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 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="VLSMS-VL-Request-Transactional"/>
  <type value="transaction"/>
  <entry>
    <fullUrl value="Patient/HIVPatientExample"/>
    <resource>
      <Patient>
        <id value="HIVPatientExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-patient"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/patient-age-months">
          <valueInteger value="388"/>
        </extension>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/patient-age-years">
          <valueInteger value="32"/>
        </extension>
        <name>
          <use value="official"/>
          <family value="Smith"/>
          <given value="Jane"/>
          <given value="Maria"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="+27821234567"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="someone@example.com"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1990-12-12"/>
        <managingOrganization>
          <reference value="Organization/HIVOrganizationExample"/>
        </managingOrganization>
      </Patient>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Patient/HIVPatientExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Specimen/VLSpecimenExample"/>
    <resource>
      <Specimen>
        <id value="VLSpecimenExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-specimen"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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: abc123, Remote sample identifier: def456, Sample identifier: ghi789, Universal Unique Identifier for the sample: 123456abc</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 PM)</p></div>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/sample-reordered">
          <valueBoolean value="false"/>
        </extension>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="USID"/>
              <display value="Unique Specimen ID"/>
            </coding>
            <text value="App sample identifier"/>
          </type>
          <system
                  value="http://openhie.org/fhir/rwanda-hiv/identifier/app-sample-code"/>
          <value value="abc123"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="USID"/>
              <display value="Unique Specimen ID"/>
            </coding>
            <text value="Remote sample identifier"/>
          </type>
          <system
                  value="http://openhie.org/fhir/rwanda-hiv/identifier/remote-sample-code"/>
          <value value="def456"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="USID"/>
              <display value="Unique Specimen ID"/>
            </coding>
            <text value="Sample identifier"/>
          </type>
          <system
                  value="http://openhie.org/fhir/rwanda-hiv/identifier/sample-code"/>
          <value value="ghi789"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
              <display value="Placer Identifier"/>
            </coding>
            <text value="Universal Unique Identifier for the sample"/>
          </type>
          <system
                  value="http://openhie.org/fhir/rwanda-hiv/identifier/uniqueID"/>
          <value value="123456abc"/>
        </identifier>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="119361006"/>
            <display value="Plasma specimen (specimen)"/>
          </coding>
          <text value="Specimen Type"/>
        </type>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <receivedTime value="2022-07-28"/>
        <collection>
          <collectedDateTime value="2022-07-28"/>
        </collection>
        <processing>
          <timeDateTime value="2022-07-28"/>
        </processing>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="additional notes here"/>
        </note>
      </Specimen>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Specimen/VLSpecimenExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Organization/RequestingOrganizationExample"/>
    <resource>
      <Organization>
        <id value="RequestingOrganizationExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/requesting-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <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: facility5</p><p><b>name</b>: A facility name</p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="XX"/>
              <display value="Organization identifier"/>
            </coding>
            <text value="Requesting Organization identifier"/>
          </type>
          <system
                  value="http://openhie.org/fhir/rwanda-hiv/identifier/organization-id"/>
          <value value="facility5"/>
        </identifier>
        <name value="A facility name"/>
      </Organization>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Organization/RequestingOrganizationExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Organization/PerformingOrganizationExample"/>
    <resource>
      <Organization>
        <id value="PerformingOrganizationExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/performing-organization"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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: laboratory1</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>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/performing-organization-province-index">
          <valueInteger value="4"/>
        </extension>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/performing-organization-district-index">
          <valueInteger value="9"/>
        </extension>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="XX"/>
              <display value="Organization identifier"/>
            </coding>
            <text value="Performing Organization identifier"/>
          </type>
          <system
                  value="http://openhie.org/fhir/rwanda-hiv/identifier/organization-id"/>
          <value value="laboratory1"/>
        </identifier>
