The following content has been modified for better visualization. Validation will be performed on original content
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"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>"
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"title" : "Patient Summary PS-CA as of November 8, 2024",
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"name" : [ {
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"text" : "Roberta Gray",
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"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"
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| 405 |
},
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| 406 |
"subject" : {
|
| 407 |
"reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
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| 408 |
},
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| 409 |
"effectiveDateTime" : "2022-01-05T04:03:22-06:00",
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| 410 |
"dosage" : [ {
|
| 411 |
"text" : "1 bid"
|
| 412 |
} ]
|
| 413 |
}
|
| 414 |
}, {
|
| 415 |
"fullUrl" : "urn:uuid:407c998a-d316-4172-a01f-21f5849113ee",
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| 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"
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| 432 |
},
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| 433 |
"_effectiveDateTime" : {
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| 434 |
"extension" : [ {
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| 435 |
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
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| 436 |
"valueCode" : "unknown"
|
| 437 |
} ]
|
| 438 |
},
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| 439 |
"dosage" : [ {
|
| 440 |
"text" : "1 qd"
|
| 441 |
} ]
|
| 442 |
}
|
| 443 |
}, {
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| 444 |
"fullUrl" : "urn:uuid:10d9bfce-8f9a-4f3e-9a94-f5be9a55b6bd",
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| 445 |
"resource" : {
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| 446 |
"resourceType" : "MedicationRequest",
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| 447 |
"meta" : {
|
| 448 |
"profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/medicationrequest-ca-ps" ]
|
| 449 |
},
|
| 450 |
"status" : "active",
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| 451 |
"intent" : "order",
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| 452 |
"medicationReference" : {
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| 453 |
"reference" : "urn:uuid:5d1928a7-947e-416d-a121-0005f8a2887a"
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| 454 |
},
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| 455 |
"subject" : {
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| 456 |
"reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
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| 457 |
},
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| 458 |
"authoredOn" : "2022-01-05T04:03:22-06:00",
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| 459 |
"dosageInstruction" : [ {
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| 460 |
"text" : "1 bid"
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| 461 |
} ]
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| 462 |
}
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| 463 |
}, {
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| 464 |
"fullUrl" : "urn:uuid:c999b842-6111-4fbb-8296-1b4638506668",
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| 465 |
"resource" : {
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| 466 |
"resourceType" : "MedicationRequest",
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| 467 |
"meta" : {
|
| 468 |
"profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/medicationrequest-ca-ps" ]
|
| 469 |
},
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| 470 |
"status" : "unknown",
|
| 471 |
"intent" : "order",
|
| 472 |
"medicationCodeableConcept" : {
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| 473 |
"coding" : [ {
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| 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 |
},
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| 480 |
"subject" : {
|
| 481 |
"reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
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| 482 |
},
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| 483 |
"authoredOn" : "2021-12-22T20:38:41-06:00",
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| 484 |
"dosageInstruction" : [ {
|
| 485 |
"text" : "tid prn for gout attacks"
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| 486 |
} ]
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| 487 |
}
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| 488 |
}, {
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| 489 |
"fullUrl" : "urn:uuid:5d1928a7-947e-416d-a121-0005f8a2887a",
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| 490 |
"resource" : {
|
| 491 |
"resourceType" : "Medication",
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| 492 |
"meta" : {
|
| 493 |
"profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/medication-ca-ps" ]
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| 494 |
},
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| 495 |
"code" : {
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| 496 |
"coding" : [ {
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| 497 |
"system" : "https://fhir.infoway-inforoute.ca/CodeSystem/canadianclinicaldrugdataset",
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| 498 |
"code" : "2287072",
|
| 499 |
"display" : "GLICLAZIDE"
|
| 500 |
} ],
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| 501 |
"text" : "gliclazide"
|
| 502 |
},
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| 503 |
"form" : {
|
| 504 |
"text" : "Oral Tablet"
|
| 505 |
}
|
| 506 |
}
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| 507 |
}, {
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| 508 |
"fullUrl" : "urn:uuid:ceea9c48-759d-4636-a11e-0a067b32973a",
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| 509 |
"resource" : {
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| 510 |
"resourceType" : "AllergyIntolerance",
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| 511 |
"meta" : {
|
| 512 |
"profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/allergyintolerance-ca-ps" ]
|
| 513 |
},
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| 514 |
"clinicalStatus" : {
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| 515 |
"coding" : [ {
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| 516 |
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
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| 517 |
"code" : "active",
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| 518 |
"display" : "Active"
|
| 519 |
} ]
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| 520 |
},
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| 521 |
"verificationStatus" : {
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| 522 |
"coding" : [ {
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| 523 |
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
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| 524 |
"code" : "unconfirmed",
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| 525 |
"display" : "Unconfirmed"
|
| 526 |
} ]
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| 527 |
},
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| 528 |
"code" : {
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| 529 |
"coding" : [ {
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| 530 |
