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Packagefhir.sisrme
Resource TypeBundle
IdBundle-HIVVisitBundleExample.json
FHIR VersionR4

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Narrative

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Source1

{
  "resourceType": "Bundle",
  "id": "HIVVisitBundleExample",
  "type": "transaction",
  "timestamp": "2026-06-15T09:20:00+02:00",
  "entry": [
    {
      "fullUrl": "http://misau.gov.mz/fhir/sis-rme/Patient/PatientRegistrationExample",
      "resource": {
        "resourceType": "Patient",
        "id": "PatientRegistrationExample",
        "meta": {
          "profile": [
            "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_PatientRegistrationExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient PatientRegistrationExample</b></p><a name=\"PatientRegistrationExample\"> </a><a name=\"hcPatientRegistrationExample\"> </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-sisrme-patient.html\">SIS-RME Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Amélia Joaquina Machava  Female, DoB: 1994-03-12 ( DIRE (Documento de Identificação e Residência para Estrangeiros): 12345678A)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\"><code>urn:sisrme:donor-number</code>/DON-000482</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Alternate names (see the one above)\">Alt. Name:</td><td colspan=\"3\">Mila(Nickname)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"tel:+258841234567\">+258841234567</a></li><li><a href=\"mailto:amelia.machava@example.org\">amelia.machava@example.org</a></li><li>Near Bairro Central market gaza </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: spouse\">spouse:</td><td colspan=\"3\"><ul><li>Joaquim Machava</li><li>Near Bairro Central market </li><li><a href=\"tel:+258849876543\">+258849876543</a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Whether the patient (if a child) was registered at the civil registry office (MOZ.Registration.DE.10-13).\"><a href=\"StructureDefinition-sisrme-birth-registration-status.html\">Birth Registration Status</a></td><td colspan=\"3\"><span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-birth-registration-status yes}\">Yes</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The nationality of the patient.\">Patient Nationality:</td><td colspan=\"3\"><ul><li>code: <span title=\"Codes:{urn:iso:std:iso:3166 MZ}\">Mozambique</span></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Mother's maiden (unmarried) name, commonly collected to help verify patient identity.\"><a href=\"http://hl7.org/fhir/extensions/5.3.0/StructureDefinition-patient-mothersMaidenName.html\">Patient Mother's Maiden Name</a></td><td colspan=\"3\">Fatima Machava</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.\"><a href=\"http://hl7.org/fhir/extensions/5.3.0/StructureDefinition-patient-birthPlace.html\">Patient Birth Place</a></td><td colspan=\"3\">gaza </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The patient's occupation or profession (MOZ.Registration.DE.49, DE.137).\"><a href=\"StructureDefinition-sisrme-occupation.html\">Occupation/Profession</a></td><td colspan=\"3\">Farmer</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Blood donor registration information (MOZ.Registration.DE.78-95). The donor number itself (DE.77) is carried as a Patient.identifier slice; see SISRMEPatient.\">Blood Donor Information:</td><td colspan=\"3\"><ul><li>bloodGroup: <span title=\"Codes:{http://snomed.info/sct 112144000}\">Blood group A</span></li><li>rhesusFactor: <span title=\"Codes:{http://snomed.info/sct 165747007}\">RhD positive</span></li><li>donationType: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-donation-type voluntary}\">Voluntary donor</span></li><li>previousDonations: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0532 Y}\">Yes</span></li><li>numberOfDonations: 3</li><li>locationOfPreviousDonation: Centro de Saúde de Chókwè</li><li>dateOfLastDonation: 2025-11-02</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A family relationship registered for the patient, e.g. for mother/child linkage at birth (MOZ.Registration.DE.159-164).\">Registered Family Relationship:</td><td colspan=\"3\"><ul><li>relationshipType: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode CHILD}\">child</span></li><li>newborn: false</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The name of the patient's father (MOZ.Registration.DE.33). There is no standard FHIR extension for this; compare the core patient-mothersMaidenName extension used for MOZ.Registration.DE.34.\"><a href=\"StructureDefinition-sisrme-fathers-name.html\">Father's Name</a></td><td colspan=\"3\">João Machava</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Race as captured at patient registration (MOZ.Registration.DE.17-23).\"><a href=\"StructureDefinition-sisrme-race.html\">Race</a></td><td colspan=\"3\"><span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-race black-african-descent}\">Black or African Descent</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Socioeconomic registration information (MOZ.Registration.DE.132-158).\">Socioeconomic Profile:</td><td colspan=\"3\"><ul><li>schoolLevel: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-school-level secondary}\">Secondary</span></li><li>livingArrangement: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-living-arrangement lives-with-household}\">Lives in a household/family unit</span></li><li>employmentStatus: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-employment-status informal-employment}\">Informal employment</span></li><li>householdSize: 4</li><li>hasIncomeSource: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0532 Y}\">Yes</span></li><li>registrationCategory: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-registration-category blood-donor}\">Blood Donor</span></li></ul></td></tr></table></div>"
