{
  "resourceType": "Bundle",
  "id": "Complete-Dental-Referral-Note-Document-Bundle-Example",
  "meta": {
    "versionId": "15",
    "lastUpdated": "2021-08-27T15:26:44.763+00:00",
    "source": "#CQB8fiR496ieQq0G",
    "profile": [
      "http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-bundle"
    ]
  },
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:uuid:b417cad7-57b3-47a6-bab8-33fdae616839"
  },
  "type": "document",
  "timestamp": "2021-04-11T10:30:00.000-08:00",
  "entry": [
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Composition/Med-2-Dental-Referral",
      "resource": {
        "resourceType": "Composition",
        "id": "Med-2-Dental-Referral",
        "language": "en-US",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: http://any.org/1</p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 57134-9}\">Dentistry Referral note</span></p><p><b>encounter</b>: <a href=\"#Encounter_Med-visit-1\">PCP visit. Generated Summary: status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span>; <span title=\"Codes: {http://www.ama-assn.org/go/cpt 99201}\">Office Visit</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActPriority R}\">routine</span>; period: Feb 14, 2020 8:00:14 PM --&gt; Feb 14, 2020 8:30:14 PM</a></p><p><b>date</b>: Jan 14, 2020 3:10:14 AM</p><p><b>author</b>: <a href=\"#Practitioner_practitioner-M\">Dr. John M, MD. Generated Summary: id: 1234569999; John M ; Phone: 303-303-6443; gender: male; birthDate: 1975-06-09</a></p><p><b>title</b>: Referral Note</p><h3>Attesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>legal</td><td>Mar 14, 2020 9:10:14 AM</td><td><a href=\"#PractitionerRole_PractitionerRole-M\">Dr. John M, MD. Generated Summary: <span title=\"Codes: {http://snomed.info/sct 394814009}\">General practice (specialty)</span>; Phone: 5555557777</a></td></tr></table><p><b>custodian</b>: <a href=\"#Organization_GHC-organization\">Good Health Clinic. Generated Summary: id: 1316452725; active: true; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Good Health Clinic; Phone: (+1) 555-677-7777, customer-service@GHclinic.org</a></p></div>"
        },
        "identifier": {
          "system": "urn:ietf:rfc:3986",
          "value": "http://any.org/1"
        },
        "status": "final",
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "57134-9",
              "display": "Dentistry Referral note"
            }
          ]
        },
        "subject": {
          "reference": "Patient/example-dental",
          "display": "Patient A"
        },
        "encounter": {
          "reference": "Encounter/Med-visit-1",
          "display": "PCP visit"
        },
        "date": "2020-01-14T03:10:14Z",
        "author": [
          {
            "reference": "Practitioner/practitioner-M",
            "display": "Dr. John M, MD"
          }
        ],
        "title": "Referral Note",
        "attester": [
          {
            "mode": "legal",
            "time": "2020-03-14T09:10:14Z",
            "party": {
              "reference": "PractitionerRole/PractitionerRole-M",
              "display": "Dr. John M, MD"
            }
          }
        ],
        "custodian": {
          "reference": "Organization/GHC-organization",
          "display": "Good Health Clinic"
        },
        "section": [
          {
            "title": "Allergies and Intolerances Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48765-2",
                  "display": "Allergies and adverse reactions Document"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <table>\n                                <tr>\n                                    <td>\n                                        <b>Allergen</b>\n                                    </td>\n                                    <td>\n                                        <b>Code</b>\n                                    </td>\n                                    <td>\n                                        <b>Manifestation</b>\n                                    </td>\n                                    <td>\n                                        <b>Severity</b>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td>Penicillin G</td>\n                                    <td>7908</td>\n                                    <td>Skin rash</td>\n                                    <td>mild</td>\n                                </tr>\n                            </table>\n                        </div>"
            },
            "entry": [
              {
                "reference": "AllergyIntolerance/Allergy-example-dental"
              }
            ]
          },
          {
            "title": "Medication Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10160-0",
                  "display": "History of Medication use Narrative"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <table>\n                                <tr>\n                                    <td>\n                                        <b>Medication</b>\n                                    </td>\n                                    <td>\n                                        <b>Directions</b>\n                                    </td>\n                                    <td>\n                                        <b>Start Date</b>\n                                    </td>\n                                    <td>\n                                        <b>Status</b>\n                                    </td>\n                                    <td>\n                                        <b>Indications</b>\n                                    </td>\n                                    <td>\n                                        <b>Fill Instructions</b>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td>Lisinopril 10 mg tab</td>\n                                    <td>1 tab once/day</td>\n                                    <td/>\n                                    <td>Active</td>\n                                    <td/>\n                                    <td>Generic substitution allowed</td>\n                                </tr>\n                            </table>\n                        </div>"
            },
            "entry": [
              {
                "reference": "MedicationRequest/Lisinopril-medreq"
              }
            ]
          },
          {
            "title": "Problem Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11450-4",
                  "display": "Problem list - Reported"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <p> Mild, Hypertension</p>\n                            <p> Type 1 diabetes</p>\n                            <p> Teeth covered in plague</p>\n                            <p> Toothache</p>\n                            <p> Swollen Gums</p>\n                            <p> Bleeding Gums</p>\n                            <p> At high risk for dental carries</p>\n                        </div>"
            },
            "entry": [
              {
                "reference": "Condition/HTN-example"
              },
              {
                "reference": "Condition/DM1-example"
              },
              {
                "reference": "Condition/Dental-plaque-example"
              },
              {
                "reference": "Condition/toothache-example"
              },
              {
                "reference": "Condition/Swollen-gums-example"
              },
              {
                "reference": "Condition/Bleeding-gums-example"
