HIV Case Reporting and Monitoring
0.2.0 - CI Build

HIV Case Reporting and Monitoring - Local Development build (v0.2.0). See the Directory of published versions

: Example Bundle - HIVBundleExample - JSON Representation

Raw json | Download


{
  "resourceType" : "Bundle",
  "id" : "HIVBundleExample",
  "type" : "document",
  "entry" : [
    {
      "fullUrl" : "Composition/HIVCompositionExample",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "HIVCompositionExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-composition"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"HIVCompositionExample\"> </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 Composition \"HIVCompositionExample\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-composition.html\">HIV Case Reporting Composition</a></p></div><p><b>identifier</b>: id: 1111</p><p><b>status</b>: final</p><p><b>type</b>: COVID-19 case report <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#95412-3)</span></p><p><b>date</b>: 2021-05-18</p><p><b>author</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization/HIVOrganizationExample</a> \"HIV Organization\"</p><p><b>title</b>: HIV Case Report</p></div>"
        },
        "identifier" : {
          "system" : "http://openhie.org/fhir/hiv-casereporting/identifier/hiv-case-report",
          "value" : "1111"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "95412-3"
            }
          ]
        },
        "date" : "2021-05-18",
        "author" : [
          {
            "reference" : "Organization/HIVOrganizationExample"
          }
        ],
        "title" : "HIV Case Report",
        "section" : [
          {
            "title" : "Client registration",
            "code" : {
              "coding" : [
                {
                  "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-case-report-sections",
                  "code" : "CLIENT-REGISTRATION"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Patient/HIVPatientExample"
              },
              {
                "reference" : "RelatedPerson/GuardianExample"
              }
            ]
          },
          {
            "title" : "HIV Diagnosis",
            "code" : {
              "coding" : [
                {
                  "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-case-report-sections",
                  "code" : "HIV-DIAGNOSIS"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Condition/HIVDiagnosisExample"
              },
              {
                "reference" : "Encounter/HIVDiagnosisEncounterExample"
              },
              {
                "reference" : "Observation/HIVRecencyTestConductedExample"
              },
              {
                "reference" : "Observation/HIVRecencyResultExample"
              },
              {
                "reference" : "Observation/HIVTestDateExample"
              }
            ]
          },
          {
            "title" : "HIV Entry To Care",
            "code" : {
              "coding" : [
                {
                  "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-case-report-sections",
                  "code" : "HIV-ENTRY-TO-CARE"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "EpisodeOfCare/HIVEpisodeOfCareExample"
              },
              {
                "reference" : "Encounter/HIVClinicalEncounterExample"
              },
              {
                "reference" : "ServiceRequest/HIVTransferOutExample"
              }
            ]
          },
          {
            "title" : "ARV Treatment",
            "code" : {
              "coding" : [
                {
                  "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-case-report-sections",
                  "code" : "ARV-TREATMENT"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "CarePlan/ARVTreatmentExample1"
              },
              {
                "reference" : "CarePlan/ARVTreatmentExample2"
              },
              {
                "reference" : "HIVCareMedicationRequest"
              }
            ]
          },
          {
            "title" : "CD4",
            "code" : {
              "coding" : [
                {
                  "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-case-report-sections",
                  "code" : "CD4"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Observation/CD4Example1"
              },
              {
                "reference" : "Observation/CD4Example2"
              }
            ]
          },
          {
            "title" : "Viral Suppression",
            "code" : {
              "coding" : [
                {
                  "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-case-report-sections",
                  "code" : "VIRAL-SUPPRESSION"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Observation/ViralLoadSuppressionExample1"
              },
              {
                "reference" : "Observation/ViralLoadSuppressionExample2"
              },
              {
                "reference" : "Procedure/VLProcedureInfoExample"
              }
            ]
          },
          {
            "title" : "Death",
            "code" : {
              "coding" : [
                {
                  "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-case-report-sections",
                  "code" : "DEATH"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Observation/DeathExample"
              }
            ]
          },
          {
            "title" : "Death",
            "code" : {
              "coding" : [
                {
                  "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-case-report-sections",
