <use value="home"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1983-08-25"/>
            <address>
              <line value="50 Sebastien St"/>
              <city value="Minjary"/>
              <state value="NSW"/>
              <postalCode value="2720"/>
              <country value="AU"/>
            </address>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:70a756e3-20b3-4637-8601-a222983e295a"/>
        <resource>
          <Organization>
            <id value="70a756e3-20b3-4637-8601-a222983e295a"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_70a756e3-20b3-4637-8601-a222983e295a"> </a><p class="res-header-id"><b>Generated Narrative: Organization 70a756e3-20b3-4637-8601-a222983e295a</b></p><a name="70a756e3-20b3-4637-8601-a222983e295a"> </a><a name="hc70a756e3-20b3-4637-8601-a222983e295a"> </a><p><b>identifier</b>: ABN/12345678901</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 288565001}">Medical Center</span></p><p><b>name</b>: Bobrester Medical Center</p><p><b>telecom</b>: <a href="mailto:info@bobrestermedical.example.com">info@bobrestermedical.example.com</a>, ph: (07) 5550 2427(Work)</p><p><b>address</b>: 87 Western Esp Tindal RAAF QLD 4655 AU </p></div>
            </text>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="XX"/>
                </coding>
                <text value="ABN"/>
              </type>
              <system value="http://hl7.org.au/id/abn"/>
              <value value="12345678901"/>
            </identifier>
            <type>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="288565001"/>
                <display value="Medical centre"/>
              </coding>
              <text value="Medical Center"/>
            </type>
            <name value="Bobrester Medical Center"/>
            <telecom>
              <system value="email"/>
              <value value="info@bobrestermedical.example.com"/>
              <use value="work"/>
            </telecom>
            <telecom>
              <system value="phone"/>
              <value value="(07) 5550 2427"/>
              <use value="work"/>
            </telecom>
            <address>
              <line value="87 Western Esp"/>
              <city value="Tindal RAAF"/>
              <state value="QLD"/>
              <postalCode value="4655"/>
              <country value="AU"/>
            </address>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:463c2982-3759-4022-b40e-521bbe54d544"/>
        <resource>
          <PractitionerRole>
            <id value="463c2982-3759-4022-b40e-521bbe54d544"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_463c2982-3759-4022-b40e-521bbe54d544"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole 463c2982-3759-4022-b40e-521bbe54d544</b></p><a name="463c2982-3759-4022-b40e-521bbe54d544"> </a><a name="hc463c2982-3759-4022-b40e-521bbe54d544"> </a><p><b>identifier</b>: Employee Number/12345678</p><p><b>practitioner</b>: <a href="Bundle-aups-basicsummary.html#urn-uuid-dce50472-2a94-47e6-9501-b52f0df0c813">Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000</a></p><p><b>organization</b>: <a href="Bundle-aups-basicsummary.html#urn-uuid-70a756e3-20b3-4637-8601-a222983e295a">Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000</a></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 62247001}, {http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0 253111}">General Practitioner</span></p><p><b>telecom</b>: ph: 0491579760, <a href="mailto:drbob@bobrestermedical.example.com">drbob@bobrestermedical.example.com</a></p></div>
            </text>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="EI"/>
                  <display value="Employee number"/>
                </coding>
                <text value="Employee Number"/>
              </type>
              <system
                      value="http://ns.electronichealth.net.au/id/abn-scoped/service-provider-individual/1.0/12345678901"/>
              <value value="12345678"/>
              <assigner>
                <display value="Bobrester Medical Center"/>
              </assigner>
            </identifier>
            <practitioner>
              <reference value="urn:uuid:dce50472-2a94-47e6-9501-b52f0df0c813"/>
            </practitioner>
            <organization>
              <reference value="urn:uuid:70a756e3-20b3-4637-8601-a222983e295a"/>
            </organization>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="62247001"/>
              </coding>
              <coding>
                <system
                        value="http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0"/>
                <code value="253111"/>
              </coding>
