<confidentiality value="N" /> <attester> <mode value="legal" /> <time value="2017-07-20T14:30:00+01:00" /> <party> <reference value="Practitioner/demo-practitioner-1" /> </party> </attester> <event> <code> <coding> <system value="http://hl7.org/fhir/v3/ActClass" /> <code value="PCPR" /> </coding> </code> <period> <end value="2018-04-12T15:19:00+02:00" /> </period> </event> <section> <title value="Active Problems" /> <code> <coding> <system value="http://loinc.org" /> <code value="11450-4" /> <display value="Problem list" /> </coding> </code> <text> <status value="generated" /> <xhtml:div>Diagnosis of <xhtml:b>asthma</xhtml:b> made when he was 5 years old. <xhtml:p>He has many acute attacks which are triggered by cold weather, pollen and house dust mite, as well as viral respiratory tract infections.</xhtml:p></xhtml:div> </text> <entry> <reference value="Condition/demo-cond-asthma-1" /> </entry> </section> <section> <title value="Medication" /> <code> <coding> <system value="http://loinc.org" /> <code value="10160-0" /> <display value="Medication use" /> </coding> </code> <text> <status value="generated" /> <xhtml:div> <xhtml:table> <xhtml:thead> <xhtml:tr> <xhtml:th>Medication</xhtml:th> <xhtml:th>Strength</xhtml:th> <xhtml:th>Form</xhtml:th> <xhtml:th>Dosage</xhtml:th> <xhtml:th>Comment</xhtml:th> </xhtml:tr> </xhtml:thead> <xhtml:tbody> <xhtml:tr> <xhtml:td>Fluspiral</xhtml:td> <xhtml:td>50 mg</xhtml:td> <xhtml:td>nasal spray</xhtml:td> <xhtml:td>2 puffs each morning and evening</xhtml:td> <xhtml:td>with spacer up to end of May</xhtml:td> </xhtml:tr> <xhtml:tr> <xhtml:td>Broncovaleas spray</xhtml:td> <xhtml:td>100 mg</xhtml:td> <xhtml:td>nasal spray</xhtml:td> <xhtml:td>6-8 puff 3 per day</xhtml:td> <xhtml:td>In case of Wheezing</xhtml:td> </xhtml:tr> <xhtml:tr> <xhtml:td>Deltacortene</xhtml:td> <xhtml:td>25 mg</xhtml:td> <xhtml:td>tablet</xhtml:td> <xhtml:td>1 tbl every morning and evening</xhtml:td> <xhtml:td>In case of serious attacks for 3-5 days</xhtml:td> </xhtml:tr> </xhtml:tbody> </xhtml:table> </xhtml:div> </text> <entry> <reference value="MedicationStatement/demo-medstat-1-1" /> </entry> <entry> <reference value="MedicationStatement/demo-medstat-1-2" /> </entry> <entry> <reference value="MedicationStatement/demo-medstat-1-3" /> </entry> </section> <section> <title value="Allergies and Intolerances" /> <code> <coding> <system value="http://loinc.org" /> <code value="48765-2" /> <display value="Allergies and/or adverse reactions" /> </coding> </code> <text> <status value="generated" /> <xhtml:div>Severe asthma attacks triggered by <xhtml:b>pollen</xhtml:b> and <xhtml:b>house dust mite</xhtml:b></xhtml:div> </text> <entry> <reference value="AllergyIntolerance/demo-aoi-1" /> </entry> <entry> <reference value="AllergyIntolerance/demo-aoi-2" /> </entry> </section> <section> <title value="Plan of Treatment" /> <code> <coding> <system value="http://loinc.org" /> <code value="18776-5" /> <display value="Plan of care note" /> </coding> </code> <text> <status value="generated" /> <xhtml:div> <xhtml:p>Allergic control with spirometry after the summer or sooner if needed</xhtml:p> <xhtml:p>Free Diet</xhtml:p> </xhtml:div> </text> </section> <section> <title value="Results" /> <code> <coding> <system value="http://loinc.org" /> <code value="30954-2" /> <display value="Results" /> </coding> </code> <text> <status value="generated" /> <xhtml:div> <xhtml:h1>Peak flow measurements</xhtml:h1> <xhtml:p>Personal best peak flow 432 L/min</xhtml:p> <xhtml:table> <xhtml:thead> <xhtml:tr> <xhtml:th>Date</xhtml:th> <xhtml:th>L/min</xhtml:th> <xhtml:th>% on the personal best peak flow</xhtml:th> </xhtml:tr> </xhtml:thead> <xhtml:tbody> <xhtml:tr> <xhtml:td>2018-04-11</xhtml:td> <xhtml:td>281</xhtml:td> <xhtml:td>65%</xhtml:td> </xhtml:tr> <xhtml:tr> <xhtml:td>2018-04-04</xhtml:td> <xhtml:td>410</xhtml:td> <xhtml:td>95%</xhtml:td> </xhtml:tr> <xhtml:tr> <xhtml:td>2018-03-28</xhtml:td> <xhtml:td>346</xhtml:td> <xhtml:td>80%</xhtml:td> </xhtml:tr> <xhtml:tr> <xhtml:td>2018-03-21</xhtml:td> <xhtml:td>302</xhtml:td> <xhtml:td>70%</xhtml:td> </xhtml:tr> <xhtml:tr> <xhtml:td>2018-04-01</xhtml:td> <xhtml:td>432</xhtml:td> <xhtml:td>100%</xhtml:td> </xhtml:tr> </xhtml:tbody> </xhtml:table> </xhtml:div> </text> <entry> <reference value="Observation/demo-obs-pef-1" /> </entry> <entry> <reference value="Observation/demo-obs-pef-2" /> </entry> <entry> <reference value="Observation/demo-obs-pef-3" /> </entry> <entry> <reference value="Observation/demo-obs-pef-4" /> </entry> <entry> <reference value="Observation/demo-obs-pef-5" /> </entry> </section> <section> <title value="Vital Signs" /> <code> <coding> <system value="http://loinc.org" /> <code value="8716-3" /> <display value="Vital Signs" /> </coding> </code> <text> <status value="generated" /> <xhtml:div> <xhtml:h1>Body height and weight</xhtml:h1> <xhtml:table> <xhtml:thead> <xhtml:tr> <xhtml:th>Date</xhtml:th> <xhtml:th>height [cm]</xhtml:th> <xhtml:th>weight [kg]</xhtml:th> </xhtml:tr> </xhtml:thead> <xhtml:tbody> <xhtml:tr> <xhtml:td>2013-01-10</xhtml:td> <xhtml:td>142</xhtml:td> <xhtml:td>37.3</xhtml:td> </xhtml:tr> <xhtml:tr> <xhtml:td>2015-02-10</xhtml:td> <xhtml:td>152</xhtml:td> <xhtml:td>46.3</xhtml:td> </xhtml:tr> <xhtml:tr> <xhtml:td>2016-04-25</xhtml:td> <xhtml:td>162</xhtml:td> <xhtml:td>51.3</xhtml:td> </xhtml:tr> <xhtml:tr> <xhtml:td>2017-05-10</xhtml:td> <xhtml:td>170</xhtml:td> <xhtml:td>55.2</xhtml:td> </xhtml:tr> <xhtml:tr> <xhtml:td>2018-03-12</xhtml:td> <xhtml:td>175</xhtml:td> <xhtml:td>62.5</xhtml:td> </xhtml:tr> </xhtml:tbody> </xhtml:table> </xhtml:div> </text> <entry> <reference value="Observation/demo-vitalsign-bw-1" /> </entry> <entry> <reference value="Observation/demo-vitalsign-bw-2" /> </entry> <entry> <reference value="Observation/demo-vitalsign-bw-3" /> </entry> <entry> <reference value="Observation/demo-vitalsign-bw-4" /> </entry> <entry> <reference value="Observation/demo-vitalsign-bw-5" /> </entry> <entry> <reference value="Observation/demo-vitalsign-bh-1" /> </entry> <entry> <reference value="Observation/demo-vitalsign-bh-2" /> </entry> <entry> <reference value="Observation/demo-vitalsign-bh-3" /> </entry> <entry> <reference value="Observation/demo-vitalsign-bh-4" /> </entry> <entry> <reference value="Observation/demo-vitalsign-bh-5" /> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="Patient/demo-patient-1" /> <resource> <Patient>  <id value="demo-patient-1" /> <identifier> <system value="http://trilliumbridge.eu/fhir/demos/mie2018/patientids" /> <value value="demo-patid-1" /> </identifier> <active value="true" /> <name> <family value="Boy" /> <given value="Dany" /> </name> <gender value="male" /> <birthDate value="2004-04-02" /> <address> <line value="999, some street" /> <city value="somewhere" /> <postalCode value="ZE10BA" /> <country value="GB" /> </address> </Patient> </resource> </entry> <entry> <fullUrl value="Practitioner/demo-practitioner-1" /> <resource> <Practitioner>   <id value="demo-practitioner-1" /> <name> <family value="Practitioner" /> <given value="Demo" /> <prefix value="Dr." /> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="AllergyIntolerance/demo-aoi-1" /> <resource> <AllergyIntolerance> <id value="demo-aoi-1" /> <meta> <profile value="http://hl7.org/fhir/ips/StructureDefinition/allergyintolerance-uv-ips" /> </meta> <clinicalStatus value="active" /> <verificationStatus value="confirmed" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="256259004" /> <display value="Pollen" /> </coding> </code> <patient> <reference value="Patient/demo-patient-1" /> </patient> </AllergyIntolerance> </resource> </entry> <entry> <fullUrl value="AllergyIntolerance/demo-aoi-2" /> <resource> <AllergyIntolerance> <id value="demo-aoi-2" /> <meta> <profile value="http://hl7.org/fhir/ips/StructureDefinition/allergyintolerance-uv-ips" /> </meta> <clinicalStatus value="active" /> <verificationStatus value="confirmed" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="260147004" /> <display value="House dust mite" /> </coding> </code> <patient> <reference value="Patient/demo-patient-1" /> </patient> </AllergyIntolerance> </resource> </entry> <entry> <fullUrl value="Condition/demo-cond-asthma-1" /> <resource> <Condition> <id value="demo-cond-asthma-1" /> <extension url="http://hl7.org/fhir/StructureDefinition/condition-dueTo"> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="256259004" /> <display value="pollen" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/condition-dueTo"> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="260147004" /> <display value="House dust mite" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/condition-dueTo"> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="312133006" /> <display value="Viral respiratory infection" /> </coding> <text value="viral respiratory tract infections" /> </valueCodeableConcept> </extension> <clinicalStatus value="active" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="195967001" /> <display value="Asthma (disorder)" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <onsetDateTime value="2009" /> <asserter> <reference value="Practitioner/demo-practitioner-1" /> </asserter> <evidence> <detail> <reference value="Observation/demo-observation-1-1" /> </detail> </evidence> </Condition> </resource> </entry> <entry> <fullUrl value="Medication/demo-medication-1" /> <resource> <Medication> <id value="demo-medication-1" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="320593008" /> <display value="Fluticasone propionate 50micrograms inhaler (product)" /> </coding> <coding> <system value="http://www.whocc.no/atc" /> <code value="D07AC17" /> <display value="fluticasone" /> </coding> <text value="Fluspiral 50 mcg" /> </code> <form> <coding> <system value="urn:oid:0.4.0.127.0.16.1.1.2.1" /> <code value="10808000" /> <display value="Nasal spray, solution" /> </coding> </form> <ingredient> <itemCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="396064000" /> <display value="Fluticasone propionate (substance) " /> </coding> </itemCodeableConcept> </ingredient> </Medication> </resource> </entry> <entry> <fullUrl