                  "code" : "DEATH"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Observation/DeathExample"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "Encounter/HIVDiagnosisEncounterExample",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "HIVDiagnosisEncounterExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-disgnosis-encounter"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"HIVDiagnosisEncounterExample\"> </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 \"HIVDiagnosisEncounterExample\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-disgnosis-encounter.html\">HIV Diagnosis Encounter</a></p></div><p><b>Next Appointment Date</b>: 2022-10-22</p><p><b>status</b>: finished</p><p><b>class</b>: pre-admission (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code PRENC = 'pre-admission', stated as 'null')</p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>serviceProvider</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization/HIVOrganizationExample</a> \"HIV Organization\"</p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-care-next-visit",
            "valueDateTime" : "2022-10-22"
          }
        ],
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "PRENC"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "serviceProvider" : {
          "reference" : "Organization/HIVOrganizationExample"
        }
      }
    },
    {
      "fullUrl" : "Encounter/HIVClinicalEncounterExample",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "HIVClinicalEncounterExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-clinical-encounter"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"HIVClinicalEncounterExample\"> </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 \"HIVClinicalEncounterExample\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-clinical-encounter.html\">HIV Clinical Encounter</a></p></div><p><b>Next Appointment Date</b>: 2022-10-22</p><p><b>status</b>: finished</p><p><b>class</b>: observation encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code OBSENC = 'observation encounter', stated as 'null')</p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>period</b>: 2021-07-22 --&gt; (ongoing)</p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-care-next-visit",
            "valueDateTime" : "2022-10-22"
          }
        ],
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "OBSENC"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "period" : {
          "start" : "2021-07-22"
        }
      }
    },
    {
      "fullUrl" : "Patient/HIVPatientExample",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "HIVPatientExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-patient"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"HIVPatientExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient \"HIVPatientExample\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-patient.html\">HIV Patient</a></p></div><p><b>genderIdentity</b>: male <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#male)</span></p><p><b>Key population</b>: transgender <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#transgender)</span></p><p><b>identifier</b>: id: ART1234567, id: PASSPORT1234567, id: NAT1234567, MR: 100007G</p><p><b>active</b>: true</p><p><b>name</b>: Jane Smith (OFFICIAL)</p><p><b>telecom</b>: <a href=\"tel:+27825556666\">+27825556666</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1986-06-04</p><p><b>address</b>: Cape Town Western Province South Africa </p><p><b>maritalStatus</b>: Married <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-MaritalStatus.html\">MaritalStatus</a>#M)</span></p><p><b>managingOrganization</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization/HIVOrganizationExample</a> \"HIV Organization\"</p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/patient-genderIdentity",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "code" : "male"
                }
              ]
            }
          },
          {
            "url" : "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/key-population",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "code" : "transgender"
                }
              ]
            }
          }
        ],
        "identifier" : [
          {
            "system" : "http://openhie.org/fhir/hiv-casereporting/identifier/art",
            "value" : "ART1234567"
          },
          {
            "system" : "http://openhie.org/fhir/hiv-casereporting/identifier/passport",
            "value" : "PASSPORT1234567"
          },
          {
            "system" : "http://openhie.org/fhir/hiv-casereporting/identifier/nid",
            "value" : "NAT1234567"
          },
          {
            "type" : {
              "coding" : [
                {
                  "code" : "MR"
                }
              ]
            },
            "system" : "http://openhie.org/fhir/hiv-casereporting/OpenMRSID",
            "value" : "100007G"
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "family" : "Smith",
            "given" : [
              "Jane"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+27825556666"
          }
        ],
        "gender" : "female",
        "birthDate" : "1986-06-04",
        "address" : [
          {
            "city" : "Cape Town",
            "district" : "City of Cape Town",
            "state" : "Western Province",
            "country" : "South Africa"
          }
        ],
        "maritalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code" : "M"
            }
          ]
        },
        "managingOrganization" : {
          "reference" : "Organization/HIVOrganizationExample"
