intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:dc4b9079-6b9c-4fe8-8dcb-2ae82b420af8"/> </custodian> <section> <title value="Problem list"/> <code> <coding> <system value="http://loinc.org"/> <code value="11450-4"/> <display value="Problem list - Reported"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Condition</th> <th>Onset Date / Period</th> <th>Status</th> </tr> <tr> <td>Essential hypertension</td> <td> <span class="nb">17-Apr-2016</span> </td> <td>active</td> </tr> <tr> <td>Chronic sinusitis</td> <td> <span class="nb">18-Dec-1983</span> </td> <td>active</td> </tr> <tr> <td> <span class="grayedout">Streptococcal sore throat</span> </td> <td> <span class="nb">20-Aug-2023 - 02-Sep-2023</span> </td> <td> <span class="grayedout">inactive</span> </td> </tr> <tr> <td> <span class="grayedout">Viral sinusitis</span> </td> <td> <span class="nb">21-Jan-2019 - 17-Feb-2019</span> </td> <td> <span class="grayedout">inactive</span> </td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:6658dfca-af9a-471f-8375-c4b566e96768"/> </entry> <entry> <reference value="urn:uuid:a0aa2821-656a-4a9a-a1f8-3c860bb71aa5"/> </entry> <entry> <reference value="urn:uuid:b1e3a20c-8454-4669-9219-9f75c1e1557b"/> </entry> <entry> <reference value="urn:uuid:165421e6-5333-4dbb-a332-aa0a99ed8308"/> </entry> </section> <section> <title value="Medication list"/> <code> <coding> <system value="http://loinc.org"/> <code value="10160-0"/> <display value="History of Medication use Narrative"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Medication</th> <th>Since</th> <th>Form</th> <th>Dosage</th> <th>Reason</th> </tr> <tr> <td>Amlodipine (as amlodipine besylate) 2.5 mg oral tablet</td> <td> <span class="nb">2025-06-08</span> </td> <td>-</td> <td>1 tablet (2.5 mg) by mouth once daily</td> <td>Essential hypertension (disorder)</td> </tr> <tr> <td>Lisinopril 10 mg oral tablet</td> <td> <span class="nb">2025-06-08</span> </td> <td>-</td> <td>1 tablet (10 mg) by mouth once daily</td> <td>Essential hypertension (disorder)</td> </tr> <tr> <td>Chlorpheniramine maleate 2 mg and ibuprofen 200 mg and pseudoephedrine hydrochloride 30 mg oral tablet</td> <td> <span class="nb">1980-05-25</span> </td> <td>-</td> <td>1 tablet (2 mg / 200 mg / 30 mg) every 4 to 6 hours as needed</td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:73b6194d-6c4b-4f15-b212-20f63660d4cb"/> </entry> <entry> <reference value="urn:uuid:4de27b9a-464b-406a-9cbe-57c9c8524338"/> </entry> <entry> <reference value="urn:uuid:38c40c2f-1c2b-460e-b9a0-66a32408b045"/> </entry> </section> <section> <title value="Immunizations list"/> <code> <coding> <system value="http://loinc.org"/> <code value="11369-6"/> <display value="History of Immunization note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Vaccine</th> <th>Date</th> </tr> <tr> <td>Influenza virus antigen only vaccine product</td> <td> <span class="nb">08-Jun-2025</span> </td> </tr> <tr> <td>SARS-CoV-2 mRNA vaccine</td> <td> <span class="nb">01-Aug-2021</span> </td> </tr> <tr> <td>Hepatitis A virus antigen only vaccine product</td> <td> <span class="nb">10-May-2020</span> </td> </tr> <tr> <td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td> <td> <span class="nb">10-May-2020</span> </td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:5b9c6b75-f15a-49bc-abaf-c6c570595f13"/> </entry> <entry> <reference value="urn:uuid:2a883ede-073a-4eaf-8977-fc32977f495b"/> </entry> <entry> <reference value="urn:uuid:8536ac5d-7063-45c7-ad8a-1a7709b8bde6"/> </entry> <entry> <reference value="urn:uuid:ac6cd686-80a2-487f-91a4-d01d48bf1a8c"/> </entry> </section> <section> <title value="Procedure History list"/> <code> <coding> <system value="http://loinc.org"/> <code value="47519-4"/> <display value="History of Procedures Document"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>No known procedures</td> </tr> </table> </div> </text> <emptyReason> <coding> <system value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/> <code value="nilknown"/> </coding> </emptyReason> </section> <section> <title value="Allergies and Intolerances"/> <code> <coding> <system value="http://loinc.org"/> <code value="48765-2"/> <display value="Allergies and adverse reactions Document"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Allergy/Intolerance</th> <th>Onset Date</th> <th>Status</th> <th>Type</th> <th>Reaction</th> </tr> <tr> <td>Mold</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>environment</td> <td>Nasal discharge present (situation)</td> </tr> <tr> <td>Latex</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>environment</td> <td>Wheal (finding)<br> </br>Eruption of skin (disorder)</td> </tr> <tr> <td>Grass pollen</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>environment</td> <td/> </tr> <tr> <td>House dust mite</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>environment</td> <td/> </tr> <tr> <td>Animal dander</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>environment</td> <td>Rhinoconjunctivitis (disorder)<br> </br>Wheal (finding)</td> </tr> <tr> <td>Wheat</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>food</td> <td/> </tr> <tr> <td>Allergy to drug</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>environment</td> <td/> </tr> <tr> <td>Fish</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>food</td> <td>Dyspnea (finding)<br> </br>Eruption of skin (disorder)</td> </tr> <tr> <td>Tree pollen</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>environment</td> <td/> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:7d5e516c-df9a-452d-ba62-9c2175628653"/> </entry> <entry> <reference value="urn:uuid:f983c493-6f6a-420c-8aaf-7ad50c387e20"/> </entry> <entry> <reference value="urn:uuid:0950893b-b038-4852-bed7-9bd555210d1a"/> </entry> <entry> <reference