value="Medication/demo-medication-2" /> <resource> <Medication> <id value="demo-medication-2" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="320176004" /> <display value="Salbutamol 100micrograms inhaler (product)" /> </coding> <coding> <system value="http://www.whocc.no/atc" /> <code value="R03AC02" /> <display value="salbutamol" /> </coding> <text value="Broncovaleas spray" /> </code> <form> <coding> <system value="urn:oid:0.4.0.127.0.16.1.1.2.1" /> <code value="10808000" /> <display value="Nasal spray, solution" /> </coding> </form> <ingredient> <itemCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="372897005" /> <display value="Salbutamol (substance)" /> </coding> </itemCodeableConcept> </ingredient> </Medication> </resource> </entry> <entry> <fullUrl value="Medication/demo-medication-3" /> <resource> <Medication> <id value="demo-medication-3" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="116602009" /> <display value="Prednisone (substance)" /> </coding> <coding> <system value="http://www.whocc.no/atc" /> <code value="H02AB07" /> <display value="prednisone" /> </coding> <text value="Deltacortene tablet 25 mg" /> </code> <form> <coding> <system value="urn:oid:0.4.0.127.0.16.1.1.2.1" /> <code value="10219000" /> <display value="Tablet" /> </coding> </form> <ingredient> <itemCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="116602009" /> <display value="Prednisone (substance)" /> </coding> </itemCodeableConcept> <amount> <numerator> <value value="25" /> <system value="http://unitsofmeasure.org" /> <code value="mg" /> </numerator> <denominator> <value value="1" /> <unit value="tablet" /> <system value="http://unitsofmeasure.org" /> <code value="1" /> </denominator> </amount> </ingredient> </Medication> </resource> </entry> <entry> <fullUrl value="MedicationStatement/demo-medstat-1-1" /> <resource> <MedicationStatement> <id value="demo-medstat-1-1" /> <status value="active" /> <medicationReference> <reference value="Medication/demo-medication-1" /> </medicationReference> <effectivePeriod> <start value="2018-02-20" /> <end value="2018-05-31" /> </effectivePeriod> <subject> <reference value="Patient/demo-patient-1" /> </subject> <taken value="na" /> <dosage> <text value="2 puffs every moring and evening until the end of May" /> <timing> <repeat> <when value="MORN" /> <when value="EVE" /> </repeat> </timing> <doseQuantity> <value value="2" /> <unit value="puff" /> <system value="http://unitsofmeasure.org" /> <code value="1" /> </doseQuantity> </dosage> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="MedicationStatement/demo-medstat-1-2" /> <resource> <MedicationStatement> <id value="demo-medstat-1-2" /> <status value="active" /> <medicationReference> <reference value="Medication/demo-medication-2" /> </medicationReference> <subject> <reference value="Patient/demo-patient-1" /> </subject> <taken value="na" /> <dosage> <text value="6-8 puff 3 per day in case of Wheezing" /> <timing> <repeat> <period value="3" /> <periodUnit value="d" /> </repeat> </timing> <asNeededCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="56018004" /> <display value="Wheezing (finding)" /> </coding> </asNeededCodeableConcept> <doseRange> <low> <value value="6" /> <unit value="puff" /> <system value="http://unitsofmeasure.org" /> <code value="1" /> </low> <high> <value value="8" /> <unit value="puff" /> <system value="http://unitsofmeasure.org" /> <code value="1" /> </high> </doseRange> </dosage> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="MedicationStatement/demo-medstat-1-3" /> <resource> <MedicationStatement> <id value="demo-medstat-1-3" /> <status value="active" /> <medicationReference> <reference value="Medication/demo-medication-3" /> </medicationReference> <subject> <reference value="Patient/demo-patient-1" /> </subject> <taken value="na" /> <dosage> <text value="For 3-5 days 1 tablet every morning and evening in case of serious attack" /> <timing> <repeat> <boundsRange> <low> <value value="3" /> <unit value="days" /> <system value="http://unitsofmeasure.org" /> <code value="d" /> </low> <high> <value value="5" /> <unit value="days" /> <system value="http://unitsofmeasure.org" /> <code value="d" /> </high> </boundsRange> <when value="MORN" /> <when value="EVE" /> </repeat> </timing> <asNeededBoolean value="true" /> <doseQuantity> <value value="1" /> <unit value="tablet" /> <system value="http://unitsofmeasure.org" /> <code value="1" /> </doseQuantity> </dosage> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="Observation/demo-observation-1-1" /> <resource> <Observation> <id value="demo-observation-1-1" /> <status value="final" /> <code> <coding> <system value="http://loinc.org" /> <code value="75325-1" /> <display value="symptom" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <valueString value="Acute attacks which are triggered by cold weather, pollen and house dust mite, as well as viral respiratory tract infections." /> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-obs-pef-1" /> <resource> <Observation> <id