Validation result

Information

File Name
OID :
1.3.6.1.4.1.12559.11.50.4.113
Validation Date :
11/21/24 10:30:36 AM (EST GMT-0500)
Matchbox (3.9.0)
http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/bundle-ca-ps|2.0.0-DFT-preBallot
Validation Results :
DONE_FAILED
Permanent link :
https://pancanadianio.ihe-catalyst.net/evs/report.seam?oid=1.3.6.1.4.1.12559.11.50.4.113
Data Visibility :
Public

Validation Results

«
↓
»

Matchbox Standard Report
Additional Metadata Matchbox
XML

«
↓
»
Validation Summary
1
19
17

Validation of item #226FAILED

Validation Summary
1
19
17
Constraint ID
Validation_VAL_Profile_NoSnapshot
Constraint Type
InstanceValidator
Constraint Description
StructureDefinition http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/bundle-ca-ps has no snapshot - validation is against the snapshot, so it must be provided
Location in validated object
line 1, column 2, FHIRPath: Bundle
Constraint ID
BUNDLE_BUNDLE_ENTRY_REVERSE_R4
Constraint Type
InstanceValidator
Constraint Description
Entry 'urn:uuid:204708c1-b026-429a-8b19-e5b8578e2577' isn't reachable by traversing forwards from the Composition. Only Provenance is approved to be used this way (R4 section 3.3.1)
Location in validated object
line 1254, column 4, FHIRPath: Bundle.entry[45]
Constraint ID
BUNDLE_BUNDLE_ENTRY_REVERSE_R4
Constraint Type
InstanceValidator
Constraint Description
Entry 'urn:uuid:4f786ae4-0de8-45f8-bbed-167a136870e1' isn't reachable by traversing forwards from the Composition. Only Provenance is approved to be used this way (R4 section 3.3.1)
Location in validated object
line 1424, column 4, FHIRPath: Bundle.entry[45]
Constraint ID
BUNDLE_BUNDLE_ENTRY_REVERSE_R4
Constraint Type
InstanceValidator
Constraint Description
Entry 'urn:uuid:8ff34384-f6e7-44a9-b791-53fa13ada732' isn't reachable by traversing forwards from the Composition. Only Provenance is approved to be used this way (R4 section 3.3.1)
Location in validated object
line 1449, column 4, FHIRPath: Bundle.entry[45]
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 834, column 6, FHIRPath: Bundle.entry[23].resource
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 868, column 6, FHIRPath: Bundle.entry[24].resource
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 903, column 6, FHIRPath: Bundle.entry[25].resource
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 937, column 6, FHIRPath: Bundle.entry[26].resource
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 993, column 6, FHIRPath: Bundle.entry[27].resource
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 1026, column 6, FHIRPath: Bundle.entry[28].resource
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 1061, column 6, FHIRPath: Bundle.entry[29].resource
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 1095, column 6, FHIRPath: Bundle.entry[30].resource
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 1128, column 6, FHIRPath: Bundle.entry[31].resource
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 1163, column 6, FHIRPath: Bundle.entry[32].resource
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 1329, column 6, FHIRPath: Bundle.entry[38].resource
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 1353, column 6, FHIRPath: Bundle.entry[39].resource
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 1379, column 6, FHIRPath: Bundle.entry[40].resource
Constraint ID
All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have an effective[x] ()
Location in validated object
line 1379, column 6, FHIRPath: Bundle.entry[40].resource
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 1426, column 6, FHIRPath: Bundle.entry[42].resource
Constraint ID
All_observations_should_have_a_performer
Constraint Type
InstanceValidator
Constraint Description
Best Practice Recommendation: In general, all observations should have a performer
Location in validated object
line 1451, column 6, FHIRPath: Bundle.entry[43].resource
Constraint ID
VALIDATION_VAL_PROFILE_SIGNPOST_OBS
Constraint Type
InstanceValidator
Constraint Description
Validate Observation against the Body mass index profile (http://hl7.org/fhir/StructureDefinition/bmi) which is required by the FHIR specification because the LOINC code 39156-5 was found
Location in validated object
line 834, column 6, FHIRPath: Bundle.entry[23].resource
Constraint ID
INVALID
Constraint Type
TerminologyEngine
Constraint Description
There are no valid display names found for the code http://loinc.org#39156-5 for language(s) 'english'. The display is 'Body mass index (BMI) [Ratio]' the default language display
Location in validated object
line 848, column 8, FHIRPath: Bundle.entry[23].resource.code.coding[0].display
Constraint ID
VALIDATION_VAL_PROFILE_SIGNPOST_OBS
Constraint Type
InstanceValidator
Constraint Description
Validate Observation against the Body height profile (http://hl7.org/fhir/StructureDefinition/bodyheight) which is required by the FHIR specification because the LOINC code 8302-2 was found
Location in validated object
line 868, column 6, FHIRPath: Bundle.entry[24].resource
Constraint ID
INVALID
Constraint Type
TerminologyEngine
Constraint Description
There are no valid display names found for the code http://loinc.org#8302-2 for language(s) 'english'. The display is 'Body height' the default language display
Location in validated object
line 882, column 8, FHIRPath: Bundle.entry[24].resource.code.coding[0].display
Constraint ID
VALIDATION_VAL_PROFILE_SIGNPOST_OBS
Constraint Type
InstanceValidator
Constraint Description
Validate Observation against the Body weight profile (http://hl7.org/fhir/StructureDefinition/bodyweight) which is required by the FHIR specification because the LOINC code 29463-7 was found
Location in validated object
line 903, column 6, FHIRPath: Bundle.entry[25].resource
Constraint ID
VALIDATION_VAL_PROFILE_SIGNPOST_OBS
Constraint Type
InstanceValidator
Constraint Description
Validate Observation against the Blood pressure systolic and diastolic profile (http://hl7.org/fhir/StructureDefinition/bp) which is required by the FHIR specification because the LOINC code 85354-9 was found
Location in validated object
line 937, column 6, FHIRPath: Bundle.entry[26].resource
Constraint ID
INVALID
Constraint Type
TerminologyEngine
Constraint Description
There are no valid display names found for the code http://loinc.org#8480-6 for language(s) 'english'. The display is 'Systolic blood pressure' the default language display
Location in validated object
line 962, column 10, FHIRPath: Bundle.entry[26].resource.component[0].code.coding[0].display
Constraint ID
INVALID
Constraint Type
TerminologyEngine
Constraint Description
There are no valid display names found for the code http://loinc.org#8462-4 for language(s) 'english'. The display is 'Diastolic blood pressure' the default language display
Location in validated object
line 976, column 10, FHIRPath: Bundle.entry[26].resource.component[1].code.coding[0].display
Constraint ID
VALIDATION_VAL_PROFILE_SIGNPOST_OBS
Constraint Type
InstanceValidator
Constraint Description
Validate Observation against the Body temperature profile (http://hl7.org/fhir/StructureDefinition/bodytemp) which is required by the FHIR specification because the LOINC code 8310-5 was found
Location in validated object
line 993, column 6, FHIRPath: Bundle.entry[27].resource
Constraint ID
VALIDATION_VAL_PROFILE_SIGNPOST_OBS
Constraint Type
InstanceValidator
Constraint Description
Validate Observation against the Head circumference profile (http://hl7.org/fhir/StructureDefinition/headcircum) which is required by the FHIR specification because the LOINC code 9843-4 was found
Location in validated object
line 1026, column 6, FHIRPath: Bundle.entry[28].resource