        <name value="A Laboratory name"/>
        <contact>
          <address>
            <district value="A district name"/>
            <state value="A province name"/>
          </address>
        </contact>
      </Organization>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Organization/PerformingOrganizationExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="ServiceRequest/HIVServiceRequestExample"/>
    <resource>
      <ServiceRequest>
        <id value="HIVServiceRequestExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/HIV-lab-order"/>
        </meta>
        <text>
          <status value="generated"/>
          <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: ORDER12345</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 PM)</p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
              <display value="Placer Identifier"/>
            </coding>
            <text value="HIV lab service request identifier"/>
          </type>
          <system
                  value="http://openhie.org/fhir/rwanda-hiv/identifier/lab-order-identifier"/>
          <value value="ORDER12345"/>
        </identifier>
        <status value="completed"/>
        <intent value="order"/>
        <code>
          <concept>
            <coding>
              <system value="http://loinc.org"/>
              <code value="25836-8"/>
              <display
                       value="HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"/>
            </coding>
            <text value="Test Type"/>
          </concept>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <occurrenceDateTime value="2012-01-05"/>
        <requester>
          <reference value="Practitioner/RequestingPractitionerExample"/>
        </requester>
        <performer>
          <reference value="Practitioner/PerformingPractitionerExample"/>
        </performer>
        <reason>
          <reference>
            <reference value="Observation/ReasonForHIVTestingExample"/>
          </reference>
        </reason>
        <specimen>
          <reference value="Specimen/VLSpecimenExample"/>
        </specimen>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="additional notes here"/>
        </note>
      </ServiceRequest>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="ServiceRequest/HIVServiceRequestExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Practitioner/RequestingPractitionerExample"/>
    <resource>
      <Practitioner>
        <id value="RequestingPractitionerExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-practitioner"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/clinician-user-index">
          <valueInteger value="2"/>
        </extension>
        <name>
          <family value="Smith"/>
          <given value="James"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="27537652509"/>
        </telecom>
      </Practitioner>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Practitioner/RequestingPractitionerExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Practitioner/PerformingPractitionerExample"/>
    <resource>
      <Practitioner>
        <id value="PerformingPractitionerExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-practitioner"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/clinician-user-index">
          <valueInteger value="6"/>
        </extension>
        <name>
          <family value="White"/>
          <given value="Amy"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="27537687534"/>
        </telecom>
      </Practitioner>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Practitioner/PerformingPractitionerExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/ReasonForHIVTestingExample"/>
    <resource>
      <Observation>
        <id value="ReasonForHIVTestingExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/reason-for-hiv-testing"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="165813002"/>
            <display value="Human immunodeficiency virus antibody test"/>
          </coding>
          <text value="HIV Test"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference
                     value="Practitioner/ObservationPerformingPractitionerExample"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="2528003"/>
            <display value="Viremia"/>
          </coding>
          <text value="Reason for testing"/>
        </valueCodeableConcept>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Some comments"/>
        </note>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/ReasonForHIVTestingExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/PatientPregnantExample"/>
    <resource>
      <Observation>
        <id value="PatientPregnantExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-patient-pregnant"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="250421003"/>
          </coding>
          <text value="Pregnancy status"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference
                     value="Practitioner/ObservationPerformingPractitionerExample"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="250423000"/>
            <display value="Pregnancy test positive"/>
          </coding>
          <text value="Pregnancy test result"/>
        </valueCodeableConcept>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="additional notes here"/>
        </note>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/PatientPregnantExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/HIVPatientIsNewExample"/>
    <resource>
      <Observation>
        <id value="HIVPatientIsNewExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-patient-is-new"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="769681006"/>
          </coding>
          <text value="New Patient Indication"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference
                     value="Practitioner/ObservationPerformingPractitionerExample"/>
        </performer>
