HL7 FHIR Implementation Guide: Rwanda HIV
0.1.0 - STU1 International flag

HL7 FHIR Implementation Guide: Rwanda HIV, published by Jembi Health Systems. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/openhie/Rwanda-HIV and changes regularly. See the Directory of published versions

: VLSMS VL Request Bundle - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "VLSMS-VL-Request-Transactional",
  "type" : "transaction",
  "entry" : [
    {
      "fullUrl" : "Patient/HIVPatientExample",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "HIVPatientExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-patient"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"HIVPatientExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient &quot;HIVPatientExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-patient.html\">HIV Patient</a></p></div><p><b>Patient Age In Months</b>: 388</p><p><b>Patient Age In Years</b>: 32</p><p><b>name</b>: Jane Maria Smith (OFFICIAL)</p><p><b>telecom</b>: <a href=\"tel:+27821234567\">+27821234567</a>, <a href=\"mailto:someone@example.com\">someone@example.com</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1990-12-12</p><p><b>managingOrganization</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization/HIVOrganizationExample</a> &quot;HIV Test Services Health Facility&quot;</p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/patient-age-months",
            "valueInteger" : 388
          },
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/patient-age-years",
            "valueInteger" : 32
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Smith",
            "given" : [
              "Jane",
              "Maria"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+27821234567"
          },
          {
            "system" : "email",
            "value" : "someone@example.com"
          }
        ],
        "gender" : "female",
        "birthDate" : "1990-12-12",
        "managingOrganization" : {
          "reference" : "Organization/HIVOrganizationExample"
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "Patient/HIVPatientExample"
      }
    },
    {
      "fullUrl" : "Specimen/VLSpecimenExample",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "VLSpecimenExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-specimen"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Specimen</b><a name=\"VLSpecimenExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Specimen &quot;VLSpecimenExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-viral-load-specimen.html\">Viral Load Specimen</a></p></div><p><b>Sample reordered</b>: false</p><p><b>identifier</b>: App sample identifier:\u00a0abc123, Remote sample identifier:\u00a0def456, Sample identifier:\u00a0ghi789, Universal Unique Identifier for the sample:\u00a0123456abc</p><p><b>type</b>: Specimen Type <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#119361006 &quot;Plasma specimen (specimen)&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>receivedTime</b>: 2022-07-28</p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2022-07-28</td></tr></table><h3>Processings</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Time[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2022-07-28</td></tr></table><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/sample-reordered",
            "valueBoolean" : false
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "USID",
                  "display" : "Unique Specimen ID"
                }
              ],
              "text" : "App sample identifier"
            },
            "system" : "http://openhie.org/fhir/rwanda-hiv/identifier/app-sample-code",
            "value" : "abc123"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "USID",
                  "display" : "Unique Specimen ID"
                }
              ],
              "text" : "Remote sample identifier"
            },
            "system" : "http://openhie.org/fhir/rwanda-hiv/identifier/remote-sample-code",
            "value" : "def456"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "USID",
                  "display" : "Unique Specimen ID"
                }
              ],
              "text" : "Sample identifier"
            },
            "system" : "http://openhie.org/fhir/rwanda-hiv/identifier/sample-code",
            "value" : "ghi789"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer Identifier"
                }
              ],
              "text" : "Universal Unique Identifier for the sample"
            },
            "system" : "http://openhie.org/fhir/rwanda-hiv/identifier/uniqueID",
            "value" : "123456abc"
          }
        ],
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "119361006",
              "display" : "Plasma specimen (specimen)"
            }
          ],
          "text" : "Specimen Type"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "receivedTime" : "2022-07-28",
        "collection" : {
          "collectedDateTime" : "2022-07-28"
        },
        "processing" : [
          {
            "timeDateTime" : "2022-07-28"
          }
        ],
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Specimen/VLSpecimenExample"
      }
    },
    {
      "fullUrl" : "Organization/RequestingOrganizationExample",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "RequestingOrganizationExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/requesting-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"RequestingOrganizationExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization &quot;RequestingOrganizationExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-requesting-organization.html\">Requesting Organization</a></p></div><p><b>identifier</b>: Requesting Organization identifier:\u00a0facility5</p><p><b>name</b>: A facility name</p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "XX",
                  "display" : "Organization identifier"
                }
              ],
              "text" : "Requesting Organization identifier"
            },
            "system" : "http://openhie.org/fhir/rwanda-hiv/identifier/organization-id",
            "value" : "facility5"
          }
        ],
        "name" : "A facility name"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Organization/RequestingOrganizationExample"
      }
    },
    {
      "fullUrl" : "Organization/PerformingOrganizationExample",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "PerformingOrganizationExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/performing-organization"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"PerformingOrganizationExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization &quot;PerformingOrganizationExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-performing-organization.html\">Performing Organization</a></p></div><p><b>Performing Organization Province</b>: 4</p><p><b>Performing Organization District</b>: 9</p><p><b>identifier</b>: Performing Organization identifier:\u00a0laboratory1</p><p><b>name</b>: A Laboratory name</p><h3>Contacts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Address</b></td></tr><tr><td style=\"display: none\">*</td><td>A province name </td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/performing-organization-province-index",
