# Joyce 28 October - AU Patient Summary Implementation Guide v1.0.0-ballot

* [**Table of Contents**](toc.md)
* [**FHIR artefacts**](artefacts.md)
* [**Artefacts Summary**](artifacts.md)
* **Joyce 28 October**

## Example Bundle: Joyce 28 October



## Resource Content

```json
{
  "resourceType" : "Bundle",
  "id" : "aups-referral-endoconsult-curated",
  "meta" : {
    "profile" : ["http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-bundle"]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:a78f146f-cadf-4c4a-84e2-c2e7dc41dd74"
  },
  "type" : "document",
  "timestamp" : "2024-10-28T11:57:11.269+11:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:de2c9e3f-c4a8-4a65-b355-b08cd2c58c7c",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "de2c9e3f-c4a8-4a65-b355-b08cd2c58c7c",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-composition"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_de2c9e3f-c4a8-4a65-b355-b08cd2c58c7c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition de2c9e3f-c4a8-4a65-b355-b08cd2c58c7c</b></p><a name=\"de2c9e3f-c4a8-4a65-b355-b08cd2c58c7c\"> </a><a name=\"hcde2c9e3f-c4a8-4a65-b355-b08cd2c58c7c\"> </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-au-ps-composition.html\">AU PS 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>: 2024-10-28 11:57:10+1100</p><p><b>author</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-afead11c-3bee-4020-af4f-44040abfa961\">PractitionerRole General Practitioner</a></p><p><b>title</b>: Patient Summary for Joyce Johnson as of 28 OCT 2024</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>Professional</td><td>2024-10-28 11:57:11+1100</td><td><a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-afead11c-3bee-4020-af4f-44040abfa961\">PractitionerRole General Practitioner</a></td></tr></table><p><b>custodian</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-14292353-98f0-43b3-a25b-406baf3f9175\">Organization Bungabbee Medical Clinic</a></p><h3>Events</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActClass PCPR}\">care provision</span></td><td>?? --&gt; 2024-10-28 11:57:10+1100</td></tr></table></div>"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "60591-5"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        },
        "date" : "2024-10-28T11:57:10.868+11:00",
        "author" : [
          {
            "reference" : "urn:uuid:afead11c-3bee-4020-af4f-44040abfa961"
          }
        ],
        "title" : "Patient Summary for Joyce Johnson as of 28 OCT 2024",
        "attester" : [
          {
            "mode" : "professional",
            "time" : "2024-10-28T11:57:11.269+11:00",
            "party" : {
              "reference" : "urn:uuid:afead11c-3bee-4020-af4f-44040abfa961"
            }
          }
        ],
        "custodian" : {
          "reference" : "urn:uuid:14292353-98f0-43b3-a25b-406baf3f9175"
        },
        "event" : [
          {
            "code" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
                    "code" : "PCPR"
                  }
                ]
              }
            ],
            "period" : {
              "end" : "2024-10-28T11:57:10+11:00"
            }
          }
        ],
        "section" : [
          {
            "title" : "Allergies and Intolerances",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "48765-2"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">No known allergies.</div>"
            },
            "entry" : [
              {
                "reference" : "urn:uuid:0baac8a9-69b8-4e99-9460-03df08f92c98"
              }
            ]
          },
          {
            "title" : "Medication Summary",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "10160-0"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <table border=\"1\">\n                <thead>\n                  <tr>\n                    <th>Medicine</th>\n                    <th>Dose</th>\n                    <th>Status</th>\n                    <th>Last Updated</th>\n                    <th>Comment</th>\n                  </tr>\n                </thead>\n                <tbody>\n                  <tr>\n                    <td>Prenatal vitamins</td>\n                    <td>1 tablet daily</td>\n                    <td>Active</td>\n                    <td>28/10/2024</td>\n                    <td>Pt prefers Blackmores</td>\n                  </tr>\n                  <tr>\n                    <td>Insulin (Humulin N)</td>\n                    <td>10 units subcutaneously in the morning and evening</td>\n                    <td>Active</td>\n                    <td>28/10/2024</td>\n                    <td/>\n                  </tr>\n                  <tr>\n                    <td>Insulin (Humulin R)</td>\n                    <td>5 units subcutaneously before each meal</td>\n                    <td>Active</td>\n                    <td>28/10/2024</td>\n                    <td/>\n                  </tr>\n                  <tr>\n                    <td>Metformin</td>\n                    <td>500mg twice daily</td>\n                    <td>Active</td>\n                    <td>28/10/2024</td>\n                    <td/>\n                  </tr>\n                </tbody>\n              </table>\n            </div>"
            },
            "entry" : [
              {
                "reference" : "urn:uuid:7193cc2f-d03e-42cb-ab55-4130904505d5"