        }
      }
    },
    {
      "fullUrl" : "RelatedPerson/GuardianExample",
      "resource" : {
        "resourceType" : "RelatedPerson",
        "id" : "GuardianExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-related-person"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: RelatedPerson</b><a name=\"GuardianExample\"> </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 RelatedPerson \"GuardianExample\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-related-person.html\">HIV Related Person</a></p></div><p><b>patient</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>name</b>: Peter Loo </p></div>"
        },
        "patient" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "name" : [
          {
            "family" : "Loo",
            "given" : [
              "Peter"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "Condition/HIVDiagnosisExample",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "HIVDiagnosisExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-diagnosis"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"HIVDiagnosisExample\"> </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 Condition \"HIVDiagnosisExample\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-diagnosis.html\">HIV Diagnosis</a></p></div><p><b>identifier</b>: id: abc</p><p><b>clinicalStatus</b>: active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#active)</span></p><p><b>verificationStatus</b>: confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#confirmed)</span></p><p><b>code</b>: Human immunodeficiency virus infection <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#86406008)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>recordedDate</b>: 2021-05-18</p></div>"
        },
        "identifier" : [
          {
            "system" : "http://openhie.org/fhir/hiv-casereporting/identifier/hiv-diagnosis",
            "value" : "abc"
          }
        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "code" : "active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "code" : "confirmed"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "86406008"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "recordedDate" : "2021-05-18"
      }
    },
    {
      "fullUrl" : "Observation/HIVRecencyTestConductedExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "HIVRecencyTestConductedExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-recency-test-conducted"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"HIVRecencyTestConductedExample\"> </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 \"HIVRecencyTestConductedExample\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-recency-test-conducted.html\">HIV Recency Test Conducted</a></p></div><p><b>status</b>: final</p><p><b>code</b>: HIV recency test conducted <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-hiv-obs-codes.html\">HIV Case Report Observation codes</a>#HIV-RECENCY-TEST-CONDUCTED)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_HIVClinicalEncounterExample\">See above (Encounter/HIVClinicalEncounterExample)</a></p><p><b>value</b>: true</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-hiv-obs-codes",
              "code" : "HIV-RECENCY-TEST-CONDUCTED",
              "display" : "HIV recency test conducted"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/HIVClinicalEncounterExample"
        },
        "valueBoolean" : true
      }
    },
    {
      "fullUrl" : "Observation/HIVRecencyResultExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "HIVRecencyResultExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-recency-result"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"HIVRecencyResultExample\"> </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 \"HIVRecencyResultExample\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-recency-result.html\">HIV Recency Result</a></p></div><p><b>status</b>: final</p><p><b>code</b>: HIV recency test conducted <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-hiv-obs-codes.html\">HIV Case Report Observation codes</a>#HIV-RECENCY-RESULT)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"#Encounter_HIVClinicalEncounterExample\">See above (Encounter/HIVClinicalEncounterExample)</a></p><p><b>value</b>: false</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-hiv-obs-codes",
              "code" : "HIV-RECENCY-RESULT",
              "display" : "HIV recency test conducted"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "Encounter/HIVClinicalEncounterExample"
        },
        "valueBoolean" : false
      }
    },
    {
      "fullUrl" : "Observation/HIVTestDateExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "HIVTestDateExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/date-tested-for-hiv"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"HIVTestDateExample\"> </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 \"HIVTestDateExample\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-date-tested-for-hiv.html\">HIVTestDateObservation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Date tested for HIV <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-hiv-obs-codes.html\">HIV Case Report Observation codes</a>#DATE-TESTED-FOR-HIV)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"HIVClinicalEncounter\">HIVClinicalEncounter</a></p><p><b>value</b>: 2022-08-26</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-hiv-obs-codes",
              "code" : "DATE-TESTED-FOR-HIV",
              "display" : "Date tested for HIV"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "HIVClinicalEncounter"
        },
        "valueDateTime" : "2022-08-26"
      }
    },
    {