value="urn:uuid:d440a82e-6b41-499d-8b65-5cb372335cbf"/> </entry> <entry> <reference value="urn:uuid:68095405-d979-48aa-9005-aa0222258f82"/> </entry> <entry> <reference value="urn:uuid:d8124ac1-e25b-45b3-b2b7-3a775cb32f8a"/> </entry> <entry> <reference value="urn:uuid:5e18ec7a-7965-472b-ba9b-3d18a20b5389"/> </entry> <entry> <reference value="urn:uuid:c2b9c550-c3a7-4eb8-b7a6-f24aaa8cb116"/> </entry> <entry> <reference value="urn:uuid:ba824fe5-5178-4763-abd9-95eb42645584"/> </entry> </section> <section> <title value="Care Plan"/> <code> <coding> <system value="http://loinc.org"/> <code value="18776-5"/> <display value="Plan of care note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Active Planned Care / Goals</th> <th>Start Date</th> <th>Reason</th> </tr> <tr> <td>Lifestyle education regarding hypertension</td> <td> <span class="nb">17-Apr-2016</span> </td> <td>Essential hypertension (disorder)</td> </tr> <tr> <td> <ul> <li>Achieve and maintain target blood pressure through lifestyle changes such as diet, exercise, and stress management.</li> </ul> </td> <td/> <td/> </tr> <tr> <td>Routine antenatal care</td> <td> <span class="nb">17-Apr-2005</span> </td> <td>-</td> </tr> <tr> <td>Self-care interventions</td> <td> <span class="nb">05-May-1980</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:b45c35e8-e803-4937-8abb-201b75265104"/> </entry> <entry> <reference value="urn:uuid:cac0070e-9654-4f42-91d6-a3d38a81173a"/> </entry> <entry> <reference value="urn:uuid:d324cec6-68dd-4a05-bf21-abb17b1aa9c8"/> </entry> </section> <section> <title value="Vital Signs"/> <code> <coding> <system value="http://loinc.org"/> <code value="8716-3"/> <display value="Vital signs note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Vital Signs</th> <th>2025-06-08</th> <th>2024-06-02</th> </tr> <tr> <td>Body Height</td> <td>163.2 cm</td> <td>163.2 cm</td> </tr> <tr> <td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td> <td>4 {score}</td> <td>2 {score}</td> </tr> <tr> <td>Body Weight</td> <td>74.8 kg</td> <td>74.8 kg</td> </tr> <tr> <td>Body mass index (BMI) [Ratio]</td> <td>28.1 kg/m2</td> <td>28.1 kg/m2</td> </tr> <tr> <td>Heart rate</td> <td>97 /min</td> <td>77 /min</td> </tr> <tr> <td>Respiratory rate</td> <td>14 /min</td> <td>13 /min</td> </tr> <tr> <td>Blood pressure panel with all children optional</td> <td>83 mm[Hg]</td> <td>79 mm[Hg]</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:15a3b12c-40a7-48ea-9422-d0104fdf41cc"/> </entry> <entry> <reference value="urn:uuid:5f4819e9-422d-47b7-ae2c-e4d646da20fd"/> </entry> <entry> <reference value="urn:uuid:21e90920-45f0-4d73-8832-ff71a4030696"/> </entry> <entry> <reference value="urn:uuid:183fd847-9d7c-4567-9d6c-afeec381af22"/> </entry> <entry> <reference value="urn:uuid:5df59805-b09c-480a-bb31-03a9b66b0d3b"/> </entry> <entry> <reference value="urn:uuid:240752a4-47c8-4789-a2d4-c39b6f60f58b"/> </entry> <entry> <reference value="urn:uuid:d3686306-089e-4637-82be-3bbaf4bed3fd"/> </entry> <entry> <reference value="urn:uuid:13051485-cecb-4739-a449-3b0f74e8c8c6"/> </entry> <entry> <reference value="urn:uuid:8f36baa2-1e33-48cf-b031-9cedf591173f"/> </entry> <entry> <reference value="urn:uuid:9ed53be1-519f-4b63-be1e-94729e1698b7"/> </entry> <entry> <reference value="urn:uuid:5e66cd05-cc0d-4813-8457-f2bbc20d521d"/> </entry> <entry> <reference value="urn:uuid:19ee4afc-92eb-476f-acc1-e5fab872fe97"/> </entry> <entry> <reference value="urn:uuid:f1e12309-aecc-40fd-bda2-a8ea6c9ec34c"/> </entry> <entry> <reference value="urn:uuid:3e0da928-7970-4af0-af01-c265d04feab6"/> </entry> </section> <section> <title value="Relevant diagnostic tests/laboratory data"/> <code> <coding> <system value="http://loinc.org"/> <code value="30954-2"/> <display value="Relevant diagnostic tests/laboratory data note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <thead> <tr> <th>Recent Lab Observations</th> <th>08-JUN-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> </thead> <tbody> <tr> <td>Cholesterol [Mass/volume] in Serum or Plasma</td> <td>173.3</td> <td>125 - 200</td> <td>mg/dL</td> </tr> <tr> <td>Triglyceride [Mass/volume] in Serum or Plasma</td> <td>141.5</td> <td>0 - 150</td> <td>mg/dL</td> </tr> <tr> <td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td> <td>83.8</td> <td>0 - 100</td> <td>mg/dL</td> </tr> <tr> <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td> <td> <strong>61.2 H</strong> </td> <td>40 - 60</td> <td>mg/dL</td> </tr> </tbody> </table> </div> </text> <entry> <reference value="urn:uuid:ff48a886-5ea0-4e8a-9e5f-314f50c0c0ca"/> </entry> <entry> <reference value="urn:uuid:01003676-c470-4326-a942-418ea25dfa4e"/> </entry> <entry> <reference value="urn:uuid:437d79cd-a0e0-494e-b8b9-24c5b102175a"/> </entry> <entry> <reference value="urn:uuid:3385ceb6-5935-4f21-9869-ff95386db0c7"/> </entry> </section> <section> <title value="Device Use"/> <code> <coding> <system value="http://loinc.org"/> <code value="46264-8"/> <display value="History of medical device use"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Device</th> <th>Date (since)</th> </tr> <tr> <td>Home nebulizer (physical object)</td> <td> <span class="nb">18-Dec-1983</span> </td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:b25162f7-acc8-48c4-8866-d25eb2795d61"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <resource> <Patient> <id value="1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <meta> <profile value="http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps"/> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> </security> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="TRAIN"/> </security> <tag> <system value="https://synderai.net/fhir/CodeSystem/tags"/> <code value="synthetic"/> <display value="SYNDERAI