              },
              {
                "reference" : "urn:uuid:1c4dd2b6-a9ee-4ba3-9b37-c1aff277c417"
              },
              {
                "reference" : "urn:uuid:166c2afe-c6fb-4928-88f0-1c1a1e5e65cd"
              },
              {
                "reference" : "urn:uuid:05292a9c-2bc9-43a7-b935-0a61ede063da"
              }
            ]
          },
          {
            "title" : "Problem list",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11450-4"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <table border=\"1\">\n                <thead>\n                  <tr>\n                    <th>Problem/Diagnosis</th>\n                    <th>Status</th>\n                    <th>Comment</th>\n                  </tr>\n                </thead>\n                <tbody>\n                  <tr>\n                    <td>Gestational diabetes</td>\n                    <td>Active</td>\n                    <td>Recent diagnosis, referring to Endo &amp; Dietitian</td>\n                  </tr>\n                  <tr>\n                    <td>Anaemia</td>\n                    <td>Active</td>\n                    <td/>\n                  </tr>\n                </tbody>\n              </table>\n            </div>"
            },
            "entry" : [
              {
                "reference" : "urn:uuid:cb647933-b18c-42ef-a1c8-ae137921ba83"
              },
              {
                "reference" : "urn:uuid:78f75926-3ee1-44a7-9424-6178d905af63"
              }
            ]
          },
          {
            "title" : "History of Immunizations",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11369-6"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <table border=\"1\">\n                <thead>\n                  <tr>\n                    <th>Vaccine</th>\n                    <th>Date of administration</th>\n                    <th>Comment</th>\n                  </tr>\n                </thead>\n                <tbody>\n                  <tr>\n                    <td>Diphtheria + tetanus + pertussis 5 component adolescent/adult vaccine injection, 0.5 mL syringe</td>\n                    <td>05/10/2024</td>\n                    <td/>\n                  </tr>\n                  <tr>\n                    <td>Influenza vaccine</td>\n                    <td>05/05/2024</td>\n                    <td/>\n                  </tr>\n                  <tr>\n                    <td>Influenza vaccine</td>\n                    <td>15/05/2023</td>\n                    <td>Pt reported localised redness and swelling post previous flu vax last year. Monitor for rxn.</td>\n                  </tr>\n                  <tr>\n                    <td>COVID-19 mRNA-1273 Vaccine (Moderna) injection, 0.5 mL syringe</td>\n                    <td>15/05/2023</td>\n                    <td/>\n                  </tr>\n                </tbody>\n              </table>\n            </div>"
            },
            "entry" : [
              {
                "reference" : "urn:uuid:784ae7d5-22df-442d-b932-0c001720136c"
              },
              {
                "reference" : "urn:uuid:97767fb5-3be7-4d16-9ee8-76c47a4ab0ce"
              },
              {
                "reference" : "urn:uuid:62eb70e3-e814-4785-80d3-8aa45b1fc367"
              },
              {
                "reference" : "urn:uuid:2f3537b2-f50c-4a2a-ab92-30fdcfe5fd96"
              }
            ]
          },
          {
            "title" : "Pregnancy Information",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "10162-6"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pregnancy confirmed 12/06/2024. Estimated Date of Delivery  03/02/2025.</div>"
            },
            "entry" : [
              {
                "reference" : "urn:uuid:f85ad223-7bed-46f3-893d-e89d6082f9a9"
              }
            ]
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/note",
                "valueAnnotation" : {
                  "authorReference" : {
                    "reference" : "urn:uuid:0c0e2c4f-a748-4cc7-afde-f09bdc2d6fa9"
                  },
                  "time" : "2024-10-28T11:57:10.868+11:00",
                  "text" : "Joyce is a 39-year-old woman who is currently pregnant and lives with her partner in a stable home environment. She works in an office-based job, which involves prolonged periods of sitting, but she attempting to increase her activity outside of work through regular walks and light exercise. She has a strong support system, including her partner, family, and close friends.\n\nJoyce does not smoke and does not consume alcohol during pregnancy. She follows a generally balanced diet but occasionally consumes convenience foods due to her busy work schedule. She has access to healthcare services and attends routine antenatal appointments as recommended.\n\nShe reports moderate stress related to work responsibilities and preparing for the baby’s arrival but manages it through mindfulness techniques and social support. Financially, she and her partner are stable, with plans in place for parental leave and childcare. She has no history of substance use and is not exposed to occupational hazards that would pose a risk to her pregnancy.\n\nOverall, Joyce maintains a healthy and supportive lifestyle, with good access to medical care and a positive outlook on her pregnancy."