        <valueBoolean value="true"/>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="additional notes here"/>
        </note>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/HIVPatientIsNewExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/BreastfeedingExample"/>
    <resource>
      <Observation>
        <id value="BreastfeedingExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-patient-breastfeeding"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="413712001"/>
          </coding>
          <text value="Breastfeeding"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference
                     value="Practitioner/ObservationPerformingPractitionerExample"/>
        </performer>
        <valueBoolean value="true"/>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="additional notes here"/>
        </note>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/BreastfeedingExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="CarePlan/ARVTreatmentRegimenChangedExample"/>
    <resource>
      <CarePlan>
        <id value="ARVTreatmentRegimenChangedExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-arv-treatment"/>
        </meta>
        <text>
          <status value="generated"/>
          <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: UAN000123</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 PM)</p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
              <display value="Placer identifier"/>
            </coding>
            <text value="Unique ART number"/>
          </type>
          <system value="http://openhie.org/fhir/rwanda-hiv/identifier/uan"/>
          <value value="UAN000123"/>
        </identifier>
        <status value="active"/>
        <intent value="order"/>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <period>
          <start value="2022-12-01"/>
          <end value="2022-12-01"/>
        </period>
        <activity>
          <plannedActivityReference>
            <reference
                       value="MedicationRequest/ARVRegimenMedicationRequestRegimenChangedExample"/>
          </plannedActivityReference>
        </activity>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Some comments"/>
        </note>
      </CarePlan>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="CarePlan/ARVTreatmentRegimenChangedExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="CarePlan/ARVTreatmentInitiatedExample"/>
    <resource>
      <CarePlan>
        <id value="ARVTreatmentInitiatedExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-arv-treatment"/>
        </meta>
        <text>
          <status value="generated"/>
          <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: UAN000123</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 PM)</p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
              <display value="Placer identifier"/>
            </coding>
            <text value="Unique ART number"/>
          </type>
          <system value="http://openhie.org/fhir/rwanda-hiv/identifier/uan"/>
          <value value="UAN000123"/>
        </identifier>
        <status value="active"/>
        <intent value="order"/>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <period>
          <start value="2022-12-01"/>
          <end value="2022-12-01"/>
        </period>
        <activity>
          <plannedActivityReference>
            <reference
                       value="MedicationRequest/ARVRegimenMedicationRequestARVExample"/>
          </plannedActivityReference>
        </activity>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Some comments"/>
        </note>
      </CarePlan>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="CarePlan/ARVTreatmentInitiatedExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl
             value="MedicationRequest/ARVRegimenMedicationRequestRegimenChangedExample"/>
    <resource>
      <MedicationRequest>
        <id value="ARVRegimenMedicationRequestRegimenChangedExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/arv-regimen-medication-request"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="completed"/>
        <intent value="order"/>
        <medication>
          <concept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="427314002"/>
              <display value="Antiviral therapy"/>
            </coding>
            <text value="ARV regimen"/>
          </concept>
        </medication>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <reason>
          <reference>
            <reference
                       value="Observation/ARTRegimenSwitchedOrSubstitutedExample"/>
          </reference>
        </reason>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT"/>
      <url
           value="MedicationRequest/ARVRegimenMedicationRequestRegimenChangedExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="MedicationRequest/ARVRegimenMedicationRequestARVExample"/>
    <resource>
      <MedicationRequest>
        <id value="ARVRegimenMedicationRequestARVExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/arv-regimen-medication-request"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="completed"/>
        <intent value="order"/>
        <medication>
          <concept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="427314002"/>
              <display value="Antiviral therapy"/>
            </coding>
            <text value="ARV regimen"/>
          </concept>
        </medication>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <reason>
          <reference>
            <reference value="Observation/ARTInitiatedExample"/>
          </reference>
        </reason>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="MedicationRequest/ARVRegimenMedicationRequestARVExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Encounter/TargetFacilityEncounterExample"/>
    <resource>
      <Encounter>