Constraint ID
INVALID
Constraint Type
TerminologyEngine
Constraint Description
There are no valid display names found for the code http://loinc.org#9843-4 for language(s) 'english'. The display is 'Head Occipital-frontal circumference' the default language display
Location in validated object
line 1040, column 8, FHIRPath: Bundle.entry[28].resource.code.coding[0].display
Constraint ID
VALIDATION_VAL_PROFILE_SIGNPOST_OBS
Constraint Type
InstanceValidator
Constraint Description
Validate Observation against the Heart rate profile (http://hl7.org/fhir/StructureDefinition/heartrate) which is required by the FHIR specification because the LOINC code 8867-4 was found
Location in validated object
line 1061, column 6, FHIRPath: Bundle.entry[29].resource
Constraint ID
VALIDATION_VAL_PROFILE_SIGNPOST_OBS
Constraint Type
InstanceValidator
Constraint Description
Validate Observation against the Oxygen saturation profile (http://hl7.org/fhir/StructureDefinition/oxygensat) which is required by the FHIR specification because the LOINC code 2708-6 was found
Location in validated object
line 1095, column 6, FHIRPath: Bundle.entry[30].resource
Constraint ID
VALIDATION_VAL_PROFILE_SIGNPOST_OBS
Constraint Type
InstanceValidator
Constraint Description
Validate Observation against the Respiratory Rate profile (http://hl7.org/fhir/StructureDefinition/resprate) which is required by the FHIR specification because the LOINC code 9279-1 was found
Location in validated object
line 1128, column 6, FHIRPath: Bundle.entry[31].resource
Constraint ID
INVALID
Constraint Type
TerminologyEngine
Constraint Description
There are no valid display names found for the code http://loinc.org#9279-1 for language(s) 'english'. The display is 'Respiratory rate' the default language display
Location in validated object
line 1142, column 8, FHIRPath: Bundle.entry[31].resource.code.coding[0].display
Constraint ID
VALIDATION_VAL_PROFILE_SIGNPOST_OBS
Constraint Type
InstanceValidator
Constraint Description
Validate Observation against the Vital Signs Panel profile (http://hl7.org/fhir/StructureDefinition/vitalspanel) which is required by the FHIR specification because the LOINC code 85353-1 was found
Location in validated object
line 1163, column 6, FHIRPath: Bundle.entry[32].resource
Constraint ID
INVALID
Constraint Type
TerminologyEngine
Constraint Description
There are no valid display names found for the code http://loinc.org#85353-1 for language(s) 'english'. The display is 'Vital signs, weight, height, head circumference, oxygen saturation and BMI panel' the default language display
Location in validated object
line 1177, column 8, FHIRPath: Bundle.entry[32].resource.code.coding[0].display

File Content



JSON
JSON Tree
Binary content

«
↓
»

The following content has been modified for better visualization. Validation will be performed on original content
1 {
2   "resourceType" : "Bundle",
3   "id" : "35946",
4   "meta" : {
5     "versionId" : "1",
6     "lastUpdated" : "2024-11-13T17:18:03.489+00:00",
7     "source" : "#PRgCccioCgLkNF1p",
8     "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/bundle-ca-ps" ]
9   },
10   "identifier" : {
11     "system" : "http://ex-ps-identifier-system.org",
12     "value" : "urn:uuid:175bd032-8b00-4728-b2dc-748bb1501aed"
13   },
14   "type" : "document",
15   "timestamp" : "2021-12-11T14:30:00+01:00",
16   "entry" : [ {
17     "fullUrl" : "urn:uuid:c5aa5a1c-7e76-4ea2-a489-226059c84be3",
18     "resource" : {
19       "resourceType" : "Composition",
20       "meta" : {
21         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/composition-ca-ps" ]
22       },
23       "text" : {
24         "status" : "additional",
25         "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Primary Problem: Roberta is a normally well-controlled Type 2 diabetic with well-managed hypertension. She experiences occassional gout attacks. Significant Clinical Event Requiring Patient Summary: Roberta has been been experiencing some neuropathy she is assuming is caused by her diabetes, and her gout is flaring up. She needs to see a GP in Yellowknife and may need a referral. Dr Allan GP (Prac ID 9600), Roberta's most responsible GP in Ontario, is wanting to communicate Roberta's clinical information to Dr Smith (Prac ID 2222) a GP in Alberta where Roberta is working.</div>"
26       },
27       "identifier" : {
28         "system" : "urn:oid:2.16.724.4.8.10.200.10",
29         "value" : "ee5ac342-23d9-4ff1-9ea7-264323866d80"
30       },
31       "status" : "final",
32       "type" : {
33         "coding" : [ {
34           "system" : "http://loinc.org",
35           "code" : "60591-5",
36           "display" : "Patient summary Document"
37         } ]
38       },
39       "subject" : {
40         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
41       },
42       "encounter" : {
43         "display" : "Encounter related to this patient summary"
44       },
45       "date" : "2021-12-11T14:30:00+01:00",
46       "author" : [ {
47         "reference" : "urn:uuid:b5cf9ac3-c323-490e-87e4-88fbf65b9888"
48       } ],
49       "title" : "Patient Summary PS-CA as of November 8, 2024",
50       "attester" : [ {
51         "mode" : "legal",
52         "time" : "2023-04-17T18:20:00-06:00",
53         "party" : {
54           "reference" : "urn:uuid:a3cf9ac3-c323-490e-87e4-88fbf65b9600"
55         }
56       } ],
57       "custodian" : {
58         "reference" : "urn:uuid:d931f072-38f9-46ac-98b5-d470404e5aa0"
59       },
60       "relatesTo" : [ {
61         "code" : "replaces",
62         "targetIdentifier" : {
63           "assigner" : {
64             "display" : "Previous Composition being replaced"
65           }
66         }
67       } ],
68       "event" : [ {
69         "code" : [ {
70           "coding" : [ {
71             "system" : "http:terminology.hl7.org/CodeSystem/v3-ActClass",
72             "code" : "PCPR",
73             "display" : "Care Provision"
74           } ]
75         } ],
76         "period" : {
77           "start" : "2024-10-02"
78         }
79       } ],
80       "section" : [ {
81         "title" : "Medications",
82         "code" : {
83           "coding" : [ {
84             "system" : "http://loinc.org",
85             "code" : "10160-0"
86           } ]
87         },
88         "text" : {
89           "status" : "additional",
90           "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Medications</div>"
91         },
92         "entry" : [ {
93           "reference" : "urn:uuid:03cd9a05-597b-4d34-a203-ac5d8134eabd"
94         }, {
95           "reference" : "urn:uuid:407c998a-d316-4172-a01f-21f5849113ee"
96         }, {
97           "reference" : "urn:uuid:10d9bfce-8f9a-4f3e-9a94-f5be9a55b6bd"
98         }, {
99           "reference" : "urn:uuid:c999b842-6111-4fbb-8296-1b4638506668"
100         } ]
101       }, {
102         "title" : "Allergies and Intolerances",
103         "code" : {
104           "coding" : [ {
105             "system" : "http://loinc.org",
106             "code" : "48765-2"
107           } ]
108         },
109         "text" : {
110           "status" : "additional",
111           "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Allergies and Intolerances</div>"
112         },
113         "entry" : [ {
114           "reference" : "urn:uuid:ceea9c48-759d-4636-a11e-0a067b32973a"
115         } ]
116       }, {
117         "title" : "Active Problems",
118         "code" : {
119           "coding" : [ {
120             "system" : "http://loinc.org",
121             "code" : "11450-4"
122           } ]
123         },
124         "text" : {
125           "status" : "additional",
126           "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Current list of problems</div>"