        },
        "extension": [
          {
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-birth-registration-status",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-birth-registration-status",
                  "code": "yes",
                  "display": "Yes"
                }
              ]
            }
          },
          {
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-race",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-race",
                  "code": "black-african-descent",
                  "display": "Black or African Descent"
                }
              ]
            }
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "urn:iso:std:iso:3166",
                      "code": "MZ",
                      "display": "Mozambique"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress": {
              "district": "kamubukwana",
              "state": "gaza"
            }
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
            "valueString": "Fatima Machava"
          },
          {
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-fathers-name",
            "valueString": "João Machava"
          },
          {
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-occupation",
            "valueString": "Farmer"
          },
          {
            "extension": [
              {
                "url": "bloodGroup",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "112144000",
                      "display": "Blood group A"
                    }
                  ]
                }
              },
              {
                "url": "rhesusFactor",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "165747007",
                      "display": "RhD positive"
                    }
                  ]
                }
              },
              {
                "url": "donationType",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-donation-type",
                      "code": "voluntary",
                      "display": "Voluntary donor"
                    }
                  ]
                }
              },
              {
                "url": "previousDonations",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code": "Y",
                      "display": "Yes"
                    }
                  ]
                }
              },
              {
                "url": "numberOfDonations",
                "valueInteger": 3
              },
              {
                "url": "locationOfPreviousDonation",
                "valueString": "Centro de Saúde de Chókwè"
              },
              {
                "url": "dateOfLastDonation",
                "valueDate": "2025-11-02"
              }
            ],
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-donor-information"
          },
          {
            "extension": [
              {
                "url": "schoolLevel",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-school-level",
                      "code": "secondary",
                      "display": "Secondary"
                    }
                  ]
                }
              },
              {
                "url": "livingArrangement",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-living-arrangement",
                      "code": "lives-with-household",
                      "display": "Lives in a household/family unit"
                    }
                  ]
                }
              },
              {
                "url": "employmentStatus",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-employment-status",
                      "code": "informal-employment",
                      "display": "Informal employment"
                    }
                  ]
                }
              },
              {
                "url": "householdSize",
                "valueInteger": 4
              },
              {
                "url": "hasIncomeSource",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code": "Y",
                      "display": "Yes"
                    }
                  ]
                }
              },
              {
                "url": "registrationCategory",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-registration-category",
                      "code": "blood-donor",
                      "display": "Blood Donor"
                    }
                  ]
                }
              }
            ],
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-socioeconomic-profile"
          },
          {
            "extension": [
              {
                "url": "relationshipType",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                      "code": "CHILD",
                      "display": "child"
                    }
                  ]
                }
              },
              {
                "url": "newborn",
                "valueBoolean": false
              }
            ],
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-family-relationship"
          }
        ],
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-document-type",
                  "code": "dire",
                  "display": "DIRE (Documento de Identificação e Residência para Estrangeiros)"
                }
              ]
            },
            "system": "urn:sisrme:document-number",
            "value": "12345678A"
          },