value="demo-obs-pef-1" /> <status value="final" /> <code> <coding> <system value="http://loinc.org" /> <code value="19935-6" /> <display value="Maximum expiratory gas flow Respiratory system airway by Peak flow meter" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2018-04-11" /> <valueQuantity> <value value="281" /> <system value="http://unitsofmeasure.org" /> <code value="L/min" /> </valueQuantity> <referenceRange> <low> <value value="346" /> <system value="http://unitsofmeasure.org" /> <code value="L/min" /> </low> <text value="Personal best peak flow 432 L/min" /> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-obs-pef-2" /> <resource> <Observation> <id value="demo-obs-pef-2" /> <status value="final" /> <code> <coding> <system value="http://loinc.org" /> <code value="19935-6" /> <display value="Maximum expiratory gas flow Respiratory system airway by Peak flow meter" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2018-04-04" /> <valueQuantity> <value value="410" /> <system value="http://unitsofmeasure.org" /> <code value="L/min" /> </valueQuantity> <referenceRange> <low> <value value="346" /> <system value="http://unitsofmeasure.org" /> <code value="L/min" /> </low> <text value="Personal best peak flow 432 L/min" /> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-obs-pef-3" /> <resource> <Observation> <id value="demo-obs-pef-3" /> <status value="final" /> <code> <coding> <system value="http://loinc.org" /> <code value="19935-6" /> <display value="Maximum expiratory gas flow Respiratory system airway by Peak flow meter" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2018-03-28" /> <valueQuantity> <value value="346" /> <system value="http://unitsofmeasure.org" /> <code value="L/min" /> </valueQuantity> <referenceRange> <low> <value value="346" /> <system value="http://unitsofmeasure.org" /> <code value="L/min" /> </low> <text value="Personal best peak flow 432 L/min" /> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-obs-pef-4" /> <resource> <Observation> <id value="demo-obs-pef-4" /> <status value="final" /> <code> <coding> <system value="http://loinc.org" /> <code value="19935-6" /> <display value="Maximum expiratory gas flow Respiratory system airway by Peak flow meter" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2018-03-21" /> <valueQuantity> <value value="302" /> <system value="http://unitsofmeasure.org" /> <code value="L/min" /> </valueQuantity> <referenceRange> <low> <value value="346" /> <system value="http://unitsofmeasure.org" /> <code value="L/min" /> </low> <text value="Personal best peak flow 432 L/min" /> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-obs-pef-5" /> <resource> <Observation> <id value="demo-obs-pef-5" /> <status value="final" /> <code> <coding> <system value="http://loinc.org" /> <code value="19935-6" /> <display value="Maximum expiratory gas flow Respiratory system airway by Peak flow meter" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2018-04-01" /> <valueQuantity> <value value="432" /> <system value="http://unitsofmeasure.org" /> <code value="L/min" /> </valueQuantity> <referenceRange> <low> <value value="346" /> <system value="http://unitsofmeasure.org" /> <code value="L/min" /> </low> <text value="Personal best peak flow 432 L/min" /> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-vitalsign-bh-1" /> <resource> <Observation> <id value="demo-vitalsign-bh-1" /> <status value="final" /> <category> <coding> <system value="http://hl7.org/fhir/observation-category" /> <code value="vital-signs" /> </coding> </category> <code> <coding> <system value="http://loinc.org" /> <code value="8302-2" /> <display value="Body height" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2013-01-10" /> <valueQuantity> <value value="142" /> <system value="http://unitsofmeasure.org" /> <code value="cm" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-vitalsign-bh-2" /> <resource> <Observation> <id value="demo-vitalsign-bh-2" /> <status value="final" /> <category> <coding> <system value="http://hl7.org/fhir/observation-category" /> <code value="vital-signs" /> </coding> </category> <code> <coding> <system value="http://loinc.org" /> <code value="8302-2" /> <display value="Body height" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2015-02-10" /> <valueQuantity> <value value="152" /> <system value="http://unitsofmeasure.org" /> <code value="cm" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-vitalsign-bh-3" /> <resource> <Observation> <id value="demo-vitalsign-bh-3" /> <status value="final" /> <category> <coding> <system value="http://hl7.org/fhir/observation-category" /> <code value="vital-signs" /> </coding> </category> <code> <coding> <system value="http://loinc.org" /> <code value="8302-2" /> <display value="Body height" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2016-04-25" /> <valueQuantity> <value value="162" /> <system value="http://unitsofmeasure.org" /> <code