              },
              {
                "reference": "Condition/Caries-risk"
              }
            ]
          },
          {
            "title": "Reason for Referral Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "42349-1",
                  "display": "Reason for referral (narrative)"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <p>Toothache</p>\n                            <p>Left lower quadrant pain</p>\n                            <p>Bleeding gums</p>\n                        </div>"
            },
            "entry": [
              {
                "reference": "ServiceRequest/example-dental-referral-1"
              }
            ]
          },
          {
            "title": "Plan of Treatment Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "18776-5",
                  "display": "Plan of care note"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <p>D0150 - Comprehensive Oral Evaluation</p>\n                        </div>"
            },
            "entry": [
              {
                "reference": "Encounter/Comp-oral-eval"
              }
            ]
          },
          {
            "title": "Assessment Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "51848-0",
                  "display": "Evaluation note"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <p>Patient has pain in his lower left jaw and occassional bleeding from his gums - referring for dental evaluation.</p>\n                        </div>"
            }
          },
          {
            "title": "History of Present Illness Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10164-2",
                  "display": "History of Present illness Narrative"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <p>The patient has not visited a dentist or received flouride treatments in the past 4 years while away at college</p>\n                        </div>"
            }
          },
          {
            "title": "Immunizations Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11369-6",
                  "display": "History of Immunization Narrative"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <table border=\"1\" width=\"100%\">\n                                <thead>\n                                    <tr>\n                                        <th>Vaccine</th>\n                                        <th>Date</th>\n                                        <th>Status</th>\n                                    </tr>\n                                </thead>\n                                <tbody>\n                                    <tr>\n                                        <td>\n                Hepatitis B vaccine\n              </td>\n                                        <td>January 4, 2020</td>\n                                        <td>Completed</td>\n                                    </tr>\n                                </tbody>\n                            </table>\n                        </div>"
            },
            "entry": [
              {
                "reference": "Immunization/imm-1"
              }
            ]
          },
          {
            "title": "Medical Equipment Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "46264-8",
                  "display": "History of medical device use"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <table border=\"1\" width=\"100%\">\n                                <thead>\n                                    <tr>\n                                        <th>Device Type</th>\n                                        <th>Procedure</th>\n                                        <th>Implant Date</th>\n                                    </tr>\n                                </thead>\n                                <tbody>\n                                    <tr>\n                                        <td>Insulin Pump</td>\n                                        <td>Insertion of insulin pump (procedure)</td>\n                                        <td>November 3, 2013</td>\n                                    </tr>\n                                </tbody>\n                            </table>\n                        </div>"
            },
            "entry": [
              {
                "reference": "Procedure/Insulin-pump-insertion"
              }
            ]
          },
          {
            "title": "Procedures Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "47519-4",
                  "display": "History of Procedures Document"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <p>No Procedures performed</p>\n                        </div>"
            }
          },
          {
            "title": "Social History Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "29762-2",
                  "display": "Social history Narrative"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <table>\n                                <tr>\n                                    <td>\n                                        <b>Social History Element</b>\n                                    </td>\n                                    <td>\n                                        <b>Description</b>\n                                    </td>\n                                    <td>\n                                        <b>Effective Dates</b>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td>Smoking Status</td>\n                                    <td>NA</td>\n                                    <td>2005/05/01 - 2020/03/28</td>\n                                </tr>\n                                <tr>\n                                    <td>Highest Education Received</td>\n                                    <td>Collect Education</td>\n                                    <td>2010/05/01 - 2014/03/28</td>\n                                </tr>\n                                <tr>\n                                    <td>Employment</td>\n                                    <td>Full-time accountant</td>\n                                    <td>2015/05/01 - current</td>\n                                </tr>\n                            </table>\n                        </div>"
            },
            "entry": [
              {
                "reference": "Observation/Smoker-obs-example-dental"
              },
              {
                "reference": "Observation/Education-level-example-dental"
              },
              {
                "reference": "Observation/Present-job-example-dental"
              }
            ]
          },
          {
            "title": "Vital Signs Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8716-3",
                  "display": "Vital signs"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <table>\n                                <tr>\n                                    <td>\n                                        <b>Vital Sign</b>\n                                    </td>\n                                    <td>\n                                        <b>Date</b>\n                                    </td>\n                                    <td>\n                                        <b>Value</b>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td>Temperature</td>\n                                    <td>2020/04/15</td>\n                                    <td>98.5</td>\n                                </tr>\n                                <tr>\n                                    <td>Heart Rate</td>\n                                    <td>2020/04/15</td>\n                                    <td>78</td>\n                                </tr>\n                                <tr>\n                                    <td>Respiration Rate</td>\n                                    <td>2020/04/15</td>\n                                    <td>20</td>\n                                </tr>\n                                <tr>\n                                    <td>Blood Pressure</td>\n                                    <td>2020/04/15</td>\n                                    <td>120/80</td>\n                                </tr>\n                            </table>\n                        </div>"