        <id value="TargetFacilityEncounterExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/target-facility-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="completed"/>
        <class>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
            <code value="AMB"/>
          </coding>
        </class>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <actualPeriod>
          <start value="2022-12-01"/>
          <end value="2023-01-20"/>
        </actualPeriod>
      </Encounter>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Encounter/TargetFacilityEncounterExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/HIVTestResultExample"/>
    <resource>
      <Observation>
        <id value="HIVTestResultExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-test-result"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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 PM)</p></div>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/result-entered-manually">
          <valueBoolean value="false"/>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="398579006"/>
            <display
                     value="Human immunodeficiency virus-1 nucleic acid assay"/>
          </coding>
          <text value="Viral Load Result"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference value="Organization/HIVOrganizationExample"/>
        </performer>
        <valueInteger value="1001"/>
        <interpretation>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="19032002"/>
            <display value="Uncontrolled"/>
          </coding>
          <text value="Viral Load Suppression Status"/>
        </interpretation>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Viral load not suppressed"/>
        </note>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/HIVTestResultExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="SpecimenDefinition/SpecimenConservationExample"/>
    <resource>
      <SpecimenDefinition>
        <id value="SpecimenConservationExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/specimen-preservation"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="active"/>
        <typeTested>
          <type>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="119361006"/>
            </coding>
          </type>
          <preference value="preferred"/>
          <handling>
            <temperatureRange>
              <low>
                <value value="5"/>
              </low>
              <high>
                <value value="10"/>
              </high>
            </temperatureRange>
            <maxDuration>
              <value value="20"/>
            </maxDuration>
            <instruction
                         value="Comments regarding the specimen conservation."/>
          </handling>
        </typeTested>
      </SpecimenDefinition>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="SpecimenDefinition/SpecimenConservationExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Task/HIVLabResultTaskExample"/>
    <resource>
      <Task>
        <id value="HIVLabResultTaskExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-lab-task"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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: ORDER12345</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 PM)</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>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/result-status-index">
          <valueInteger value="4"/>
        </extension>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="FILL"/>
              <display value="Filler Identifier"/>
            </coding>
            <text value="Lab order number"/>
          </type>
          <system
                  value="http://openhie.org/fhir/rwanda-hiv/lab-integration/order-number"/>
          <value value="ORDER12345"/>
        </identifier>
        <instantiatesCanonical
                               value="http://openhie.org/fhir/rwanda-hiv/ActivityDefinition/LabOrderTaskActivityExample"/>
        <basedOn>
          <reference value="ServiceRequest/HIVServiceRequestExample"/>
        </basedOn>
        <basedOn>
          <reference value="Transport/SampleDispatchedToLabExample"/>
        </basedOn>
        <basedOn>
          <reference
                     value="Transport/ResultDispatchedToRequestingFacilityExample"/>
        </basedOn>
        <status value="completed"/>
        <intent value="original-order"/>
        <for>
          <reference value="Patient/HIVPatientExample"/>
        </for>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <executionPeriod>
          <end value="2022-07-30"/>
        </executionPeriod>
        <lastModified value="2022-07-30"/>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="additional notes here"/>
        </note>
        <output>
          <type>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="398579006"/>
              <display
                       value="Human immunodeficiency virus-1 nucleic acid assay"/>
            </coding>
            <text value="Viral Load Result"/>
          </type>
          <valueReference>
            <reference
                       value="DiagnosticReport/HIVLabResultsDiagnosticReportExample"/>
          </valueReference>
        </output>
      </Task>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Task/HIVLabResultTaskExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="ActivityDefinition/LabOrderTaskActivityExample"/>
    <resource>
      <ActivityDefinition>
        <id value="LabOrderTaskActivityExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-lab-task-activity"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/revised-by-user-index">
          <valueInteger value="2"/>
        </extension>
        <status value="active"/>
        <date value="2023-01-01"/>
        <approvalDate value="2023-01-01"/>
        <lastReviewDate value="2023-01-01"/>
        <editor>
          <name value="Sarah May"/>
        </editor>
        <reviewer>