      "fullUrl" : "EpisodeOfCare/HIVEpisodeOfCareExample",
      "resource" : {
        "resourceType" : "EpisodeOfCare",
        "id" : "HIVEpisodeOfCareExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-episode-of-care"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: EpisodeOfCare</b><a name=\"HIVEpisodeOfCareExample\"> </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 EpisodeOfCare \"HIVEpisodeOfCareExample\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-episode-of-care.html\">HIV Episode Of Care</a></p></div><p><b>identifier</b>: id: 123456789</p><p><b>status</b>: active</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href=\"#Condition_HIVDiagnosisExample\">See above (Condition/HIVDiagnosisExample)</a></td></tr></table><p><b>patient</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>managingOrganization</b>: <a href=\"Organization-HIVOrganizationExample.html\">Organization/HIVOrganizationExample</a> \"HIV Organization\"</p><p><b>period</b>: 2021-08-25 --&gt; (ongoing)</p><p><b>referralRequest</b>: <a href=\"#ServiceRequest_HIVTransferOutExample\">See above (ServiceRequest/HIVTransferOutExample)</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "http://openhie.org/fhir/hiv-casereporting/identifier/enrollment-unique-id",
            "value" : "123456789"
          }
        ],
        "status" : "active",
        "diagnosis" : [
          {
            "condition" : {
              "reference" : "Condition/HIVDiagnosisExample"
            }
          }
        ],
        "patient" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "managingOrganization" : {
          "reference" : "Organization/HIVOrganizationExample"
        },
        "period" : {
          "start" : "2021-08-25"
        },
        "referralRequest" : [
          {
            "reference" : "ServiceRequest/HIVTransferOutExample"
          }
        ]
      }
    },
    {
      "fullUrl" : "CarePlan/ARVTreatmentExample1",
      "resource" : {
        "resourceType" : "CarePlan",
        "id" : "ARVTreatmentExample1",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-arv-treatment"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CarePlan</b><a name=\"ARVTreatmentExample1\"> </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 \"ARVTreatmentExample1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-arv-treatment.html\">ARVCarePlan</a></p></div><p><b>ART Status</b>: IIT <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#IIT)</span></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>period</b>: 2021-05-20 --&gt; (ongoing)</p><blockquote><p><b>activity</b></p><p><b>outcomeCodeableConcept</b>: Refused <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (openconceptlab.org#162572)</span></p><h3>Details</h3><table class=\"grid\"><tr><td>-</td><td><b>Extension</b></td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Product[x]</b></td></tr><tr><td>*</td><td></td><td>MedicationRequest</td><td>HIV ART medication <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#45260-7)</span></td><td>stopped</td><td>?? --&gt; 2021-05-22</td><td>TDF/3TC/DTG <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#TDF/3TC/DTG)</span></td></tr></table></blockquote></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/art-status",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "code" : "IIT"
                }
              ]
            }
          }
        ],
        "status" : "active",
        "intent" : "plan",
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "period" : {
          "start" : "2021-05-20"
        },
        "activity" : [
          {
            "outcomeCodeableConcept" : [
              {
                "coding" : [
                  {
                    "system" : "https://openconceptlab.org",
                    "code" : "162572",
                    "display" : "Refused"
                  }
                ]
              }
            ],
            "detail" : {
              "extension" : [
                {
                  "url" : "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/art-regimen-line",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "code" : "FIRST-LINE"
                      }
                    ]
                  }
                }
              ],
              "kind" : "MedicationRequest",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "45260-7",
                    "display" : "HIV ART medication"
                  }
                ]
              },
              "status" : "stopped",
              "scheduledPeriod" : {
                "end" : "2021-05-22"
              },
              "productCodeableConcept" : {
                "coding" : [
                  {
                    "code" : "TDF/3TC/DTG"
                  }
                ]
              }
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "CarePlan/ARVTreatmentExample2",
      "resource" : {
        "resourceType" : "CarePlan",
        "id" : "ARVTreatmentExample2",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-arv-treatment"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CarePlan</b><a name=\"ARVTreatmentExample2\"> </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 \"ARVTreatmentExample2\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-arv-treatment.html\">ARVCarePlan</a></p></div><p><b>ART Status</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#Active)</span></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>period</b>: 2021-07-20 --&gt; (ongoing)</p><blockquote><p><b>activity</b></p><p><b>outcomeCodeableConcept</b>: Contacted <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#439771001)</span></p><h3>Details</h3><table class=\"grid\"><tr><td>-</td><td><b>Extension</b></td><td><b>Kind</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Product[x]</b></td></tr><tr><td>*</td><td></td><td>MedicationRequest</td><td>HIV ART medication <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#45260-7)</span></td><td>in-progress</td><td>?? --&gt; 2022-10-22</td><td>TDF/3TC/EFV <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#TDF/3TC/EFV)</span></td></tr></table></blockquote></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/art-status",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "code" : "Active"