            "valueInteger" : 4
          },
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/performing-organization-district-index",
            "valueInteger" : 9
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "XX",
                  "display" : "Organization identifier"
                }
              ],
              "text" : "Performing Organization identifier"
            },
            "system" : "http://openhie.org/fhir/rwanda-hiv/identifier/organization-id",
            "value" : "laboratory1"
          }
        ],
        "name" : "A Laboratory name",
        "contact" : [
          {
            "address" : {
              "district" : "A district name",
              "state" : "A province name"
            }
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Organization/PerformingOrganizationExample"
      }
    },
    {
      "fullUrl" : "ServiceRequest/HIVServiceRequestExample",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "HIVServiceRequestExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/HIV-lab-order"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"HIVServiceRequestExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ServiceRequest &quot;HIVServiceRequestExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-HIV-lab-order.html\">HIV VL Service Request</a></p></div><p><b>identifier</b>: HIV lab service request identifier:\u00a0ORDER12345</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><h3>Codes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>Test Type <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#25836-8 &quot;HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection&quot;)</span></td></tr></table><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>occurrence</b>: 2012-01-05</p><p><b>requester</b>: <a href=\"#Practitioner_RequestingPractitionerExample\">See above (Practitioner/RequestingPractitionerExample)</a></p><p><b>performer</b>: <a href=\"#Practitioner_PerformingPractitionerExample\">See above (Practitioner/PerformingPractitionerExample)</a></p><h3>Reasons</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#Observation_ReasonForHIVTestingExample\">See above (Observation/ReasonForHIVTestingExample)</a></td></tr></table><p><b>specimen</b>: <a href=\"#Specimen_VLSpecimenExample\">See above (Specimen/VLSpecimenExample)</a></p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer Identifier"
                }
              ],
              "text" : "HIV lab service request identifier"
            },
            "system" : "http://openhie.org/fhir/rwanda-hiv/identifier/lab-order-identifier",
            "value" : "ORDER12345"
          }
        ],
        "status" : "completed",
        "intent" : "order",
        "code" : {
          "concept" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "25836-8",
                "display" : "HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"
              }
            ],
            "text" : "Test Type"
          }
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "occurrenceDateTime" : "2012-01-05",
        "requester" : {
          "reference" : "Practitioner/RequestingPractitionerExample"
        },
        "performer" : [
          {
            "reference" : "Practitioner/PerformingPractitionerExample"
          }
        ],
        "reason" : [
          {
            "reference" : {
              "reference" : "Observation/ReasonForHIVTestingExample"
            }
          }
        ],
        "specimen" : [
          {
            "reference" : "Specimen/VLSpecimenExample"
          }
        ],
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "ServiceRequest/HIVServiceRequestExample"
      }
    },
    {
      "fullUrl" : "Practitioner/RequestingPractitionerExample",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "RequestingPractitionerExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-practitioner"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"RequestingPractitionerExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner &quot;RequestingPractitionerExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-practitioner.html\">Practitioner</a></p></div><p><b>Clinician User Index</b>: 2</p><p><b>name</b>: James Smith </p><p><b>telecom</b>: ph: 27537652509</p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/clinician-user-index",
            "valueInteger" : 2
          }
        ],
        "name" : [
          {
            "family" : "Smith",
            "given" : [
              "James"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "27537652509"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Practitioner/RequestingPractitionerExample"
      }
    },
    {
      "fullUrl" : "Practitioner/PerformingPractitionerExample",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "PerformingPractitionerExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-practitioner"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"PerformingPractitionerExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner &quot;PerformingPractitionerExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-practitioner.html\">Practitioner</a></p></div><p><b>Clinician User Index</b>: 6</p><p><b>name</b>: Amy White </p><p><b>telecom</b>: ph: 27537687534</p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/clinician-user-index",
            "valueInteger" : 6
          }
        ],
        "name" : [
          {
            "family" : "White",
            "given" : [
              "Amy"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "27537687534"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Practitioner/PerformingPractitionerExample"
      }
    },
    {
      "fullUrl" : "Observation/ReasonForHIVTestingExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ReasonForHIVTestingExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/reason-for-hiv-testing"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ReasonForHIVTestingExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;ReasonForHIVTestingExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-reason-for-hiv-testing.html\">Reason for HIV testing Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: HIV Test <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#165813002 &quot;Human immunodeficiency virus antibody test&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner/ObservationPerformingPractitionerExample</a> &quot; WHITE&quot;</p><p><b>value</b>: Reason for testing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#2528003 &quot;Viremia&quot;)</span></p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "165813002",
              "display" : "Human immunodeficiency virus antibody test"
            }
          ],
          "text" : "HIV Test"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "2528003",
              "display" : "Viremia"
            }
          ],
          "text" : "Reason for testing"
        },
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/ReasonForHIVTestingExample"
      }
    },
    {
