haau3 FHIR Implementation Guide (HFIG)
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: KTC Patient-Shared Bundle example: haau3's reconciled medication list - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="ktc-patient-shared-bundle-reconciled"/>
  <meta>
    <profile
             value="https://haau3.com/fhir/StructureDefinition/ktc-patient-shared-bundle"/>
  </meta>
  <type value="collection"/>
  <timestamp value="2026-09-29T15:00:00Z"/>
  <entry>
    <fullUrl value="https://haau3.com/fhir/Patient/us-core-patient"/>
    <resource>
      <Patient>
        <id value="us-core-patient"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_us-core-patient"> </a><p class="res-header-id"><b>Generated Narrative: Patient us-core-patient</b></p><a name="us-core-patient"> </a><a name="hcus-core-patient"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-patient.html">US Core Patient Profile</a> version: 6.1.0</p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Derrick Lin  Male, DoB: 1965-04-12 ( Medical record number: 183464 (use: usual))</p><hr/></div>
        </text>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="http://example.hospital.org"/>
          <value value="183464"/>
        </identifier>
        <name>
          <use value="usual"/>
          <family value="Lin"/>
          <given value="Derrick"/>
        </name>
        <gender value="male"/>
        <birthDate value="1965-04-12"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://haau3.com/fhir/DocumentReference/example-fhir-rendered-pdf"/>
    <resource>
      <DocumentReference>
        <id value="example-fhir-rendered-pdf"/>
        <meta>
          <profile
                   value="https://haau3.com/fhir/StructureDefinition/ktc-patient-shared-document-reference"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DocumentReference_example-fhir-rendered-pdf"> </a><p class="res-header-id"><b>Generated Narrative: DocumentReference example-fhir-rendered-pdf</b></p><a name="example-fhir-rendered-pdf"> </a><a name="hcexample-fhir-rendered-pdf"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ktc-patient-shared-document-reference.html">KTC Patient-Shared DocumentReference</a></p></div><p><b>status</b>: Current</p><p><b>type</b>: <span title="Codes:{http://loinc.org 60591-5}">Patient summary Document</span></p><p><b>category</b>: <span title="Codes:{https://cms.gov/fhir/CodeSystem/patient-shared-category patient-shared}">patient-shared</span></p><p><b>subject</b>: <a href="Patient-us-core-patient.html">Derrick Lin  Male, DoB: 1965-04-12 ( Medical record number: 183464 (use: usual))</a></p><p><b>date</b>: 2026-05-29 15:00:00+0000</p><p><b>author</b>: <a href="Patient-us-core-patient.html">Derrick Lin  Male, DoB: 1965-04-12 ( Medical record number: 183464 (use: usual))</a></p><p><b>description</b>: Shared health summary PDF</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ContentType</b></td><td><b>Data</b></td><td><b>Title</b></td></tr><tr><td style="display: none">*</td><td>application/pdf</td><td><code>VGVzdCBQREYgZGF0YQ==</code></td><td>Shared health summary</td></tr></table></blockquote></div>
        </text>
        <status value="current"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="60591-5"/>
            <display value="Patient summary Document"/>
          </coding>
        </type>
        <category>
          <coding>
            <system
                    value="https://cms.gov/fhir/CodeSystem/patient-shared-category"/>
            <code value="patient-shared"/>
          </coding>
        </category>
        <subject>🔗 
          <reference value="Patient/us-core-patient"/>
        </subject>
        <date value="2026-05-29T15:00:00Z"/>
        <author>🔗 
          <reference value="Patient/us-core-patient"/>
        </author>
        <description value="Shared health summary PDF"/>
        <content>
          <attachment>
            <contentType value="application/pdf"/>
            <data value="VGVzdCBQREYgZGF0YQ=="/>
            <title value="Shared health summary"/>
          </attachment>
        </content>
      </DocumentReference>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://haau3.com/fhir/MedicationRequest/ktc-reconciled-medication-entry"/>
    <resource>
      <MedicationRequest>
        <id value="ktc-reconciled-medication-entry"/>
        <meta>
          <profile
                   value="https://haau3.com/fhir/StructureDefinition/haau3-reconciled-medication-request"/>
          <tag>