127         },
128         "entry" : [ {
129           "reference" : "urn:uuid:3ea95c2b-cd7d-4ad4-b5f7-10c6563180e7"
130         } ]
131       }, {
132         "title" : "History of Procedures",
133         "code" : {
134           "coding" : [ {
135             "system" : "http://loinc.org",
136             "code" : "47519-4"
137           } ]
138         },
139         "text" : {
140           "status" : "additional",
141           "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">History of Procedures</div>"
142         },
143         "entry" : [ {
144           "reference" : "urn:uuid:ef5afbe1-eaee-4b44-afa7-69fe21bedeb9"
145         } ]
146       }, {
147         "title" : "Immunizations",
148         "code" : {
149           "coding" : [ {
150             "system" : "http://loinc.org",
151             "code" : "11369-6"
152           } ]
153         },
154         "text" : {
155           "status" : "generated",
156           "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Immunizations</p></div>"
157         },
158         "entry" : [ {
159           "reference" : "urn:uuid:c718d089-e7bb-47fb-9547-4b56c9d05da8"
160         }, {
161           "reference" : "urn:uuid:674942fb-69a2-4f2a-8f66-807ef1512f27"
162         }, {
163           "reference" : "urn:uuid:4b979c1f-c8cb-4eee-acc8-367cc140631e"
164         } ]
165       }, {
166         "title" : "Medical Devices",
167         "code" : {
168           "coding" : [ {
169             "system" : "http://loinc.org",
170             "code" : "46264-8"
171           } ]
172         },
173         "text" : {
174           "status" : "generated",
175           "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Medical Devices</p></div>"
176         },
177         "entry" : [ {
178           "reference" : "urn:uuid:e8269a7e-c843-4703-a4d2-4aa6cf32a8e3"
179         } ]
180       }, {
181         "title" : "Results",
182         "code" : {
183           "coding" : [ {
184             "system" : "http://loinc.org",
185             "code" : "30954-2"
186           } ]
187         },
188         "text" : {
189           "status" : "generated",
190           "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Results</p></div>"
191         },
192         "entry" : [ {
193           "reference" : "urn:uuid:a0261df5-9df8-49fc-a137-0cbd3d929c02"
194         }, {
195           "reference" : "urn:uuid:523afbfe-0842-4060-93c1-297ae2a34223"
196         }, {
197           "reference" : "urn:uuid:ea37d521-e8ac-4aec-b9bd-a34cb6f42d49"
198         }, {
199           "reference" : "urn:uuid:e211f7f5-a818-4144-9a43-efbc70dced3c"
200         }, {
201           "reference" : "urn:uuid:37ddfe07-0ec1-4f23-bcda-57c523282a78"
202         } ]
203       }, {
204         "title" : "Vital Signs",
205         "code" : {
206           "coding" : [ {
207             "system" : "http://loinc.org",
208             "code" : "8716-3"
209           } ]
210         },
211         "text" : {
212           "status" : "generated",
213           "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Results</p></div>"
214         },
215         "entry" : [ {
216           "reference" : "urn:uuid:6c4b6a3e-2c64-4de3-b23e-e435347052e6"
217         }, {
218           "reference" : "urn:uuid:dab22b4c-518c-48a8-9220-8c74f56ad896"
219         }, {
220           "reference" : "urn:uuid:77537ea0-85a1-40d0-88e7-9f488a3ba174"
221         }, {
222           "reference" : "urn:uuid:9a9891a6-aaa8-4c66-88d2-bb67800d36d0"
223         }, {
224           "reference" : "urn:uuid:e526a79d-2afc-4240-b2fb-2d36b09f7f6b"
225         }, {
226           "reference" : "urn:uuid:5d882fe0-dcdd-47ca-85f2-ccfc90159bde"
227         }, {
228           "reference" : "urn:uuid:b59874ac-db9f-4d45-8397-70c507d48cd8"
229         }, {
230           "reference" : "urn:uuid:41d33a71-a265-45b9-82bd-a787ad0ec23c"
231         }, {
232           "reference" : "urn:uuid:3a6d98f3-3bd0-4c0c-b58e-3db7427804a1"
233         }, {
234           "reference" : "urn:uuid:e04b6a9f-4a2c-4b57-8f55-4811984cc222"
235         } ]
236       }, {
237         "title" : "Past History of Illness",
238         "code" : {
239           "coding" : [ {
240             "system" : "http://loinc.org",
241             "code" : "11348-0"
242           } ]
243         },
244         "text" : {
245           "status" : "generated",
246           "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Past History of Illness</p></div>"
247         },
248         "entry" : [ {
249           "reference" : "urn:uuid:81d9c649-6896-4572-bd05-74b9a9bd227a"
250         } ]
251       }, {
252         "title" : "Functional Status",
253         "code" : {
254           "coding" : [ {
255             "system" : "http://loinc.org",
256             "code" : "47420-5"
257           } ]
258         },
259         "text" : {
260           "status" : "generated",
261           "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Functional Status</p></div>"
262         },
263         "entry" : [ {
264           "reference" : "urn:uuid:0ceb29b9-6156-45a0-9a0e-ae1d7e3ac53a"
265         } ]
266       }, {
267         "title" : "Plan of Care",
268         "code" : {
269           "coding" : [ {
270             "system" : "http://loinc.org",
271             "code" : "18776-5"
272           } ]
273         },
274         "text" : {
275           "status" : "generated",
276           "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>There is no plan of care because ...</p></div>"
277         },
278         "emptyReason" : {
279           "coding" : [ {
280             "system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
281             "code" : "unavailable",
282             "display" : "Unavailable"
283           } ],
284           "text" : "Unavailable"
285         }
286       }, {
287         "title" : "Social History",
288         "code" : {
289           "coding" : [ {
290             "system" : "http://loinc.org",
291             "code" : "29762-2"
292           } ]
293         },
294         "text" : {
295           "status" : "generated",
296           "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Social History</p></div>"
297         },
298         "entry" : [ {
299           "reference" : "urn:uuid:6f01c38b-043b-4c91-8131-835c7009b3fd"
300         }, {
301           "reference" : "urn:uuid:7cd8f128-23a4-4f97-9986-d778b7aa8c95"
302         }, {
303           "reference" : "urn:uuid:2df99df4-465e-4bab-9313-fbe9117f1d37"
304         } ]
305       }, {
306         "title" : "Family History",
307         "code" : {
308           "coding" : [ {
309             "system" : "http://loinc.org",
310             "code" : "10157-6"
311           } ]
312         },
313         "text" : {
314           "status" : "generated",
315           "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Family History</p></div>"
316         },
317         "entry" : [ {
318           "reference" : "urn:uuid:6be80d8c-4c63-41f1-b9b2-b06cb144afb1"
319         } ]
320       } ]
321     }
322   }, {
323     "fullUrl" : "urn:uuid:a3cf9ac3-c323-490e-87e4-88fbf65b9600",
324     "resource" : {
325       "resourceType" : "Practitioner",
326       "meta" : {
327         "profile" : [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner" ]
328       },
329       "identifier" : [ {
330         "system" : "http://first-system-uri.ca",
331         "value" : "practitioner-id"
332       } ],
333       "name" : [ {
334         "family" : "Allan",
335         "given" : [ "Howard" ]
336       } ]
337     }
338   }, {
339     "fullUrl" : "urn:uuid:b5cf9ac3-c323-490e-87e4-88fbf65b9888",
340     "resource" : {
341       "resourceType" : "PractitionerRole",