          {
            "system": "urn:sisrme:donor-number",
            "value": "DON-000482"
          }
        ],
        "name": [
          {
            "use": "usual",
            "family": "Machava",
            "given": [
              "Amélia",
              "Joaquina"
            ]
          },
          {
            "use": "nickname",
            "text": "Mila"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+258841234567",
            "use": "mobile"
          },
          {
            "system": "email",
            "value": "amelia.machava@example.org"
          }
        ],
        "gender": "female",
        "birthDate": "1994-03-12",
        "address": [
          {
            "line": [
              "Near Bairro Central market"
            ],
            "district": "kamubukwana",
            "state": "gaza"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code": "M",
              "display": "Married"
            }
          ]
        },
        "contact": [
          {
            "extension": [
              {
                "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-contact-purpose",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-contact-purpose",
                      "code": "emergency-contact",
                      "display": "Emergency contact"
                    }
                  ]
                }
              },
              {
                "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-contact-purpose",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-contact-purpose",
                      "code": "carer",
                      "display": "Carer"
                    }
                  ]
                }
              },
              {
                "extension": [
                  {
                    "url": "type",
                    "valueCodeableConcept": {
                      "coding": [
                        {
                          "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-mozambique-identifier-type",
                          "code": "nuit",
                          "display": "NUIT (Número Único de Identificação Tributária / Tax ID)"
                        }
                      ]
                    }
                  },
                  {
                    "url": "value",
                    "valueString": "100234567"
                  }
                ],
                "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-contact-identifier"
              }
            ],
            "relationship": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                    "code": "SPS",
                    "display": "spouse"
                  }
                ]
              }
            ],
            "name": {
              "text": "Joaquim Machava"
            },
            "telecom": [
              {
                "system": "phone",
                "value": "+258849876543"
              }
            ],
            "address": {
              "line": [
                "Near Bairro Central market"
              ]
            }
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Patient/PatientRegistrationExample"
      }
    },
    {
      "fullUrl": "http://misau.gov.mz/fhir/sis-rme/EpisodeOfCare/ProgramEnrollmentARTExample",
      "resource": {
        "resourceType": "EpisodeOfCare",
        "id": "ProgramEnrollmentARTExample",
        "meta": {
          "profile": [
            "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-program-enrollment"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"EpisodeOfCare_ProgramEnrollmentARTExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: EpisodeOfCare ProgramEnrollmentARTExample</b></p><a name=\"ProgramEnrollmentARTExample\"> </a><a name=\"hcProgramEnrollmentARTExample\"> </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-sisrme-program-enrollment.html\">SIS-RME Program Enrollment</a></p></div><p><b>Registration Date</b>: 2026-01-10</p><p><b>Detailed Enrollment Status</b>: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-enrollment-outcome transferred-in}\">Transferred from another Health Unit</span></p><blockquote><p><b>Transfer Origin</b></p><ul><li>transferred: true</li><li>province: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-mozambique-province gaza}\">Gaza</span></li><li>district: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-district-example kamubukwana}\">KaMubukwana</span></li><li>healthUnit: Centro de Saúde de Chókwè</li></ul></blockquote><blockquote><p><b>Consent to Contact Testing</b></p><ul><li>consentGiven: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0532 Y}\">Yes</span></li><li>preferredTestingLocation: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-testing-location health-unit}\">Health Unit</span></li><li>expectedTestingDate: 2026-02-01</li></ul></blockquote><blockquote><p><b>Contact Agreement</b></p><ul><li>agreesToBeContacted: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0532 Y}\">Yes</span></li><li>contactMethod: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-contact-method telephone-call}\">Telephone Call</span></li></ul></blockquote><blockquote><p><b>Index Contact</b></p><ul><li>name: Joaquim Machava</li><li>sex: male</li><li>kinship: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode SPS}\">spouse</span></li><li>hivStatus: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-index-contact-hiv-status unknown}\">Unknown</span></li></ul></blockquote><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-program-area hiv}\">HIV</span>, <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-program-service art}\">ART/TARV (Antiretroviral Therapy)</span></p><p><b>patient</b>: <a href=\"Patient-PatientRegistrationExample.html\">Amélia Joaquina Machava  Female, DoB: 1994-03-12 ( DIRE (Documento de Identificação e Residência para Estrangeiros): 12345678A)</a></p><p><b>period</b>: 2026-01-10 --&gt; (ongoing)</p></div>"