                }
              }
            ],
            "title" : "Social History",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "29762-2"
                }
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            Joyce is a 39-year-old woman who is currently pregnant and lives with her partner in a stable home environment. She works in an office-based job, which involves prolonged periods of sitting, but she attempting to increase her activity outside of work through regular walks and light exercise. She has a strong support system, including her partner, family, and close friends.\n\n\nJoyce does not smoke and does not consume alcohol during pregnancy. She follows a generally balanced diet but occasionally consumes convenience foods due to her busy work schedule. She has access to healthcare services and attends routine antenatal appointments as recommended.\n\n\nShe reports moderate stress related to work responsibilities and preparing for the baby’s arrival but manages it through mindfulness techniques and social support. Financially, she and her partner are stable, with plans in place for parental leave and childcare. She has no history of substance use and is not exposed to occupational hazards that would pose a risk to her pregnancy.\n\n\nOverall, Joyce maintains a healthy and supportive lifestyle, with good access to medical care and a positive outlook on her pregnancy.</div>"
            },
            "entry" : [
              {
                "reference" : "urn:uuid:8924f910-53b3-4125-b0f2-58d0068f8983"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "85822a88-55b1-460c-bb7b-e8fc22d8568f",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_85822a88-55b1-460c-bb7b-e8fc22d8568f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 85822a88-55b1-460c-bb7b-e8fc22d8568f</b></p><a name=\"85822a88-55b1-460c-bb7b-e8fc22d8568f\"> </a><a name=\"hc85822a88-55b1-460c-bb7b-e8fc22d8568f\"> </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-au-ps-patient.html\">AU PS Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Medicare Number/29545401611</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 0270108012(Home)</li><li>ph: 0491571804(Mobile)</li><li>139 River Lane Palmvale NSW 2484 AU </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-aups-referral-endoconsult-autogen.html#urn-uuid-afead11c-3bee-4020-af4f-44040abfa961\">PractitionerRole General Practitioner</a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension applies to the Patient, Person, and RelatedPerson resources and is used to indicate whether a person identifies as being of Aboriginal or Torres Strait Islander origin.\"><a href=\"http://hl7.org.au/fhir/6.0.0/StructureDefinition-indigenous-status.html\">Australian Indigenous Status</a></td><td colspan=\"3\">australian-indigenous-status-1: 4 (Neither Aboriginal nor Torres Strait Islander origin)</td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org.au/fhir/StructureDefinition/indigenous-status",
            "valueCoding" : {
              "system" : "https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1",
              "code" : "4",
              "display" : "Neither Aboriginal nor Torres Strait Islander origin"
            }
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NI"
                }
              ],
              "text" : "IHI"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
            "value" : "8003608500314679"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MC"
                }
              ],
              "text" : "Medicare Number"
            },
            "system" : "http://ns.electronichealth.net.au/id/medicare-number",
            "value" : "29545401611"
          }
        ],
        "name" : [
          {
            "family" : "JOHNSON",
            "given" : ["Joyce"]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "0270108012",
            "use" : "home"
          },
          {
            "system" : "phone",
            "value" : "0491571804",
            "use" : "mobile"
          }
        ],
        "gender" : "female",
        "birthDate" : "1985-02-06",
        "address" : [
          {
            "line" : ["139 River Lane"],
            "city" : "Palmvale",
            "state" : "NSW",
            "postalCode" : "2484",
            "country" : "AU"
          }
        ],
        "generalPractitioner" : [
          {
            "reference" : "urn:uuid:afead11c-3bee-4020-af4f-44040abfa961"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:0baac8a9-69b8-4e99-9460-03df08f92c98",
      "resource" : {
        "resourceType" : "AllergyIntolerance",
        "id" : "0baac8a9-69b8-4e99-9460-03df08f92c98",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-allergyintolerance"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_0baac8a9-69b8-4e99-9460-03df08f92c98\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance 0baac8a9-69b8-4e99-9460-03df08f92c98</b></p><a name=\"0baac8a9-69b8-4e99-9460-03df08f92c98\"> </a><a name=\"hc0baac8a9-69b8-4e99-9460-03df08f92c98\"> </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-au-ps-allergyintolerance.html\">AU PS AllergyIntolerance</a></p></div><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 716186003}\">No known allergy</span></p><p><b>patient</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-85822a88-55b1-460c-bb7b-e8fc22d8568f\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</a></p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code" : "active"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "716186003"
            }
          ],
          "text" : "No known allergy"
        },