              <text value="General Practitioner"/>
            </code>
            <telecom>
              <system value="phone"/>
              <value value="0491579760"/>
            </telecom>
            <telecom>
              <system value="email"/>
              <value value="drbob@bobrestermedical.example.com"/>
            </telecom>
          </PractitionerRole>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:dce50472-2a94-47e6-9501-b52f0df0c813"/>
        <resource>
          <Practitioner>
            <id value="dce50472-2a94-47e6-9501-b52f0df0c813"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_dce50472-2a94-47e6-9501-b52f0df0c813"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner dce50472-2a94-47e6-9501-b52f0df0c813</b></p><a name="dce50472-2a94-47e6-9501-b52f0df0c813"> </a><a name="hcdce50472-2a94-47e6-9501-b52f0df0c813"> </a><p><b>name</b>: Bob Bobrester </p></div>
            </text>
            <name>
              <family value="Bobrester"/>
              <given value="Bob"/>
              <prefix value="Dr."/>
            </name>
          </Practitioner>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:ad6fb7b7-c76f-441e-88a5-9051e795db26"/>
        <resource>
          <AllergyIntolerance>
            <id value="ad6fb7b7-c76f-441e-88a5-9051e795db26"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_ad6fb7b7-c76f-441e-88a5-9051e795db26"> </a><p class="res-header-id"><b>Generated Narrative: AllergyIntolerance ad6fb7b7-c76f-441e-88a5-9051e795db26</b></p><a name="ad6fb7b7-c76f-441e-88a5-9051e795db26"> </a><a name="hcad6fb7b7-c76f-441e-88a5-9051e795db26"> </a><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>code</b>: <span title="Codes:{http://snomed.info/sct 782415009}">Intolerance to lactose</span></p><p><b>patient</b>: <a href="Bundle-aups-basicsummary.html#urn-uuid-9be88cc6-09e8-4dc6-b058-88676240dbc7">Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000</a></p><p><b>onset</b>: 2022</p><p><b>recordedDate</b>: 2023-03-14</p><blockquote><p><b>reaction</b></p><p><b>manifestation</b>: <span title="Codes:{http://snomed.info/sct 21522001}">Abdominal pain</span>, <span title="Codes:{http://snomed.info/sct 116289008}">Abdominal bloating</span>, <span title="Codes:{http://snomed.info/sct 62315008}">Diarrhoea</span></p><p><b>severity</b>: Mild</p></blockquote></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
                <code value="active"/>
                <display value="Active"/>
              </coding>
            </clinicalStatus>
            <verificationStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
                <code value="confirmed"/>
                <display value="Confirmed"/>
              </coding>
            </verificationStatus>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="782415009"/>
                <display value="Intolerance to lactose"/>
              </coding>
            </code>
            <patient>
              <reference value="urn:uuid:9be88cc6-09e8-4dc6-b058-88676240dbc7"/>
            </patient>
            <onsetDateTime value="2022"/>
            <recordedDate value="2023-03-14"/>
            <reaction>
              <manifestation>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="21522001"/>
                  <display value="Abdominal pain"/>
                </coding>
              </manifestation>
              <manifestation>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="116289008"/>
                  <display value="Abdominal bloating"/>
                </coding>
              </manifestation>
              <manifestation>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="62315008"/>
                  <display value="Diarrhoea"/>
                </coding>
              </manifestation>
              <severity value="mild"/>
            </reaction>
          </AllergyIntolerance>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:06ba95f5-345b-412d-aa66-99e354470015"/>
        <resource>
          <AllergyIntolerance>
            <id value="06ba95f5-345b-412d-aa66-99e354470015"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_06ba95f5-345b-412d-aa66-99e354470015"> </a><p class="res-header-id"><b>Generated Narrative: AllergyIntolerance 06ba95f5-345b-412d-aa66-99e354470015</b></p><a name="06ba95f5-345b-412d-aa66-99e354470015"> </a><a name="hc06ba95f5-345b-412d-aa66-99e354470015"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}">Active</span></p><p><b>type</b>: Intolerance</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1269424006}">Gluten intolerance</span></p><p><b>patient</b>: <a href="Bundle-aups-basicsummary.html#urn-uuid-9be88cc6-09e8-4dc6-b058-88676240dbc7">Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000</a></p><p><b>onset</b>: 1999</p><p><b>recordedDate</b>: 2023-01-12</p><h3>Reactions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Substance</b></td><td><b>Manifestation</b></td><td><b>Severity</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 89811004}">Gluten</span></td><td><span title="Codes:{http://snomed.info/sct 84229001}">Fatigue</span></td><td>Mild</td></tr></table></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