      "fullUrl" : "Observation/PatientPregnantExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "PatientPregnantExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-patient-pregnant"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"PatientPregnantExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;PatientPregnantExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-patient-pregnant.html\">Patient Pregnancy Status Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Pregnancy status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#250421003)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner/ObservationPerformingPractitionerExample</a> &quot; WHITE&quot;</p><p><b>value</b>: Pregnancy test result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#250423000 &quot;Pregnancy test positive&quot;)</span></p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "250421003"
            }
          ],
          "text" : "Pregnancy status"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "250423000",
              "display" : "Pregnancy test positive"
            }
          ],
          "text" : "Pregnancy test result"
        },
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/PatientPregnantExample"
      }
    },
    {
      "fullUrl" : "Observation/HIVPatientIsNewExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "HIVPatientIsNewExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-patient-is-new"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"HIVPatientIsNewExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;HIVPatientIsNewExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-patient-is-new.html\">HIV Patient Is New Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: New Patient Indication <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#769681006)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner/ObservationPerformingPractitionerExample</a> &quot; WHITE&quot;</p><p><b>value</b>: true</p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "769681006"
            }
          ],
          "text" : "New Patient Indication"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "valueBoolean" : true,
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/HIVPatientIsNewExample"
      }
    },
    {
      "fullUrl" : "Observation/BreastfeedingExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "BreastfeedingExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-patient-breastfeeding"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"BreastfeedingExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;BreastfeedingExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-patient-breastfeeding.html\">Breastfeeding Patient Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Breastfeeding <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#413712001)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner/ObservationPerformingPractitionerExample</a> &quot; WHITE&quot;</p><p><b>value</b>: true</p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "413712001"
            }
          ],
          "text" : "Breastfeeding"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "valueBoolean" : true,
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/BreastfeedingExample"
      }
    },
    {
      "fullUrl" : "CarePlan/ARVTreatmentRegimenChangedExample",
      "resource" : {
        "resourceType" : "CarePlan",
        "id" : "ARVTreatmentRegimenChangedExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-arv-treatment"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CarePlan</b><a name=\"ARVTreatmentRegimenChangedExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CarePlan &quot;ARVTreatmentRegimenChangedExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-arv-treatment.html\">ARV Treatment CarePlan</a></p></div><p><b>identifier</b>: Unique ART number:\u00a0UAN000123</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>period</b>: 2022-12-01 --&gt; 2022-12-01</p><h3>Activities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>PlannedActivityReference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#MedicationRequest_ARVRegimenMedicationRequestRegimenChangedExample\">See above (MedicationRequest/ARVRegimenMedicationRequestRegimenChangedExample)</a></td></tr></table><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer identifier"
                }
              ],
              "text" : "Unique ART number"
            },
            "system" : "http://openhie.org/fhir/rwanda-hiv/identifier/uan",
            "value" : "UAN000123"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "period" : {
          "start" : "2022-12-01",
          "end" : "2022-12-01"
        },
        "activity" : [
          {
            "plannedActivityReference" : {
              "reference" : "MedicationRequest/ARVRegimenMedicationRequestRegimenChangedExample"
            }
          }
        ],
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "CarePlan/ARVTreatmentRegimenChangedExample"
      }
    },
    {
      "fullUrl" : "CarePlan/ARVTreatmentInitiatedExample",
      "resource" : {
        "resourceType" : "CarePlan",
        "id" : "ARVTreatmentInitiatedExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-arv-treatment"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CarePlan</b><a name=\"ARVTreatmentInitiatedExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CarePlan &quot;ARVTreatmentInitiatedExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-arv-treatment.html\">ARV Treatment CarePlan</a></p></div><p><b>identifier</b>: Unique ART number:\u00a0UAN000123</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>period</b>: 2022-12-01 --&gt; 2022-12-01</p><h3>Activities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>PlannedActivityReference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#MedicationRequest_ARVRegimenMedicationRequestARVExample\">See above (MedicationRequest/ARVRegimenMedicationRequestARVExample)</a></td></tr></table><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer identifier"
                }
              ],
              "text" : "Unique ART number"
            },
            "system" : "http://openhie.org/fhir/rwanda-hiv/identifier/uan",
            "value" : "UAN000123"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "period" : {
          "start" : "2022-12-01",
          "end" : "2022-12-01"
        },
        "activity" : [
          {
            "plannedActivityReference" : {
              "reference" : "MedicationRequest/ARVRegimenMedicationRequestARVExample"
            }
          }
        ],
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "CarePlan/ARVTreatmentInitiatedExample"
      }
    },
    {
      "fullUrl" : "MedicationRequest/ARVRegimenMedicationRequestRegimenChangedExample",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "ARVRegimenMedicationRequestRegimenChangedExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/arv-regimen-medication-request"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"ARVRegimenMedicationRequestRegimenChangedExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest &quot;ARVRegimenMedicationRequestRegimenChangedExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-arv-regimen-medication-request.html\">ARV Regimen Medication Request</a></p></div><p><b>status</b>: completed</p><p><b>intent</b>: order</p><h3>Medications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>ARV regimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#427314002 &quot;Antiviral therapy&quot;)</span></td></tr></table><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><h3>Reasons</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#Observation_ARTRegimenSwitchedOrSubstitutedExample\">See above (Observation/ARTRegimenSwitchedOrSubstitutedExample)</a></td></tr></table></div>"