        "patient" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:05292a9c-2bc9-43a7-b935-0a61ede063da",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "05292a9c-2bc9-43a7-b935-0a61ede063da",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationstatement"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_05292a9c-2bc9-43a7-b935-0a61ede063da\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement 05292a9c-2bc9-43a7-b935-0a61ede063da</b></p><a name=\"05292a9c-2bc9-43a7-b935-0a61ede063da\"> </a><a name=\"hc05292a9c-2bc9-43a7-b935-0a61ede063da\"> </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-au-ps-medicationstatement.html\">AU PS MedicationStatement</a></p></div><p><b>status</b>: Active</p><p><b>medication</b>: <a href=\"#hc05292a9c-2bc9-43a7-b935-0a61ede063da/metformin\">Medication Metformin</a></p><p><b>subject</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-85822a88-55b1-460c-bb7b-e8fc22d8568f\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</a></p><p><b>effective</b>: 2024 --&gt; (ongoing)</p><p><b>dateAsserted</b>: 2024-10-24</p><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Timing</b></td><td><b>Route</b></td></tr><tr><td style=\"display: none\">*</td><td>500mg twice daily</td><td>2 per 1 day</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral route</span></td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Medication #metformin</b></p><a name=\"05292a9c-2bc9-43a7-b935-0a61ede063da/metformin\"> </a><a name=\"hc05292a9c-2bc9-43a7-b935-0a61ede063da/metformin\"> </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-au-ps-medication.html\">AU PS Medication</a></p></div><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 109081006}\">Metformin</span></p><p><b>form</b>: <span title=\"Codes:{http://snomed.info/sct 421026006}\">Tablet</span></p></blockquote></div>"
        },
        "contained" : [
          {
            "resourceType" : "Medication",
            "id" : "metformin",
            "meta" : {
              "profile" : [
                "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medication"
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "109081006",
                  "display" : "Metformin"
                }
              ],
              "text" : "Metformin"
            },
            "form" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "421026006",
                  "display" : "Tablet"
                }
              ],
              "text" : "Tablet"
            }
          }
        ],
        "status" : "active",
        "medicationReference" : {
          "reference" : "#metformin"
        },
        "subject" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        },
        "effectivePeriod" : {
          "start" : "2024"
        },
        "dateAsserted" : "2024-10-24",
        "dosage" : [
          {
            "text" : "500mg twice daily",
            "timing" : {
              "repeat" : {
                "frequency" : 2,
                "period" : 1,
                "periodUnit" : "d"
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "26643006",
                  "display" : "Oral route"
                }
              ],
              "text" : "Oral route"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:166c2afe-c6fb-4928-88f0-1c1a1e5e65cd",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "166c2afe-c6fb-4928-88f0-1c1a1e5e65cd",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationstatement"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_166c2afe-c6fb-4928-88f0-1c1a1e5e65cd\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement 166c2afe-c6fb-4928-88f0-1c1a1e5e65cd</b></p><a name=\"166c2afe-c6fb-4928-88f0-1c1a1e5e65cd\"> </a><a name=\"hc166c2afe-c6fb-4928-88f0-1c1a1e5e65cd\"> </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-au-ps-medicationstatement.html\">AU PS MedicationStatement</a></p></div><p><b>status</b>: Active</p><p><b>medication</b>: <span title=\"Codes:\">Prenatal vitamins</span></p><p><b>subject</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-85822a88-55b1-460c-bb7b-e8fc22d8568f\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</a></p><p><b>effective</b>: 2024 --&gt; (ongoing)</p><p><b>dateAsserted</b>: 2024-10-24</p><p><b>note</b>: </p><blockquote><div><p>Pt prefers Blackmores</p>\n</div></blockquote><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 daily</td><td><span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral route</span></td></tr></table></div>"
        },
        "status" : "active",
        "medicationCodeableConcept" : {
          "text" : "Prenatal vitamins"
        },
        "subject" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        },
        "effectivePeriod" : {
          "start" : "2024"
        },
        "dateAsserted" : "2024-10-24",
        "note" : [
          {
            "text" : "Pt prefers Blackmores"
          }
        ],
        "dosage" : [
          {
            "text" : "1 tablet daily",
            "route" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "26643006",
                  "display" : "Oral route"
                }
              ],
              "text" : "Oral route"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:7193cc2f-d03e-42cb-ab55-4130904505d5",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "7193cc2f-d03e-42cb-ab55-4130904505d5",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationstatement"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_7193cc2f-d03e-42cb-ab55-4130904505d5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement 7193cc2f-d03e-42cb-ab55-4130904505d5</b></p><a name=\"7193cc2f-d03e-42cb-ab55-4130904505d5\"> </a><a name=\"hc7193cc2f-d03e-42cb-ab55-4130904505d5\"> </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-au-ps-medicationstatement.html\">AU PS MedicationStatement</a></p></div><p><b>status</b>: Active</p><p><b>medication</b>: <span title=\"Codes:\">Insulin (Humulin N)</span></p><p><b>subject</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-85822a88-55b1-460c-bb7b-e8fc22d8568f\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</a></p><p><b>effective</b>: 2024 --&gt; (ongoing)</p><p><b>dateAsserted</b>: 2024-10-24</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>10 units subcutaneously in the morning and evening</td></tr></table></div>"
        },
        "status" : "active",
        "medicationCodeableConcept" : {
          "text" : "Insulin (Humulin N)"
        },
        "subject" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        },
        "effectivePeriod" : {
          "start" : "2024"
        },