Synthetic data"/> </tag> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>María Manuela Meléndez</td> <td>female</td> <td>01-Aug-1982</td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality"> <extension url="code"> <valueCodeableConcept> <coding> <system value="urn:iso:std:iso:3166"/> <code value="ES"/> </coding> <text value="Spain"/> </valueCodeableConcept> </extension> </extension> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="JHN"/> </coding> </type> <system value="http://ec.europa.eu/identifier/eci"/> <value value="3014-208609-6"/> </identifier> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> </coding> </type> <system value="http://local.setting.eu/identifier"/> <value value="ae29e74b-88e5-8dab-13da-cbe6bb0434d4"/> </identifier> <name> <text value="María Manuela Meléndez"/> <family value="Meléndez"/> <given value="María Manuela"/> </name> <telecom> <system value="phone"/> <value value="+34974 237 957"/> </telecom> <gender value="female"/> <birthDate value="1982-08-01"/> <address> <use value="home"/> <type value="physical"/> <line value="Pasadizo de Samanta Valenzuela 29"/> <city value="Ávila"/> <postalCode value="05001"/> <country value="Spain"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:38703bf7-51e0-417e-b30a-7aec511f1dbc"/> <resource> <PractitionerRole> <id value="38703bf7-51e0-417e-b30a-7aec511f1dbc"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Provider Role Id 38703bf7-51e0-417e-b30a-7aec511f1dbc</td> </tr> </table> </div> </text> <practitioner> <reference value="urn:uuid:c4cfc472-c530-4164-8c72-0f8675058e94"/> </practitioner> <organization> <reference value="urn:uuid:dc4b9079-6b9c-4fe8-8dcb-2ae82b420af8"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:dc4b9079-6b9c-4fe8-8dcb-2ae82b420af8"/> <resource> <Organization> <id value="dc4b9079-6b9c-4fe8-8dcb-2ae82b420af8"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Hospital Provincial - CAÁvila</td> </tr> </table> </div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="0302aae8-6eb1-4fff-9aca-d4298607eb98"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name value="Hospital Provincial - CAÁvila"/> <address> <city value="Ávila"/> <postalCode value="05003"/> <country value="Spain"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:c4cfc472-c530-4164-8c72-0f8675058e94"/> <resource> <Practitioner> <id value="c4cfc472-c530-4164-8c72-0f8675058e94"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Maricruz Mateos</td> </tr> </table> </div> </text> <name> <family value="Mateos"/> <given value="Maricruz"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:6658dfca-af9a-471f-8375-c4b566e96768"/> <resource> <Condition> <id value="6658dfca-af9a-471f-8375-c4b566e96768"/> <meta> <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Essential hypertension</td> <td> <span class="nb">17-Apr-2016</span> </td> <td>active</td> </tr> </table> </div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/> <code value="active"/> </coding> </clinicalStatus> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category"/> <code value="problem-list-item"/> <display value="Problem List Item"/> </coding> </category> <code> <coding> <system value="http://snomed.info/sct"/> <code value="59621000"/> <display value="Essential hypertension (disorder)"/> </coding> <text value="Essential hypertension"/> </code> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <onsetDateTime value="2016-04-17"/> <asserter> <reference value="urn:uuid:38703bf7-51e0-417e-b30a-7aec511f1dbc"/> <display value="Hospital Provincial - CAÁvila"/> </asserter> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:a0aa2821-656a-4a9a-a1f8-3c860bb71aa5"/> <resource> <Condition> <id value="a0aa2821-656a-4a9a-a1f8-3c860bb71aa5"/> <meta> <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Chronic sinusitis</td> <td> <span class="nb">18-Dec-1983</span> </td> <td>active</td> </tr> </table> </div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/> <code value="active"/> </coding> </clinicalStatus> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category"/> <code value="problem-list-item"/> <display value="Problem List Item"/> </coding> </category> <code> <coding> <system value="http://snomed.info/sct"/> <code value="40055000"/> <display value="Chronic sinusitis (disorder)"/> </coding> <text value="Chronic sinusitis"/> </code> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <onsetDateTime value="1983-12-18"/> <asserter> <reference value="urn:uuid:38703bf7-51e0-417e-b30a-7aec511f1dbc"/> <display value="Hospital Provincial - CAÁvila"/> </asserter> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:b1e3a20c-8454-4669-9219-9f75c1e1557b"/> <resource> <Condition> <id value="b1e3a20c-8454-4669-9219-9f75c1e1557b"/> <meta> <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td> <span class="grayedout">Streptococcal sore throat</span> </td> <td> <span class="nb">20-Aug-2023 - 02-Sep-2023</span> </td> <td> <span class="grayedout">inactive</span> </td> </tr> </table> </div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/> <code value="inactive"/> </coding> </clinicalStatus> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category"/> <code value="problem-list-item"/> <display value="Problem List Item"/> </coding> </category> <code> <coding> <system value="http://snomed.info/sct"/> <code value="43878008"/> <display value="Streptococcal sore throat (disorder)"/> </coding> <text value="Streptococcal sore throat"/> </code> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <onsetDateTime value="2023-08-20"/> <abatementDateTime value="2023-09-02"/> <asserter> <reference value="urn:uuid:38703bf7-51e0-417e-b30a-7aec511f1dbc"/> <display value="Hospital Provincial - CAÁvila"/> </asserter> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:165421e6-5333-4dbb-a332-aa0a99ed8308"/> <resource> <Condition> <id value="165421e6-5333-4dbb-a332-aa0a99ed8308"/> <meta> <profile value="http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td> <span class="grayedout">Viral sinusitis</span> </td> <td> <span class="nb">21-Jan-2019 - 17-Feb-2019</span> </td> <td> <span class="grayedout">inactive</span> </td> </tr> </table> </div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/> <code value="inactive"/> </coding> </clinicalStatus> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category"/> <code value="problem-list-item"/> <display value="Problem List Item"/> </coding> </category> <code> <coding> <system value="http://snomed.info/sct"/> <code value="444814009"/> <display value="Viral sinusitis (disorder)"/> </coding> <text value="Viral sinusitis"/> </code> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <onsetDateTime value="2019-01-21"/> <abatementDateTime value="2019-02-17"/> <asserter> <reference value="urn:uuid:38703bf7-51e0-417e-b30a-7aec511f1dbc"/> <display value="Hospital Provincial - CAÁvila"/> </asserter> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:9e818044-fb89-40e9-8e00-c95121d6e35e"/> <resource> <Medication> <id value="9e818044-fb89-40e9-8e00-c95121d6e35e"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Amlodipine (as amlodipine besylate) 2.5 mg oral tablet</div> </text> <code> <coding> <system value="http://snomed.info/sct"/> <code value="1153431000"/> <display value="Amlodipine (as amlodipine besylate) 2.5 mg oral tablet"/> </coding> <text value="Amlodipine (as amlodipine besylate) 2.5 mg oral tablet"/> </code> </Medication> </resource> </entry> <entry> <fullUrl value="urn:uuid:73b6194d-6c4b-4f15-b212-20f63660d4cb"/> <resource> <MedicationStatement> <id value="73b6194d-6c4b-4f15-b212-20f63660d4cb"/> <meta> <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips first25"> <tr> <th>Medication</th> <th>Since</th> <th>Form</th> <th>Dosage</th> <th>Reason</th> </tr> <tr> <td>Amlodipine (as amlodipine besylate) 2.5 mg oral tablet</td> <td> <span class="nb">2025-06-08</span> </td> <td>-</td> <td>1 tablet (2.5 mg) by mouth once daily</td> <td>Essential hypertension (disorder)</td> </tr> </table> </div> </text> <status value="active"/> <medicationReference> <reference value="urn:uuid:9e818044-fb89-40e9-8e00-c95121d6e35e"/> <display value="Amlodipine (as amlodipine besylate) 2.5 mg oral tablet"/> </medicationReference> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <effectivePeriod> <start value="2025-06-08"/> </effectivePeriod> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="59621000"/> <display value="Essential hypertension (disorder)"/> </coding> </reasonCode> <dosage> <text value="1 tablet (2.5 mg) by mouth once daily"/> <timing> <repeat> <frequency value="1"/> <period value="1"/> <periodUnit value="d"/> </repeat> </timing> <asNeededBoolean value="false"/> <doseAndRate> <doseQuantity> <value value="1"/> <unit value="{tbl}"/> <system value="http://unitsofmeasure.org"/> <code value="{tbl}"/> </doseQuantity> </doseAndRate> </dosage> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="urn:uuid:299c609d-490e-48af-8991-d31b255faf4d"/> <resource> <Medication> <id value="299c609d-490e-48af-8991-d31b255faf4d"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Lisinopril 10 mg oral tablet</div> </text> <code> <coding> <system value="http://snomed.info/sct"/> <code value="318859000"/> <display value="Lisinopril 10 mg oral tablet"/> </coding> <text value="Lisinopril 10 mg oral tablet"/> </code> </Medication> </resource> </entry> <entry> <fullUrl value="urn:uuid:4de27b9a-464b-406a-9cbe-57c9c8524338"/> <resource> <MedicationStatement> <id value="4de27b9a-464b-406a-9cbe-57c9c8524338"/> <meta> <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips first25"> <tr> <th>Medication</th> <th>Since</th> <th>Form</th> <th>Dosage</th> <th>Reason</th> </tr> <tr> <td>Lisinopril 10 mg oral tablet</td> <td> <span class="nb">2025-06-08</span> </td> <td>-</td> <td>1 tablet (10 mg) by mouth once daily</td> <td>Essential hypertension (disorder)</td> </tr> </table> </div> </text> <status value="active"/> <medicationReference> <reference value="urn:uuid:299c609d-490e-48af-8991-d31b255faf4d"/> <display value="Lisinopril 10 mg oral tablet"/> </medicationReference> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <effectivePeriod> <start value="2025-06-08"/> </effectivePeriod> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="59621000"/> <display value="Essential hypertension (disorder)"/> </coding> </reasonCode> <dosage> <text value="1 tablet (10 mg) by mouth once daily"/> <timing> <repeat> <frequency value="1"/> <period value="1"/> <periodUnit value="d"/> </repeat> </timing> <asNeededBoolean value="false"/> <doseAndRate> <doseQuantity> <value value="1"/> <unit value="{tbl}"/> <system value="http://unitsofmeasure.org"/> <code value="{tbl}"/> </doseQuantity> </doseAndRate> </dosage> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="urn:uuid:49269e75-a95e-494c-b832-96a01032d3b9"/> <resource> <Medication> <id value="49269e75-a95e-494c-b832-96a01032d3b9"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Chlorpheniramine maleate 2 mg and ibuprofen 200 mg and pseudoephedrine hydrochloride 30 mg oral tablet</div> </text> <code> <coding> <system value="http://snomed.info/sct"/> <code value="784659009"/> <display value="Chlorpheniramine maleate 2 mg and ibuprofen 200 mg and pseudoephedrine hydrochloride 30 mg oral tablet"/> </coding> <text value="Chlorpheniramine maleate 2 mg and ibuprofen 200 mg and pseudoephedrine hydrochloride 30 mg oral tablet"/> </code> </Medication> </resource> </entry> <entry> <fullUrl value="urn:uuid:38c40c2f-1c2b-460e-b9a0-66a32408b045"/> <resource> <MedicationStatement> <id