            },
            "entry": [
              {
                "reference": "Observation/vitals-panel"
              }
            ]
          },
          {
            "title": "Goals Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "61146-7",
                  "display": "Goals"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <p>No soda/sugary drinks/energy drinks</p>\n                            <p>Use fluoride toothpaste</p>\n                        </div>"
            }
          },
          {
            "title": "Health Concerns Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "75310-3",
                  "display": "Health concerns Document"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <p>Neuropathy due to diabetes mellitus</p>\n                        </div>"
            }
          },
          {
            "title": "Instructions Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "69730-0",
                  "display": "Instructions"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <p>Pt. Education. Advised to see dentist regularly, brush 2x/day w/ fluoride\n          toothpaste, floss</p>\n                        </div>"
            },
            "entry": [
              {
                "reference": "Communication/dental-education"
              }
            ]
          },
          {
            "title": "Payers Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "48768-6",
                  "display": "Payment sources Document"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <p>Aetna Comprehensive Medical /Dental Insurance</p>\n                        </div>"
            },
            "entry": [
              {
                "reference": "Coverage/Dental-Aetna"
              }
            ]
          },
          {
            "title": "Dental Findings Section",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8704-9",
                  "display": "Physical findings of Mouth and Throat and Teeth"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                            <p>No Information</p>\n                        </div>"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Patient/example-dental",
      "resource": {
        "resourceType": "Patient",
        "id": "example-dental",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                        <div class=\"hapiHeaderText\">Patient \n              \n                            \n                            \n                            \n                            \n                            <b>A </b>\n                        </div>\n                        <table class=\"hapiPropertyTable\">\n                            <tbody>\n                                <tr>\n                                    <td>Identifier</td>\n                                    <td>5152020</td>\n                                </tr>\n                                <tr>\n                                    <td>Address</td>\n                                    <td>\n                                        <span>123 Test Dr. </span>\n                                        <br/>\n                                        <span>Denver </span>\n                                        <span>CO </span>\n                                        <span>US </span>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td>Date of birth</td>\n                                    <td>\n                                        <span>01 January 1990</span>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                    </div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2106-3",
                  "display": "White"
                }
              },
              {
                "url": "detailed",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "1516-4",
                  "display": "Zuni"
                }
              },
              {
                "url": "text",
                "valueString": "Mixed"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2135-2",
                  "display": "Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "Hispanic or Latino"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "M"
          }
        ],
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical Record Number"
                }
              ],
              "text": "Medical Record Number"
            },
            "system": "http://clinic.goodhealth.org",
            "value": "5152020"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "A",
            "given": [
              "Patient"
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "123-456-7890",
            "use": "home"
          },
          {
            "system": "email",
            "value": "testA@email.com"
          }
        ],
        "gender": "male",
        "birthDate": "1990-01-01",
        "address": [
          {
            "line": [
              "123 Test Dr."
            ],
            "city": "Denver",
            "state": "CO",
            "postalCode": "80204",
            "country": "US"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Encounter/Med-visit-1",
      "resource": {
        "resourceType": "Encounter",
        "id": "Med-visit-1",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span></p><p><b>type</b>: <span title=\"Codes: {http://www.ama-assn.org/go/cpt 99201}\">Office Visit</span></p><p><b>priority</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActPriority R}\">routine</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>period</b>: Feb 14, 2020 8:00:14 PM --&gt; Feb 14, 2020 8:30:14 PM</p></div>"
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB",
          "display": "ambulatory"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://www.ama-assn.org/go/cpt",
                "code": "99201",
                "display": "Level 1 New Patient Office Visit"
              }
            ],
            "text": "Office Visit"
          }
        ],
        "priority": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
              "code": "R",
              "display": "routine"
            }
          ]
        },
        "subject": {
          "reference": "Patient/example-dental"
        },
        "period": {
          "start": "2020-02-14T15:00:14-05:00",
          "end": "2020-02-14T15:30:14-05:00"
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/PractitionerRole/PractitionerRole-M",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "PractitionerRole-M",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>practitioner</b>: <a href=\"#Practitioner_practitioner-M\">Dr. John M. Generated Summary: id: 1234569999; John M ; Phone: 303-303-6443; gender: male; birthDate: 1975-06-09</a></p><p><b>organization</b>: <a href=\"#Organization_GHC-organization\">Good Health Clinic. Generated Summary: id: 1316452725; active: true; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Good Health Clinic; Phone: (+1) 555-677-7777, customer-service@GHclinic.org</a></p><p><b>specialty</b>: <span title=\"Codes: {http://snomed.info/sct 394814009}\">General practice (specialty)</span></p><p><b>telecom</b>: ph: 5555557777</p></div>"