                <code value="active"/>
              </coding>
              <text value="Active"/>
            </clinicalStatus>
            <type value="intolerance"/>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="1269424006"/>
              </coding>
              <text value="Gluten intolerance"/>
            </code>
            <patient>
              <reference value="urn:uuid:9be88cc6-09e8-4dc6-b058-88676240dbc7"/>
            </patient>
            <onsetDateTime value="1999"/>
            <recordedDate value="2023-01-12"/>
            <reaction>
              <substance>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="89811004"/>
                </coding>
                <text value="Gluten"/>
              </substance>
              <manifestation>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="84229001"/>
                </coding>
                <text value="Fatigue"/>
              </manifestation>
              <severity value="mild"/>
            </reaction>
          </AllergyIntolerance>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:d24db2d5-3400-4158-892c-d018acdeba09"/>
        <resource>
          <AllergyIntolerance>
            <id value="d24db2d5-3400-4158-892c-d018acdeba09"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_d24db2d5-3400-4158-892c-d018acdeba09"> </a><p class="res-header-id"><b>Generated Narrative: AllergyIntolerance d24db2d5-3400-4158-892c-d018acdeba09</b></p><a name="d24db2d5-3400-4158-892c-d018acdeba09"> </a><a name="hcd24db2d5-3400-4158-892c-d018acdeba09"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}">Active</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 373568007}">Chlorhexidine</span></p><p><b>patient</b>: <a href="Bundle-aups-basicsummary.html#urn-uuid-9be88cc6-09e8-4dc6-b058-88676240dbc7">Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000</a></p><p><b>onset</b>: 2023-01-12</p><p><b>recordedDate</b>: 2023-09-09</p><h3>Reactions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Substance</b></td><td><b>Manifestation</b></td><td><b>Severity</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 373568007}">Chlorhexidine</span></td><td><span title="Codes:{http://snomed.info/sct 247472004}">Hives</span></td><td>Mild</td></tr></table></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
                <code value="active"/>
              </coding>
              <text value="Active"/>
            </clinicalStatus>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="373568007"/>
              </coding>
              <text value="Chlorhexidine"/>
            </code>
            <patient>
              <reference value="urn:uuid:9be88cc6-09e8-4dc6-b058-88676240dbc7"/>
            </patient>
            <onsetDateTime value="2023-01-12"/>
            <recordedDate value="2023-09-09"/>
            <reaction>
              <substance>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="373568007"/>
                </coding>
                <text value="Chlorhexidine"/>
              </substance>
              <manifestation>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="247472004"/>
                </coding>
                <text value="Hives"/>
              </manifestation>
              <severity value="mild"/>
            </reaction>
          </AllergyIntolerance>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:347e8435-cea1-4e94-9755-abb027926bb1"/>
        <resource>
          <MedicationStatement>
            <id value="347e8435-cea1-4e94-9755-abb027926bb1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_347e8435-cea1-4e94-9755-abb027926bb1"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement 347e8435-cea1-4e94-9755-abb027926bb1</b></p><a name="347e8435-cea1-4e94-9755-abb027926bb1"> </a><a name="hc347e8435-cea1-4e94-9755-abb027926bb1"> </a><p><b>status</b>: Active</p><p><b>medication</b>: <a href="#hc347e8435-cea1-4e94-9755-abb027926bb1/bisoprolol">Medication Bisoprolol fumarate 2.5 mg tablet</a></p><p><b>subject</b>: <a href="Bundle-aups-basicsummary.html#urn-uuid-9be88cc6-09e8-4dc6-b058-88676240dbc7">Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000</a></p><p><b>effective</b>: 