value="cm" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-vitalsign-bh-4" /> <resource> <Observation> <id value="demo-vitalsign-bh-4" /> <status value="final" /> <category> <coding> <system value="http://hl7.org/fhir/observation-category" /> <code value="vital-signs" /> </coding> </category> <code> <coding> <system value="http://loinc.org" /> <code value="8302-2" /> <display value="Body height" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2017-05-10" /> <valueQuantity> <value value="170" /> <system value="http://unitsofmeasure.org" /> <code value="cm" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-vitalsign-bh-5" /> <resource> <Observation> <id value="demo-vitalsign-bh-5" /> <status value="final" /> <category> <coding> <system value="http://hl7.org/fhir/observation-category" /> <code value="vital-signs" /> </coding> </category> <code> <coding> <system value="http://loinc.org" /> <code value="8302-2" /> <display value="Body height" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2018-03-12" /> <valueQuantity> <value value="175" /> <system value="http://unitsofmeasure.org" /> <code value="cm" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-vitalsign-bw-1" /> <resource> <Observation> <id value="demo-vitalsign-bw-1" /> <status value="final" /> <category> <coding> <system value="http://hl7.org/fhir/observation-category" /> <code value="vital-signs" /> </coding> </category> <code> <coding> <system value="http://loinc.org" /> <code value="29463-7" /> <display value="Body weight" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2013-01-10" /> <valueQuantity> <value value="37.3" /> <system value="http://unitsofmeasure.org" /> <code value="kg" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-vitalsign-bw-2" /> <resource> <Observation> <id value="demo-vitalsign-bw-2" /> <status value="final" /> <category> <coding> <system value="http://hl7.org/fhir/observation-category" /> <code value="vital-signs" /> </coding> </category> <code> <coding> <system value="http://loinc.org" /> <code value="29463-7" /> <display value="Body weight" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2015-02-10" /> <valueQuantity> <value value="46.3" /> <system value="http://unitsofmeasure.org" /> <code value="kg" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-vitalsign-bw-3" /> <resource> <Observation> <id value="demo-vitalsign-bw-3" /> <status value="final" /> <category> <coding> <system value="http://hl7.org/fhir/observation-category" /> <code value="vital-signs" /> </coding> </category> <code> <coding> <system value="http://loinc.org" /> <code value="29463-7" /> <display value="Body weight" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2016-04-25" /> <valueQuantity> <value value="51.3" /> <system value="http://unitsofmeasure.org" /> <code value="kg" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-vitalsign-bw-4" /> <resource> <Observation> <id value="demo-vitalsign-bw-4" /> <status value="final" /> <category> <coding> <system value="http://hl7.org/fhir/observation-category" /> <code value="vital-signs" /> </coding> </category> <code> <coding> <system value="http://loinc.org" /> <code value="29463-7" /> <display value="Body weight" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2017-05-10" /> <valueQuantity> <value value="55.2" /> <system value="http://unitsofmeasure.org" /> <code value="kg" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="Observation/demo-vitalsign-bw-5" /> <resource> <Observation> <id value="demo-vitalsign-bw-5" /> <status value="final" /> <category> <coding> <system value="http://hl7.org/fhir/observation-category" /> <code value="vital-signs" /> </coding> </category> <code> <coding> <system value="http://loinc.org" /> <code value="8302-2" /> <display value="Body height" /> </coding> </code> <subject> <reference value="Patient/demo-patient-1" /> </subject> <effectiveDateTime value="2018-03-12" /> <valueQuantity> <value value="175" /> <system value="http://unitsofmeasure.org" /> <code value="cm" /> </valueQuantity> </Observation> </resource> </entry> </Bundle>


        
          
        
        
        
          
        
        
        <confidentiality value="N" />
        <attester>
          <mode value="legal" />
          <time value="2017-07-20T14:30:00+01:00" />
          <party>
            <reference value="Practitioner/demo-practitioner-1" />
          </party>
        </attester>
        <event>
          <code>
            <coding>
              <system value="http://hl7.org/fhir/v3/ActClass" />
              <code value="PCPR" />
            </coding>
          </code>
          <period>
            <end value="2018-04-12T15:19:00+02:00" />
          </period>
        </event>
        <section>
          <title value="Active Problems" />
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="11450-4" />
              <display value="Problem list" />
            </coding>
          </code>
          <text>
            <status value="generated" />
            <xhtml:div>Diagnosis of <xhtml:b>asthma</xhtml:b> made when he was 5 years old.