          <extension
                     url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/task-reviewed-by-user-index">
            <valueInteger value="23"/>
          </extension>
          <name value="Mark Jones"/>
        </reviewer>
        <endorser>
          <extension
                     url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/task-approved-by-user-index">
            <valueInteger value="16"/>
          </extension>
          <name value="Tobias Menley"/>
        </endorser>
        <specimenRequirement
                             value="http://openhie.org/fhir/rwanda-hiv/SpecimenDefinition/SpecimenConservationExample"/>
      </ActivityDefinition>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="ActivityDefinition/LabOrderTaskActivityExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Transport/SampleDispatchedToLabExample"/>
    <resource>
      <Transport>
        <id value="SampleDispatchedToLabExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/sample-dispatched-to-lab"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</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>
        </text>
        <status value="in-progress"/>
        <intent value="order"/>
        <completionTime value="2022-07-28"/>
        <authoredOn value="2022-07-28"/>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="additional notes here"/>
        </note>
        <requestedLocation>
          <reference value="Location/TransportRequestedLocationExample"/>
        </requestedLocation>
        <currentLocation>
          <reference value="Location/TransportCurrentLocationExample"/>
        </currentLocation>
      </Transport>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Transport/SampleDispatchedToLabExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Transport/ResultDispatchedToRequestingFacilityExample"/>
    <resource>
      <Transport>
        <id value="ResultDispatchedToRequestingFacilityExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/result-dispatched-to-facility"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</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>
        </text>
        <status value="in-progress"/>
        <intent value="order"/>
        <authoredOn value="2022-07-28"/>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="additional notes here"/>
        </note>
        <requestedLocation>
          <reference value="Location/TransportRequestedLocationExample"/>
        </requestedLocation>
        <currentLocation>
          <reference value="Location/TransportCurrentLocationExample"/>
        </currentLocation>
      </Transport>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Transport/ResultDispatchedToRequestingFacilityExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Location/TransportRequestedLocationExample"/>
    <resource>
      <Location>
        <id value="TransportRequestedLocationExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/transport-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="active"/>
        <name value="Requested location name"/>
      </Location>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Location/TransportRequestedLocationExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Location/TransportCurrentLocationExample"/>
    <resource>
      <Location>
        <id value="TransportCurrentLocationExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/transport-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="active"/>
        <name value="Current location name"/>
      </Location>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Location/TransportCurrentLocationExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="DiagnosticReport/HIVLabResultsDiagnosticReportExample"/>
    <resource>
      <DiagnosticReport>
        <id value="HIVLabResultsDiagnosticReportExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-diagnostic-report"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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 PM)</p><p><b>conclusion</b>: Some conclusion text</p></div>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/tested-by-user-index">
          <valueInteger value="7"/>
        </extension>
        <basedOn>
          <reference value="ServiceRequest/HIVServiceRequestExample"/>
        </basedOn>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="25836-8"/>
            <display
                     value="HIV 1 RNA [#/volume] (viral load) in Specimen by NAA with probe detection"/>
          </coding>
          <text value="Test Type"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <performer>
          <reference value="Practitioner/PerformingPractitionerExample"/>
        </performer>
        <resultsInterpreter>
          <reference value="Practitioner/ResultsInterpreterExample"/>
        </resultsInterpreter>
        <result>
          <reference value="Observation/HIVTestResultExample"/>
        </result>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="additional notes here"/>
        </note>
        <conclusion value="Some conclusion text"/>
      </DiagnosticReport>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="DiagnosticReport/HIVLabResultsDiagnosticReportExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Practitioner/ResultsInterpreterExample"/>
    <resource>
      <Practitioner>
        <id value="ResultsInterpreterExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-practitioner"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/clinician-user-index">
          <valueInteger value="11"/>
        </extension>
        <name>
          <family value="Smith"/>
          <given value="Jhon"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="27539887534"/>
        </telecom>
      </Practitioner>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Practitioner/ResultsInterpreterExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Consent/ReceiveSMSMessagesExample"/>