                }
              ]
            }
          }
        ],
        "status" : "active",
        "intent" : "plan",
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "period" : {
          "start" : "2021-07-20"
        },
        "activity" : [
          {
            "outcomeCodeableConcept" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "439771001",
                    "display" : "Contacted"
                  }
                ]
              }
            ],
            "detail" : {
              "extension" : [
                {
                  "url" : "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/art-regimen-line",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "code" : "SECOND-LINE"
                      }
                    ]
                  }
                }
              ],
              "kind" : "MedicationRequest",
              "code" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "45260-7",
                    "display" : "HIV ART medication"
                  }
                ]
              },
              "status" : "in-progress",
              "scheduledPeriod" : {
                "end" : "2022-10-22"
              },
              "productCodeableConcept" : {
                "coding" : [
                  {
                    "code" : "TDF/3TC/EFV"
                  }
                ]
              }
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "Observation/CD4Example1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "CD4Example1",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-cd4-test"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"CD4Example1\"> </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 \"CD4Example1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-cd4-test.html\">CD4Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: CD4 result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-hiv-obs-codes.html\">HIV Case Report Observation codes</a>#CD4-RESULT)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>effective</b>: 2020-06-09</p><blockquote><p><b>component</b></p><p><b>code</b>: CD4 result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#113056008)</span></p><p><b>value</b>: 500</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: CD4 percentage <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#313938009)</span></p><p><b>value</b>: 50</p></blockquote></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-hiv-obs-codes",
              "code" : "CD4-RESULT",
              "display" : "CD4 result"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "effectiveDateTime" : "2020-06-09",
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "113056008",
                  "display" : "CD4 result"
                }
              ]
            },
            "valueInteger" : 500
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "313938009",
                  "display" : "CD4 percentage"
                }
              ]
            },
            "valueInteger" : 50
          }
        ]
      }
    },
    {
      "fullUrl" : "Observation/CD4Example2",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "CD4Example2",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-cd4-test"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"CD4Example2\"> </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 \"CD4Example2\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-cd4-test.html\">CD4Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: CD4 result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-hiv-obs-codes.html\">HIV Case Report Observation codes</a>#CD4-RESULT)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>effective</b>: 2021-08-26</p><blockquote><p><b>component</b></p><p><b>code</b>: CD4 result <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#113056008)</span></p><p><b>value</b>: 200</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: CD4 percentage <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#313938009)</span></p><p><b>value</b>: 30</p></blockquote></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-hiv-obs-codes",
              "code" : "CD4-RESULT",
              "display" : "CD4 result"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "effectiveDateTime" : "2021-08-26",
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "113056008",
                  "display" : "CD4 result"
                }
              ]
            },
            "valueInteger" : 200
          },
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "313938009",
                  "display" : "CD4 percentage"
                }
              ]
            },
            "valueInteger" : 30
          }
        ]
      }
    },
    {