        },
        "practitioner": {
          "reference": "Practitioner/practitioner-M",
          "display": "Dr. John M"
        },
        "organization": {
          "reference": "Organization/GHC-organization",
          "display": "Good Health Clinic"
        },
        "specialty": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "394814009",
                "display": "General practice (specialty)"
              }
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "5555557777"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Practitioner/practitioner-M",
      "resource": {
        "resourceType": "Practitioner",
        "id": "practitioner-M",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 1234569999</p><p><b>name</b>: John M </p><p><b>telecom</b>: ph: 303-303-6443(WORK)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1975-06-09</p></div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "1234569999"
          }
        ],
        "name": [
          {
            "family": "M",
            "given": [
              "John"
            ],
            "prefix": [
              "Dr"
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "303-303-6443",
            "use": "work"
          }
        ],
        "gender": "male",
        "birthDate": "1975-06-09"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Organization/GHC-organization",
      "resource": {
        "resourceType": "Organization",
        "id": "GHC-organization",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 1316452725</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Good Health Clinic</p><p><b>telecom</b>: ph: (+1) 555-677-7777, <a href=\"mailto:customer-service@GHclinic.org\">customer-service@GHclinic.org</a></p><p><b>address</b>: 7551 W Alameda Ave Lakewood CO 80226 USA </p></div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "1316452725"
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "prov",
                "display": "Healthcare Provider"
              }
            ]
          }
        ],
        "name": "Good Health Clinic",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 555-677-7777"
          },
          {
            "system": "email",
            "value": "customer-service@GHclinic.org"
          }
        ],
        "address": [
          {
            "line": [
              "7551 W Alameda Ave"
            ],
            "city": "Lakewood",
            "state": "CO",
            "postalCode": "80226",
            "country": "USA"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/AllergyIntolerance/Allergy-example-dental",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "Allergy-example-dental",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>clinicalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}\">Confirmed</span></p><p><b>category</b>: medication</p><p><b>criticality</b>: high</p><p><b>code</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 7980}\">Penicillin G (Ingredient)</span></p><p><b>patient</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 1998-05-01</p></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "category": [
          "medication"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "7980",
              "display": "Penicillin G"
            }
          ],
          "text": "Penicillin G (Ingredient)"
        },
        "patient": {
          "reference": "Patient/example-dental",
          "display": "Patient A"
        },
        "onsetDateTime": "1998-05-01"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/MedicationRequest/Lisinopril-medreq",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "Lisinopril-medreq",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>medication</b>: <a href=\"#Medication_Lisinopril-med-example\">See above (Medication/Lisinopril-med-example)</a></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>authoredOn</b>: 2020-02-14</p><p><b>requester</b>: <a href=\"#Practitioner_practitioner-M\">Dr. John M, MD. Generated Summary: id: 1234569999; John M ; Phone: 303-303-6443; gender: male; birthDate: 1975-06-09</a></p><p><b>reasonReference</b>: <a href=\"#Condition_HTN-example\">See above (Condition/HTN-example)</a></p></div>"
        },
        "status": "active",
        "intent": "plan",
        "medicationReference": {
          "reference": "Medication/Lisinopril-med-example"
        },
        "subject": {
          "reference": "Patient/example-dental",
          "display": "Patient A"
        },
        "authoredOn": "2020-02-14",
        "requester": {
          "reference": "Practitioner/practitioner-M",
          "display": "Dr. John M, MD"
        },
        "reasonReference": [
          {
            "reference": "Condition/HTN-example"
          }
        ],
        "dosageInstruction": [
          {
            "text": "Take 1 tab once a day",
            "timing": {
              "repeat": {
                "boundsPeriod": {
                  "start": "2020-01-03"
                }
              }
            },
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "26643006",
                  "display": "Oral use"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Medication/Lisinopril-med-example",
      "resource": {
        "resourceType": "Medication",
        "id": "Lisinopril-med-example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                        <div class=\"hapiHeaderText\">Lisinopril 10 mg tab</div>\n                    </div>"
        },
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "314076",
              "display": "Lisinopril 10 mg Oral Tablet"
            }
          ],
          "text": "Lisinopril 10 mg Oral Tablet"
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Condition/HTN-example",
      "resource": {
        "resourceType": "Condition",
        "id": "HTN-example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>clinicalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 38341003}, {http://www.ada.org/snodent 175027D}\">Hypertensive disorder (disorder)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2013-07-06</p><p><b>asserter</b>: <a href=\"#Practitioner_practitioner-UNK\">See above (Practitioner/practitioner-UNK)</a></p></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active",
              "display": "Active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "problem-list-item",
                "display": "Problem List Item"
              }
            ],
            "text": "Problem"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "38341003",
              "display": "High blood pressure"
            },
            {
              "system": "http://www.ada.org/snodent",
              "code": "175027D",
              "display": "High blood pressure"
            }
          ],
          "text": "Hypertensive disorder (disorder)"
        },
        "subject": {
          "reference": "Patient/example-dental",
          "display": "Patient A"
        },
        "onsetDateTime": "2013-07-06",
        "asserter": {
          "reference": "Practitioner/practitioner-UNK"
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Condition/DM1-example",