value="38c40c2f-1c2b-460e-b9a0-66a32408b045"/> <meta> <profile value="http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips first25"> <tr> <th>Medication</th> <th>Since</th> <th>Form</th> <th>Dosage</th> <th>Reason</th> </tr> <tr> <td>Chlorpheniramine maleate 2 mg and ibuprofen 200 mg and pseudoephedrine hydrochloride 30 mg oral tablet</td> <td> <span class="nb">1980-05-25</span> </td> <td>-</td> <td>1 tablet (2 mg / 200 mg / 30 mg) every 4 to 6 hours as needed</td> <td>-</td> </tr> </table> </div> </text> <status value="active"/> <medicationReference> <reference value="urn:uuid:49269e75-a95e-494c-b832-96a01032d3b9"/> <display value="Chlorpheniramine maleate 2 mg and ibuprofen 200 mg and pseudoephedrine hydrochloride 30 mg oral tablet"/> </medicationReference> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <effectivePeriod> <start value="1980-05-25"/> </effectivePeriod> <dosage> <text value="1 tablet (2 mg / 200 mg / 30 mg) every 4 to 6 hours as needed"/> <timing> <repeat> <frequency value="6"/> <period value="1"/> <periodUnit value="d"/> </repeat> </timing> <asNeededBoolean value="true"/> <doseAndRate> <doseQuantity> <value value="1"/> <unit value="{tbl}"/> <system value="http://unitsofmeasure.org"/> <code value="{tbl}"/> </doseQuantity> </doseAndRate> </dosage> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="urn:uuid:5b9c6b75-f15a-49bc-abaf-c6c570595f13"/> <resource> <Immunization> <id value="5b9c6b75-f15a-49bc-abaf-c6c570595f13"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Influenza virus antigen only vaccine product</td> <td> <span class="nb">08-Jun-2025</span> </td> </tr> </table> </div> </text> <status value="completed"/> <vaccineCode> <coding> <system value="http://snomed.info/sct"/> <code value="1181000221105"/> <display value="Influenza virus antigen only vaccine product"/> </coding> <coding> <system value="http://www.whocc.no/atc"/> <code value="J07BB02"/> <display value="influenza, inactivated, split virus or surface antigen"/> </coding> <text value="Influenza virus antigen only vaccine product"/> </vaccineCode> <patient> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </patient> <occurrenceDateTime value="2025-06-08"/> <lotNumber value="VB-4gy7t4"/> <expirationDate value="2026-01-12"/> <site> <coding> <system value="http://snomed.info/sct"/> <code value="244979005"/> <display value="Entire muscle of upper arm"/> </coding> <text value="Entire muscle of upper arm"/> </site> <route> <coding> <system value="http://snomed.info/sct"/> <code value="78421000"/> <display value="Intramuscular route"/> </coding> <text value="Intramuscular route"/> </route> </Immunization> </resource> </entry> <entry> <fullUrl value="urn:uuid:2a883ede-073a-4eaf-8977-fc32977f495b"/> <resource> <Immunization> <id value="2a883ede-073a-4eaf-8977-fc32977f495b"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>SARS-CoV-2 mRNA vaccine</td> <td> <span class="nb">01-Aug-2021</span> </td> </tr> </table> </div> </text> <status value="completed"/> <vaccineCode> <coding> <system value="http://snomed.info/sct"/> <code value="1119349007"/> <display value="SARS-CoV-2 mRNA vaccine"/> </coding> <coding> <system value="http://www.whocc.no/atc"/> <code value="J07BN01"/> <display value="covid-19, RNA-based vaccine"/> </coding> <text value="SARS-CoV-2 mRNA vaccine"/> </vaccineCode> <patient> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </patient> <occurrenceDateTime value="2021-08-01"/> <lotNumber value="BY-y3RW"/> <expirationDate value="2022-05-04"/> <site> <coding> <system value="http://snomed.info/sct"/> <code value="244979005"/> <display value="Entire muscle of upper arm"/> </coding> <text value="Entire muscle of upper arm"/> </site> <route> <coding> <system value="http://snomed.info/sct"/> <code value="78421000"/> <display value="Intramuscular route"/> </coding> <text value="Intramuscular route"/> </route> </Immunization> </resource> </entry> <entry> <fullUrl value="urn:uuid:8536ac5d-7063-45c7-ad8a-1a7709b8bde6"/> <resource> <Immunization> <id value="8536ac5d-7063-45c7-ad8a-1a7709b8bde6"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Hepatitis A virus antigen only vaccine product</td> <td> <span class="nb">10-May-2020</span> </td> </tr> </table> </div> </text> <status value="completed"/> <vaccineCode> <coding> <system value="http://snomed.info/sct"/> <code value="871751006"/> <display value="Hepatitis A virus antigen only vaccine product"/> </coding> <coding> <system value="http://www.whocc.no/atc"/> <code value="J07BC02"/> <display value="hepatitis A, inactivated, whole virus"/> </coding> <text value="Hepatitis A virus antigen only vaccine product"/> </vaccineCode> <patient> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </patient> <occurrenceDateTime value="2020-05-10"/> <lotNumber value="XR-OPek"/> <expirationDate value="2021-02-25"/> <site> <coding> <system value="http://snomed.info/sct"/> <code value="244979005"/> <display value="Entire muscle of upper arm"/> </coding> <text value="Entire muscle of upper arm"/> </site> <route> <coding> <system value="http://snomed.info/sct"/> <code value="78421000"/> <display value="Intramuscular route"/> </coding> <text value="Intramuscular route"/> </route> </Immunization> </resource> </entry> <entry> <fullUrl value="urn:uuid:ac6cd686-80a2-487f-91a4-d01d48bf1a8c"/> <resource> <Immunization> <id value="ac6cd686-80a2-487f-91a4-d01d48bf1a8c"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td> <td> <span class="nb">10-May-2020</span> </td> </tr> </table> </div> </text> <status value="completed"/> <vaccineCode> <coding> <system value="http://snomed.info/sct"/> <code value="777725002"/> <display value="Clostridium tetani toxoid antigen adsorbed only vaccine