      "fullUrl" : "Observation/ViralLoadSuppressionExample1",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ViralLoadSuppressionExample1",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-viral-load-suppression"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ViralLoadSuppressionExample1\"> </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 \"ViralLoadSuppressionExample1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-viral-load-suppression.html\">HIV viral load suppression</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=\"CodeSystem-cs-hiv-obs-codes.html\">HIV Case Report Observation codes</a>#VL-RESULT)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>effective</b>: 2020-06-09</p><p><b>value</b>: 1000</p><p><b>interpretation</b>: Detectable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-vl-interpretation.html\">Viral load Interpretation</a>#D)</span>, Unsuppressed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-vl-suppression.html\">Viral load Suppression</a>#UNSUP)</span></p><p><b>note</b>: some comment (By HIVOrganizationExample) @2020-06-09)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-hiv-obs-codes",
              "code" : "VL-RESULT",
              "display" : "Viral load result"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "effectiveDateTime" : "2020-06-09",
        "valueInteger" : 1000,
        "interpretation" : [
          {
            "coding" : [
              {
                "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-vl-interpretation",
                "code" : "D",
                "display" : "Detectable"
              }
            ]
          },
          {
            "coding" : [
              {
                "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-vl-suppression",
                "code" : "UNSUP",
                "display" : "Unsuppressed"
              }
            ]
          }
        ],
        "note" : [
          {
            "authorReference" : {
              "reference" : "HIVOrganizationExample)"
            },
            "time" : "2020-06-09",
            "text" : "some comment"
          }
        ]
      }
    },
    {
      "fullUrl" : "Observation/ViralLoadSuppressionExample2",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ViralLoadSuppressionExample2",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-viral-load-suppression"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ViralLoadSuppressionExample2\"> </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 \"ViralLoadSuppressionExample2\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-viral-load-suppression.html\">HIV viral load suppression</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=\"CodeSystem-cs-hiv-obs-codes.html\">HIV Case Report Observation codes</a>#VL-RESULT)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>effective</b>: 2021-06-21</p><p><b>value</b>: 200</p><p><b>interpretation</b>: Non Detectable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-vl-interpretation.html\">Viral load Interpretation</a>#ND)</span>, Suppressed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-vl-suppression.html\">Viral load Suppression</a>#SUP)</span></p><p><b>note</b>: some comment (By HIVOrganizationExample) @2020-06-09)</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-hiv-obs-codes",
              "code" : "VL-RESULT",
              "display" : "Viral load result"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "effectiveDateTime" : "2021-06-21",
        "valueInteger" : 200,
        "interpretation" : [
          {
            "coding" : [
              {
                "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-vl-interpretation",
                "code" : "ND",
                "display" : "Non Detectable"
              }
            ]
          },
          {
            "coding" : [
              {
                "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-vl-suppression",
                "code" : "SUP",
                "display" : "Suppressed"
              }
            ]
          }
        ],
        "note" : [
          {
            "authorReference" : {
              "reference" : "HIVOrganizationExample)"
            },
            "time" : "2020-06-09",
            "text" : "some comment"
          }
        ]
      }
    },
    {
      "fullUrl" : "Observation/DeathExample",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "DeathExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/death-obs"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"DeathExample\"> </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 \"DeathExample\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-death-obs.html\">Death Obs</a></p></div><p><b>Last Clinical Visit</b>: 2021-08-26</p><p><b>status</b>: final</p><p><b>code</b>: Cause of death <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-hiv-obs-codes.html\">HIV Case Report Observation codes</a>#CAUSE-OF-DEATH)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>effective</b>: 2021-08-26</p><p><b>value</b>: HIV Related <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-vl-causeofdeath.html\">Cause Of Death</a>#HIV)</span></p></div>"
        },
        "extension" : [
          {
            "url" : "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/last-clinical-visit",
            "valueDateTime" : "2021-08-26"
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-hiv-obs-codes",
              "code" : "CAUSE-OF-DEATH",
              "display" : "Cause of death"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "effectiveDateTime" : "2021-08-26",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/cs-vl-causeofdeath",
              "code" : "HIV",