        },
        "status" : "completed",
        "intent" : "order",
        "medication" : {
          "concept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "427314002",
                "display" : "Antiviral therapy"
              }
            ],
            "text" : "ARV regimen"
          }
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "reason" : [
          {
            "reference" : {
              "reference" : "Observation/ARTRegimenSwitchedOrSubstitutedExample"
            }
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "MedicationRequest/ARVRegimenMedicationRequestRegimenChangedExample"
      }
    },
    {
      "fullUrl" : "MedicationRequest/ARVRegimenMedicationRequestARVExample",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "ARVRegimenMedicationRequestARVExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/arv-regimen-medication-request"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"ARVRegimenMedicationRequestARVExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest &quot;ARVRegimenMedicationRequestARVExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-arv-regimen-medication-request.html\">ARV Regimen Medication Request</a></p></div><p><b>status</b>: completed</p><p><b>intent</b>: order</p><h3>Medications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>ARV regimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#427314002 &quot;Antiviral therapy&quot;)</span></td></tr></table><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><h3>Reasons</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#Observation_ARTInitiatedExample\">See above (Observation/ARTInitiatedExample)</a></td></tr></table></div>"
        },
        "status" : "completed",
        "intent" : "order",
        "medication" : {
          "concept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "427314002",
                "display" : "Antiviral therapy"
              }
            ],
            "text" : "ARV regimen"
          }
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "reason" : [
          {
            "reference" : {
              "reference" : "Observation/ARTInitiatedExample"
            }
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "MedicationRequest/ARVRegimenMedicationRequestARVExample"
      }
    },
    {
      "fullUrl" : "Encounter/TargetFacilityEncounterExample",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "TargetFacilityEncounterExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/target-facility-encounter"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"TargetFacilityEncounterExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Encounter &quot;TargetFacilityEncounterExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-target-facility-encounter.html\">Target Facility Encounter</a></p></div><p><b>status</b>: completed</p><p><b>class</b>: ambulatory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-ActCode.html\">ActCode</a>#AMB)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>actualPeriod</b>: 2022-12-01 --&gt; 2023-01-20</p></div>"
        },
        "status" : "completed",
        "class" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "AMB"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "actualPeriod" : {
          "start" : "2022-12-01",
          "end" : "2023-01-20"
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "Encounter/TargetFacilityEncounterExample"
      }
    },
    {
      "fullUrl" : "Observation/HIVTestResultExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "HIVTestResultExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-test-result"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"HIVTestResultExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;HIVTestResultExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-viral-load-test-result.html\">HIV VL Lab Result Observation</a></p></div><p><b>Test Result Entered Manually</b>: false</p><p><b>status</b>: final</p><p><b>code</b>: Viral Load Result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#398579006 &quot;Human immunodeficiency virus-1 nucleic acid assay&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization/HIVOrganizationExample</a> &quot;HIV Test Services Health Facility&quot;</p><p><b>value</b>: 1001</p><p><b>interpretation</b>: Viral Load Suppression Status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#19032002 &quot;Uncontrolled&quot;)</span></p><p><b>note</b>: Viral load not suppressed (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/result-entered-manually",
            "valueBoolean" : false
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398579006",
              "display" : "Human immunodeficiency virus-1 nucleic acid assay"
            }
          ],
          "text" : "Viral Load Result"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Organization/HIVOrganizationExample"
          }
        ],
        "valueInteger" : 1001,
        "interpretation" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "19032002",
                "display" : "Uncontrolled"
              }
            ],
            "text" : "Viral Load Suppression Status"
          }
        ],
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Viral load not suppressed"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/HIVTestResultExample"
      }
    },
    {
      "fullUrl" : "SpecimenDefinition/SpecimenConservationExample",
      "resource" : {
        "resourceType" : "SpecimenDefinition",
        "id" : "SpecimenConservationExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/specimen-preservation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: SpecimenDefinition</b><a name=\"SpecimenConservationExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource SpecimenDefinition &quot;SpecimenConservationExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-specimen-preservation.html\">Specimen Conservation</a></p></div><p><b>status</b>: active</p><blockquote><p><b>typeTested</b></p><p><b>type</b>: 119361006 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#119361006)</span></p><p><b>preference</b>: preferred</p><blockquote><p><b>handling</b></p><p><b>temperatureRange</b>: 5-10</p><h3>MaxDurations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td>20</td></tr></table><p><b>instruction</b>: Comments regarding the specimen conservation.</p></blockquote></blockquote></div>"
        },
        "status" : "active",
        "typeTested" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "119361006"
                }
              ]
            },
            "preference" : "preferred",
            "handling" : [
              {
                "temperatureRange" : {
                  "low" : {
                    "value" : 5
                  },
                  "high" : {
                    "value" : 10
                  }
                },
                "maxDuration" : {
                  "value" : 20
                },
                "instruction" : "Comments regarding the specimen conservation."