    <resource>
      <Consent>
        <id value="ReceiveSMSMessagesExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/receive-sms-messages"/>
        </meta>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="active"/>
        <category>
          <coding>
            <system value="http://loinc.org"/>
            <code value="89057-4"/>
            <display value="Permission to receive text messages"/>
          </coding>
          <text value="Patient consent for SMS messages"/>
        </category>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <decision value="permit"/>
      </Consent>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Consent/ReceiveSMSMessagesExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/ARVAdherenceExample"/>
    <resource>
      <Observation>
        <id value="ARVAdherenceExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/hiv-arv-adherence"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="386091000"/>
          </coding>
          <text value="Treatment compliance"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference
                     value="Practitioner/ObservationPerformingPractitionerExample"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA6763-2"/>
            <display value="Good = 95% adherence"/>
          </coding>
          <text value="ARV adherence"/>
        </valueCodeableConcept>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="additional notes here"/>
        </note>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/ARVAdherenceExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/RepeatHIVTestResultExample"/>
    <resource>
      <Observation>
        <id value="RepeatHIVTestResultExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-repeat-test-result"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="398579006"/>
            <display
                     value="Human immunodeficiency virus-1 nucleic acid assay"/>
          </coding>
          <text value="Viral Load Result"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference value="Organization/HIVOrganizationExample"/>
        </performer>
        <valueInteger value="1001"/>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Viral load not suppressed"/>
        </note>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/RepeatHIVTestResultExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/SuspendTreatmentHIVTestResultExample"/>
    <resource>
      <Observation>
        <id value="SuspendTreatmentHIVTestResultExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-suspend-treatment-test-result"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="398579006"/>
            <display
                     value="Human immunodeficiency virus-1 nucleic acid assay"/>
          </coding>
          <text value="Viral Load Result"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference value="Organization/HIVOrganizationExample"/>
        </performer>
        <valueInteger value="1001"/>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Viral load not suppressed"/>
        </note>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/SuspendTreatmentHIVTestResultExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Device/TestingPlatformExample"/>
    <resource>
      <Device>
        <id value="TestingPlatformExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/device-for-testing"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p></div>
        </text>
        <manufacturer value="My testing platform"/>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Some comments"/>
        </note>
      </Device>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Device/TestingPlatformExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/HIVTestResultViralLoadLogExample"/>
    <resource>
      <Observation>
        <id value="HIVTestResultViralLoadLogExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-log"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p><p><b>derivedFrom</b>: <a href="#Observation_HIVTestResultExample">See above (Observation/HIVTestResultExample)</a></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="398579006"/>
            <display
                     value="Human immunodeficiency virus-1 nucleic acid assay"/>
          </coding>
          <text value="Viral Load Result"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference value="Organization/HIVOrganizationExample"/>
        </performer>
        <valueQuantity>
          <value value="2.55"/>
        </valueQuantity>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Some comments"/>
        </note>
        <derivedFrom>
          <reference value="Observation/HIVTestResultExample"/>
        </derivedFrom>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/HIVTestResultViralLoadLogExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/HIVTestResultAbsoluteDecimalExample"/>
    <resource>
      <Observation>
        <id value="HIVTestResultAbsoluteDecimalExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/viral-load-test-result-absolute-decimal"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p><p><b>derivedFrom</b>: <a href="#Observation_HIVTestResultExample">See above (Observation/HIVTestResultExample)</a></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="398579006"/>
            <display
                     value="Human immunodeficiency virus-1 nucleic acid assay"/>
          </coding>
          <text value="Viral Load Result"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference value="Organization/HIVOrganizationExample"/>
        </performer>
        <valueQuantity>
          <value value="2.55"/>
        </valueQuantity>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Some comments"/>
        </note>
        <derivedFrom>
          <reference value="Observation/HIVTestResultExample"/>