        },
        "extension": [
          {
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-registration-date",
            "valueDate": "2026-01-10"
          },
          {
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-detailed-enrollment-status",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-enrollment-outcome",
                  "code": "transferred-in",
                  "display": "Transferred from another Health Unit"
                }
              ]
            }
          },
          {
            "extension": [
              {
                "url": "transferred",
                "valueBoolean": true
              },
              {
                "url": "province",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-mozambique-province",
                      "code": "gaza",
                      "display": "Gaza"
                    }
                  ]
                }
              },
              {
                "url": "district",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-district-example",
                      "code": "kamubukwana",
                      "display": "KaMubukwana"
                    }
                  ]
                }
              },
              {
                "url": "healthUnit",
                "valueString": "Centro de Saúde de Chókwè"
              }
            ],
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-transfer-origin"
          },
          {
            "extension": [
              {
                "url": "consentGiven",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code": "Y",
                      "display": "Yes"
                    }
                  ]
                }
              },
              {
                "url": "preferredTestingLocation",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-testing-location",
                      "code": "health-unit",
                      "display": "Health Unit"
                    }
                  ]
                }
              },
              {
                "url": "expectedTestingDate",
                "valueDate": "2026-02-01"
              }
            ],
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-consent-to-contact-testing"
          },
          {
            "extension": [
              {
                "url": "agreesToBeContacted",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code": "Y",
                      "display": "Yes"
                    }
                  ]
                }
              },
              {
                "url": "contactMethod",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-contact-method",
                      "code": "telephone-call",
                      "display": "Telephone Call"
                    }
                  ]
                }
              }
            ],
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-contact-agreement"
          },
          {
            "extension": [
              {
                "url": "name",
                "valueString": "Joaquim Machava"
              },
              {
                "url": "sex",
                "valueCode": "male"
              },
              {
                "url": "kinship",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                      "code": "SPS",
                      "display": "spouse"
                    }
                  ]
                }
              },
              {
                "url": "hivStatus",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-index-contact-hiv-status",
                      "code": "unknown",
                      "display": "Unknown"
                    }
                  ]
                }
              }
            ],
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-index-contact"
          }
        ],
        "status": "active",
        "type": [
          {
            "coding": [
              {
                "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-program-area",
                "code": "hiv",
                "display": "HIV"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-program-service",
                "code": "art",
                "display": "ART/TARV (Antiretroviral Therapy)"
              }
            ]
          }
        ],
        "patient": {
          "reference": "Patient/PatientRegistrationExample"
        },
        "period": {
          "start": "2026-01-10"
        }
      },
      "request": {
        "method": "PUT",
        "url": "EpisodeOfCare/ProgramEnrollmentARTExample"
      }
    },
    {
      "fullUrl": "http://misau.gov.mz/fhir/sis-rme/Encounter/HIVConsultationExample",
      "resource": {
        "resourceType": "Encounter",
        "id": "HIVConsultationExample",
        "meta": {
          "profile": [