			
<xhtml:p>He has many acute attacks which are triggered by cold weather, pollen and house dust mite, as well as viral respiratory tract infections.</xhtml:p></xhtml:div>
          </text>
          <entry>
            <reference value="Condition/demo-cond-asthma-1" />
          </entry>
        </section>
        <section>
          <title value="Medication" />
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="10160-0" />
              <display value="Medication use" />
            </coding>
          </code>
          <text>
            <status value="generated" />
            <xhtml:div>
              <xhtml:table>
                <xhtml:thead>
                  <xhtml:tr>
                    <xhtml:th>Medication</xhtml:th>
                    <xhtml:th>Strength</xhtml:th>
                    <xhtml:th>Form</xhtml:th>
                    <xhtml:th>Dosage</xhtml:th>
                    <xhtml:th>Comment</xhtml:th>
                  </xhtml:tr>
                </xhtml:thead>
                <xhtml:tbody>
                  <xhtml:tr>
                    <xhtml:td>Fluspiral</xhtml:td>
                    <xhtml:td>50 mg</xhtml:td>
                    <xhtml:td>nasal spray</xhtml:td>
                    <xhtml:td>2 puffs each morning and evening</xhtml:td>
                    <xhtml:td>with spacer up to end of May</xhtml:td>
                  </xhtml:tr>
                  <xhtml:tr>
                    <xhtml:td>Broncovaleas spray</xhtml:td>
                    <xhtml:td>100 mg</xhtml:td>
                    <xhtml:td>nasal spray</xhtml:td>
                    <xhtml:td>6-8 puff 3 per day</xhtml:td>
                    <xhtml:td>In case of Wheezing</xhtml:td>
                  </xhtml:tr>
                  <xhtml:tr>
                    <xhtml:td>Deltacortene</xhtml:td>
                    <xhtml:td>25 mg</xhtml:td>
                    <xhtml:td>tablet</xhtml:td>
                    <xhtml:td>1 tbl every morning and evening</xhtml:td>
                    <xhtml:td>In case of serious attacks for 3-5 days</xhtml:td>
                  </xhtml:tr>
                </xhtml:tbody>
              </xhtml:table>
            </xhtml:div>
          </text>
          <entry>
            <reference value="MedicationStatement/demo-medstat-1-1" />
          </entry>
          <entry>
            <reference value="MedicationStatement/demo-medstat-1-2" />
          </entry>
          <entry>
            <reference value="MedicationStatement/demo-medstat-1-3" />
          </entry>
        </section>
        <section>
          <title value="Allergies and Intolerances" />
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="48765-2" />
              <display value="Allergies and/or adverse reactions" />
            </coding>
          </code>
          <text>
            <status value="generated" />
            <xhtml:div>Severe asthma attacks triggered by <xhtml:b>pollen</xhtml:b> and <xhtml:b>house dust mite</xhtml:b></xhtml:div>
          </text>
          <entry>
            <reference value="AllergyIntolerance/demo-aoi-1" />
          </entry>
          <entry>
            <reference value="AllergyIntolerance/demo-aoi-2" />
          </entry>
        </section>
        <section>
          <title value="Plan of Treatment" />
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="18776-5" />
              <display value="Plan of care note" />
            </coding>
          </code>
          <text>
            <status value="generated" />
            <xhtml:div>
              <xhtml:p>Allergic control with spirometry after the summer or sooner if needed</xhtml:p>
              <xhtml:p>Free Diet</xhtml:p>
            </xhtml:div>
          </text>
        </section>
        <section>
          <title value="Results" />
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="30954-2" />
              <display value="Results" />
            </coding>
          </code>
          <text>
            <status value="generated" />
            <xhtml:div>
              <xhtml:h1>Peak flow measurements</xhtml:h1>
              <xhtml:p>Personal best peak flow 432 L/min</xhtml:p>
              <xhtml:table>
                <xhtml:thead>
                  <xhtml:tr>
                    <xhtml:th>Date</xhtml:th>
                    <xhtml:th>L/min</xhtml:th>
                    <xhtml:th>% on the personal best peak flow</xhtml:th>
                  </xhtml:tr>
                </xhtml:thead>
                <xhtml:tbody>
                  <xhtml:tr>
                    <xhtml:td>2018-04-11</xhtml:td>
                    <xhtml:td>281</xhtml:td>
                    <xhtml:td>65%</xhtml:td>
                  </xhtml:tr>
                  <xhtml:tr>
                    <xhtml:td>2018-04-04</xhtml:td>
                    <xhtml:td>410</xhtml:td>
                    <xhtml:td>95%</xhtml:td>
                  </xhtml:tr>
                  <xhtml:tr>
                    <xhtml:td>2018-03-28</xhtml:td>
                    <xhtml:td>346</xhtml:td>
                    <xhtml:td>80%</xhtml:td>
                  </xhtml:tr>
                  <xhtml:tr>
                    <xhtml:td>2018-03-21</xhtml:td>
                    <xhtml:td>302</xhtml:td>
                    <xhtml:td>70%</xhtml:td>
                  </xhtml:tr>
                  <xhtml:tr>
                    <xhtml:td>2018-04-01</xhtml:td>
                    <xhtml:td>432</xhtml:td>
                    <xhtml:td>100%</xhtml:td>
                  </xhtml:tr>
                </xhtml:tbody>
              </xhtml:table>
            </xhtml:div>
          </text>
          <entry>
            <reference value="Observation/demo-obs-pef-1" />
          </entry>
          <entry>
            <reference value="Observation/demo-obs-pef-2" />
          </entry>
          <entry>
            <reference value="Observation/demo-obs-pef-3" />
          </entry>
          <entry>
            <reference value="Observation/demo-obs-pef-4" />
          </entry>
          <entry>
            <reference value="Observation/demo-obs-pef-5" />
          </entry>
        </section>
        <section>
          <title value="Vital Signs" />
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8716-3" />
              <display value="Vital Signs" />