        </derivedFrom>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/HIVTestResultAbsoluteDecimalExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Organization/FundingOrganizationExample"/>
    <resource>
      <Organization>
        <id value="FundingOrganizationExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/funding-source"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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: funder1</p><p><b>name</b>: A funding organization name</p></div>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/funding-source-index">
          <valueInteger value="1"/>
        </extension>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="XX"/>
              <display value="Organization identifier"/>
            </coding>
            <text value="Funding Organization identifier"/>
          </type>
          <system
                  value="http://openhie.org/fhir/rwanda-hiv/identifier/organization-id"/>
          <value value="funder1"/>
        </identifier>
        <name value="A funding organization name"/>
      </Organization>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Organization/FundingOrganizationExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Organization/ImplementingPartnerOrganizationExample"/>
    <resource>
      <Organization>
        <id value="ImplementingPartnerOrganizationExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/implementing-partner"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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: implementing-partner-org1</p><p><b>name</b>: An implementing partner organization name</p></div>
        </text>
        <extension
                   url="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/implementing-partner-index">
          <valueInteger value="14"/>
        </extension>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="XX"/>
              <display value="Organization identifier"/>
            </coding>
            <text value="Implementing Partner Organization identifier"/>
          </type>
          <system
                  value="http://openhie.org/fhir/rwanda-hiv/identifier/organization-id"/>
          <value value="implementing-partner-org1"/>
        </identifier>
        <name value="An implementing partner organization name"/>
      </Organization>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Organization/ImplementingPartnerOrganizationExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/ARTInitiatedExample"/>
    <resource>
      <Observation>
        <id value="ARTInitiatedExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/art-initiated"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="47241-5"/>
            <display
                     value="Date determined medically eligible and ready to start HIV treatment"/>
          </coding>
          <text value="ART initiated"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference
                     value="Practitioner/ObservationPerformingPractitionerExample"/>
        </performer>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Some comments"/>
        </note>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/ARTInitiatedExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/ARVRegimenChangeExample"/>
    <resource>
      <Observation>
        <id value="ARVRegimenChangeExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/arv-regimen-change"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p><p><b>derivedFrom</b>: <a href="#Observation_ARTRegimenSwitchedOrSubstitutedExample">See above (Observation/ARTRegimenSwitchedOrSubstitutedExample)</a></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="182838006"/>
            <display value="Change of medication"/>
          </coding>
          <text value="ARV Regimen Change"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference
                     value="Practitioner/ObservationPerformingPractitionerExample"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="271737000"/>
            <display value="Anemia"/>
          </coding>
          <text value="Regimen change reason"/>
        </valueCodeableConcept>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Some comments"/>
        </note>
        <derivedFrom>
          <reference
                     value="Observation/ARTRegimenSwitchedOrSubstitutedExample"/>
        </derivedFrom>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/ARVRegimenChangeExample"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="Observation/ARTRegimenSwitchedOrSubstitutedExample"/>
    <resource>
      <Observation>
        <id value="ARTRegimenSwitchedOrSubstitutedExample"/>
        <meta>
          <profile
                   value="http://openhie.org/fhir/rwanda-hiv/StructureDefinition/art-regimen-switched-or-substituted"/>
        </meta>
        <text>
          <status value="generated"/>
          <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 PM)</p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="182838006"/>
            <display value="Change of medication"/>
          </coding>
          <text value="ARV Regimen Change"/>
        </code>
        <subject>
          <reference value="Patient/HIVPatientExample"/>
        </subject>
        <encounter>
          <reference value="Encounter/TargetFacilityEncounterExample"/>
        </encounter>
        <effectiveDateTime value="2022-11-30"/>
        <performer>
          <reference
                     value="Practitioner/ObservationPerformingPractitionerExample"/>
        </performer>
        <valueBoolean value="true"/>
        <note>
          <authorReference>
            <reference value="Organization/HIVOrganizationExample"/>
          </authorReference>
          <time value="2015-02-07T13:28:17-05:00"/>
          <text value="Some comments"/>
        </note>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/ARTRegimenSwitchedOrSubstitutedExample"/>
    </request>
  </entry>
</Bundle>