2025-01-05</p><p><b>dateAsserted</b>: 2025-01-05</p><h3>Dosages</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td></tr><tr><td style="display: none">*</td><td>1/2 tablet in the morning</td></tr></table><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Medication #bisoprolol</b></p><a name="347e8435-cea1-4e94-9755-abb027926bb1/bisoprolol"> </a><a name="hc347e8435-cea1-4e94-9755-abb027926bb1/bisoprolol"> </a><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 23281011000036106}">Bisoprolol 2.5mg tab</span></p><p><b>form</b>: <span title="Codes:{http://snomed.info/sct 385055001}">Tablet</span></p><h3>Ingredients</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 386869006}">Bisoprolol fumarate</span></td><td>2.5 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span>/1 Tablet<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT  code385055001 = 'Tablet')</span></td></tr></table></blockquote></div>
            </text>
            <contained>
              <Medication>
                <id value="bisoprolol"/>
                <code>
                  <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="23281011000036106"/>
                    <display value="Bisoprolol fumarate 2.5 mg tablet"/>
                  </coding>
                  <text value="Bisoprolol 2.5mg tab"/>
                </code>
                <form>
                  <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="385055001"/>
                    <display value="Tablet"/>
                  </coding>
                </form>
                <ingredient>
                  <itemCodeableConcept>
                    <coding>
                      <system value="http://snomed.info/sct"/>
                      <code value="386869006"/>
                      <display value="Bisoprolol fumarate"/>
                    </coding>
                  </itemCodeableConcept>
                  <strength>
                    <numerator>
                      <value value="2.5"/>
                      <system value="http://unitsofmeasure.org"/>
                      <code value="mg"/>
                    </numerator>
                    <denominator>
                      <value value="1"/>
                      <unit value="Tablet"/>
                      <system value="http://snomed.info/sct"/>
                      <code value="385055001"/>
                    </denominator>
                  </strength>
                </ingredient>
              </Medication>
            </contained>
            <status value="active"/>
            <medicationReference>
              <reference value="#bisoprolol"/>
            </medicationReference>
            <subject>
              <reference value="urn:uuid:9be88cc6-09e8-4dc6-b058-88676240dbc7"/>
            </subject>
            <effectiveDateTime value="2025-01-05"/>
            <dateAsserted value="2025-01-05"/>
            <dosage>
              <text value="1/2 tablet in the morning"/>
            </dosage>
          </MedicationStatement>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:310f1593-d610-4144-a6e8-1f823d955e0d"/>
        <resource>
          <Condition>
            <id value="310f1593-d610-4144-a6e8-1f823d955e0d"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_310f1593-d610-4144-a6e8-1f823d955e0d"> </a><p class="res-header-id"><b>Generated Narrative: Condition 310f1593-d610-4144-a6e8-1f823d955e0d</b></p><a name="310f1593-d610-4144-a6e8-1f823d955e0d"> </a><a name="hc310f1593-d610-4144-a6e8-1f823d955e0d"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 160245001}">No current problems or disability</span></p><p><b>subject</b>: <a href="Bundle-aups-basicsummary.html#urn-uuid-9be88cc6-09e8-4dc6-b058-88676240dbc7">Bundle: identifier = UUID:0bd27fed-5f11-4344-beeb-c3b78c00f604; type = document; timestamp = 2025-02-05 19:33:11+1000</a></p><p><b>recordedDate</b>: 2024-12-21</p></div>
            </text>
            <clinicalStatus>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
                <display value="Active"/>
              </coding>
            </clinicalStatus>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                <code value="problem-list-item"/>
                <display value="Problem List Item"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="160245001"/>
                <display value="No current problems or disability"/>
              </coding>
            </code>
            <subject>
              <reference value="urn:uuid:9be88cc6-09e8-4dc6-b058-88676240dbc7"/>
            </subject>
            <recordedDate value="2024-12-21"/>
          </Condition>
        </resource>
      </entry>
    </Bundle>