        "dateAsserted" : "2024-10-24",
        "dosage" : [
          {
            "text" : "10 units subcutaneously in the morning and evening"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:1c4dd2b6-a9ee-4ba3-9b37-c1aff277c417",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "1c4dd2b6-a9ee-4ba3-9b37-c1aff277c417",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-medicationstatement"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_1c4dd2b6-a9ee-4ba3-9b37-c1aff277c417\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement 1c4dd2b6-a9ee-4ba3-9b37-c1aff277c417</b></p><a name=\"1c4dd2b6-a9ee-4ba3-9b37-c1aff277c417\"> </a><a name=\"hc1c4dd2b6-a9ee-4ba3-9b37-c1aff277c417\"> </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-au-ps-medicationstatement.html\">AU PS MedicationStatement</a></p></div><p><b>status</b>: Active</p><p><b>medication</b>: <span title=\"Codes:\">Insulin (Humulin R)</span></p><p><b>subject</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-85822a88-55b1-460c-bb7b-e8fc22d8568f\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</a></p><p><b>effective</b>: 2024 --&gt; (ongoing)</p><p><b>dateAsserted</b>: 2024-10-24</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>5 units subcutaneously before each meal</td></tr></table></div>"
        },
        "status" : "active",
        "medicationCodeableConcept" : {
          "text" : "Insulin (Humulin R)"
        },
        "subject" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        },
        "effectivePeriod" : {
          "start" : "2024"
        },
        "dateAsserted" : "2024-10-24",
        "dosage" : [
          {
            "text" : "5 units subcutaneously before each meal"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:cb647933-b18c-42ef-a1c8-ae137921ba83",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "cb647933-b18c-42ef-a1c8-ae137921ba83",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_cb647933-b18c-42ef-a1c8-ae137921ba83\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition cb647933-b18c-42ef-a1c8-ae137921ba83</b></p><a name=\"cb647933-b18c-42ef-a1c8-ae137921ba83\"> </a><a name=\"hccb647933-b18c-42ef-a1c8-ae137921ba83\"> </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-au-ps-condition.html\">AU PS Condition</a></p></div><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</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 11687002}\">Gestational diabetes</span></p><p><b>subject</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-85822a88-55b1-460c-bb7b-e8fc22d8568f\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</a></p><p><b>note</b>: </p><blockquote><div><p>Recent diagnosis, referring to Endo &amp; Dietitian</p>\n</div></blockquote></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "problem-list-item"
              }
            ],
            "text" : "Problem"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "11687002",
              "display" : "Gestational diabetes mellitus"
            }
          ],
          "text" : "Gestational diabetes"
        },
        "subject" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        },
        "note" : [
          {
            "text" : "Recent diagnosis, referring to Endo & Dietitian"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:78f75926-3ee1-44a7-9424-6178d905af63",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "78f75926-3ee1-44a7-9424-6178d905af63",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_78f75926-3ee1-44a7-9424-6178d905af63\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition 78f75926-3ee1-44a7-9424-6178d905af63</b></p><a name=\"78f75926-3ee1-44a7-9424-6178d905af63\"> </a><a name=\"hc78f75926-3ee1-44a7-9424-6178d905af63\"> </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-au-ps-condition.html\">AU PS Condition</a></p></div><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</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 271737000}\">Anaemia</span></p><p><b>subject</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-85822a88-55b1-460c-bb7b-e8fc22d8568f\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</a></p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "problem-list-item"
              }
            ],
            "text" : "Problem"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "271737000",
              "display" : "Anaemia"
            }
          ],
          "text" : "Anaemia"
        },
        "subject" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:784ae7d5-22df-442d-b932-0c001720136c",
      "resource" : {
        "resourceType" : "Immunization",
        "id" : "784ae7d5-22df-442d-b932-0c001720136c",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Immunization_784ae7d5-22df-442d-b932-0c001720136c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Immunization 784ae7d5-22df-442d-b932-0c001720136c</b></p><a name=\"784ae7d5-22df-442d-b932-0c001720136c\"> </a><a name=\"hc784ae7d5-22df-442d-b932-0c001720136c\"> </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-au-ps-immunization.html\">AU PS Immunization</a></p></div><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{http://snomed.info/sct 1789171000168108}\">Diphtheria + tetanus + pertussis 5 component adolescent/adult vaccine injection, 0.5 mL syringe</span></p><p><b>patient</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-85822a88-55b1-460c-bb7b-e8fc22d8568f\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</a></p><p><b>occurrence</b>: 2024-10-05</p></div>"
        },
        "status" : "completed",
        "vaccineCode" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/32506021000036107/version/20250131",
              "code" : "1789171000168108",
              "display" : "Diphtheria + tetanus + pertussis 5 component adolescent/adult vaccine injection, 0.5 mL syringe"
            }
          ],
          "text" : "Diphtheria + tetanus + pertussis 5 component adolescent/adult vaccine injection, 0.5 mL syringe"
        },
        "patient" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        },
        "occurrenceDateTime" : "2024-10-05"
      }
    },
    {