342       "meta" : {
343         "profile" : [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole" ]
344       },
345       "practitioner" : {
346         "reference" : "urn:uuid:a3cf9ac3-c323-490e-87e4-88fbf65b9600"
347       },
348       "specialty" : [ {
349         "text" : "Primary Care"
350       } ],
351       "telecom" : [ {
352         "system" : "phone",
353         "value" : "555-555-3477"
354       } ]
355     }
356   }, {
357     "fullUrl" : "urn:uuid:d931f072-38f9-46ac-98b5-d470404e5aa0",
358     "resource" : {
359       "resourceType" : "Organization",
360       "meta" : {
361         "profile" : [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization" ]
362       },
363       "name" : "Fictional Custodian Organization"
364     }
365   }, {
366     "fullUrl" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e",
367     "resource" : {
368       "resourceType" : "Patient",
369       "meta" : {
370         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/patient-ca-ps" ]
371       },
372       "extension" : [ {
373         "url" : "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender",
374         "extension" : [ {
375           "url" : "value",
376           "valueCodeableConcept" : {
377             "coding" : [ {
378               "code" : "female"
379             } ]
380           }
381         } ]
382       } ],
383       "identifier" : [ {
384         "system" : "http://first-system-uri.ca",
385         "value" : "570191"
386       } ],
387       "name" : [ {
388         "text" : "Roberta Gray",
389         "family" : "Gray",
390         "given" : [ "Roberta" ]
391       } ],
392       "gender" : "female",
393       "birthDate" : "1961-07-23"
394     }
395   }, {
396     "fullUrl" : "urn:uuid:03cd9a05-597b-4d34-a203-ac5d8134eabd",
397     "resource" : {
398       "resourceType" : "MedicationStatement",
399       "meta" : {
400         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/medicationstatement-ca-ps" ]
401       },
402       "status" : "active",
403       "medicationReference" : {
404         "reference" : "urn:uuid:5d1928a7-947e-416d-a121-0005f8a2887a"
405       },
406       "subject" : {
407         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
408       },
409       "effectiveDateTime" : "2022-01-05T04:03:22-06:00",
410       "dosage" : [ {
411         "text" : "1 bid"
412       } ]
413     }
414   }, {
415     "fullUrl" : "urn:uuid:407c998a-d316-4172-a01f-21f5849113ee",
416     "resource" : {
417       "resourceType" : "MedicationStatement",
418       "meta" : {
419         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/medicationstatement-ca-ps" ]
420       },
421       "status" : "completed",
422       "medicationCodeableConcept" : {
423         "coding" : [ {
424           "system" : "https://fhir.infoway-inforoute.ca/CodeSystem/canadianclinicaldrugdataset",
425           "code" : "9000540",
426           "display" : "perindopril"
427         } ],
428         "text" : "perindopril erbumine 4 mg oral tablet"
429       },
430       "subject" : {
431         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
432       },
433       "_effectiveDateTime" : {
434         "extension" : [ {
435           "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
436           "valueCode" : "unknown"
437         } ]
438       },
439       "dosage" : [ {
440         "text" : "1 qd"
441       } ]
442     }
443   }, {
444     "fullUrl" : "urn:uuid:10d9bfce-8f9a-4f3e-9a94-f5be9a55b6bd",
445     "resource" : {
446       "resourceType" : "MedicationRequest",
447       "meta" : {
448         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/medicationrequest-ca-ps" ]
449       },
450       "status" : "active",
451       "intent" : "order",
452       "medicationReference" : {
453         "reference" : "urn:uuid:5d1928a7-947e-416d-a121-0005f8a2887a"
454       },
455       "subject" : {
456         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
457       },
458       "authoredOn" : "2022-01-05T04:03:22-06:00",
459       "dosageInstruction" : [ {
460         "text" : "1 bid"
461       } ]
462     }
463   }, {
464     "fullUrl" : "urn:uuid:c999b842-6111-4fbb-8296-1b4638506668",
465     "resource" : {
466       "resourceType" : "MedicationRequest",
467       "meta" : {
468         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/medicationrequest-ca-ps" ]
469       },
470       "status" : "unknown",
471       "intent" : "order",
472       "medicationCodeableConcept" : {
473         "coding" : [ {
474           "system" : "https://fhir.infoway-inforoute.ca/CodeSystem/canadianclinicaldrugdataset",
475           "code" : "9000152",
476           "display" : "indomethacin 50 mg oral capsule"
477         } ],
478         "text" : "indomethacin 50 mg oral capsule"
479       },
480       "subject" : {
481         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
482       },
483       "authoredOn" : "2021-12-22T20:38:41-06:00",
484       "dosageInstruction" : [ {
485         "text" : "tid prn for gout attacks"
486       } ]
487     }
488   }, {
489     "fullUrl" : "urn:uuid:5d1928a7-947e-416d-a121-0005f8a2887a",
490     "resource" : {
491       "resourceType" : "Medication",
492       "meta" : {
493         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/medication-ca-ps" ]
494       },
495       "code" : {
496         "coding" : [ {
497           "system" : "https://fhir.infoway-inforoute.ca/CodeSystem/canadianclinicaldrugdataset",
498           "code" : "2287072",
499           "display" : "GLICLAZIDE"
500         } ],
501         "text" : "gliclazide"
502       },
503       "form" : {
504         "text" : "Oral Tablet"
505       }
506     }
507   }, {
508     "fullUrl" : "urn:uuid:ceea9c48-759d-4636-a11e-0a067b32973a",
509     "resource" : {
510       "resourceType" : "AllergyIntolerance",
511       "meta" : {
512         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/allergyintolerance-ca-ps" ]
513       },
514       "clinicalStatus" : {
515         "coding" : [ {
516           "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
517           "code" : "active",
518           "display" : "Active"
519         } ]
520       },
521       "verificationStatus" : {
522         "coding" : [ {
523           "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
524           "code" : "unconfirmed",
525           "display" : "Unconfirmed"
526         } ]
527       },
528       "code" : {
529         "coding" : [ {
530           "system" : "http://snomed.info/sct",
531           "code" : "372567009",
532           "display" : "Metformin"
533         } ],
534         "text" : "Metformin (substance)"
535       },
536       "patient" : {
537         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
538       },
539       "onsetDateTime" : "1993-03-07T10:53:50-06:00",
540       "reaction" : [ {
541         "manifestation" : [ {
542           "text" : "Sneezing"
543         } ]
544       } ]
545     }
546   }, {
547     "fullUrl" : "urn:uuid:3ea95c2b-cd7d-4ad4-b5f7-10c6563180e7",
548     "resource" : {
549       "resourceType" : "Condition",
550       "meta" : {
551         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/condition-ca-ps" ]
552       },
553       "clinicalStatus" : {
554         "coding" : [ {
555           "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
556           "code" : "active"
557         } ]
558       },
559       "code" : {
560         "coding" : [ {
561           "system" : "http://snomed.info/sct",
562           "code" : "44054006",
563           "display" : "Diabetes mellitus type 2 (disorder)"
564         } ],
565         "text" : "Diabetes mellitus type 2 (disorder)"