            "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-hiv-consultation"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_HIVConsultationExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter HIVConsultationExample</b></p><a name=\"HIVConsultationExample\"> </a><a name=\"hcHIVConsultationExample\"> </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-sisrme-hiv-consultation.html\">SIS-RME HIV Consultation</a></p></div><blockquote><p><b>Prior ART History</b></p><ul><li>priorARVUse: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0532 Y}\">Yes</span></li><li>everAttendedARTClinic: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0532 Y}\">Yes</span></li></ul></blockquote><blockquote><p><b>ART Initiation</b></p><ul><li>artStartDate: 2023-04-02</li><li>initialRegimen: TDF/3TC/DTG</li><li>whoStageAtInitiation: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-who-clinical-stage stage-1}\">WHO Clinical Stage 1</span></li><li>pregnantAtStart: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0532 N}\">No</span></li><li>breastfeedingAtStart: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0532 N}\">No</span></li></ul></blockquote><blockquote><p><b>Screening Panel</b></p><ul><li>sti: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-screening-result negative}\">Negative/Not suspected</span></li><li>tb: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-screening-result negative}\">Negative/Not suspected</span></li><li>hypertension: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-screening-result not-done}\">Not done</span></li></ul></blockquote><p><b>Diagnoses Summary</b>: HIV infection, on ART, virally suppressed</p><p><b>Current WHO HIV Clinical Stage</b>: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-who-clinical-stage stage-1}\">WHO Clinical Stage 1</span></p><p><b>Adherence to ART (clinical impression)</b>: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-adherence-classification good}\">Good</span></p><blockquote><p><b>Differentiated Service Delivery (MDS)</b></p><ul><li>eligible: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0532 Y}\">Yes</span></li><li>state: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-dsd-state enrolled}\">Enrolled</span></li></ul></blockquote><blockquote><p><b>ARV Adherence Support</b></p><ul><li>administrator: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-arv-administrator self}\">Self-administered</span></li><li>dosesForgottenLast2Weeks: 0</li><li>classification: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-adherence-classification good}\">Good</span></li><li>adherencePercentage: 98.5</li></ul></blockquote><blockquote><p><b>Support Group Participation</b></p><ul><li>groupType: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-support-group-type mother-to-mother}\">Mother-to-Mother Support Group (MPM)</span></li></ul></blockquote><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>subject</b>: <a href=\"Patient-PatientRegistrationExample.html\">Amélia Joaquina Machava  Female, DoB: 1994-03-12 ( DIRE (Documento de Identificação e Residência para Estrangeiros): 12345678A)</a></p><p><b>episodeOfCare</b>: <a href=\"EpisodeOfCare-ProgramEnrollmentARTExample.html\">EpisodeOfCare: extension = 2026-01-10,Transferred from another Health Unit,,,,; status = active; type = HIV,ART/TARV (Antiretroviral Therapy); period = 2026-01-10 --&gt; (ongoing)</a></p><p><b>period</b>: 2026-06-15 08:30:00+0200 --&gt; 2026-06-15 09:15:00+0200</p><p><b>reasonCode</b>: <span title=\"Codes:\">Routine ART follow-up</span></p></div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "priorARVUse",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code": "Y",
                      "display": "Yes"
                    }
                  ]
                }
              },
              {
                "url": "everAttendedARTClinic",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code": "Y",
                      "display": "Yes"
                    }
                  ]
                }
              }
            ],
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-art-history"
          },
          {
            "extension": [
              {
                "url": "artStartDate",
                "valueDate": "2023-04-02"
              },
              {
                "url": "initialRegimen",
                "valueString": "TDF/3TC/DTG"
              },
              {
                "url": "whoStageAtInitiation",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-who-clinical-stage",
                      "code": "stage-1",
                      "display": "WHO Clinical Stage 1"
                    }
                  ]
                }
              },
              {
                "url": "pregnantAtStart",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code": "N",
                      "display": "No"
                    }
                  ]
                }
              },
              {
                "url": "breastfeedingAtStart",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code": "N",
                      "display": "No"
                    }
                  ]
                }
              }
            ],
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-art-initiation"
          },
          {
            "extension": [
              {
                "url": "sti",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-screening-result",
                      "code": "negative",
                      "display": "Negative/Not suspected"
                    }
                  ]
                }
              },
              {
                "url": "tb",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-screening-result",
                      "code": "negative",
                      "display": "Negative/Not suspected"
                    }
                  ]
                }
              },
              {
                "url": "hypertension",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-screening-result",
                      "code": "not-done",
                      "display": "Not done"
                    }
                  ]
                }
              }
            ],