      "resource": {
        "resourceType": "Condition",
        "id": "DM1-example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>clinicalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 46635009}, {http://www.ada.org/snodent 175321D}\">Diabetes mellitus type I</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2013-07-06</p><p><b>asserter</b>: <a href=\"#Practitioner_practitioner-UNK\">See above (Practitioner/practitioner-UNK)</a></p></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active",
              "display": "Active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "problem-list-item",
                "display": "Problem List Item"
              }
            ],
            "text": "Problem"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "46635009",
              "display": "Diabetes mellitus type I"
            },
            {
              "system": "http://www.ada.org/snodent",
              "code": "175321D",
              "display": "Diabetes mellitus type I"
            }
          ],
          "text": "Diabetes mellitus type I"
        },
        "subject": {
          "reference": "Patient/example-dental",
          "display": "Patient A"
        },
        "onsetDateTime": "2013-07-06",
        "asserter": {
          "reference": "Practitioner/practitioner-UNK"
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Condition/Dental-plaque-example",
      "resource": {
        "resourceType": "Condition",
        "id": "Dental-plaque-example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>clinicalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes: {http://hl7.org/fhir/us/core/CodeSystem/condition-category health-concern}\">Health Concern</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 276453000}, {http://www.ada.org/snodent 108723D}\">Teeth covered in plaque (finding)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2013-07-06</p><p><b>asserter</b>: <a href=\"#Practitioner_practitioner-UNK\">See above (Practitioner/practitioner-UNK)</a></p></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active",
              "display": "Active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
                "code": "health-concern",
                "display": "Health Concern"
              }
            ],
            "text": "Health Concern"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "276453000",
              "display": "Teeth covered in plaque (finding)"
            },
            {
              "system": "http://www.ada.org/snodent",
              "code": "108723D",
              "display": "Teeth covered in plaque (finding)"
            }
          ],
          "text": "Teeth covered in plaque (finding)"
        },
        "subject": {
          "reference": "Patient/example-dental",
          "display": "Patient A"
        },
        "onsetDateTime": "2013-07-06",
        "asserter": {
          "reference": "Practitioner/practitioner-UNK"
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Practitioner/practitioner-UNK",
      "resource": {
        "resourceType": "Practitioner",
        "id": "practitioner-UNK",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 555555555</p><p><b>name</b>: UNK </p></div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "555555555"
          }
        ],
        "name": [
          {
            "family": "UNK",
            "_family": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                  "valueCode": "unknown"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Condition/toothache-example",
      "resource": {
        "resourceType": "Condition",
        "id": "toothache-example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>clinicalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes: {http://hl7.org/fhir/us/core/CodeSystem/condition-category health-concern}\">Health Concern</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 27355003}, {http://www.ada.org/snodent 131687D}\">Toothache (finding)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2020-02-14</p></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active",
              "display": "Active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
                "code": "health-concern",
                "display": "Health Concern"
              }
            ],
            "text": "Health Concern"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "27355003",
              "display": "Toothache (finding)"
            },
            {
              "system": "http://www.ada.org/snodent",
              "code": "131687D",
              "display": "Toothache (finding)"
            }
          ],
          "text": "Toothache (finding)"
        },
        "subject": {
          "reference": "Patient/example-dental",
          "display": "Patient A"
        },
        "onsetDateTime": "2020-02-14"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Condition/Swollen-gums-example",
      "resource": {
        "resourceType": "Condition",
        "id": "Swollen-gums-example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>clinicalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes: {http://hl7.org/fhir/us/core/CodeSystem/condition-category health-concern}\">Health Concern</span>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ada.org/snodent 148393D}, {http://snomed.info/sct 309685001}\">Swollen gums (finding)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2020-02-14</p></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active",
              "display": "Active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
                "code": "health-concern",
                "display": "Health Concern"
              }
            ],
            "text": "Health Concern"
          },
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category",
                "code": "dental",
                "display": "Dental"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://www.ada.org/snodent",
              "code": "148393D",
              "display": "Swollen gums (finding)"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "309685001",
              "display": "Swollen gums (finding)"
            }
          ],
          "text": "Swollen gums (finding)"
        },
        "subject": {
          "reference": "Patient/example-dental",
          "display": "Patient A"
        },
        "onsetDateTime": "2020-02-14"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Condition/Bleeding-gums-example",
      "resource": {
        "resourceType": "Condition",
        "id": "Bleeding-gums-example",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>clinicalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes: {http://hl7.org/fhir/us/core/CodeSystem/condition-category health-concern}\">Health Concern</span>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ada.org/snodent 148393D}, {http://snomed.info/sct 86276007}\">Bleeding gums</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2020-02-14</p></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active",
              "display": "Active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
                "code": "health-concern",
                "display": "Health Concern"
              }
            ],
            "text": "Health Concern"
          },
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category",
                "code": "dental",
                "display": "Dental"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://www.ada.org/snodent",