              }
            ]
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "SpecimenDefinition/SpecimenConservationExample"
      }
    },
    {
      "fullUrl" : "Task/HIVLabResultTaskExample",
      "resource" : {
        "resourceType" : "Task",
        "id" : "HIVLabResultTaskExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-lab-task"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Task</b><a name=\"HIVLabResultTaskExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Task &quot;HIVLabResultTaskExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-lab-task.html\">HIV VL Lab Order Task</a></p></div><p><b>Result Status Index</b>: 4</p><p><b>identifier</b>: Lab order number:\u00a0ORDER12345</p><p><b>instantiatesCanonical</b>: <a href=\"ActivityDefinition-LabOrderTaskActivityExample.html\">ActivityDefinition[http://openhie.org/fhir/rwanda-hiv/ActivityDefinition/LabOrderTaskActivityExample|0.1.0]</a></p><p><b>basedOn</b>: </p><ul><li><a href=\"#ServiceRequest_HIVServiceRequestExample\">See above (ServiceRequest/HIVServiceRequestExample)</a></li><li><a href=\"#Transport_SampleDispatchedToLabExample\">See above (Transport/SampleDispatchedToLabExample)</a></li><li><a href=\"#Transport_ResultDispatchedToRequestingFacilityExample\">See above (Transport/ResultDispatchedToRequestingFacilityExample)</a></li></ul><p><b>status</b>: completed</p><p><b>intent</b>: original-order</p><p><b>for</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>executionPeriod</b>: ?? --&gt; 2022-07-30</p><p><b>lastModified</b>: 2022-07-30</p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p><h3>Outputs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Viral Load Result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#398579006 &quot;Human immunodeficiency virus-1 nucleic acid assay&quot;)</span></td><td><a href=\"#DiagnosticReport_HIVLabResultsDiagnosticReportExample\">See above (DiagnosticReport/HIVLabResultsDiagnosticReportExample)</a></td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/result-status-index",
            "valueInteger" : 4
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "FILL",
                  "display" : "Filler Identifier"
                }
              ],
              "text" : "Lab order number"
            },
            "system" : "http://openhie.org/fhir/rwanda-hiv/lab-integration/order-number",
            "value" : "ORDER12345"
          }
        ],
        "instantiatesCanonical" : "http://openhie.org/fhir/rwanda-hiv/ActivityDefinition/LabOrderTaskActivityExample",
        "basedOn" : [
          {
            "reference" : "ServiceRequest/HIVServiceRequestExample"
          },
          {
            "reference" : "Transport/SampleDispatchedToLabExample"
          },
          {
            "reference" : "Transport/ResultDispatchedToRequestingFacilityExample"
          }
        ],
        "status" : "completed",
        "intent" : "original-order",
        "for" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "executionPeriod" : {
          "end" : "2022-07-30"
        },
        "lastModified" : "2022-07-30",
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ],
        "output" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "398579006",
                  "display" : "Human immunodeficiency virus-1 nucleic acid assay"
                }
              ],
              "text" : "Viral Load Result"
            },
            "valueReference" : {
              "reference" : "DiagnosticReport/HIVLabResultsDiagnosticReportExample"
            }
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Task/HIVLabResultTaskExample"
      }
    },
    {
      "fullUrl" : "ActivityDefinition/LabOrderTaskActivityExample",
      "resource" : {
        "resourceType" : "ActivityDefinition",
        "id" : "LabOrderTaskActivityExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-lab-task-activity"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ActivityDefinition</b><a name=\"LabOrderTaskActivityExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ActivityDefinition &quot;LabOrderTaskActivityExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-lab-task-activity.html\">HIV Lab Order Activity Definition</a></p></div><p><b>HIV Viral Load Result Revised By</b>: 2</p><p><b>status</b>: active</p><p><b>date</b>: 2023-01-01</p><p><b>approvalDate</b>: 2023-01-01</p><p><b>lastReviewDate</b>: 2023-01-01</p><p><b>editor</b>: Sarah May: </p><p><b>reviewer</b>: Mark Jones: </p><p><b>endorser</b>: Tobias Menley: </p><p><b>specimenRequirement</b>: <a href=\"http://openhie.org/fhir/rwanda-hiv/SpecimenDefinition/SpecimenConservationExample\">http://openhie.org/fhir/rwanda-hiv/SpecimenDefinition/SpecimenConservationExample</a></p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/revised-by-user-index",
            "valueInteger" : 2
          }
        ],
        "status" : "active",
        "date" : "2023-01-01",
        "approvalDate" : "2023-01-01",
        "lastReviewDate" : "2023-01-01",
        "editor" : [
          {
            "name" : "Sarah May"
          }
        ],
        "reviewer" : [
          {
            "extension" : [
              {
                "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/task-reviewed-by-user-index",
                "valueInteger" : 23
              }
            ],
            "name" : "Mark Jones"
          }
        ],
        "endorser" : [
          {
            "extension" : [
              {
                "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/task-approved-by-user-index",
                "valueInteger" : 16
              }
            ],
            "name" : "Tobias Menley"
          }
        ],
        "specimenRequirement" : [
          "http://openhie.org/fhir/rwanda-hiv/SpecimenDefinition/SpecimenConservationExample"
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "ActivityDefinition/LabOrderTaskActivityExample"
      }
    },
    {
      "fullUrl" : "Transport/SampleDispatchedToLabExample",
      "resource" : {
        "resourceType" : "Transport",
        "id" : "SampleDispatchedToLabExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/sample-dispatched-to-lab"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Transport</b><a name=\"SampleDispatchedToLabExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Transport &quot;SampleDispatchedToLabExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-sample-dispatched-to-lab.html\">Sample Dispatched</a></p></div><p><b>status</b>: in-progress</p><p><b>intent</b>: order</p><p><b>completionTime</b>: 2022-07-28</p><p><b>authoredOn</b>: 2022-07-28</p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p><p><b>requestedLocation</b>: <a href=\"#Location_TransportRequestedLocationExample\">See above (Location/TransportRequestedLocationExample)</a></p><p><b>currentLocation</b>: <a href=\"#Location_TransportCurrentLocationExample\">See above (Location/TransportCurrentLocationExample)</a></p></div>"
        },
        "status" : "in-progress",
        "intent" : "order",
        "completionTime" : "2022-07-28",
        "authoredOn" : "2022-07-28",
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ],
        "requestedLocation" : {
          "reference" : "Location/TransportRequestedLocationExample"
        },
        "currentLocation" : {
          "reference" : "Location/TransportCurrentLocationExample"
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "Transport/SampleDispatchedToLabExample"
      }
    },
    {
      "fullUrl" : "Transport/ResultDispatchedToRequestingFacilityExample",
      "resource" : {
        "resourceType" : "Transport",