566       },
567       "subject" : {
568         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
569       },
570       "onsetDateTime" : "2012-12-06"
571     }
572   }, {
573     "fullUrl" : "urn:uuid:ef5afbe1-eaee-4b44-afa7-69fe21bedeb9",
574     "resource" : {
575       "resourceType" : "Procedure",
576       "meta" : {
577         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/procedure-ca-ps" ]
578       },
579       "status" : "completed",
580       "code" : {
581         "coding" : [ {
582           "system" : "http://snomed.info/sct",
583           "code" : "73761001"
584         } ],
585         "text" : "Colonoscopy"
586       },
587       "subject" : {
588         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
589       },
590       "performedDateTime" : "2022-02-04"
591     }
592   }, {
593     "fullUrl" : "urn:uuid:674942fb-69a2-4f2a-8f66-807ef1512f27",
594     "resource" : {
595       "resourceType" : "Immunization",
596       "meta" : {
597         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/immunization-ca-ps" ]
598       },
599       "status" : "completed",
600       "vaccineCode" : {
601         "text" : "Pneu-P-23 Pneumovax 23 MC"
602       },
603       "patient" : {
604         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
605       },
606       "occurrenceDateTime" : "2015-01-11"
607     }
608   }, {
609     "fullUrl" : "urn:uuid:c718d089-e7bb-47fb-9547-4b56c9d05da8",
610     "resource" : {
611       "resourceType" : "Immunization",
612       "meta" : {
613         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/immunization-ca-ps" ]
614       },
615       "status" : "completed",
616       "vaccineCode" : {
617         "coding" : [ {
618           "system" : "http://snomed.info/sct",
619           "version" : "http://snomed.info/sct/20611000087101",
620           "code" : "7891000087104",
621           "display" : "Adult vaccine product containing only tetanus + diphtheria low dose + acellular pertussis low dose + inactivated human poliovirus antigens (medicinal product)"
622         } ],
623         "text" : "Tetanus + Diphtheria + Pertussis + Polio"
624       },
625       "patient" : {
626         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
627       },
628       "occurrenceDateTime" : "1998-06-04T00:00:00+02:00"
629     }
630   }, {
631     "fullUrl" : "urn:uuid:4b979c1f-c8cb-4eee-acc8-367cc140631e",
632     "resource" : {
633       "resourceType" : "Immunization",
634       "meta" : {
635         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/immunization-ca-ps" ]
636       },
637       "status" : "completed",
638       "vaccineCode" : {
639         "text" : "Inf influenza trivalent unspecified"
640       },
641       "patient" : {
642         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
643       },
644       "_occurrenceDateTime" : {
645         "extension" : [ {
646           "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
647           "valueCode" : "unknown"
648         } ]
649       }
650     }
651   }, {
652     "fullUrl" : "urn:uuid:a0261df5-9df8-49fc-a137-0cbd3d929c02",
653     "resource" : {
654       "resourceType" : "DiagnosticReport",
655       "meta" : {
656         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/diagnosticreport-ca-ps" ]
657       },
658       "status" : "final",
659       "category" : [ {
660         "coding" : [ {
661           "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
662           "code" : "LAB"
663         } ]
664       } ],
665       "code" : {
666         "coding" : [ {
667           "system" : "http://loinc.org",
668           "code" : "11502-2"
669         } ]
670       },
671       "subject" : {
672         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
673       },
674       "effectiveDateTime" : "2024-02-01",
675       "performer" : [ {
676         "reference" : "urn:uuid:28641359-1fe4-4763-9c70-5b857543007e"
677       } ],
678       "result" : [ {
679         "reference" : "urn:uuid:523afbfe-0842-4060-93c1-297ae2a34223"
680       } ]
681     }
682   }, {
683     "fullUrl" : "urn:uuid:523afbfe-0842-4060-93c1-297ae2a34223",
684     "resource" : {
685       "resourceType" : "Observation",
686       "meta" : {
687         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-results-laboratory-pathology-ca-ps" ]
688       },
689       "status" : "final",
690       "category" : [ {
691         "coding" : [ {
692           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
693           "code" : "laboratory"
694         } ]
695       } ],
696       "code" : {
697         "coding" : [ {
698           "system" : "http://loinc.org",
699           "code" : "17856-6"
700         } ]
701       },
702       "subject" : {
703         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
704       },
705       "effectiveDateTime" : "2024-02-01",
706       "performer" : [ {
707         "reference" : "urn:uuid:28641359-1fe4-4763-9c70-5b857543007e"
708       } ],
709       "valueQuantity" : {
710         "value" : 7.5,
711         "unit" : "%",
712         "system" : "http://unitsofmeasure.org",
713         "code" : "%"
714       }
715     }
716   }, {
717     "fullUrl" : "urn:uuid:28641359-1fe4-4763-9c70-5b857543007e",
718     "resource" : {
719       "resourceType" : "Organization",
720       "meta" : {
721         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/organization-lab-ca-ps" ]
722       },
723       "name" : "Happy Healthness Wellness Centre"
724     }
725   }, {
726     "fullUrl" : "urn:uuid:ea37d521-e8ac-4aec-b9bd-a34cb6f42d49",
727     "resource" : {
728       "resourceType" : "Observation",
729       "meta" : {
730         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-results-radiology-ca-ps" ]
731       },
732       "status" : "final",
733       "category" : [ {
734         "coding" : [ {
735           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
736           "code" : "imaging"
737         } ]
738       } ],
739       "code" : {
740         "coding" : [ {
741           "system" : "http://loinc.org",
742           "code" : "79103-8"
743         } ]
744       },
745       "subject" : {
746         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
747       },
748       "effectiveDateTime" : "2020-03-20",
749       "performer" : [ {
750         "reference" : "urn:uuid:4330bd48-d003-45d1-863b-3c6621f709b6"
751       } ],
752       "valueString" : "5cm peptic ulcer present on the the anterior of the duodenum."
753     }
754   }, {
755     "fullUrl" : "urn:uuid:37ddfe07-0ec1-4f23-bcda-57c523282a78",
756     "resource" : {
757       "resourceType" : "Observation",
758       "meta" : {
759         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-results-radiology-ca-ps" ]
760       },
761       "status" : "final",
762       "category" : [ {
763         "coding" : [ {
764           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
765           "code" : "imaging",
766           "display" : "Imaging"
767         } ]
768       } ],
769       "code" : {
770         "coding" : [ {
771           "system" : "http://loinc.org",
772           "code" : "79103-8",
773           "display" : "CT Abdomen W contrast IV"
774         } ],
775         "text" : "Upper abdomen with the administration of oral and intravenous contrast"
776       },
777       "subject" : {
778         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
779       },
780       "effectiveDateTime" : "2020-03-20",
781       "performer" : [ {
782         "reference" : "urn:uuid:4330bd48-d003-45d1-863b-3c6621f709b6"
783       } ],
784       "valueString" : "5cm peptic ulcer present on the the anterior of the duodenum."