product"/> </coding> <coding> <system value="http://www.whocc.no/atc"/> <code value="J07AM51"/> <display value="tetanus toxoid, combinations with diphtheria toxoid"/> </coding> <text value="Clostridium tetani toxoid antigen adsorbed only vaccine product"/> </vaccineCode> <patient> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </patient> <occurrenceDateTime value="2020-05-10"/> <lotNumber value="QN-mI59"/> <expirationDate value="2021-04-19"/> <site> <coding> <system value="http://snomed.info/sct"/> <code value="244979005"/> <display value="Entire muscle of upper arm"/> </coding> <text value="Entire muscle of upper arm"/> </site> <route> <coding> <system value="http://snomed.info/sct"/> <code value="78421000"/> <display value="Intramuscular route"/> </coding> <text value="Intramuscular route"/> </route> </Immunization> </resource> </entry> <entry> <fullUrl value="urn:uuid:7d5e516c-df9a-452d-ba62-9c2175628653"/> <resource> <AllergyIntolerance> <id value="7d5e516c-df9a-452d-ba62-9c2175628653"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Allergy/Intolerance</th> <th>Onset Date</th> <th>Status</th> <th>Type</th> <th>Reaction</th> </tr> <tr> <td>Mold</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>environment</td> <td>Nasal discharge present (situation)</td> </tr> </table> </div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/> <code value="active"/> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/> <code value="confirmed"/> </coding> </verificationStatus> <type value="allergy"/> <category value="environment"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="84489001"/> <display value="Mold (organism)"/> </coding> <text value="Mold"/> </code> <patient> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </patient> <onsetDateTime value="1980-05-25"/> <reaction> <manifestation> <coding> <system value="http://snomed.info/sct"/> <code value="267101005"/> <display value="Nasal discharge present (situation)"/> </coding> </manifestation> <severity value="mild"/> </reaction> </AllergyIntolerance> </resource> </entry> <entry> <fullUrl value="urn:uuid:f983c493-6f6a-420c-8aaf-7ad50c387e20"/> <resource> <AllergyIntolerance> <id value="f983c493-6f6a-420c-8aaf-7ad50c387e20"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Allergy/Intolerance</th> <th>Onset Date</th> <th>Status</th> <th>Type</th> <th>Reaction</th> </tr> <tr> <td>Latex</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>environment</td> <td>Wheal (finding)<br> </br>Eruption of skin (disorder)</td> </tr> </table> </div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/> <code value="active"/> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/> <code value="confirmed"/> </coding> </verificationStatus> <type value="allergy"/> <category value="environment"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="111088007"/> <display value="Latex (substance)"/> </coding> <text value="Latex"/> </code> <patient> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </patient> <onsetDateTime value="1980-05-25"/> <reaction> <manifestation> <coding> <system value="http://snomed.info/sct"/> <code value="247472004"/> <display value="Wheal (finding)"/> </coding> </manifestation> <severity value="mild"/> </reaction> <reaction> <manifestation> <coding> <system value="http://snomed.info/sct"/> <code value="271807003"/> <display value="Eruption of skin (disorder)"/> </coding> </manifestation> <severity value="mild"/> </reaction> </AllergyIntolerance> </resource> </entry> <entry> <fullUrl value="urn:uuid:0950893b-b038-4852-bed7-9bd555210d1a"/> <resource> <AllergyIntolerance> <id value="0950893b-b038-4852-bed7-9bd555210d1a"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Allergy/Intolerance</th> <th>Onset Date</th> <th>Status</th> <th>Type</th> <th>Reaction</th> </tr> <tr> <td>Grass pollen</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>environment</td> <td/> </tr> </table> </div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/> <code value="active"/> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/> <code value="confirmed"/> </coding> </verificationStatus> <type value="allergy"/> <category value="environment"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="256277009"/> <display value="Grass pollen (substance)"/> </coding> <text value="Grass pollen"/> </code> <patient> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </patient> <onsetDateTime value="1980-05-25"/> </AllergyIntolerance> </resource> </entry> <entry> <fullUrl value="urn:uuid:d440a82e-6b41-499d-8b65-5cb372335cbf"/> <resource> <AllergyIntolerance> <id value="d440a82e-6b41-499d-8b65-5cb372335cbf"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Allergy/Intolerance</th> <th>Onset Date</th> <th>Status</th> <th>Type</th> <th>Reaction</th> </tr> <tr> <td>House dust mite</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>environment</td> <td/> </tr> </table> </div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/> <code value="active"/> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/> <code value="confirmed"/> </coding> </verificationStatus> <type value="allergy"/> <category value="environment"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="260147004"/> <display value="House dust mite (organism)"/> </coding> <text value="House dust mite"/> </code> <patient> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </patient> <onsetDateTime value="1980-05-25"/> </AllergyIntolerance> </resource> </entry> <entry> <fullUrl value="urn:uuid:68095405-d979-48aa-9005-aa0222258f82"/> <resource> <AllergyIntolerance> <id value="68095405-d979-48aa-9005-aa0222258f82"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Allergy/Intolerance</th> <th>Onset Date</th> <th>Status</th> <th>Type</th> <th>Reaction</th> </tr> <tr> <td>Animal