              "code": "148393D",
              "display": "Bleeding gums"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "86276007",
              "display": "Bleeding gums"
            }
          ],
          "text": "Bleeding gums"
        },
        "subject": {
          "reference": "Patient/example-dental",
          "display": "Patient A"
        },
        "onsetDateTime": "2020-02-14"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Condition/Caries-risk",
      "resource": {
        "resourceType": "Condition",
        "id": "Caries-risk",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>clinicalStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem</span>, <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span></p><p><b>code</b>: <span title=\"Codes: {http://www.ada.org/snodent 179051D}, {http://snomed.info/sct 609402003}\">At high risk for dental caries (finding)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>onset</b>: 2020-02-14</p></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active",
              "display": "Active"
            }
          ],
          "text": "Active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ],
          "text": "Confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "problem-list-item",
                "display": "Problem List Item"
              }
            ],
            "text": "Problem"
          },
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category",
                "code": "dental",
                "display": "Dental"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://www.ada.org/snodent",
              "code": "179051D",
              "display": "At high risk for dental caries (finding)"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "609402003",
              "display": "At high risk for dental caries (finding)"
            }
          ],
          "text": "At high risk for dental caries (finding)"
        },
        "subject": {
          "reference": "Patient/example-dental",
          "display": "Patient A"
        },
        "onsetDateTime": "2020-02-14"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/ServiceRequest/example-dental-referral-1",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "example-dental-referral-1",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: urn:uid:0c2aacfc-ce7d-4652-b9ea-7280ea21dec4</p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>category</b>: <span title=\"Codes: {http://snomed.info/sct 14736009}\">Evaluation and management of patient (procedure)</span></p><p><b>priority</b>: asap</p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 103697008}\">Patient referral for dental care (procedure)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>requester</b>: <a href=\"#Practitioner_practitioner-M\">See above (Practitioner/practitioner-M)</a></p><p><b>reasonReference</b>: </p><ul><li><a href=\"#Condition_toothache-example\">See above (Condition/toothache-example)</a></li><li><a href=\"Condition-LLQP-example.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://hl7.org/fhir/us/dental-data-exchange/CodeSystem/dental-category dental}\">Dental</span>, <span title=\"Codes: {http://hl7.org/fhir/us/core/CodeSystem/condition-category health-concern}\">Health Concern problem</span>; <span title=\"Codes: {http://snomed.info/sct 301716002}\">Left lower quadrant pain</span></a></li><li><a href=\"#Condition_Bleeding-gums-example\">See above (Condition/Bleeding-gums-example)</a></li></ul></div>"
        },
        "identifier": [
          {
            "system": "urn:ietf:rfc:3986",
            "value": "urn:uid:0c2aacfc-ce7d-4652-b9ea-7280ea21dec4"
          }
        ],
        "status": "active",
        "intent": "plan",
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "14736009",
                "display": "History and physical examination with evaluation and management of patient (procedure)"
              }
            ],
            "text": "Evaluation and management of patient (procedure)"
          }
        ],
        "priority": "asap",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "103697008",
              "display": "Patient referral for dental care (procedure)"
            }
          ],
          "text": "Patient referral for dental care (procedure)"
        },
        "subject": {
          "reference": "Patient/example-dental"
        },
        "requester": {
          "reference": "Practitioner/practitioner-M"
        },
        "reasonReference": [
          {
            "reference": "Condition/toothache-example"
          },
          {
            "reference": "Condition/LLQP-example"
          },
          {
            "reference": "Condition/Bleeding-gums-example"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Encounter/Comp-oral-eval",
      "resource": {
        "resourceType": "Encounter",
        "id": "Comp-oral-eval",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: planned</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span></p><p><b>type</b>: <span title=\"Codes: {http://ada.org/cdt D0150}\">Comprehensive Oral Evaluation</span></p><p><b>priority</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActPriority R}\">routine</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>period</b>: Mar 10, 2020 8:00:14 PM --&gt; Mar 10, 2020 8:30:14 PM</p></div>"
        },
        "status": "planned",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB",
          "display": "ambulatory"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://ada.org/cdt",
                "code": "D0150"
              }
            ],
            "text": "Comprehensive Oral Evaluation"
          }
        ],
        "priority": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
              "code": "R",
              "display": "routine"
            }
          ]
        },
        "subject": {
          "reference": "Patient/example-dental"
        },
        "period": {
          "start": "2020-03-10T15:00:14-05:00",
          "end": "2020-03-10T15:30:14-05:00"
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Immunization/imm-1",
      "resource": {
        "resourceType": "Immunization",
        "id": "imm-1",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>vaccineCode</b>: <span title=\"Codes: {http://hl7.org/fhir/sid/cvx 08}\">hepatitis B vaccine, pediatric or pediatric/adolescent dosage</span></p><p><b>patient</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>occurrence</b>: 2020-01-04</p><p><b>primarySource</b>: false</p></div>"
        },
        "status": "completed",
        "vaccineCode": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/sid/cvx",
              "code": "08",
              "display": "hepatitis B vaccine, pediatric or pediatric/adolescent dosage"
            }
          ]
        },
        "patient": {
          "reference": "Patient/example-dental",
          "display": "Patient A"
        },
        "occurrenceDateTime": "2020-01-04",
        "primarySource": false
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Procedure/Insulin-pump-insertion",
      "resource": {
        "resourceType": "Procedure",
        "id": "Insulin-pump-insertion",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07aff</p><p><b>status</b>: completed</p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 443263006}\">Insertion of insulin pump (procedure)</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>performed</b>: 2013-11-03</p></div>"
        },
        "identifier": [