785     }
786   }, {
787     "fullUrl" : "urn:uuid:4330bd48-d003-45d1-863b-3c6621f709b6",
788     "resource" : {
789       "resourceType" : "Practitioner",
790       "meta" : {
791         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/practitioner-lab-ca-ps" ]
792       },
793       "name" : [ {
794         "family" : "Sorkinson",
795         "given" : [ "Aaron" ]
796       } ]
797     }
798   }, {
799     "fullUrl" : "urn:uuid:e211f7f5-a818-4144-9a43-efbc70dced3c",
800     "resource" : {
801       "resourceType" : "Observation",
802       "meta" : {
803         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-results-laboratory-pathology-ca-ps" ]
804       },
805       "status" : "final",
806       "category" : [ {
807         "coding" : [ {
808           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
809           "code" : "laboratory"
810         } ]
811       } ],
812       "code" : {
813         "coding" : [ {
814           "system" : "http://loinc.org",
815           "code" : "2657-5"
816         } ]
817       },
818       "subject" : {
819         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
820       },
821       "effectiveDateTime" : "2012-12-02",
822       "performer" : [ {
823         "reference" : "urn:uuid:4330bd48-d003-45d1-863b-3c6621f709b6"
824       } ],
825       "valueQuantity" : {
826         "value" : 0.1,
827         "unit" : "mg/dl",
828         "system" : "http://unitsofmeasure.org",
829         "code" : "mg/dL"
830       }
831     }
832   }, {
833     "fullUrl" : "urn:uuid:6c4b6a3e-2c64-4de3-b23e-e435347052e6",
834     "resource" : {
835       "resourceType" : "Observation",
836       "meta" : {
837         "profile" : [ "http://hl7.org/fhir/StructureDefinition/bmi" ]
838       },
839       "status" : "final",
840       "category" : [ {
841         "coding" : [ {
842           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
843           "code" : "vital-signs",
844           "display" : "Vital Signs"
845         } ],
846         "text" : "Vital Signs"
847       } ],
848       "code" : {
849         "coding" : [ {
850           "system" : "http://loinc.org",
851           "code" : "39156-5",
852           "display" : "Body mass index (BMI) [Ratio]"
853         } ]
854       },
855       "subject" : {
856         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
857       },
858       "effectiveDateTime" : "2024-01-05",
859       "valueQuantity" : {
860         "value" : 29.34,
861         "unit" : "kg/m2",
862         "system" : "http://unitsofmeasure.org",
863         "code" : "kg/m2"
864       }
865     }
866   }, {
867     "fullUrl" : "urn:uuid:77537ea0-85a1-40d0-88e7-9f488a3ba174",
868     "resource" : {
869       "resourceType" : "Observation",
870       "meta" : {
871         "profile" : [ "http://hl7.org/fhir/StructureDefinition/bodyheight" ]
872       },
873       "status" : "final",
874       "category" : [ {
875         "coding" : [ {
876           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
877           "code" : "vital-signs",
878           "display" : "Vital Signs"
879         } ],
880         "text" : "Vital Signs"
881       } ],
882       "code" : {
883         "coding" : [ {
884           "system" : "http://loinc.org",
885           "code" : "8302-2",
886           "display" : "Body height"
887         } ],
888         "text" : "Body height"
889       },
890       "subject" : {
891         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
892       },
893       "effectiveDateTime" : "2024-01-05",
894       "valueQuantity" : {
895         "value" : 162,
896         "unit" : "cm",
897         "system" : "http://unitsofmeasure.org",
898         "code" : "cm"
899       }
900     }
901   }, {
902     "fullUrl" : "urn:uuid:9a9891a6-aaa8-4c66-88d2-bb67800d36d0",
903     "resource" : {
904       "resourceType" : "Observation",
905       "meta" : {
906         "profile" : [ "http://hl7.org/fhir/StructureDefinition/bodyweight" ]
907       },
908       "status" : "final",
909       "category" : [ {
910         "coding" : [ {
911           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
912           "code" : "vital-signs",
913           "display" : "Vital Signs"
914         } ],
915         "text" : "Vital Signs"
916       } ],
917       "code" : {
918         "coding" : [ {
919           "system" : "http://loinc.org",
920           "code" : "29463-7"
921         } ],
922         "text" : "Body weight"
923       },
924       "subject" : {
925         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
926       },
927       "effectiveDateTime" : "2024-01-05",
928       "valueQuantity" : {
929         "value" : 77,
930         "unit" : "kg",
931         "system" : "http://unitsofmeasure.org",
932         "code" : "kg"
933       }
934     }
935   }, {
936     "fullUrl" : "urn:uuid:dab22b4c-518c-48a8-9220-8c74f56ad896",
937     "resource" : {
938       "resourceType" : "Observation",
939       "meta" : {
940         "profile" : [ "http://hl7.org/fhir/StructureDefinition/bp" ]
941       },
942       "status" : "final",
943       "category" : [ {
944         "coding" : [ {
945           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
946           "code" : "vital-signs",
947           "display" : "Vital Signs"
948         } ]
949       } ],
950       "code" : {
951         "coding" : [ {
952           "system" : "http://loinc.org",
953           "code" : "85354-9"
954         } ],
955         "text" : "Blood pressure systolic & diastolic"
956       },
957       "subject" : {
958         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
959       },
960       "effectiveDateTime" : "2024-01-05",
961       "component" : [ {
962         "code" : {
963           "coding" : [ {
964             "system" : "http://loinc.org",
965             "code" : "8480-6",
966             "display" : "Systolic blood pressure"
967           } ]
968         },
969         "valueQuantity" : {
970           "value" : 120,
971           "unit" : "mmHg",
972           "system" : "http://unitsofmeasure.org",
973           "code" : "mm[Hg]"
974         }
975       }, {
976         "code" : {
977           "coding" : [ {
978             "system" : "http://loinc.org",
979             "code" : "8462-4",
980             "display" : "Diastolic blood pressure"
981           } ]
982         },
983         "valueQuantity" : {
984           "value" : 80,
985           "unit" : "mmHg",
986           "system" : "http://unitsofmeasure.org",
987           "code" : "mm[Hg]"
988         }
989       } ]
990     }
991   }, {
992     "fullUrl" : "urn:uuid:e526a79d-2afc-4240-b2fb-2d36b09f7f6b",
993     "resource" : {
994       "resourceType" : "Observation",
995       "meta" : {
996         "profile" : [ "http://hl7.org/fhir/StructureDefinition/bodytemp" ]
997       },
998       "status" : "entered-in-error",
999       "category" : [ {
1000         "coding" : [ {
1001           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
1002           "code" : "vital-signs",
1003           "display" : "Vital Signs"
1004         } ]
1005       } ],
1006       "code" : {
1007         "coding" : [ {
1008           "system" : "http://loinc.org",
1009           "code" : "8310-5"
1010         } ],
1011         "text" : "Temperature"
1012       },
1013       "subject" : {
1014         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1015       },
1016       "effectiveDateTime" : "2024-01-05",
1017       "valueQuantity" : {
1018         "value" : 37,
1019         "unit" : "Cel",
1020         "system" : "http://unitsofmeasure.org",
1021         "code" : "Cel"
1022       }
1023     }
1024   }, {
1025     "fullUrl" : "urn:uuid:5d882fe0-dcdd-47ca-85f2-ccfc90159bde",
1026     "resource" : {