dander</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>environment</td> <td>Rhinoconjunctivitis (disorder)<br> </br>Wheal (finding)</td> </tr> </table> </div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/> <code value="active"/> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/> <code value="confirmed"/> </coding> </verificationStatus> <type value="allergy"/> <category value="environment"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="264287008"/> <display value="Animal dander (substance)"/> </coding> <text value="Animal dander"/> </code> <patient> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </patient> <onsetDateTime value="1980-05-25"/> <reaction> <manifestation> <coding> <system value="http://snomed.info/sct"/> <code value="878820003"/> <display value="Rhinoconjunctivitis (disorder)"/> </coding> </manifestation> <severity value="moderate"/> </reaction> <reaction> <manifestation> <coding> <system value="http://snomed.info/sct"/> <code value="247472004"/> <display value="Wheal (finding)"/> </coding> </manifestation> <severity value="mild"/> </reaction> </AllergyIntolerance> </resource> </entry> <entry> <fullUrl value="urn:uuid:d8124ac1-e25b-45b3-b2b7-3a775cb32f8a"/> <resource> <AllergyIntolerance> <id value="d8124ac1-e25b-45b3-b2b7-3a775cb32f8a"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Allergy/Intolerance</th> <th>Onset Date</th> <th>Status</th> <th>Type</th> <th>Reaction</th> </tr> <tr> <td>Wheat</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>food</td> <td/> </tr> </table> </div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/> <code value="active"/> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/> <code value="confirmed"/> </coding> </verificationStatus> <type value="allergy"/> <category value="food"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="412071004"/> <display value="Wheat (substance)"/> </coding> <text value="Wheat"/> </code> <patient> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </patient> <onsetDateTime value="1980-05-25"/> </AllergyIntolerance> </resource> </entry> <entry> <fullUrl value="urn:uuid:5e18ec7a-7965-472b-ba9b-3d18a20b5389"/> <resource> <AllergyIntolerance> <id value="5e18ec7a-7965-472b-ba9b-3d18a20b5389"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Allergy/Intolerance</th> <th>Onset Date</th> <th>Status</th> <th>Type</th> <th>Reaction</th> </tr> <tr> <td>Allergy to drug</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>environment</td> <td/> </tr> </table> </div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/> <code value="active"/> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/> <code value="confirmed"/> </coding> </verificationStatus> <type value="allergy"/> <category 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(finding)<br> </br>Eruption of skin (disorder)</td> </tr> </table> </div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/> <code value="active"/> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/> <code value="confirmed"/> </coding> </verificationStatus> <type value="allergy"/> <category value="food"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="735971005"/> <display value="Fish (substance)"/> </coding> <text value="Fish"/> </code> <patient> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </patient> <onsetDateTime value="1980-05-25"/> <reaction> <manifestation> <coding> <system value="http://snomed.info/sct"/> <code value="267036007"/> <display value="Dyspnea (finding)"/> </coding> </manifestation> <severity value="moderate"/> </reaction> <reaction> <manifestation> <coding> <system value="http://snomed.info/sct"/> <code value="271807003"/> <display value="Eruption of skin (disorder)"/> </coding> </manifestation> <severity value="mild"/> </reaction> </AllergyIntolerance> </resource> </entry> <entry> <fullUrl value="urn:uuid:ba824fe5-5178-4763-abd9-95eb42645584"/> <resource> <AllergyIntolerance> <id value="ba824fe5-5178-4763-abd9-95eb42645584"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Allergy/Intolerance</th> <th>Onset Date</th> <th>Status</th> <th>Type</th> <th>Reaction</th> </tr> <tr> <td>Tree pollen</td> <td> <span class="nb">1980-05-25</span> </td> <td>active</td> <td>environment</td> <td/> </tr> </table> </div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/> <code 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<tr> <td>Lifestyle education regarding hypertension</td> <td> <span class="nb">17-Apr-2016</span> </td> <td>Essential hypertension (disorder)</td> </tr> <tr> <td> <ul> <li>Achieve and maintain target blood pressure through lifestyle changes such as diet, exercise, and stress management.</li> </ul> </td> <td/> <td/> </tr> </table> </div> </text> <status value="active"/> <intent value="plan"/> <category> <coding> <system value="http://snomed.info/sct"/> <code value="734163000"/> <display value="Care plan (record artifact)"/> </coding> </category> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <period> <start value="2016-04-17"/> </period> <goal> <reference value="urn:uuid:ff6f4f3f-a0c3-4231-b56f-18a8f5a11e24"/> </goal> <activity> <detail> <kind value="Appointment"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="443402002"/> <display value="Lifestyle education regarding hypertension 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<resource> <Observation> <id value="d3686306-089e-4637-82be-3bbaf4bed3fd"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Vital Sign</th> <th>Date</th> <th>Measurement</th> </tr> <tr> <td>Blood pressure panel with all children optional</td> <td>08-Jun-2025</td> <td>83 mm[Hg]</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="vital-signs"/> <display value="Vital Signs"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="85354-9"/> <display