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-screening-panel"
          },
          {
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-diagnoses-summary",
            "valueString": "HIV infection, on ART, virally suppressed"
          },
          {
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-who-stage-current",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-who-clinical-stage",
                  "code": "stage-1",
                  "display": "WHO Clinical Stage 1"
                }
              ]
            }
          },
          {
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-adherence-to-art",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-adherence-classification",
                  "code": "good",
                  "display": "Good"
                }
              ]
            }
          },
          {
            "extension": [
              {
                "url": "eligible",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code": "Y",
                      "display": "Yes"
                    }
                  ]
                }
              },
              {
                "url": "state",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-dsd-state",
                      "code": "enrolled",
                      "display": "Enrolled"
                    }
                  ]
                }
              }
            ],
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-differentiated-service-delivery"
          },
          {
            "extension": [
              {
                "url": "administrator",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-arv-administrator",
                      "code": "self",
                      "display": "Self-administered"
                    }
                  ]
                }
              },
              {
                "url": "dosesForgottenLast2Weeks",
                "valueInteger": 0
              },
              {
                "url": "classification",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-adherence-classification",
                      "code": "good",
                      "display": "Good"
                    }
                  ]
                }
              },
              {
                "url": "adherencePercentage",
                "valueDecimal": 98.5
              }
            ],
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-adherence-support"
          },
          {
            "extension": [
              {
                "url": "groupType",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-support-group-type",
                      "code": "mother-to-mother",
                      "display": "Mother-to-Mother Support Group (MPM)"
                    }
                  ]
                }
              }
            ],
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-support-group-participation"
          }
        ],
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB",
          "display": "ambulatory"
        },
        "subject": {
          "reference": "Patient/PatientRegistrationExample"
        },
        "episodeOfCare": [
          {
            "reference": "EpisodeOfCare/ProgramEnrollmentARTExample"
          }
        ],
        "period": {
          "start": "2026-06-15T08:30:00+02:00",
          "end": "2026-06-15T09:15:00+02:00"
        },
        "reasonCode": [
          {
            "text": "Routine ART follow-up"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Encounter/HIVConsultationExample"
      }
    },
    {
      "fullUrl": "http://misau.gov.mz/fhir/sis-rme/Observation/HIVVitalSignWeightExample",
      "resource": {
        "resourceType": "Observation",
        "id": "HIVVitalSignWeightExample",
        "meta": {
          "profile": [
            "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-hiv-vital-sign"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_HIVVitalSignWeightExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation HIVVitalSignWeightExample</b></p><a name=\"HIVVitalSignWeightExample\"> </a><a name=\"hcHIVVitalSignWeightExample\"> </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-sisrme-hiv-vital-sign.html\">SIS-RME HIV Consultation Vital Sign / Lab Measurement</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Body weight</span></p><p><b>subject</b>: <a href=\"Patient-PatientRegistrationExample.html\">Amélia Joaquina Machava  Female, DoB: 1994-03-12 ( DIRE (Documento de Identificação e Residência para Estrangeiros): 12345678A)</a></p><p><b>encounter</b>: <a href=\"Encounter-HIVConsultationExample.html\">Encounter: extension = ,,,HIV infection, on ART, virally suppressed,WHO Clinical Stage 1,Good,,,; status = finished; class = ambulatory (ActCode#AMB); period = 2026-06-15 08:30:00+0200 --&gt; 2026-06-15 09:15:00+0200; reasonCode = </a></p><p><b>effective</b>: 2026-06-15 09:00:00+0200</p><p><b>performer</b>: Dr. Ines Sitoe</p><p><b>value</b>: 58.4 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekg = 'kg')</span></p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "29463-7",
              "display": "Body weight"
            }
          ]
        },
        "subject": {
          "reference": "Patient/PatientRegistrationExample"
        },
        "encounter": {
          "reference": "Encounter/HIVConsultationExample"
        },
        "effectiveDateTime": "2026-06-15T09:00:00+02:00",
        "performer": [
          {
            "display": "Dr. Ines Sitoe"
          }
        ],
        "valueQuantity": {
          "value": 58.4,
          "unit": "kg",
          "system": "http://unitsofmeasure.org",