            </coding>
          </code>
          <text>
            <status value="generated" />
            <xhtml:div>
              <xhtml:h1>Body height and weight</xhtml:h1>
              <xhtml:table>
                <xhtml:thead>
                  <xhtml:tr>
                    <xhtml:th>Date</xhtml:th>
                    <xhtml:th>height [cm]</xhtml:th>
                    <xhtml:th>weight [kg]</xhtml:th>
                  </xhtml:tr>
                </xhtml:thead>
                <xhtml:tbody>
                  <xhtml:tr>
                    <xhtml:td>2013-01-10</xhtml:td>
                    <xhtml:td>142</xhtml:td>
                    <xhtml:td>37.3</xhtml:td>
                  </xhtml:tr>
                  <xhtml:tr>
                    <xhtml:td>2015-02-10</xhtml:td>
                    <xhtml:td>152</xhtml:td>
                    <xhtml:td>46.3</xhtml:td>
                  </xhtml:tr>
                  <xhtml:tr>
                    <xhtml:td>2016-04-25</xhtml:td>
                    <xhtml:td>162</xhtml:td>
                    <xhtml:td>51.3</xhtml:td>
                  </xhtml:tr>
                  <xhtml:tr>
                    <xhtml:td>2017-05-10</xhtml:td>
                    <xhtml:td>170</xhtml:td>
                    <xhtml:td>55.2</xhtml:td>
                  </xhtml:tr>
                  <xhtml:tr>
                    <xhtml:td>2018-03-12</xhtml:td>
                    <xhtml:td>175</xhtml:td>
                    <xhtml:td>62.5</xhtml:td>
                  </xhtml:tr>
                </xhtml:tbody>
              </xhtml:table>
            </xhtml:div>
          </text>
          <entry>
            <reference value="Observation/demo-vitalsign-bw-1" />
          </entry>
          <entry>
            <reference value="Observation/demo-vitalsign-bw-2" />
          </entry>
          <entry>
            <reference value="Observation/demo-vitalsign-bw-3" />
          </entry>
          <entry>
            <reference value="Observation/demo-vitalsign-bw-4" />
          </entry>
          <entry>
            <reference value="Observation/demo-vitalsign-bw-5" />
          </entry>
          <entry>
            <reference value="Observation/demo-vitalsign-bh-1" />
          </entry>
          <entry>
            <reference value="Observation/demo-vitalsign-bh-2" />
          </entry>
          <entry>
            <reference value="Observation/demo-vitalsign-bh-3" />
          </entry>
          <entry>
            <reference value="Observation/demo-vitalsign-bh-4" />
          </entry>
          <entry>
            <reference value="Observation/demo-vitalsign-bh-5" />
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="Patient/demo-patient-1" />
    <resource>
      <Patient>
        <!--Sample XML file generated by XMLSpy v2013 sp1 (http://www.altova.com)-->
        <id value="demo-patient-1" />
        <identifier>
          <system value="http://trilliumbridge.eu/fhir/demos/mie2018/patientids" />
          <value value="demo-patid-1" />
        </identifier>
        <active value="true" />
        <name>
          <family value="Boy" />
          <given value="Dany" />
        </name>
        <gender value="male" />
        <birthDate value="2004-04-02" />
        <address>
          <line value="999, some street" />
          <city value="somewhere" />
          <postalCode value="ZE10BA" />
          <country value="GB" />
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="Practitioner/demo-practitioner-1" />
    <resource>
      <Practitioner>
        <!--Sample XML file generated by XMLSpy v2013 sp1 (http://www.altova.com)-->
        <!-- all the IDs used needs to be revised and harmonized -->
        <id value="demo-practitioner-1" />
        <name>
          <family value="Practitioner" />
          <given value="Demo" />
          <prefix value="Dr." />
        </name>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="AllergyIntolerance/demo-aoi-1" />
    <resource>
      <AllergyIntolerance>
        <id value="demo-aoi-1" />
        <meta>
          <profile value="http://hl7.org/fhir/ips/StructureDefinition/allergyintolerance-uv-ips" />
        </meta>
        <clinicalStatus value="active" />
        <verificationStatus value="confirmed" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="256259004" />
            <display value="Pollen" />
          </coding>
        </code>
        <patient>
          <reference value="Patient/demo-patient-1" />
        </patient>
      </AllergyIntolerance>
    </resource>
  </entry>
  <entry>
    <fullUrl value="AllergyIntolerance/demo-aoi-2" />
    <resource>
      <AllergyIntolerance>
        <id value="demo-aoi-2" />
        <meta>
          <profile value="http://hl7.org/fhir/ips/StructureDefinition/allergyintolerance-uv-ips" />
        </meta>
        <clinicalStatus value="active" />
        <verificationStatus value="confirmed" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="260147004" />
            <display value="House dust mite" />
          </coding>
        </code>
        <patient>
          <reference value="Patient/demo-patient-1" />
        </patient>
      </AllergyIntolerance>
    </resource>
  </entry>
  <entry>
    <fullUrl value="Condition/demo-cond-asthma-1" />
    <resource>
      <Condition>
        <id value="demo-cond-asthma-1" />
        <extension url="http://hl7.org/fhir/StructureDefinition/condition-dueTo">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct" />
              <code value="256259004" />
              <display value="pollen" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/condition-dueTo">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct" />
              <code value="260147004" />
              <display value="House dust mite" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/condition-dueTo">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct" />
              <code value="312133006" />
              <display value="Viral respiratory infection" />
            </coding>
            <text value="viral respiratory tract infections" />
          </valueCodeableConcept>
        </extension>
        <clinicalStatus value="active" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="195967001" />