value="Blood pressure panel with all children optional"/> </coding> </code> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2025-06-08"/> <component> <code> <coding> <system value="http://loinc.org"/> <code value="8480-6"/> <display value="Systolic blood pressure"/> </coding> </code> <valueQuantity> <value value="108"/> <unit value="mm[Hg]"/> <system value="http://unitsofmeasure.org"/> <code value="mm[Hg]"/> </valueQuantity> </component> <component> <code> <coding> <system value="http://loinc.org"/> <code value="8462-4"/> <display value="Diastolic blood pressure"/> </coding> </code> <valueQuantity> <value value="83"/> <unit value="mm[Hg]"/> <system value="http://unitsofmeasure.org"/> <code value="mm[Hg]"/> </valueQuantity> </component> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:13051485-cecb-4739-a449-3b0f74e8c8c6"/> <resource> <Observation> <id value="13051485-cecb-4739-a449-3b0f74e8c8c6"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Vital Sign</th> <th>Date</th> <th>Measurement</th> </tr> <tr> <td>Body Height</td> <td>02-Jun-2024</td> <td>163.2 cm</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="vital-signs"/> <display value="Vital Signs"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="8302-2"/> <display value="Body Height"/> </coding> </code> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2024-06-02"/> <valueQuantity> <value value="163.2"/> <unit value="cm"/> <system value="http://unitsofmeasure.org"/> <code value="cm"/> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:8f36baa2-1e33-48cf-b031-9cedf591173f"/> <resource> <Observation> <id value="8f36baa2-1e33-48cf-b031-9cedf591173f"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Vital Sign</th> <th>Date</th> <th>Measurement</th> </tr> <tr> <td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td> <td>02-Jun-2024</td> <td>2 {score}</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="vital-signs"/> <display value="Vital Signs"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="72514-3"/> <display value="Pain severity - 0-10 verbal numeric rating [Score] - Reported"/> </coding> </code> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2024-06-02"/> <valueQuantity> <value value="2"/> <unit value="{score}"/> <system 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</tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="vital-signs"/> <display value="Vital Signs"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="8867-4"/> <display value="Heart rate"/> </coding> </code> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2024-06-02"/> <valueQuantity> <value value="77"/> <unit value="/min"/> <system value="http://unitsofmeasure.org"/> <code value="/min"/> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:f1e12309-aecc-40fd-bda2-a8ea6c9ec34c"/> <resource> <Observation> <id value="f1e12309-aecc-40fd-bda2-a8ea6c9ec34c"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Vital Sign</th> <th>Date</th> <th>Measurement</th> </tr> <tr> <td>Respiratory rate</td> <td>02-Jun-2024</td> <td>13 /min</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="vital-signs"/> <display value="Vital Signs"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="9279-1"/> <display value="Respiratory rate"/> </coding> </code> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2024-06-02"/> <valueQuantity> <value value="13"/> <unit value="/min"/> <system value="http://unitsofmeasure.org"/> <code value="/min"/> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:3e0da928-7970-4af0-af01-c265d04feab6"/> <resource> <Observation> <id value="3e0da928-7970-4af0-af01-c265d04feab6"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <th>Vital Sign</th> <th>Date</th> <th>Measurement</th> </tr> <tr> <td>Blood pressure panel with all children optional</td> <td>02-Jun-2024</td> <td>79 mm[Hg]</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="vital-signs"/> <display value="Vital Signs"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="85354-9"/> <display value="Blood pressure panel with all children optional"/> </coding> </code> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2024-06-02"/> <component> <code> <coding> 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<th>Test</th> <th>08-Jun-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Cholesterol [Mass/volume] in Serum or Plasma</td> <td>173.3</td> <td>125 - 200</td> <td/> <td>mg/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="2093-3"/> <display value="Cholesterol [Mass/volume] in Serum or Plasma"/> </coding> <text value="Cholesterol [Mass/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2025-06-08T21:24:39Z"/> <performer> <display value="The Central European Lab"/> </performer> <valueQuantity> <value value="173.3"/> <unit value="mg/dL"/> <system value="http://unitsofmeasure.org"/> <code value="mg/dL"/> 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value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__eu__lab__report"> <tr> <th>Test</th> <th>08-Jun-2025</th> <th>Reference Range</th> <th>Unit</th> </tr> <tr> <td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td> <td>61.2</td> <td>40 - 60</td> <td>H</td> <td>mg/dL</td> </tr> </table> </div> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="2085-9"/> <display value="Cholesterol in HDL [Mass/volume] in Serum or Plasma"/> </coding> <text value="Cholesterol in HDL [Mass/volume] in Serum or Plasma"/> </code> <subject> <reference value="urn:uuid:1c41a9d6-d506-4e25-b397-9ee32ad61875"/> <display value="María Manuela Meléndez"/> </subject> <effectiveDateTime value="2025-06-08T21:24:39Z"/> <performer> <display value="The Central European Lab"/> </performer> 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