Dental Data Exchange
1.0.0 - STU 1

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## : Complete Dental Referral Note Document Bundle example - JSON Representation

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    {
      "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"
              }
            ]
          }
        }
      ]
    }