        "id" : "ResultDispatchedToRequestingFacilityExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/result-dispatched-to-facility"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Transport</b><a name=\"ResultDispatchedToRequestingFacilityExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Transport &quot;ResultDispatchedToRequestingFacilityExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-result-dispatched-to-facility.html\">Result Dispatched</a></p></div><p><b>status</b>: in-progress</p><p><b>intent</b>: order</p><p><b>authoredOn</b>: 2022-07-28</p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p><p><b>requestedLocation</b>: <a href=\"#Location_TransportRequestedLocationExample\">See above (Location/TransportRequestedLocationExample)</a></p><p><b>currentLocation</b>: <a href=\"#Location_TransportCurrentLocationExample\">See above (Location/TransportCurrentLocationExample)</a></p></div>"
        },
        "status" : "in-progress",
        "intent" : "order",
        "authoredOn" : "2022-07-28",
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ],
        "requestedLocation" : {
          "reference" : "Location/TransportRequestedLocationExample"
        },
        "currentLocation" : {
          "reference" : "Location/TransportCurrentLocationExample"
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "Transport/ResultDispatchedToRequestingFacilityExample"
      }
    },
    {
      "fullUrl" : "Location/TransportRequestedLocationExample",
      "resource" : {
        "resourceType" : "Location",
        "id" : "TransportRequestedLocationExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/transport-location"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Location</b><a name=\"TransportRequestedLocationExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Location &quot;TransportRequestedLocationExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-transport-location.html\">Transport Location</a></p></div><p><b>status</b>: active</p><p><b>name</b>: Requested location name</p></div>"
        },
        "status" : "active",
        "name" : "Requested location name"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Location/TransportRequestedLocationExample"
      }
    },
    {
      "fullUrl" : "Location/TransportCurrentLocationExample",
      "resource" : {
        "resourceType" : "Location",
        "id" : "TransportCurrentLocationExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/transport-location"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Location</b><a name=\"TransportCurrentLocationExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Location &quot;TransportCurrentLocationExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-transport-location.html\">Transport Location</a></p></div><p><b>status</b>: active</p><p><b>name</b>: Current location name</p></div>"
        },
        "status" : "active",
        "name" : "Current location name"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Location/TransportCurrentLocationExample"
      }
    },
    {
      "fullUrl" : "DiagnosticReport/HIVLabResultsDiagnosticReportExample",
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "HIVLabResultsDiagnosticReportExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-diagnostic-report"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DiagnosticReport</b><a name=\"HIVLabResultsDiagnosticReportExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource DiagnosticReport &quot;HIVLabResultsDiagnosticReportExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-diagnostic-report.html\">HIV Viral Load Diagnostic Report</a></p></div><p><b>HIV Viral Load Result Tested By</b>: 7</p><p><b>basedOn</b>: <a href=\"#ServiceRequest_HIVServiceRequestExample\">See above (ServiceRequest/HIVServiceRequestExample)</a></p><p><b>status</b>: final</p><p><b>code</b>: Test Type <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#25836-8 &quot;HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>performer</b>: <a href=\"#Practitioner_PerformingPractitionerExample\">See above (Practitioner/PerformingPractitionerExample)</a></p><p><b>resultsInterpreter</b>: <a href=\"#Practitioner_ResultsInterpreterExample\">See above (Practitioner/ResultsInterpreterExample)</a></p><p><b>result</b>: <a href=\"#Observation_HIVTestResultExample\">See above (Observation/HIVTestResultExample)</a></p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p><p><b>conclusion</b>: Some conclusion text</p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/tested-by-user-index",
            "valueInteger" : 7
          }
        ],
        "basedOn" : [
          {
            "reference" : "ServiceRequest/HIVServiceRequestExample"
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "25836-8",
              "display" : "HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"
            }
          ],
          "text" : "Test Type"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "performer" : [
          {
            "reference" : "Practitioner/PerformingPractitionerExample"
          }
        ],
        "resultsInterpreter" : [
          {
            "reference" : "Practitioner/ResultsInterpreterExample"
          }
        ],
        "result" : [
          {
            "reference" : "Observation/HIVTestResultExample"
          }
        ],
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ],
        "conclusion" : "Some conclusion text"
      },
      "request" : {
        "method" : "PUT",
        "url" : "DiagnosticReport/HIVLabResultsDiagnosticReportExample"
      }
    },
    {
      "fullUrl" : "Practitioner/ResultsInterpreterExample",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "ResultsInterpreterExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-practitioner"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"ResultsInterpreterExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner &quot;ResultsInterpreterExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-practitioner.html\">Practitioner</a></p></div><p><b>Clinician User Index</b>: 11</p><p><b>name</b>: Jhon Smith </p><p><b>telecom</b>: ph: 27539887534</p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/clinician-user-index",
            "valueInteger" : 11
          }
        ],
        "name" : [
          {
            "family" : "Smith",
            "given" : [
              "Jhon"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "27539887534"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Practitioner/ResultsInterpreterExample"
      }
    },
    {
      "fullUrl" : "Consent/ReceiveSMSMessagesExample",
      "resource" : {
        "resourceType" : "Consent",
        "id" : "ReceiveSMSMessagesExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/receive-sms-messages"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Consent</b><a name=\"ReceiveSMSMessagesExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Consent &quot;ReceiveSMSMessagesExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-receive-sms-messages.html\">Receive SMS Messages Consent</a></p></div><p><b>status</b>: active</p><p><b>category</b>: Patient consent for SMS messages <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#89057-4 &quot;Permission to receive text messages&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>decision</b>: permit</p></div>"
        },
        "status" : "active",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "89057-4",
                "display" : "Permission to receive text messages"
              }
            ],
            "text" : "Patient consent for SMS messages"
          }
        ],
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "decision" : "permit"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Consent/ReceiveSMSMessagesExample"
      }
    },
    {