1027       "resourceType" : "Observation",
1028       "meta" : {
1029         "profile" : [ "http://hl7.org/fhir/StructureDefinition/headcircum" ]
1030       },
1031       "status" : "final",
1032       "category" : [ {
1033         "coding" : [ {
1034           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
1035           "code" : "vital-signs",
1036           "display" : "Vital Signs"
1037         } ],
1038         "text" : "Vital Signs"
1039       } ],
1040       "code" : {
1041         "coding" : [ {
1042           "system" : "http://loinc.org",
1043           "code" : "9843-4",
1044           "display" : "Head Occipital-frontal circumference"
1045         } ],
1046         "text" : "Head Circumference"
1047       },
1048       "subject" : {
1049         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1050       },
1051       "effectiveDateTime" : "2024-01-05",
1052       "valueQuantity" : {
1053         "value" : 55.2,
1054         "unit" : "cm",
1055         "system" : "http://unitsofmeasure.org",
1056         "code" : "cm"
1057       }
1058     }
1059   }, {
1060     "fullUrl" : "urn:uuid:b59874ac-db9f-4d45-8397-70c507d48cd8",
1061     "resource" : {
1062       "resourceType" : "Observation",
1063       "meta" : {
1064         "profile" : [ "http://hl7.org/fhir/StructureDefinition/heartrate" ]
1065       },
1066       "status" : "final",
1067       "category" : [ {
1068         "coding" : [ {
1069           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
1070           "code" : "vital-signs",
1071           "display" : "Vital Signs"
1072         } ],
1073         "text" : "Vital Signs"
1074       } ],
1075       "code" : {
1076         "coding" : [ {
1077           "system" : "http://loinc.org",
1078           "code" : "8867-4"
1079         } ],
1080         "text" : "Heart rate"
1081       },
1082       "subject" : {
1083         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1084       },
1085       "effectiveDateTime" : "2024-01-05",
1086       "valueQuantity" : {
1087         "value" : 80,
1088         "unit" : "beats/minute",
1089         "system" : "http://unitsofmeasure.org",
1090         "code" : "/min"
1091       }
1092     }
1093   }, {
1094     "fullUrl" : "urn:uuid:41d33a71-a265-45b9-82bd-a787ad0ec23c",
1095     "resource" : {
1096       "resourceType" : "Observation",
1097       "meta" : {
1098         "profile" : [ "http://hl7.org/fhir/StructureDefinition/oxygensat" ]
1099       },
1100       "status" : "final",
1101       "category" : [ {
1102         "coding" : [ {
1103           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
1104           "code" : "vital-signs",
1105           "display" : "Vital Signs"
1106         } ],
1107         "text" : "Vital Signs"
1108       } ],
1109       "code" : {
1110         "coding" : [ {
1111           "system" : "http://loinc.org",
1112           "code" : "2708-6"
1113         } ]
1114       },
1115       "subject" : {
1116         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1117       },
1118       "effectiveDateTime" : "2024-01-05",
1119       "valueQuantity" : {
1120         "value" : 95,
1121         "unit" : "%",
1122         "system" : "http://unitsofmeasure.org",
1123         "code" : "%"
1124       }
1125     }
1126   }, {
1127     "fullUrl" : "urn:uuid:3a6d98f3-3bd0-4c0c-b58e-3db7427804a1",
1128     "resource" : {
1129       "resourceType" : "Observation",
1130       "meta" : {
1131         "profile" : [ "http://hl7.org/fhir/StructureDefinition/resprate" ]
1132       },
1133       "status" : "final",
1134       "category" : [ {
1135         "coding" : [ {
1136           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
1137           "code" : "vital-signs",
1138           "display" : "Vital Signs"
1139         } ],
1140         "text" : "Vital Signs"
1141       } ],
1142       "code" : {
1143         "coding" : [ {
1144           "system" : "http://loinc.org",
1145           "code" : "9279-1",
1146           "display" : "Respiratory rate"
1147         } ],
1148         "text" : "Respiratory rate"
1149       },
1150       "subject" : {
1151         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1152       },
1153       "effectiveDateTime" : "2024-01-05",
1154       "valueQuantity" : {
1155         "value" : 15,
1156         "unit" : "breaths/minute",
1157         "system" : "http://unitsofmeasure.org",
1158         "code" : "/min"
1159       }
1160     }
1161   }, {
1162     "fullUrl" : "urn:uuid:e04b6a9f-4a2c-4b57-8f55-4811984cc222",
1163     "resource" : {
1164       "resourceType" : "Observation",
1165       "meta" : {
1166         "profile" : [ "http://hl7.org/fhir/StructureDefinition/vitalsigns" ]
1167       },
1168       "status" : "final",
1169       "category" : [ {
1170         "coding" : [ {
1171           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
1172           "code" : "vital-signs",
1173           "display" : "Vital Signs"
1174         } ],
1175         "text" : "Vital Signs"
1176       } ],
1177       "code" : {
1178         "coding" : [ {
1179           "system" : "http://loinc.org",
1180           "code" : "85353-1",
1181           "display" : "Vital signs, weight, height, head circumference, oxygen saturation and BMI panel"
1182         } ],
1183         "text" : "Vital signs Panel"
1184       },
1185       "subject" : {
1186         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1187       },
1188       "effectiveDateTime" : "2024-01-05",
1189       "hasMember" : [ {
1190         "reference" : "urn:uuid:3a6d98f3-3bd0-4c0c-b58e-3db7427804a1",
1191         "display" : "Respiratory Rate"
1192       }, {
1193         "reference" : "urn:uuid:b59874ac-db9f-4d45-8397-70c507d48cd8",
1194         "display" : "Heart Rate"
1195       }, {
1196         "reference" : "urn:uuid:dab22b4c-518c-48a8-9220-8c74f56ad896",
1197         "display" : "Blood Pressure"
1198       }, {
1199         "reference" : "urn:uuid:e526a79d-2afc-4240-b2fb-2d36b09f7f6b",
1200         "display" : "Body Temperature"
1201       }, {
1202         "reference" : "urn:uuid:6c4b6a3e-2c64-4de3-b23e-e435347052e6",
1203         "display" : "BMI"
1204       }, {
1205         "reference" : "urn:uuid:77537ea0-85a1-40d0-88e7-9f488a3ba174",
1206         "display" : "Body Height"
1207       }, {
1208         "reference" : "urn:uuid:9a9891a6-aaa8-4c66-88d2-bb67800d36d0",
1209         "display" : "Body Weight"
1210       }, {
1211         "reference" : "urn:uuid:5d882fe0-dcdd-47ca-85f2-ccfc90159bde",
1212         "display" : "Head Circumference"
1213       }, {
1214         "reference" : "urn:uuid:41d33a71-a265-45b9-82bd-a787ad0ec23c",
1215         "display" : "Oxygen Saturation Level"
1216       } ]
1217     }
1218   }, {
1219     "fullUrl" : "urn:uuid:e8269a7e-c843-4703-a4d2-4aa6cf32a8e3",
1220     "resource" : {
1221       "resourceType" : "DeviceUseStatement",
1222       "meta" : {
1223         "profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/DeviceUseStatement-uv-ips" ]
1224       },
1225       "status" : "active",
1226       "subject" : {
1227         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1228       },
1229       "timingDateTime" : "2010-08-06",
1230       "device" : {
1231         "reference" : "urn:uuid:d91b6fbb-f091-40b6-8582-2c4c11da4cc9"
1232       }
1233     }
1234   }, {
1235     "fullUrl" : "urn:uuid:d91b6fbb-f091-40b6-8582-2c4c11da4cc9",
1236     "resource" : {
1237       "resourceType" : "Device",
1238       "meta" : {
1239         "profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/Device-uv-ips" ]
1240       },
1241       "type" : {
1242         "coding" : [ {
1243           "system" : "http://snomed.info/sct",
1244           "version" : "http://snomed.info/sct/20611000087101",