          {
            "system": "urn:ietf:rfc:3986",
            "value": "urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07aff"
          }
        ],
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "443263006"
            }
          ],
          "text": "Insertion of insulin pump (procedure)"
        },
        "subject": {
          "reference": "Patient/example-dental"
        },
        "performedDateTime": "2013-11-03"
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Observation/Smoker-obs-example-dental",
      "resource": {
        "resourceType": "Observation",
        "id": "Smoker-obs-example-dental",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 72166-2}\">Tobacco smoking status</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>issued</b>: Jan 15, 2020 5:27:04 AM</p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 266919005}\">Never smoked tobacco (finding)</span></p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "social-history",
                "display": "Social History"
              }
            ],
            "text": "Social History"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72166-2",
              "display": "Tobacco smoking status"
            }
          ],
          "text": "Tobacco smoking status"
        },
        "subject": {
          "reference": "Patient/example-dental",
          "display": "Patient A"
        },
        "issued": "2020-01-15T05:27:04Z",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "266919005",
              "display": "Never smoked tobacco (finding)"
            }
          ],
          "text": "Never smoked tobacco (finding)"
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Observation/Education-level-example-dental",
      "resource": {
        "resourceType": "Observation",
        "id": "Education-level-example-dental",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 82589-3}\">Highest Level of Education</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>effective</b>: 2012-01-01 --&gt; 2016-01-01</p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 224302000}\">Received higher education college education (finding)</span></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "82589-3",
              "display": "Highest Level of Education"
            }
          ]
        },
        "subject": {
          "reference": "Patient/example-dental",
          "display": "Patient A"
        },
        "effectivePeriod": {
          "start": "2012-01-01",
          "end": "2016-01-01"
        },
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "224302000",
              "display": "Received higher education college education (finding)"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Observation/Present-job-example-dental",
      "resource": {
        "resourceType": "Observation",
        "id": "Present-job-example-dental",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 11341-5}\">History of Occupation</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">Patient A. Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>effective</b>: 2015-01-01 --&gt; (ongoing)</p><p><b>value</b>: <span title=\"Codes: {urn:oid:2.16.840.1.114222.4.11.7186 0800}\">Accountants and Auditors</span></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "11341-5",
              "display": "History of Occupation"
            }
          ]
        },
        "subject": {
          "reference": "Patient/example-dental",
          "display": "Patient A"
        },
        "effectivePeriod": {
          "start": "2015-01-01"
        },
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "urn:oid:2.16.840.1.114222.4.11.7186",
              "code": "0800",
              "display": "Accountants and Auditors"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Observation/vitals-panel",
      "resource": {
        "resourceType": "Observation",
        "id": "vitals-panel",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 85353-1}\">Vital signs Panel</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>effective</b>: 2020-02-14</p><p><b>hasMember</b>: </p><ul><li><a href=\"#Observation_respiratory-rate\">Respiratory Rate. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span>; <span title=\"Codes: {http://loinc.org 9279-1}\">Respiratory rate</span>; effective: 2020-02-14; 20 breaths/minute</a></li><li><a href=\"#Observation_heart-rate\">Heart Rate. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span>; <span title=\"Codes: {http://loinc.org 8867-4}\">Heart rate</span>; effective: 1999-07-02; 78 beats/minute</a></li><li><a href=\"#Observation_blood-pressure\">Blood Pressure. Generated Summary: id: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span>; <span title=\"Codes: {http://loinc.org 85354-9}\">Blood pressure systolic &amp; diastolic</span>; effective: 2020-02-14</a></li><li><a href=\"#Observation_body-temperature\">Body Temperature. Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span>; <span title=\"Codes: {http://loinc.org 8310-5}\">Body temperature</span>; effective: 2020-02-14; 36.9 C</a></li></ul></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ],
            "text": "Vital Signs"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "85353-1",
              "display": "Vital signs, weight, height, head circumference, oxygen saturation and BMI panel"
            }
          ],
          "text": "Vital signs Panel"
        },
        "subject": {
          "reference": "Patient/example-dental"
        },
        "effectiveDateTime": "2020-02-14",
        "hasMember": [
          {
            "reference": "Observation/respiratory-rate",
            "display": "Respiratory Rate"
          },
          {
            "reference": "Observation/heart-rate",
            "display": "Heart Rate"
          },
          {
            "reference": "Observation/blood-pressure",
            "display": "Blood Pressure"
          },
          {
            "reference": "Observation/body-temperature",
            "display": "Body Temperature"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Communication/dental-education",
      "resource": {
        "resourceType": "Communication",
        "id": "dental-education",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/communication-category instruction}\">Instruction</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Med-visit-1\">See above (Encounter/Med-visit-1)</a></p><p><b>recipient</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>sender</b>: <a href=\"#Practitioner_practitioner-M\">See above (Practitioner/practitioner-M)</a></p><h3>Payloads</h3><table class=\"grid\"><tr><td>-</td><td><b>Content[x]</b></td></tr><tr><td>*</td><td>Pt. Education. Advised to see dentist regularly, brush 2x/day w/ fluoride toothpaste, floss</td></tr></table></div>"
        },
        "status": "completed",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/communication-category",
                "code": "instruction",
                "display": "Instruction"
              }
            ]
          }
        ],
        "subject": {
          "reference": "Patient/example-dental"
        },
        "encounter": {
          "reference": "Encounter/Med-visit-1"
        },
        "recipient": [
          {
            "reference": "Patient/example-dental"
          }
        ],
        "sender": {
          "reference": "Practitioner/practitioner-M"
        },
        "payload": [
          {