      "fullUrl" : "Observation/ARVAdherenceExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ARVAdherenceExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-arv-adherence"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ARVAdherenceExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;ARVAdherenceExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-arv-adherence.html\">Adherence to ARV Treatment Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Treatment compliance <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#386091000)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner/ObservationPerformingPractitionerExample</a> &quot; WHITE&quot;</p><p><b>value</b>: ARV adherence <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6763-2 &quot;Good = 95% adherence&quot;)</span></p><p><b>note</b>: additional notes here (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "386091000"
            }
          ],
          "text" : "Treatment compliance"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA6763-2",
              "display" : "Good = 95% adherence"
            }
          ],
          "text" : "ARV adherence"
        },
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "additional notes here"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/ARVAdherenceExample"
      }
    },
    {
      "fullUrl" : "Observation/RepeatHIVTestResultExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "RepeatHIVTestResultExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-repeat-test-result"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"RepeatHIVTestResultExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;RepeatHIVTestResultExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-viral-load-repeat-test-result.html\">Repeat HIV VL Lab Result Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Viral Load Result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#398579006 &quot;Human immunodeficiency virus-1 nucleic acid assay&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization/HIVOrganizationExample</a> &quot;HIV Test Services Health Facility&quot;</p><p><b>value</b>: 1001</p><p><b>note</b>: Viral load not suppressed (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398579006",
              "display" : "Human immunodeficiency virus-1 nucleic acid assay"
            }
          ],
          "text" : "Viral Load Result"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Organization/HIVOrganizationExample"
          }
        ],
        "valueInteger" : 1001,
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Viral load not suppressed"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/RepeatHIVTestResultExample"
      }
    },
    {
      "fullUrl" : "Observation/SuspendTreatmentHIVTestResultExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "SuspendTreatmentHIVTestResultExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-suspend-treatment-test-result"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"SuspendTreatmentHIVTestResultExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;SuspendTreatmentHIVTestResultExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-viral-load-suspend-treatment-test-result.html\">Suspended Treatment HIV VL Lab Result Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Viral Load Result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#398579006 &quot;Human immunodeficiency virus-1 nucleic acid assay&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization/HIVOrganizationExample</a> &quot;HIV Test Services Health Facility&quot;</p><p><b>value</b>: 1001</p><p><b>note</b>: Viral load not suppressed (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398579006",
              "display" : "Human immunodeficiency virus-1 nucleic acid assay"
            }
          ],
          "text" : "Viral Load Result"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Organization/HIVOrganizationExample"
          }
        ],
        "valueInteger" : 1001,
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Viral load not suppressed"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/SuspendTreatmentHIVTestResultExample"
      }
    },
    {
      "fullUrl" : "Device/TestingPlatformExample",
      "resource" : {
        "resourceType" : "Device",
        "id" : "TestingPlatformExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/device-for-testing"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Device</b><a name=\"TestingPlatformExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Device &quot;TestingPlatformExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-device-for-testing.html\">Testing Platform</a></p></div><p><b>manufacturer</b>: My testing platform</p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "manufacturer" : "My testing platform",
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Device/TestingPlatformExample"
      }
    },
    {
      "fullUrl" : "Observation/HIVTestResultViralLoadLogExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "HIVTestResultViralLoadLogExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-log"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"HIVTestResultViralLoadLogExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;HIVTestResultViralLoadLogExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-viral-load-log.html\">Viral Load Log Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Viral Load Result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#398579006 &quot;Human immunodeficiency virus-1 nucleic acid assay&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization/HIVOrganizationExample</a> &quot;HIV Test Services Health Facility&quot;</p><p><b>value</b>: 2.55</p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p><p><b>derivedFrom</b>: <a href=\"#Observation_HIVTestResultExample\">See above (Observation/HIVTestResultExample)</a></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398579006",
              "display" : "Human immunodeficiency virus-1 nucleic acid assay"
            }
          ],
          "text" : "Viral Load Result"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Organization/HIVOrganizationExample"
          }
        ],
        "valueQuantity" : {
          "value" : 2.55
        },
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ],
        "derivedFrom" : [
          {
            "reference" : "Observation/HIVTestResultExample"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/HIVTestResultViralLoadLogExample"
      }
    },
    {
      "fullUrl" : "Observation/HIVTestResultAbsoluteDecimalExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "HIVTestResultAbsoluteDecimalExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-test-result-absolute-decimal"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"HIVTestResultAbsoluteDecimalExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;HIVTestResultAbsoluteDecimalExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-viral-load-test-result-absolute-decimal.html\">Viral Load Result Absolute Decimal Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Viral Load Result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#398579006 &quot;Human immunodeficiency virus-1 nucleic acid assay&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization/HIVOrganizationExample</a> &quot;HIV Test Services Health Facility&quot;</p><p><b>value</b>: 2.55</p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p><p><b>derivedFrom</b>: <a href=\"#Observation_HIVTestResultExample\">See above (Observation/HIVTestResultExample)</a></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "398579006",
              "display" : "Human immunodeficiency virus-1 nucleic acid assay"
            }
          ],
          "text" : "Viral Load Result"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Organization/HIVOrganizationExample"
          }
        ],
        "valueQuantity" : {
          "value" : 2.55