      "fullUrl" : "urn:uuid:ad82d71b-ca1c-4db6-a726-cc70cf638306",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ad82d71b-ca1c-4db6-a726-cc70cf638306",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-edd-uv-ips"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ad82d71b-ca1c-4db6-a726-cc70cf638306\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ad82d71b-ca1c-4db6-a726-cc70cf638306</b></p><a name=\"ad82d71b-ca1c-4db6-a726-cc70cf638306\"> </a><a name=\"hcad82d71b-ca1c-4db6-a726-cc70cf638306\"> </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=\"http://hl7.org/fhir/uv/ips/STU2/StructureDefinition-Observation-pregnancy-edd-uv-ips.html\">Observation Pregnancy - Expected Delivery Date (IPS)</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}\">Imaging</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 161714006}, {http://loinc.org 11778-8}\">Estimated date of delivery</span></p><p><b>subject</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-85822a88-55b1-460c-bb7b-e8fc22d8568f\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</a></p><p><b>effective</b>: 2024-06-12</p><p><b>value</b>: 2025-02-03</p></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "imaging",
                "display" : "Imaging"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "161714006",
              "display" : "Estimated date of delivery"
            },
            {
              "system" : "http://loinc.org",
              "code" : "11778-8",
              "display" : "Delivery date Estimated"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        },
        "effectiveDateTime" : "2024-06-12",
        "valueDateTime" : "2025-02-03"
      }
    },
    {
      "fullUrl" : "urn:uuid:f85ad223-7bed-46f3-893d-e89d6082f9a9",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "f85ad223-7bed-46f3-893d-e89d6082f9a9",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-status-uv-ips"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_f85ad223-7bed-46f3-893d-e89d6082f9a9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation f85ad223-7bed-46f3-893d-e89d6082f9a9</b></p><a name=\"f85ad223-7bed-46f3-893d-e89d6082f9a9\"> </a><a name=\"hcf85ad223-7bed-46f3-893d-e89d6082f9a9\"> </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=\"http://hl7.org/fhir/uv/ips/STU2/StructureDefinition-Observation-pregnancy-status-uv-ips.html\">Observation Pregnancy - Status (IPS)</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 82810-3}\">Pregnancy status</span></p><p><b>subject</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-85822a88-55b1-460c-bb7b-e8fc22d8568f\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</a></p><p><b>effective</b>: 2024-06-12</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 77386006}, {http://loinc.org LA15173-0}\">Pregnant</span></p><p><b>hasMember</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-ad82d71b-ca1c-4db6-a726-cc70cf638306\">Observation Estimated date of delivery</a></p></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "social-history",
                "display" : "Social History"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "82810-3",
              "display" : "Pregnancy status"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        },
        "effectiveDateTime" : "2024-06-12",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "77386006",
              "display" : "Pregnant"
            },
            {
              "system" : "http://loinc.org",
              "code" : "LA15173-0",
              "display" : "Pregnant"
            }
          ],
          "text" : "Pregnant"
        },
        "hasMember" : [
          {
            "reference" : "urn:uuid:ad82d71b-ca1c-4db6-a726-cc70cf638306"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:afead11c-3bee-4020-af4f-44040abfa961",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "afead11c-3bee-4020-af4f-44040abfa961",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitionerrole"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_afead11c-3bee-4020-af4f-44040abfa961\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole afead11c-3bee-4020-af4f-44040abfa961</b></p><a name=\"afead11c-3bee-4020-af4f-44040abfa961\"> </a><a name=\"hcafead11c-3bee-4020-af4f-44040abfa961\"> </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-au-ps-practitionerrole.html\">AU PS PractitionerRole</a></p></div><p><b>identifier</b>: Medicare Provider Number/2448681J</p><p><b>practitioner</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-0c0e2c4f-a748-4cc7-afde-f09bdc2d6fa9\">Practitioner Ginger BURROWS </a></p><p><b>organization</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-14292353-98f0-43b3-a25b-406baf3f9175\">Organization Bungabbee Medical Clinic</a></p><p><b>code</b>: <span title=\"Codes:{http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0 253111}, {http://snomed.info/sct 62247001}\">General Practitioner</span></p><p><b>specialty</b>: <span title=\"Codes:{http://snomed.info/sct 408443003}\">General medical practice</span></p><p><b>telecom</b>: ph: 0270105673(Work), <a href=\"mailto:ginger.burrows@bungabbeemc.example.com.au\">ginger.burrows@bungabbeemc.example.com.au</a></p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
                  "code" : "UPIN"
                }
              ],
              "text" : "Medicare Provider Number"
            },
            "system" : "http://ns.electronichealth.net.au/id/medicare-provider-number",
            "value" : "2448681J"
          }
        ],
        "practitioner" : {
          "reference" : "urn:uuid:0c0e2c4f-a748-4cc7-afde-f09bdc2d6fa9"
        },
        "organization" : {
          "reference" : "urn:uuid:14292353-98f0-43b3-a25b-406baf3f9175"
        },
        "code" : [
          {
            "coding" : [
              {
                "system" : "http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0",
                "code" : "253111",
                "display" : "General Practitioner"
              },
              {
                "system" : "http://snomed.info/sct",
                "code" : "62247001"
              }
            ]