            <system value="https://haau3.com/fhir/CodeSystem/derived-by"/>
            <code value="medlist"/>
            <display value="MedList"/>
          </tag>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_ktc-reconciled-medication-entry"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest ktc-reconciled-medication-entry</b></p><a name="ktc-reconciled-medication-entry"> </a><a name="hcktc-reconciled-medication-entry"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-haau3-reconciled-medication-request.html">haau3 Reconciled MedicationRequest</a></p><p style="margin-bottom: 0px">Tag: <a href="CodeSystem-derived-by.html">MedList (Details: haau3 Derived By code medlist = 'MedList')</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>reported</b>: true</p><p><b>medication</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 861007}">metFORMIN hydrochloride 500 MG Oral Tablet</span></p><p><b>subject</b>: <a href="Patient-us-core-patient.html">Derrick Lin  Male, DoB: 1965-04-12 ( Medical record number: 183464 (use: usual))</a></p><h3>DosageInstructions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td></tr><tr><td style="display: none">*</td><td>One tablet daily</td></tr></table></div>
        </text>
        <status value="active"/>
        <intent value="plan"/>
        <reportedBoolean value="true"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="861007"/>
          </coding>
          <text value="metFORMIN hydrochloride 500 MG Oral Tablet"/>
        </medicationCodeableConcept>
        <subject>🔗 
          <reference value="Patient/us-core-patient"/>
        </subject>
        <dosageInstruction>
          <text value="One tablet daily"/>
        </dosageInstruction>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://haau3.com/fhir/Provenance/ktc-reconciled-medication-provenance"/>
    <resource>
      <Provenance>
        <id value="ktc-reconciled-medication-provenance"/>
        <meta>
          <profile
                   value="https://haau3.com/fhir/StructureDefinition/haau3-reconciled-medication-provenance"/>
          <tag>
            <system value="https://haau3.com/fhir/CodeSystem/derived-by"/>
            <code value="medlist"/>
            <display value="MedList"/>
          </tag>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Provenance_ktc-reconciled-medication-provenance"> </a><p><b>Provenance of a reconciled medication entry, in a shared bundle</b></p><table class="grid"><tr><td>Entry</td><td>MedicationRequest/ktc-reconciled-medication-entry</td></tr><tr><td>Recorded</td><td>2026-09-28T09:00:00Z</td></tr><tr><td>Evaluated as of</td><td>2026-09-28T09:00:00Z</td></tr><tr><td>Assembler</td><td>haau3 (a contained Organization)</td></tr><tr><td>Rule-set version</td><td>2026-09-27.v3</td></tr><tr><td>RxNorm release</td><td>09082026</td></tr></table><table class="grid"><tr><th>Source record</th></tr><tr><td>MedicationStatement: Reported (date not stated)</td></tr></table></div>
        </text>
        <contained>
          <Organization>
            <id value="haau3"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0"/>
            </meta>
            <active value="true"/>
            <name value="haau3"/>
            <telecom>
              <system value="url"/>
              <value value="https://haau3.com"/>
            </telecom>
          </Organization>
        </contained>
        <extension
                   url="https://haau3.com/fhir/StructureDefinition/medlist-ruleset-version">
          <valueString value="2026-09-27.v3"/>
        </extension>
        <extension
                   url="https://haau3.com/fhir/StructureDefinition/medlist-rxnorm-release">
          <valueString value="09082026"/>
        </extension>
        <target>🔗 
          <reference
                     value="MedicationRequest/ktc-reconciled-medication-entry"/>
        </target>
        <occurredDateTime value="2026-09-28T09:00:00Z"/>
        <recorded value="2026-09-28T09:00:00Z"/>
        <agent>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
              <code value="assembler"/>
              <display value="Assembler"/>
            </coding>
          </type>
          <who>
            <reference value="#haau3"/>
          </who>
        </agent>
        <entity>
          <role value="source"/>
          <what>
            <type value="MedicationStatement"/>
            <display value="Reported (date not stated)"/>
          </what>
        </entity>
      </Provenance>
    </resource>
  </entry>
</Bundle>