          "code": "kg"
        }
      },
      "request": {
        "method": "PUT",
        "url": "Observation/HIVVitalSignWeightExample"
      }
    },
    {
      "fullUrl": "http://misau.gov.mz/fhir/sis-rme/Observation/HIVVitalSignCD4Example",
      "resource": {
        "resourceType": "Observation",
        "id": "HIVVitalSignCD4Example",
        "meta": {
          "profile": [
            "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-hiv-vital-sign"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_HIVVitalSignCD4Example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation HIVVitalSignCD4Example</b></p><a name=\"HIVVitalSignCD4Example\"> </a><a name=\"hcHIVVitalSignCD4Example\"> </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-sisrme-hiv-vital-sign.html\">SIS-RME HIV Consultation Vital Sign / Lab Measurement</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 24467-3}\">CD3+CD4+ (T4 helper) cells [#/volume] in Blood</span></p><p><b>subject</b>: <a href=\"Patient-PatientRegistrationExample.html\">Amélia Joaquina Machava  Female, DoB: 1994-03-12 ( DIRE (Documento de Identificação e Residência para Estrangeiros): 12345678A)</a></p><p><b>encounter</b>: <a href=\"Encounter-HIVConsultationExample.html\">Encounter: extension = ,,,HIV infection, on ART, virally suppressed,WHO Clinical Stage 1,Good,,,; status = finished; class = ambulatory (ActCode#AMB); period = 2026-06-15 08:30:00+0200 --&gt; 2026-06-15 09:15:00+0200; reasonCode = </a></p><p><b>effective</b>: 2026-06-10 08:00:00+0200</p><p><b>performer</b>: Dr. Ines Sitoe</p><p><b>value</b>: 512 cells/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/uL = '/uL')</span></p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "24467-3",
              "display": "CD3+CD4+ (T4 helper) cells [#/volume] in Blood"
            }
          ]
        },
        "subject": {
          "reference": "Patient/PatientRegistrationExample"
        },
        "encounter": {
          "reference": "Encounter/HIVConsultationExample"
        },
        "effectiveDateTime": "2026-06-10T08:00:00+02:00",
        "performer": [
          {
            "display": "Dr. Ines Sitoe"
          }
        ],
        "valueQuantity": {
          "value": 512,
          "unit": "cells/uL",
          "system": "http://unitsofmeasure.org",
          "code": "/uL"
        }
      },
      "request": {
        "method": "PUT",
        "url": "Observation/HIVVitalSignCD4Example"
      }
    },
    {
      "fullUrl": "http://misau.gov.mz/fhir/sis-rme/Observation/HIVVitalSignViralLoadExample",
      "resource": {
        "resourceType": "Observation",
        "id": "HIVVitalSignViralLoadExample",
        "meta": {
          "profile": [
            "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-hiv-vital-sign"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_HIVVitalSignViralLoadExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation HIVVitalSignViralLoadExample</b></p><a name=\"HIVVitalSignViralLoadExample\"> </a><a name=\"hcHIVVitalSignViralLoadExample\"> </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-sisrme-hiv-vital-sign.html\">SIS-RME HIV Consultation Vital Sign / Lab Measurement</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 25836-8}\">HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection</span></p><p><b>subject</b>: <a href=\"Patient-PatientRegistrationExample.html\">Amélia Joaquina Machava  Female, DoB: 1994-03-12 ( DIRE (Documento de Identificação e Residência para Estrangeiros): 12345678A)</a></p><p><b>encounter</b>: <a href=\"Encounter-HIVConsultationExample.html\">Encounter: extension = ,,,HIV infection, on ART, virally suppressed,WHO Clinical Stage 1,Good,,,; status = finished; class = ambulatory (ActCode#AMB); period = 2026-06-15 08:30:00+0200 --&gt; 2026-06-15 09:15:00+0200; reasonCode = </a></p><p><b>effective</b>: 2026-06-01 08:00:00+0200</p><p><b>performer</b>: Dr. Ines Sitoe</p><p><b>value</b>: 40 copies/mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{copies}/mL = '{copies}/mL')</span></p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "25836-8",
              "display": "HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"
            }
          ]
        },
        "subject": {
          "reference": "Patient/PatientRegistrationExample"
        },
        "encounter": {
          "reference": "Encounter/HIVConsultationExample"
        },
        "effectiveDateTime": "2026-06-01T08:00:00+02:00",
        "performer": [
          {
            "display": "Dr. Ines Sitoe"
          }
        ],
        "valueQuantity": {
          "value": 40,
          "unit": "copies/mL",
          "system": "http://unitsofmeasure.org",
          "code": "{copies}/mL"
        }
      },
      "request": {
        "method": "PUT",
        "url": "Observation/HIVVitalSignViralLoadExample"
      }
    },
    {
      "fullUrl": "http://misau.gov.mz/fhir/sis-rme/MedicationRequest/MedicationRequestARTExample",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "MedicationRequestARTExample",
        "meta": {
          "profile": [