        },
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ],
        "derivedFrom" : [
          {
            "reference" : "Observation/HIVTestResultExample"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/HIVTestResultAbsoluteDecimalExample"
      }
    },
    {
      "fullUrl" : "Organization/FundingOrganizationExample",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "FundingOrganizationExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/funding-source"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"FundingOrganizationExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization &quot;FundingOrganizationExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-funding-source.html\">Funding Organization</a></p></div><p><b>Funding Organization</b>: 1</p><p><b>identifier</b>: Funding Organization identifier:\u00a0funder1</p><p><b>name</b>: A funding organization name</p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/funding-source-index",
            "valueInteger" : 1
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "XX",
                  "display" : "Organization identifier"
                }
              ],
              "text" : "Funding Organization identifier"
            },
            "system" : "http://openhie.org/fhir/rwanda-hiv/identifier/organization-id",
            "value" : "funder1"
          }
        ],
        "name" : "A funding organization name"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Organization/FundingOrganizationExample"
      }
    },
    {
      "fullUrl" : "Organization/ImplementingPartnerOrganizationExample",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "ImplementingPartnerOrganizationExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/implementing-partner"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"ImplementingPartnerOrganizationExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization &quot;ImplementingPartnerOrganizationExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-implementing-partner.html\">Implementing Partner Organization</a></p></div><p><b>Implementing Partner Organization</b>: 14</p><p><b>identifier</b>: Implementing Partner Organization identifier:\u00a0implementing-partner-org1</p><p><b>name</b>: An implementing partner organization name</p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/implementing-partner-index",
            "valueInteger" : 14
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "XX",
                  "display" : "Organization identifier"
                }
              ],
              "text" : "Implementing Partner Organization identifier"
            },
            "system" : "http://openhie.org/fhir/rwanda-hiv/identifier/organization-id",
            "value" : "implementing-partner-org1"
          }
        ],
        "name" : "An implementing partner organization name"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Organization/ImplementingPartnerOrganizationExample"
      }
    },
    {
      "fullUrl" : "Observation/ARTInitiatedExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ARTInitiatedExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/art-initiated"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ARTInitiatedExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;ARTInitiatedExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-art-initiated.html\">ART Initiated Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: ART initiated <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#47241-5 &quot;Date determined medically eligible and ready to start HIV treatment&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner/ObservationPerformingPractitionerExample</a> &quot; WHITE&quot;</p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "47241-5",
              "display" : "Date determined medically eligible and ready to start HIV treatment"
            }
          ],
          "text" : "ART initiated"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/ARTInitiatedExample"
      }
    },
    {
      "fullUrl" : "Observation/ARVRegimenChangeExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ARVRegimenChangeExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/arv-regimen-change"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ARVRegimenChangeExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;ARVRegimenChangeExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-arv-regimen-change.html\">ARV Regimen Change Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: ARV Regimen Change <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#182838006 &quot;Change of medication&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner/ObservationPerformingPractitionerExample</a> &quot; WHITE&quot;</p><p><b>value</b>: Regimen change reason <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#271737000 &quot;Anemia&quot;)</span></p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p><p><b>derivedFrom</b>: <a href=\"#Observation_ARTRegimenSwitchedOrSubstitutedExample\">See above (Observation/ARTRegimenSwitchedOrSubstitutedExample)</a></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "182838006",
              "display" : "Change of medication"
            }
          ],
          "text" : "ARV Regimen Change"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "271737000",
              "display" : "Anemia"
            }
          ],
          "text" : "Regimen change reason"
        },
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ],
        "derivedFrom" : [
          {
            "reference" : "Observation/ARTRegimenSwitchedOrSubstitutedExample"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/ARVRegimenChangeExample"
      }
    },
    {
      "fullUrl" : "Observation/ARTRegimenSwitchedOrSubstitutedExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ARTRegimenSwitchedOrSubstitutedExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/rwanda-hiv/StructureDefinition/art-regimen-switched-or-substituted"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ARTRegimenSwitchedOrSubstitutedExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;ARTRegimenSwitchedOrSubstitutedExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-art-regimen-switched-or-substituted.html\">ART Regimen Switched Or Substituted Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: ARV Regimen Change <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#182838006 &quot;Change of medication&quot;)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_TargetFacilityEncounterExample\">See above (Encounter/TargetFacilityEncounterExample)</a></p><p><b>effective</b>: 2022-11-30</p><p><b>performer</b>: <a href=\"Practitioner-ObservationPerformingPractitionerExample.html\">Practitioner/ObservationPerformingPractitionerExample</a> &quot; WHITE&quot;</p><p><b>value</b>: true</p><p><b>note</b>: Some comments (By Organization/HIVOrganizationExample @Feb 7, 2015, 6:28:17\u202fPM)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "182838006",
              "display" : "Change of medication"
            }
          ],
          "text" : "ARV Regimen Change"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/TargetFacilityEncounterExample"
        },
        "effectiveDateTime" : "2022-11-30",
        "performer" : [
          {
            "reference" : "Practitioner/ObservationPerformingPractitionerExample"
          }
        ],
        "valueBoolean" : true,
        "note" : [
          {
            "authorReference" : {
              "reference" : "Organization/HIVOrganizationExample"
            },
            "time" : "2015-02-07T13:28:17-05:00",
            "text" : "Some comments"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Observation/ARTRegimenSwitchedOrSubstitutedExample"
      }
    }
  ]
}