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IdBundle-bundle-document-icvp-example.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "bundle-document-icvp-example",
  "meta": {
    "profile": [
      "http://racsel.org/StructureDefinition/LACBundleIPSICVP"
    ]
  },
  "identifier": {
    "system": "urn:oid:2.16.170.1.1.100000000",
    "value": "IPS-icvp"
  },
  "type": "document",
  "timestamp": "2025-10-12T11:00:00Z",
  "entry": [
    {
      "fullUrl": "urn:uuid:a1b2c3d4-e5f6-4789-a1b2-c3d4e5f67890",
      "resource": {
        "resourceType": "Composition",
        "id": "a1b2c3d4-e5f6-4789-a1b2-c3d4e5f67890",
        "meta": {
          "profile": [
            "http://racsel.org/StructureDefinition/LACCompositionICVP"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_a1b2c3d4-e5f6-4789-a1b2-c3d4e5f67890\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition a1b2c3d4-e5f6-4789-a1b2-c3d4e5f67890</b></p><a name=\"a1b2c3d4-e5f6-4789-a1b2-c3d4e5f67890\"> </a><a name=\"hca1b2c3d4-e5f6-4789-a1b2-c3d4e5f67890\"> </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-LACCompositionICVP.html\">LACCompositionICVP</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>: 2025-10-12 11:00:00+0000</p><p><b>author</b>: <a href=\"Bundle-bundle-document-icvp-example.html#urn-uuid-e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01234\">Practitioner Isabel De Obaldía </a></p><p><b>title</b>: International Patient Summary - ICVP-Gaby Moreno</p><p><b>custodian</b>: <a href=\"Bundle-bundle-document-icvp-example.html#urn-uuid-c3d4e5f6-a7b8-4901-c3d4-e5f6a7b89012\">Organization Clínica Hospital San Fernando (ID E7F8)</a></p></div>"
        },
        "status": "final",
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "60591-5",
              "display": "Patient summary Document"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:b2c3d4e5-f6a7-4890-b2c3-d4e5f6a78901"
        },
        "date": "2025-10-12T11:00:00Z",
        "author": [
          {
            "reference": "urn:uuid:e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01234"
          }
        ],
        "title": "International Patient Summary - ICVP-Gaby Moreno",
        "custodian": {
          "reference": "urn:uuid:c3d4e5f6-a7b8-4901-c3d4-e5f6a7b89012"
        },
        "section": [
          {
            "title": "Active Problems",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11450-4",
                  "display": "Problem list - Reported"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Active patient problem list</div>"
            },
            "emptyReason": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/list-empty-reason",
                  "code": "unavailable",
                  "display": "Unavailable"
                }
              ]
            }
          },
          {
            "title": "Medications",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10160-0",
                  "display": "History of Medication use Narrative"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li><div><b>Medication Name</b>: Oral anastrozole 1mg tablet</div><div><b>Code</b>: <span/></div><div><b>Status</b>: <span>Active, started March 2015</span></div><div>Instructions: Take 1 time per day</div></li></ul></div>"
            },
            "emptyReason": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/list-empty-reason",
                  "code": "unavailable",
                  "display": "Unavailable"
                }
              ]
            }
          },
          {
            "title": "Allergies and Intolerances",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48765-2",
                  "display": "Allergies and adverse reactions Document"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Known allergies and intolerances</div>"
            },
            "emptyReason": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/list-empty-reason",
                  "code": "unavailable",
                  "display": "Unavailable"
                }
              ]
            }
          },
          {
            "title": "Immunizations",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11369-6",
                  "display": "History of Immunization note"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Received immunizations</div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01236"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:b2c3d4e5-f6a7-4890-b2c3-d4e5f6a78901",
      "resource": {
        "resourceType": "Patient",
        "id": "b2c3d4e5-f6a7-4890-b2c3-d4e5f6a78901",
        "meta": {
          "profile": [
            "http://racsel.org/StructureDefinition/LACPatient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_b2c3d4e5-f6a7-4890-b2c3-d4e5f6a78901\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient b2c3d4e5-f6a7-4890-b2c3-d4e5f6a78901</b></p><a name=\"b2c3d4e5-f6a7-4890-b2c3-d4e5f6a78901\"> </a><a name=\"hcb2c3d4e5-f6a7-4890-b2c3-d4e5f6a78901\"> </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-LACPatient.html\">LACPatient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Gaby Moreno (official) Female, DoB: 1981-12-16 ( National unique individual identifier (use: official, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Passport number/GT098765 (use: official, )</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">Guatemala</td></tr></table></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PPN"
                }
              ]
            },
            "system": "urn:oid.2.16.591",
            "value": "GT098765"
          },
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "NI"
                }
              ]
            },
            "system": "urn:oid.2.16.591",
            "value": "GT098765"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Moreno",
            "given": [
              "Gaby"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "1981-12-16",
        "address": [
          {