"system" : "http://snomed.info/sct",
|
| 531 |
"code" : "372567009",
|
| 532 |
"display" : "Metformin"
|
| 533 |
} ],
|
| 534 |
"text" : "Metformin (substance)"
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| 535 |
},
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| 536 |
"patient" : {
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| 537 |
"reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
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| 538 |
},
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| 539 |
"onsetDateTime" : "1993-03-07T10:53:50-06:00",
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| 540 |
"reaction" : [ {
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| 541 |
"manifestation" : [ {
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| 542 |
"text" : "Sneezing"
|
| 543 |
} ]
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| 544 |
} ]
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| 545 |
}
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| 546 |
}, {
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| 547 |
"fullUrl" : "urn:uuid:3ea95c2b-cd7d-4ad4-b5f7-10c6563180e7",
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| 548 |
"resource" : {
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| 549 |
"resourceType" : "Condition",
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| 550 |
"meta" : {
|
| 551 |
"profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/condition-ca-ps" ]
|
| 552 |
},
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| 553 |
"clinicalStatus" : {
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| 554 |
"coding" : [ {
|
| 555 |
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
|
| 556 |
"code" : "active"
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| 557 |
} ]
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| 558 |
},
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| 559 |
"code" : {
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| 560 |
"coding" : [ {
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| 561 |
"system" : "http://snomed.info/sct",
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| 562 |
"code" : "44054006",
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| 563 |
"display" : "Diabetes mellitus type 2 (disorder)"
|
| 564 |
} ],
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| 565 |
"text" : "Diabetes mellitus type 2 (disorder)"
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| 566 |
},
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| 567 |
"subject" : {
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| 568 |
"reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
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| 569 |
},
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| 570 |
"onsetDateTime" : "2012-12-06"
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| 571 |
}
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}, {
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| 573 |
"fullUrl" : "urn:uuid:ef5afbe1-eaee-4b44-afa7-69fe21bedeb9",
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| 574 |
"resource" : {
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| 575 |
"resourceType" : "Procedure",
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| 576 |
"meta" : {
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| 577 |
"profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/procedure-ca-ps" ]
|
| 578 |
},
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| 579 |
"status" : "completed",
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| 580 |
"code" : {
|
| 581 |
"coding" : [ {
|
| 582 |
"system" : "http://snomed.info/sct",
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| 583 |
"code" : "73761001"
|
| 584 |
} ],
|
| 585 |
"text" : "Colonoscopy"
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| 586 |
},
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| 587 |
"subject" : {
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| 588 |
"reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
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| 589 |
},
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| 590 |
"performedDateTime" : "2022-02-04"
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}
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}, {
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"fullUrl" : "urn:uuid:674942fb-69a2-4f2a-8f66-807ef1512f27",
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| 594 |
"resource" : {
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| 595 |
"resourceType" : "Immunization",
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| 596 |
"meta" : {
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| 597 |
"profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/immunization-ca-ps" ]
|
| 598 |
},
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| 599 |
"status" : "completed",
|
| 600 |
"vaccineCode" : {
|
| 601 |
"text" : "Pneu-P-23 Pneumovax 23 MC"
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| 602 |
},
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| 603 |
"patient" : {
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| 604 |
"reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
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},
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"occurrenceDateTime" : "2015-01-11"
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}
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"fullUrl" : "urn:uuid:c718d089-e7bb-47fb-9547-4b56c9d05da8",
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| 610 |
"resource" : {
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| 611 |
"resourceType" : "Immunization",
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| 612 |
"meta" : {
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| 613 |
"profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/immunization-ca-ps" ]
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| 614 |
},
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| 615 |
"status" : "completed",
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| 616 |
"vaccineCode" : {
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| 617 |
"coding" : [ {
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| 618 |
"system" : "http://snomed.info/sct",
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| 619 |
"version" : "http://snomed.info/sct/20611000087101",
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| 620 |
"code" : "7891000087104",
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"display" : "Adult vaccine product containing only tetanus + diphtheria low dose + acellular pertussis low dose + inactivated human poliovirus antigens (medicinal product)"
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| 622 |
} ],
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| 623 |
"text" : "Tetanus + Diphtheria + Pertussis + Polio"
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| 624 |
},
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| 625 |
"patient" : {
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"reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
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},
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"occurrenceDateTime" : "1998-06-04T00:00:00+02:00"
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}
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"fullUrl" : "urn:uuid:4b979c1f-c8cb-4eee-acc8-367cc140631e",
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"resource" : {
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"resourceType" : "Immunization",
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"meta" : {