            <display value="Asthma (disorder)" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/demo-patient-1" />
        </subject>
        <onsetDateTime value="2009" />
        <asserter>
          <reference value="Practitioner/demo-practitioner-1" />
        </asserter>
        <evidence>
          <detail>
            <reference value="Observation/demo-observation-1-1" />
          </detail>
        </evidence>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="Medication/demo-medication-1" />
    <resource>
      <Medication>
        <id value="demo-medication-1" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="320593008" />
            <display value="Fluticasone propionate 50micrograms inhaler (product)" />
          </coding>
          <coding>
            <system value="http://www.whocc.no/atc" />
            <code value="D07AC17" />
            <display value="fluticasone" />
          </coding>
          <text value="Fluspiral 50 mcg" />
        </code>
        <form>
          <coding>
            <system value="urn:oid:0.4.0.127.0.16.1.1.2.1" />
            <code value="10808000" />
            <display value="Nasal spray, solution" />
          </coding>
        </form>
        <ingredient>
          <itemCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct" />
              <code value="396064000" />
              <display value="Fluticasone propionate (substance) " />
            </coding>
          </itemCodeableConcept>
        </ingredient>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl value="Medication/demo-medication-2" />
    <resource>
      <Medication>
        <id value="demo-medication-2" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="320176004" />
            <display value="Salbutamol 100micrograms inhaler (product)" />
          </coding>
          <coding>
            <system value="http://www.whocc.no/atc" />
            <code value="R03AC02" />
            <display value="salbutamol" />
          </coding>
          <text value="Broncovaleas spray" />
        </code>
        <form>
          <coding>
            <system value="urn:oid:0.4.0.127.0.16.1.1.2.1" />
            <code value="10808000" />
            <display value="Nasal spray, solution" />
          </coding>
        </form>
        <ingredient>
          <itemCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct" />
              <code value="372897005" />
              <display value="Salbutamol (substance)" />
            </coding>
          </itemCodeableConcept>
        </ingredient>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl value="Medication/demo-medication-3" />
    <resource>
      <Medication>
        <id value="demo-medication-3" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="116602009" />
            <display value="Prednisone (substance)" />
          </coding>
          <coding>
            <system value="http://www.whocc.no/atc" />
            <code value="H02AB07" />
            <display value="prednisone" />
          </coding>
          <text value="Deltacortene tablet 25 mg" />
        </code>
        <form>
          <coding>
            <system value="urn:oid:0.4.0.127.0.16.1.1.2.1" />
            <code value="10219000" />
            <display value="Tablet" />
          </coding>
        </form>
        <ingredient>
          <itemCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct" />
              <code value="116602009" />
              <display value="Prednisone (substance)" />
            </coding>
          </itemCodeableConcept>
          <amount>
            <numerator>
              <value value="25" />
              <system value="http://unitsofmeasure.org" />
              <code value="mg" />
            </numerator>
            <denominator>
              <value value="1" />
              <unit value="tablet" />
              <system value="http://unitsofmeasure.org" />
              <code value="1" />
            </denominator>
          </amount>
        </ingredient>
      </Medication>
    </resource>
  </entry>
  <entry>
    <fullUrl value="MedicationStatement/demo-medstat-1-1" />
    <resource>
      <MedicationStatement>
        <id value="demo-medstat-1-1" />
        <status value="active" />
        <medicationReference>
          <reference value="Medication/demo-medication-1" />
        </medicationReference>
        <effectivePeriod>
          <start value="2018-02-20" />
          <end value="2018-05-31" />
        </effectivePeriod>
        <subject>
          <reference value="Patient/demo-patient-1" />
        </subject>
        <taken value="na" />
        <dosage>
          <text value="2 puffs every moring and evening  until the end of May" />
          <timing>
            <repeat>
              <when value="MORN" />
              <when value="EVE" />
            </repeat>
          </timing>
          <doseQuantity>
            <value value="2" />
            <unit value="puff" />
            <system value="http://unitsofmeasure.org" />
            <code value="1" />
          </doseQuantity>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
  <entry>
    <fullUrl value="MedicationStatement/demo-medstat-1-2" />
    <resource>
      <MedicationStatement>
        <id value="demo-medstat-1-2" />
        <status value="active" />
        <medicationReference>
          <reference value="Medication/demo-medication-2" />
        </medicationReference>
        <subject>
          <reference value="Patient/demo-patient-1" />
        </subject>
        <taken value="na" />
        <dosage>
          <text value="6-8 puff 3 per day in case of Wheezing" />
          <timing>
            <repeat>
              <period value="3" />
              <periodUnit value="d" />
            </repeat>
          </timing>
          <asNeededCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct" />
              <code value="56018004" />
              <display value="Wheezing (finding)" />
            </coding>
          </asNeededCodeableConcept>
          <doseRange>
            <low>
              <value value="6" />
              <unit value="puff" />
              <system value="http://unitsofmeasure.org" />
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