1245           "code" : "228869008",
1246           "display" : "Manual wheelchair"
1247         } ],
1248         "text" : "Manual wheelchair"
1249       },
1250       "patient" : {
1251         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1252       }
1253     }
1254   }, {
1255     "fullUrl" : "urn:uuid:204708c1-b026-429a-8b19-e5b8578e2577",
1256     "resource" : {
1257       "resourceType" : "Device",
1258       "meta" : {
1259         "profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/Device-uv-ips" ]
1260       },
1261       "type" : {
1262         "coding" : [ {
1263           "system" : "http://snomed.info/sct",
1264           "version" : "http://snomed.info/sct/20611000087101",
1265           "code" : "74566002",
1266           "display" : "Crutch"
1267         } ],
1268         "text" : "Crutch"
1269       },
1270       "patient" : {
1271         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1272       }
1273     }
1274   }, {
1275     "fullUrl" : "urn:uuid:81d9c649-6896-4572-bd05-74b9a9bd227a",
1276     "resource" : {
1277       "resourceType" : "Condition",
1278       "meta" : {
1279         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/condition-ca-ps" ]
1280       },
1281       "clinicalStatus" : {
1282         "coding" : [ {
1283           "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
1284           "code" : "active"
1285         } ]
1286       },
1287       "code" : {
1288         "coding" : [ {
1289           "system" : "http://snomed.info/sct",
1290           "code" : "90560007",
1291           "display" : "Gout"
1292         } ],
1293         "text" : "Gout"
1294       },
1295       "subject" : {
1296         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1297       },
1298       "onsetDateTime" : "2010-08-06"
1299     }
1300   }, {
1301     "fullUrl" : "urn:uuid:0ceb29b9-6156-45a0-9a0e-ae1d7e3ac53a",
1302     "resource" : {
1303       "resourceType" : "Condition",
1304       "meta" : {
1305         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/condition-ca-ps" ]
1306       },
1307       "clinicalStatus" : {
1308         "coding" : [ {
1309           "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
1310           "code" : "active"
1311         } ]
1312       },
1313       "code" : {
1314         "coding" : [ {
1315           "system" : "https://fhir.infoway-inforoute.ca/CodeSystem/canadianclinicaldrugdataset",
1316           "version" : "http://snomed.info/sct/20611000087101",
1317           "code" : "962000",
1318           "display" : "Disability evaluation, disability 6%"
1319         } ],
1320         "text" : "Disability evaluation, disability 6%"
1321       },
1322       "subject" : {
1323         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1324       },
1325       "onsetDateTime" : "2010-12-10"
1326     }
1327   }, {
1328     "fullUrl" : "urn:uuid:6f01c38b-043b-4c91-8131-835c7009b3fd",
1329     "resource" : {
1330       "resourceType" : "Observation",
1331       "meta" : {
1332         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-alcoholuse-ca-ps" ]
1333       },
1334       "status" : "final",
1335       "code" : {
1336         "coding" : [ {
1337           "system" : "http://loinc.org",
1338           "code" : "74013-4"
1339         } ]
1340       },
1341       "subject" : {
1342         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1343       },
1344       "effectiveDateTime" : "2024-01-05",
1345       "valueQuantity" : {
1346         "value" : 2,
1347         "system" : "http://unitsofmeasure.org",
1348         "code" : "{wine glasses}/d"
1349       }
1350     }
1351   }, {
1352     "fullUrl" : "urn:uuid:7cd8f128-23a4-4f97-9986-d778b7aa8c95",
1353     "resource" : {
1354       "resourceType" : "Observation",
1355       "meta" : {
1356         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-tobaccouse-ca-ps" ]
1357       },
1358       "status" : "final",
1359       "code" : {
1360         "coding" : [ {
1361           "system" : "http://loinc.org",
1362           "code" : "72166-2"
1363         } ]
1364       },
1365       "subject" : {
1366         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1367       },
1368       "effectiveDateTime" : "2024-01-05",
1369       "valueCodeableConcept" : {
1370         "coding" : [ {
1371           "system" : "http://loinc.org",
1372           "code" : "LA18978-9",
1373           "display" : "Never smoker"
1374         } ]
1375       }
1376     }
1377   }, {
1378     "fullUrl" : "urn:uuid:2df99df4-465e-4bab-9313-fbe9117f1d37",
1379     "resource" : {
1380       "resourceType" : "Observation",
1381       "meta" : {
1382         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-socialhistory-ca-ps" ]
1383       },
1384       "status" : "final",
1385       "category" : [ {
1386         "coding" : [ {
1387           "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
1388           "code" : "social-history",
1389           "display" : "Social History"
1390         } ]
1391       } ],
1392       "code" : {
1393         "text" : "Lifestyle Risk Factor"
1394       },
1395       "subject" : {
1396         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1397       },
1398       "valueCodeableConcept" : {
1399         "text" : "Home has not been outfitted with accessibility devices"
1400       },
1401       "note" : [ {
1402         "text" : "Lifestyle_Risk_Factor_Notes which can be repeated multiplicatively "
1403       } ]
1404     }
1405   }, {
1406     "fullUrl" : "urn:uuid:6be80d8c-4c63-41f1-b9b2-b06cb144afb1",
1407     "resource" : {
1408       "resourceType" : "FamilyMemberHistory",
1409       "meta" : {
1410         "profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/familymemberhistory-ca-ps" ]
1411       },
1412       "status" : "completed",
1413       "patient" : {
1414         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1415       },
1416       "date" : "2024-01-05",
1417       "relationship" : {
1418         "text" : "Father"
1419       },
1420       "note" : [ {
1421         "text" : "Father died of a Heart Attack"
1422       } ]
1423     }
1424   }, {
1425     "fullUrl" : "urn:uuid:4f786ae4-0de8-45f8-bbed-167a136870e1",
1426     "resource" : {
1427       "resourceType" : "Observation",
1428       "meta" : {
1429         "profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-status-uv-ips" ]
1430       },
1431       "status" : "final",
1432       "code" : {
1433         "coding" : [ {
1434           "system" : "http://loinc.org",
1435           "code" : "82810-3"
1436         } ]
1437       },
1438       "subject" : {
1439         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1440       },
1441       "effectiveDateTime" : "1984-08-20",
1442       "valueCodeableConcept" : {
1443         "coding" : [ {
1444           "system" : "http://loinc.org",
1445           "code" : "LA26683-5"
1446         } ]
1447       }
1448     }
1449   }, {
1450     "fullUrl" : "urn:uuid:8ff34384-f6e7-44a9-b791-53fa13ada732",
1451     "resource" : {
1452       "resourceType" : "Observation",
1453       "meta" : {
1454         "profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-outcome-uv-ips" ]
1455       },
1456       "status" : "final",
1457       "code" : {
1458         "coding" : [ {
1459           "system" : "http://loinc.org",
1460           "code" : "11636-8"
1461         } ]
1462       },
1463       "subject" : {
1464         "reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
1465       },
1466       "effectiveDateTime" : "1984-08-20",
1467       "valueQuantity" : {
1468         "value" : 1,
1469         "system" : "http://unitsofmeasure.org",
1470         "code" : "1"
1471       }
1472     }
1473   } ]
1474 }