          }
        ],
        "specialty" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "408443003"
              }
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "0270105673",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "ginger.burrows@bungabbeemc.example.com.au",
            "use" : "work"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:0c0e2c4f-a748-4cc7-afde-f09bdc2d6fa9",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "0c0e2c4f-a748-4cc7-afde-f09bdc2d6fa9",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_0c0e2c4f-a748-4cc7-afde-f09bdc2d6fa9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 0c0e2c4f-a748-4cc7-afde-f09bdc2d6fa9</b></p><a name=\"0c0e2c4f-a748-4cc7-afde-f09bdc2d6fa9\"> </a><a name=\"hc0c0e2c4f-a748-4cc7-afde-f09bdc2d6fa9\"> </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-au-ps-practitioner.html\">AU PS Practitioner</a></p></div><p><b>identifier</b>: HPI-I/8003618233385011</p><p><b>name</b>: Ginger BURROWS </p><p><b>telecom</b>: ph: 0270105673(Work), <a href=\"mailto:ginger.burrows@bungabbeemc.example.com.au\">ginger.burrows@bungabbeemc.example.com.au</a></p><p><b>address</b>: 189 Bay Esp Bungabbee NSW 2480 </p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NPI",
                  "display" : "National provider identifier"
                }
              ],
              "text" : "HPI-I"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/hpii/1.0",
            "value" : "8003618233385011"
          }
        ],
        "name" : [
          {
            "family" : "BURROWS",
            "given" : ["Ginger"]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "0270105673",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "ginger.burrows@bungabbeemc.example.com.au"
          }
        ],
        "address" : [
          {
            "line" : ["189 Bay Esp"],
            "city" : "Bungabbee",
            "state" : "NSW",
            "postalCode" : "2480"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:14292353-98f0-43b3-a25b-406baf3f9175",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "14292353-98f0-43b3-a25b-406baf3f9175",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_14292353-98f0-43b3-a25b-406baf3f9175\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 14292353-98f0-43b3-a25b-406baf3f9175</b></p><a name=\"14292353-98f0-43b3-a25b-406baf3f9175\"> </a><a name=\"hc14292353-98f0-43b3-a25b-406baf3f9175\"> </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-au-ps-organization.html\">AU PS Organization</a></p></div><p><b>identifier</b>: HPI-O/8003624900039170, ABN/81156248664</p><p><b>type</b>: <span title=\"Codes:{http://www.abs.gov.au/ausstats/abs@.nsf/mf/1292.0 8511}, {http://snomed.info/sct 788007007}\">General practice medical clinic service</span></p><p><b>name</b>: Bungabbee Medical Clinic</p><p><b>telecom</b>: ph: 0255506327(Work), <a href=\"mailto:info@bungabbeemc.example.com.au\">info@bungabbeemc.example.com.au</a></p><p><b>address</b>: 158 Toby Ave Bungabbee NSW 2480 </p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
                  "code" : "NOI"
                }
              ],
              "text" : "HPI-O"
            },
            "system" : "http://ns.electronichealth.net.au/id/hi/hpio/1.0",
            "value" : "8003624900039170"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "XX"
                }
              ],
              "text" : "ABN"
            },
            "system" : "http://hl7.org.au/id/abn",
            "value" : "81156248664"
          }
        ],
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://www.abs.gov.au/ausstats/abs@.nsf/mf/1292.0",
                "code" : "8511",
                "display" : "General Practice Medical Services"
              },
              {
                "system" : "http://snomed.info/sct",
                "code" : "788007007",
                "display" : "General practice service"
              }
            ],
            "text" : "General practice medical clinic service"
          }
        ],
        "name" : "Bungabbee Medical Clinic",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "0255506327",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "info@bungabbeemc.example.com.au"
          }
        ],
        "address" : [
          {
            "line" : ["158 Toby Ave"],
            "city" : "Bungabbee",
            "state" : "NSW",
            "postalCode" : "2480"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:62eb70e3-e814-4785-80d3-8aa45b1fc367",
      "resource" : {
        "resourceType" : "Immunization",
        "id" : "62eb70e3-e814-4785-80d3-8aa45b1fc367",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Immunization_62eb70e3-e814-4785-80d3-8aa45b1fc367\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Immunization 62eb70e3-e814-4785-80d3-8aa45b1fc367</b></p><a name=\"62eb70e3-e814-4785-80d3-8aa45b1fc367\"> </a><a name=\"hc62eb70e3-e814-4785-80d3-8aa45b1fc367\"> </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-au-ps-immunization.html\">AU PS Immunization</a></p></div><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats PANVAX}\">Panvax</span></p><p><b>patient</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-85822a88-55b1-460c-bb7b-e8fc22d8568f\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</a></p><p><b>occurrence</b>: 2023-05-15</p><p><b>primarySource</b>: true</p><p><b>note</b>: </p><blockquote><div><p>Pt reported localised redness and swelling post previous flu vax last year. Monitor for rxn.</p>\n</div></blockquote></div>"
        },
        "status" : "completed",
        "vaccineCode" : {
          "coding" : [
            {
              "system" : "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats",
              "code" : "PANVAX"
            }
          ],
          "text" : "Panvax"
        },
        "patient" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        },
        "occurrenceDateTime" : "2023-05-15",
        "primarySource" : true,
        "note" : [
          {
            "text" : "Pt reported localised redness and swelling post previous flu vax last year. Monitor for rxn."