            "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-medication-request"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_MedicationRequestARTExample\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest MedicationRequestARTExample</b></p><a name=\"MedicationRequestARTExample\"> </a><a name=\"hcMedicationRequestARTExample\"> </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-sisrme-medication-request.html\">SIS-RME Medication Request</a></p></div><p><b>Prescription Type</b>: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-prescription-type art}\">ART (Antiretroviral Therapy)</span></p><p><b>Therapeutic Regimen</b>: TDF/3TC/DTG</p><p><b>Therapeutic Line</b>: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-therapeutic-line first-line}\">First Line</span></p><p><b>Patient Treatment Status</b>: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-patient-treatment-status maintenance}\">Maintenance</span></p><blockquote><p><b>Therapeutic Line Change</b></p><ul><li>changed: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0532 N}\">No</span></li></ul></blockquote><p><b>Next Refill Date</b>: 2026-07-15</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title=\"Codes:{http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-medication-code-example tdf-3tc-dtg}\">Tenofovir/Lamivudine/Dolutegravir (TDF/3TC/DTG)</span></p><p><b>subject</b>: <a href=\"Patient-PatientRegistrationExample.html\">Amélia Joaquina Machava  Female, DoB: 1994-03-12 ( DIRE (Documento de Identificação e Residência para Estrangeiros): 12345678A)</a></p><p><b>encounter</b>: <a href=\"Encounter-HIVConsultationExample.html\">Encounter: extension = ,,,HIV infection, on ART, virally suppressed,WHO Clinical Stage 1,Good,,,; status = finished; class = ambulatory (ActCode#AMB); period = 2026-06-15 08:30:00+0200 --&gt; 2026-06-15 09:15:00+0200; reasonCode = </a></p><p><b>authoredOn</b>: 2026-06-15</p><p><b>requester</b>: Dr. Ines Sitoe</p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take one tablet by mouth once daily</p><p><b>timing</b>: Code </p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral route</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1 tablet<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{tablet} = '{tablet}')</span></td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>quantity</b>: 30 tablet<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{tablet} = '{tablet}')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>month</td><td><a href=\"http://unitsofmeasure.org\">http://unitsofmeasure.org</a></td><td>mo</td></tr></table></blockquote></div>"
        },
        "extension": [
          {
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-prescription-type-ext",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-prescription-type",
                  "code": "art",
                  "display": "ART (Antiretroviral Therapy)"
                }
              ]
            }
          },
          {
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-therapeutic-regimen",
            "valueString": "TDF/3TC/DTG"
          },
          {
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-therapeutic-line-ext",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-therapeutic-line",
                  "code": "first-line",
                  "display": "First Line"
                }
              ]
            }
          },
          {
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-patient-treatment-status-ext",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-patient-treatment-status",
                  "code": "maintenance",
                  "display": "Maintenance"
                }
              ]
            }
          },
          {
            "extension": [
              {
                "url": "changed",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code": "N",
                      "display": "No"
                    }
                  ]
                }
              }
            ],
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-line-change"
          },
          {
            "url": "http://misau.gov.mz/fhir/sis-rme/StructureDefinition/sisrme-next-refill-date",
            "valueDate": "2026-07-15"
          }
        ],
        "status": "active",
        "intent": "order",
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-medication-code-example",
              "code": "tdf-3tc-dtg",
              "display": "Tenofovir/Lamivudine/Dolutegravir (TDF/3TC/DTG)"
            }
          ]
        },
        "subject": {
          "reference": "Patient/PatientRegistrationExample"
        },
        "encounter": {
          "reference": "Encounter/HIVConsultationExample"
        },
        "authoredOn": "2026-06-15",
        "requester": {
          "display": "Dr. Ines Sitoe"
        },
        "dosageInstruction": [
          {
            "text": "Take one tablet by mouth once daily",
            "timing": {
              "code": {
                "coding": [
                  {
                    "system": "http://misau.gov.mz/fhir/sis-rme/CodeSystem/sisrme-medication-frequency",
                    "code": "every-24-hours",
                    "display": "Every 24 hours"
                  }
                ]
              }
            },
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "26643006",
                  "display": "Oral route"
                }
              ]
            },
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 1,
                  "unit": "tablet",
                  "system": "http://unitsofmeasure.org",
                  "code": "{tablet}"
                }
              }
            ]
          }
        ],
        "dispenseRequest": {
          "quantity": {
            "value": 30,
            "unit": "tablet",
            "system": "http://unitsofmeasure.org",
            "code": "{tablet}"
          },
          "expectedSupplyDuration": {
            "value": 1,
            "unit": "month",
            "system": "http://unitsofmeasure.org",
            "code": "mo"
          }
        }
      },
      "request": {
        "method": "PUT",
        "url": "MedicationRequest/MedicationRequestARTExample"
      }
    }
  ]
}