            "text": "Guatemala",
            "country": "GT"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:c3d4e5f6-a7b8-4901-c3d4-e5f6a7b89012",
      "resource": {
        "resourceType": "Organization",
        "id": "c3d4e5f6-a7b8-4901-c3d4-e5f6a7b89012",
        "meta": {
          "profile": [
            "http://racsel.org/StructureDefinition/LACOrganization"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_c3d4e5f6-a7b8-4901-c3d4-e5f6a7b89012\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization c3d4e5f6-a7b8-4901-c3d4-e5f6a7b89012</b></p><a name=\"c3d4e5f6-a7b8-4901-c3d4-e5f6a7b89012\"> </a><a name=\"hcc3d4e5f6-a7b8-4901-c3d4-e5f6a7b89012\"> </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-LACOrganization.html\">LACOrganization</a></p></div><p><b>name</b>: Clínica Hospital San Fernando (ID E7F8)</p><p><b>address</b>: Via España, Calle 51 y 52, Ciudad de Panamá</p></div>"
        },
        "name": "Clínica Hospital San Fernando (ID E7F8)",
        "address": [
          {
            "text": "Via España, Calle 51 y 52, Ciudad de Panamá",
            "country": "PA"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01234",
      "resource": {
        "resourceType": "Practitioner",
        "id": "e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01234",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01234\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01234</b></p><a name=\"e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01234\"> </a><a name=\"hce5f6a7b8-c9d0-4123-e5f6-a7b8c9d01234\"> </a><p><b>name</b>: Isabel De Obaldía </p><h3>Qualifications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0360 MD}\">Doctor of Medicine</span></td></tr></table></div>"
        },
        "name": [
          {
            "family": "De Obaldía",
            "given": [
              "Isabel"
            ]
          }
        ],
        "qualification": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0360",
                  "code": "MD",
                  "display": "Doctor of Medicine"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01236",
      "resource": {
        "resourceType": "Immunization",
        "id": "e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01236",
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Immunization_e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01236\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Immunization e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01236</b></p><a name=\"e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01236\"> </a><a name=\"hce5f6a7b8-c9d0-4123-e5f6-a7b8c9d01236\"> </a><p><b>ProductID</b>: <a href=\"http://smart.who.int/pcmt-vaxprequal/v0.2.0/CodeSystem-PreQualProductIds.html#PreQualProductIds-PolioVaccineOralOPVTrivaProductfa4849f7532d522134f4102063af1617\">WHO PreQualificaiton Vaccine Product Ids: PolioVaccineOralOPVTrivaProductfa4849f7532d522134f4102063af1617</a> (20/03/2015Polio Vaccine - Oral (OPV) TrivalentBIOPOLIOVial10Bharat Biotech International LimitedCentral Drugs Standard Control Organization)</p><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualVaccineType PolioVaccineOralOPVTrivalent}, {http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualProductIds PolioVaccineOralOPVTrivaProductfa4849f7532d522134f4102063af1617}, {http://id.who.int/icd11/mms XM0N50}\">Oral poliomyelitis vaccine (OPV)</span></p><p><b>patient</b>: <a href=\"Bundle-bundle-document-icvp-example.html#urn-uuid-b2c3d4e5-f6a7-4890-b2c3-d4e5f6a78901\">Gaby Moreno (official) Female, DoB: 1981-12-16 ( National unique individual identifier (use: official, ))</a></p><p><b>occurrence</b>: 2021-08-09 00:00:00+0000</p><p><b>lotNumber</b>: 123123123</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-bundle-document-icvp-example.html#urn-uuid-e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01234\">Practitioner Isabel De Obaldía </a></td></tr></table><h3>ProtocolApplieds</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DoseNumber[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td></tr></table></div>"
        },
        "extension": [
          {
            "url": "http://smart.who.int/pcmt/StructureDefinition/ProductID",
            "valueCoding": {
              "system": "http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualProductIds",
              "code": "PolioVaccineOralOPVTrivaProductfa4849f7532d522134f4102063af1617",
              "display": "20/03/2015Polio Vaccine - Oral (OPV) TrivalentBIOPOLIOVial10Bharat Biotech International LimitedCentral Drugs Standard Control Organization"
            }
          }
        ],
        "status": "completed",
        "vaccineCode": {
          "coding": [
            {
              "system": "http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualVaccineType",
              "code": "PolioVaccineOralOPVTrivalent"
            },
            {
              "system": "http://smart.who.int/pcmt-vaxprequal/CodeSystem/PreQualProductIds",
              "code": "PolioVaccineOralOPVTrivaProductfa4849f7532d522134f4102063af1617",
              "display": "20/03/2015Polio Vaccine - Oral (OPV) TrivalentBIOPOLIOVial10Bharat Biotech International LimitedCentral Drugs Standard Control Organization"
            },
            {
              "system": "http://id.who.int/icd11/mms",
              "code": "XM0N50",
              "display": "Vacuna para la poliomielitis"
            }
          ],
          "text": "Oral poliomyelitis vaccine (OPV)"
        },
        "patient": {
          "reference": "urn:uuid:b2c3d4e5-f6a7-4890-b2c3-d4e5f6a78901"
        },
        "occurrenceDateTime": "2021-08-09T00:00:00Z",
        "lotNumber": "123123123",
        "performer": [
          {
            "actor": {
              "reference": "urn:uuid:e5f6a7b8-c9d0-4123-e5f6-a7b8c9d01234"
            }
          }
        ],
        "protocolApplied": [
          {
            "doseNumberPositiveInt": 1
          }
        ]
      }
    }
  ]
}