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:2f3537b2-f50c-4a2a-ab92-30fdcfe5fd96",
      "resource" : {
        "resourceType" : "Immunization",
        "id" : "2f3537b2-f50c-4a2a-ab92-30fdcfe5fd96",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Immunization_2f3537b2-f50c-4a2a-ab92-30fdcfe5fd96\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Immunization 2f3537b2-f50c-4a2a-ab92-30fdcfe5fd96</b></p><a name=\"2f3537b2-f50c-4a2a-ab92-30fdcfe5fd96\"> </a><a name=\"hc2f3537b2-f50c-4a2a-ab92-30fdcfe5fd96\"> </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-au-ps-immunization.html\">AU PS Immunization</a></p></div><p><b>Vaccine Vial Serial Number</b>: SERIAL1234</p><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats PANVAX}\">Panvax</span></p><p><b>patient</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-85822a88-55b1-460c-bb7b-e8fc22d8568f\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</a></p><p><b>occurrence</b>: 2024-05-05</p><p><b>primarySource</b>: true</p><p><b>lotNumber</b>: lot001</p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number",
            "valueString" : "SERIAL1234"
          }
        ],
        "status" : "completed",
        "vaccineCode" : {
          "coding" : [
            {
              "system" : "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats",
              "code" : "PANVAX",
              "display" : "Panvax"
            }
          ],
          "text" : "Panvax"
        },
        "patient" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        },
        "occurrenceDateTime" : "2024-05-05",
        "primarySource" : true,
        "lotNumber" : "lot001"
      }
    },
    {
      "fullUrl" : "urn:uuid:97767fb5-3be7-4d16-9ee8-76c47a4ab0ce",
      "resource" : {
        "resourceType" : "Immunization",
        "id" : "97767fb5-3be7-4d16-9ee8-76c47a4ab0ce",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-immunization"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Immunization_97767fb5-3be7-4d16-9ee8-76c47a4ab0ce\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Immunization 97767fb5-3be7-4d16-9ee8-76c47a4ab0ce</b></p><a name=\"97767fb5-3be7-4d16-9ee8-76c47a4ab0ce\"> </a><a name=\"hc97767fb5-3be7-4d16-9ee8-76c47a4ab0ce\"> </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-au-ps-immunization.html\">AU PS Immunization</a></p></div><p><b>Vaccine Vial Serial Number</b>: vNo1111</p><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats MODERN}, {http://snomed.info/sct 1730491000168104}\">COVID-19 mRNA-1273 Vaccine (Moderna) injection, 0.5 mL syringe</span></p><p><b>patient</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-85822a88-55b1-460c-bb7b-e8fc22d8568f\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</a></p><p><b>occurrence</b>: 2023-05-15</p><p><b>recorded</b>: 2022-02-14</p><p><b>primarySource</b>: true</p><p><b>manufacturer</b>: ModernaTX, Inc.</p><p><b>lotNumber</b>: RX00000F</p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org.au/fhir/StructureDefinition/vaccine-serial-number",
            "valueString" : "vNo1111"
          }
        ],
        "status" : "completed",
        "vaccineCode" : {
          "coding" : [
            {
              "system" : "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats",
              "code" : "MODERN"
            },
            {
              "system" : "http://snomed.info/sct",
              "code" : "1730491000168104",
              "display" : "Spikevax 50 microgram/0.5 mL injection, 0.5 mL syringe"
            }
          ],
          "text" : "COVID-19 mRNA-1273 Vaccine (Moderna) injection, 0.5 mL syringe"
        },
        "patient" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        },
        "occurrenceDateTime" : "2023-05-15",
        "recorded" : "2022-02-14",
        "primarySource" : true,
        "manufacturer" : {
          "display" : "ModernaTX, Inc."
        },
        "lotNumber" : "RX00000F"
      }
    },
    {
      "fullUrl" : "urn:uuid:8924f910-53b3-4125-b0f2-58d0068f8983",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "8924f910-53b3-4125-b0f2-58d0068f8983",
        "meta" : {
          "profile" : [
            "http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-smokingstatus"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_8924f910-53b3-4125-b0f2-58d0068f8983\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 8924f910-53b3-4125-b0f2-58d0068f8983</b></p><a name=\"8924f910-53b3-4125-b0f2-58d0068f8983\"> </a><a name=\"hc8924f910-53b3-4125-b0f2-58d0068f8983\"> </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-au-ps-smokingstatus.html\">AU PS Smoking Status</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1747861000168109}, {http://loinc.org 72166-2}\">Smoking status</span></p><p><b>subject</b>: <a href=\"Bundle-aups-referral-endoconsult-autogen.html#urn-uuid-85822a88-55b1-460c-bb7b-e8fc22d8568f\">Joyce JOHNSON  Female, DoB: 1985-02-06 ( IHI: Austalian Healthcare Identifier - Individual#8003608500314679)</a></p><p><b>effective</b>: 2024-10-28</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 266919005}\">Lifetime non-smoker</span></p></div>"
        },
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "social-history",
                "display" : "Social History"
              }
            ],
            "text" : "Social History"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "1747861000168109"
            },
            {
              "system" : "http://loinc.org",
              "code" : "72166-2"
            }
          ],
          "text" : "Smoking status"
        },
        "subject" : {
          "reference" : "urn:uuid:85822a88-55b1-460c-bb7b-e8fc22d8568f"
        },
        "effectiveDateTime" : "2024-10-28",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "266919005"
            }
          ],
          "text" : "Lifetime non-smoker"
        }
      }
    }
  ],
  "signature" : {
    "type" : [
      {
        "system" : "urn:iso-astm:E1762-95:2013",
        "code" : "1.2.840.10065.1.12.1.1",
        "display" : "Author's Signature"
      }
    ],
    "when" : "2024-10-28T11:57:11.269+11:00",
    "who" : {
      "reference" : "urn:uuid:afead11c-3bee-4020-af4f-44040abfa961"
    },
    "targetFormat" : "application/fhir+xml",
    "sigFormat" : "image/png",
    "data" : " "
  }
}

```