            "contentString": "Pt. Education. Advised to see dentist regularly, brush 2x/day w/ fluoride toothpaste, floss"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Observation/respiratory-rate",
      "resource": {
        "resourceType": "Observation",
        "id": "respiratory-rate",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 9279-1}\">Respiratory rate</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>effective</b>: 2020-02-14</p><p><b>value</b>: 20 breaths/minute</p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ],
            "text": "Vital Signs"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "9279-1",
              "display": "Respiratory rate"
            }
          ],
          "text": "Respiratory rate"
        },
        "subject": {
          "reference": "Patient/example-dental"
        },
        "effectiveDateTime": "2020-02-14",
        "valueQuantity": {
          "value": 20,
          "unit": "breaths/minute",
          "system": "http://unitsofmeasure.org",
          "code": "/min"
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Observation/heart-rate",
      "resource": {
        "resourceType": "Observation",
        "id": "heart-rate",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 8867-4}\">Heart rate</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>effective</b>: 1999-07-02</p><p><b>value</b>: 78 beats/minute</p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ],
            "text": "Vital Signs"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8867-4",
              "display": "Heart rate"
            }
          ],
          "text": "Heart rate"
        },
        "subject": {
          "reference": "Patient/example-dental"
        },
        "effectiveDateTime": "1999-07-02",
        "valueQuantity": {
          "value": 78,
          "unit": "beats/minute",
          "system": "http://unitsofmeasure.org",
          "code": "/min"
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Observation/blood-pressure",
      "resource": {
        "resourceType": "Observation",
        "id": "blood-pressure",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281</p><p><b>basedOn</b>: <span></span></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 85354-9}\">Blood pressure systolic &amp; diastolic</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>effective</b>: 2020-02-14</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 8480-6}, {http://snomed.info/sct 271649006}\">Systolic blood pressure</span></p><p><b>value</b>: 120 mmHg</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 8462-4}\">Diastolic blood pressure</span></p><p><b>value</b>: 80 mmHg</p></blockquote></div>"
        },
        "identifier": [
          {
            "system": "urn:ietf:rfc:3986",
            "value": "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281"
          }
        ],
        "basedOn": [
          {
            "identifier": {
              "system": "https://acme.org/identifiers",
              "value": "1234"
            }
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "85354-9",
              "display": "Blood pressure panel with all children optional"
            }
          ],
          "text": "Blood pressure systolic & diastolic"
        },
        "subject": {
          "reference": "Patient/example-dental"
        },
        "effectiveDateTime": "2020-02-14",
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8480-6",
                  "display": "Systolic blood pressure"
                },
                {
                  "system": "http://snomed.info/sct",
                  "code": "271649006",
                  "display": "Systolic blood pressure"
                }
              ]
            },
            "valueQuantity": {
              "value": 120,
              "unit": "mmHg",
              "system": "http://unitsofmeasure.org",
              "code": "mm[Hg]"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8462-4",
                  "display": "Diastolic blood pressure"
                }
              ]
            },
            "valueQuantity": {
              "value": 80,
              "unit": "mmHg",
              "system": "http://unitsofmeasure.org",
              "code": "mm[Hg]"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Observation/body-temperature",
      "resource": {
        "resourceType": "Observation",
        "id": "body-temperature",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 8310-5}\">Body temperature</span></p><p><b>subject</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>effective</b>: 2020-02-14</p><p><b>value</b>: 36.9 C</p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ],
            "text": "Vital Signs"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ],
          "text": "Body temperature"
        },
        "subject": {
          "reference": "Patient/example-dental"
        },
        "effectiveDateTime": "2020-02-14",
        "valueQuantity": {
          "value": 36.9,
          "unit": "C",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        }
      }
    },
    {
      "fullUrl": "http://example.org/fhir/us/dental-data-exchange/Coverage/Dental-Aetna",
      "resource": {
        "resourceType": "Coverage",
        "id": "Dental-Aetna",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 12345</p><p><b>status</b>: active</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActCode DENTAL}\">dental care policy</span></p><p><b>subscriber</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>subscriberId</b>: 123456</p><p><b>beneficiary</b>: <a href=\"#Patient_example-dental\">See above (Patient/example-dental)</a></p><p><b>dependent</b>: 0</p><p><b>relationship</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2020-01-01 --&gt; 2020-01-01</p><p><b>payor</b>: <a href=\"Organization-Aetna-organization.html\">Generated Summary: id: 9316452725; active: true; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type pay}\">Payer</span>; name: Aetna Insurance; Phone: (+1) 720-677-7777, customer2-service@Aetna.org</a></p><h3>Classes</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/coverage-class plan}\">Plan</span></td><td>B37FC</td><td>Aetna Full Coverage: Medical, Dental, Pharmacy, Vision, EHC</td></tr></table></div>"
        },
        "identifier": [
          {
            "system": "http://benefitsAetna.com/certificate",
            "value": "12345"
          }
        ],
        "status": "active",
        "type": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code": "DENTAL",
              "display": "dental care policy"
            }
          ]
        },
        "subscriber": {
          "reference": "Patient/example-dental"
        },
        "subscriberId": "123456",
        "beneficiary": {
          "reference": "Patient/example-dental"
        },
        "dependent": "0",
        "relationship": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
              "code": "self",
              "display": "Self"
            }
          ]
        },
        "period": {
          "start": "2020-01-01",
          "end": "2020-01-01"
        },
        "payor": [
          {
            "reference": "Organization/Aetna-organization"
          }
        ],
        "class": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                  "code": "plan"
                }
              ]
            },
            "value": "B37FC",
            "name": "Aetna Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"
          }
        ]
      }
    }
  ]
}