              "display" : "HIV Related"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "Observation/HIVCareMedicationRequestExample",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "HIVCareMedicationRequestExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-med-req"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"HIVCareMedicationRequestExample\"> </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 \"HIVCareMedicationRequestExample\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-med-req.html\">HIV Care Medication Request</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: proposal</p><p><b>medication</b>: HIV ART medication <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#45260-7)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>basedOn</b>: <a href=\"#CarePlan_ARVTreatmentExample1\">See above (CarePlan/ARVTreatmentExample1)</a></p><h3>DispenseRequests</h3><table class=\"grid\"><tr><td>-</td><td><b>Quantity</b></td></tr><tr><td>*</td><td>30</td></tr></table></div>"
        },
        "status" : "active",
        "intent" : "proposal",
        "medicationCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "45260-7",
              "display" : "HIV ART medication"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "basedOn" : [
          {
            "reference" : "CarePlan/ARVTreatmentExample1"
          }
        ],
        "dispenseRequest" : {
          "quantity" : {
            "value" : 30
          }
        }
      }
    },
    {
      "fullUrl" : "Observation/HIVTransferOutExample",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "HIVTransferOutExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/hiv-transfer-out"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"HIVTransferOutExample\"> </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 \"HIVTransferOutExample\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hiv-transfer-out.html\">HIV Transfer Out Request</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: proposal</p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>occurrence</b>: 2021-08-26</p></div>"
        },
        "status" : "active",
        "intent" : "proposal",
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "occurrenceDateTime" : "2021-08-26"
      }
    },
    {
      "fullUrl" : "Observation/VLProcedureInfoExample",
      "resource" : {
        "resourceType" : "Procedure",
        "id" : "VLProcedureInfoExample",
        "meta" : {
          "profile" : [
            "http://openhie.org/fhir/hiv-casereporting/StructureDefinition/vl-procedure-info"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b><a name=\"VLProcedureInfoExample\"> </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 Procedure \"VLProcedureInfoExample\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vl-procedure-info.html\">VL Procedure info</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory procedure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#108252007)</span></p><p><b>code</b>: viral load <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#315124004 \"Human immunodeficiency virus load\")</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><p><b>encounter</b>: <a href=\"HIVClinicalEncounter\">HIVClinicalEncounter</a></p><p><b>reasonCode</b>: Baseline Viral Load <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (vl-reason-code#5d4e13af-92ec-4b91-a8e4-97818810e577)</span></p></div>"
        },
        "status" : "final",
        "category" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "108252007",
              "display" : "Laboratory procedure"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "315124004",
              "display" : "Human immunodeficiency virus load"
            }
          ],
          "text" : "viral load"
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "encounter" : {
          "reference" : "HIVClinicalEncounter"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://openhie.org/fhir/hiv-casereporting/CodeSystem/vl-reason-code",
                "code" : "5d4e13af-92ec-4b91-a8e4-97818810e577",
                "display" : "Baseline Viral Load"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "ServiceRequest/HIVServiceRequestExample",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "HIVServiceRequestExample",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"HIVServiceRequestExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ServiceRequest \"HIVServiceRequestExample\" </p></div><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>occurrence</b>: 2022-08-26</p><p><b>specimen</b>: <a href=\"#Specimen_VLSpecimenExample\">See above (Specimen/VLSpecimenExample)</a></p></div>"
        },
        "status" : "active",
        "intent" : "order",
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "occurrenceDateTime" : "2022-08-26",
        "specimen" : [
          {
            "reference" : "Specimen/VLSpecimenExample"
          }
        ]
      }
    },
    {
      "fullUrl" : "Specimen/VLSpecimenExample",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "VLSpecimenExample",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Specimen</b><a name=\"VLSpecimenExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Specimen \"VLSpecimenExample\" </p></div><p><b>identifier</b>: id: 395058002</p><p><b>type</b>: Viral load (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#395058002)</span></p><p><b>subject</b>: <a href=\"#Patient_HIVPatientExample\">See above (Patient/HIVPatientExample)</a></p><h3>Collections</h3><table class=\"grid\"><tr><td>-</td><td><b>Collected[x]</b></td></tr><tr><td>*</td><td>2022-08-26</td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "http://snomed.info/sct",
            "value" : "395058002"
          }
        ],
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "395058002"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/HIVPatientExample"
        },
        "collection" : {
          "collectedDateTime" : "2022-08-26"
        }
      }
    }
  ]
}