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| 635 |
"profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/immunization-ca-ps" ]
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| 636 |
},
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| 637 |
"status" : "completed",
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| 638 |
"vaccineCode" : {
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| 639 |
"text" : "Inf influenza trivalent unspecified"
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| 640 |
},
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"patient" : {
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"reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
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"_occurrenceDateTime" : {
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"extension" : [ {
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"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
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"valueCode" : "unknown"
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} ]
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}
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"fullUrl" : "urn:uuid:a0261df5-9df8-49fc-a137-0cbd3d929c02",
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"resource" : {
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"resourceType" : "DiagnosticReport",
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| 655 |
"meta" : {
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"profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/diagnosticreport-ca-ps" ]
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| 657 |
},
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"status" : "final",
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"category" : [ {
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"coding" : [ {
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"system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
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"code" : "LAB"
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"code" : {
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"coding" : [ {
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"system" : "http://loinc.org",
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"code" : "11502-2"
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"reference" : "urn:uuid:28641359-1fe4-4763-9c70-5b857543007e"
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"result" : [ {
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"reference" : "urn:uuid:523afbfe-0842-4060-93c1-297ae2a34223"
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"fullUrl" : "urn:uuid:523afbfe-0842-4060-93c1-297ae2a34223",
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"resourceType" : "Observation",
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"meta" : {
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"profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-results-laboratory-pathology-ca-ps" ]
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"status" : "final",
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"coding" : [ {
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"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
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"code" : "laboratory"
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"system" : "http://loinc.org",
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"code" : "17856-6"
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"reference" : "urn:uuid:28641359-1fe4-4763-9c70-5b857543007e"
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} ],
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"valueQuantity" : {
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"value" : 7.5,
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"unit" : "%",
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"system" : "http://unitsofmeasure.org",
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"resource" : {
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"resourceType" : "Organization",
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"profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/organization-lab-ca-ps" ]
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| 722 |
},
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"name" : "Happy Healthness Wellness Centre"
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}
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"fullUrl" : "urn:uuid:ea37d521-e8ac-4aec-b9bd-a34cb6f42d49",
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"resourceType" : "Observation",
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"meta" : {
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"profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-results-radiology-ca-ps" ]
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"status" : "final",
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"category" : [ {
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"coding" : [ {
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"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
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"code" : "imaging"
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"coding" : [ {
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"system" : "http://loinc.org",
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"code" : "79103-8"
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"reference" : "urn:uuid:4330bd48-d003-45d1-863b-3c6621f709b6"
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"resourceType" : "Observation",
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"meta" : {
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"profile" : [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-results-radiology-ca-ps" ]
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"status" : "final",
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"category" : [ {
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"coding" : [ {
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| 764 |
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
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"code" : "imaging",
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| 766 |
"display" : "Imaging"
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| 767 |
} ]
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| 768 |
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| 769 |
"code" : {
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"coding" : [ {
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"system" : "http://loinc.org",
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"code" : "79103-8",
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| 773 |
"display" : "CT Abdomen W contrast IV"
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| 774 |
} ],
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"text" : "Upper abdomen with the administration of oral and intravenous contrast"
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"subject" : {
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"reference" : "urn:uuid:d520ecd1-76a0-4894-b895-b8a5a971954e"
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"performer" : [ {
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"reference" : "urn:uuid:4330bd48-d003-45d1-863b-3c6621f709b6"
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} ],
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"valueString" : "5cm peptic ulcer present on the the anterior of the duodenum."
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|
