plan_executor 1.0.2 → 1.8.0

data/fixtures/patient/patient-register-create.xml

@@ -0,0 +1,47 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<Patient xmlns="http://hl7.org/fhir">
+	<text>
+		<status value="generated"/>
+		<div xmlns="http://www.w3.org/1999/xhtml">
+			<p>
+				<b>Generated Narrative with Details</b>
+			</p>
+			<p>
+				<b>identifier</b>: HOSP-CD14D9 (USUAL)</p>
+			<p>
+				<b>name</b>: Todd G. Lerr (OFFICIAL)</p>
+			<p>
+				<b>gender</b>: male</p>
+			<p>
+				<b>birthDate</b>: Jun 7, 2012</p>
+			<p>
+				<b>deceased</b>: false</p>
+			<p>
+				<b>address</b>: 123 North 102nd Street Apt 4d Harrisburg PA 17102 USA (HOME)</p>
+		</div>
+	</text>
+	<identifier>
+		<use value="usual"/>
+		<system value="http://happyvalley.com/patient"/>
+		<value value="HOSP-CD14D9"/>
+	</identifier>
+	<name>
+		<use value="official"/>
+		<family value="Lerr"/>
+		<given value="Todd"/>
+		<given value="G."/>
+		<suffix value="Jr"/>
+	</name>
+	<gender value="male"/>
+	<birthDate value="2012-06-07"/>
+	<deceasedBoolean value="false"/>
+	<address>
+		<use value="home"/>
+		<line value="123 North 102nd Street"/>
+		<line value="Apt 4d"/>
+		<city value="Harrisburg"/>
+		<state value="PA"/>
+		<postalCode value="17102"/>
+		<country value="USA"/>
+	</address>
+</Patient>

data/fixtures/practitioner/practitioner-register-create.xml

@@ -0,0 +1,32 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<Practitioner xmlns="http://hl7.org/fhir">
+	<text>
+		<status value="generated"/>
+		<div xmlns="http://www.w3.org/1999/xhtml">
+			<p>
+				<b>Generated Narrative with Details</b>
+			</p>
+			<p>
+				<b>identifier</b>: CD6D9 (OFFICIAL)</p>
+			<p>
+				<b>name</b>: Leanard T Bloodraw </p>
+			<p>
+				<b>telecom</b>: ph: (555)7771234 ext.11</p>
+		</div>
+	</text>
+	<identifier>
+		<use value="official"/>
+		<system value="http://happyvalley.com/practitioner"/>
+		<value value="CD6D9"/>
+	</identifier>
+	<name>
+		<family value="Bloodraw"/>
+		<given value="Leanard"/>
+		<given value="T"/>
+		<suffix value="Jr"/>
+	</name>
+	<telecom>
+		<system value="phone"/>
+		<value value="(555)7771234 ext.11"/>
+	</telecom>
+</Practitioner>

data/fixtures/record/condition-example-f201-fever.xml

@@ -1,63 +1,68 @@
 <?xml version="1.0" encoding="UTF-8"?><Condition xmlns="http://hl7.org/fhir">
   <id value="f201"/>
- <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f201</p><p><b>patient</b>: <a>Roel</a></p><p><b>encounter</b>: <a>Encounter/f201</a></p><p><b>asserter</b>: <a>Practitioner/f201</a></p><p><b>dateRecorded</b>: Apr 4, 2013</p><p><b>code</b>: Fever <span>(Details : {SNOMED CT code &#39;386661006&#39; = &#39;386661006&#39;, given as &#39;Fever&#39;})</span></p><p><b>category</b>: Problem <span>(Details : {SNOMED CT code &#39;55607006&#39; = &#39;55607006&#39;, given as &#39;Problem&#39;}; {http://hl7.org/fhir/condition-category code &#39;finding&#39; = &#39;Finding)</span></p><p><b>clinicalStatus</b>: active</p><p><b>verificationStatus</b>: confirmed</p><p><b>severity</b>: Mild <span>(Details : {SNOMED CT code &#39;255604002&#39; = &#39;255604002&#39;, given as &#39;Mild&#39;})</span></p><p><b>onset</b>: Apr 2, 2013</p><h3>Evidences</h3><table><tr><td>-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td>*</td><td>degrees C <span>(Details : {SNOMED CT code &#39;258710007&#39; = &#39;258710007&#39;, given as &#39;degrees C&#39;})</span></td><td><a>Temperature</a></td></tr></table><p><b>bodySite</b>: Entire body as a whole <span>(Details : {SNOMED CT code &#39;38266002&#39; = &#39;38266002&#39;, given as &#39;Entire body as a whole&#39;})</span></p></div></text><patient><!--  It entails Roel's problem  -->
-     <reference value="Patient/f201"/>
-     <display value="Roel"/>
- </patient>
- <encounter>
-     <reference value="Encounter/f201"/>
- </encounter>
- <asserter>
-     <reference value="Practitioner/f201"/>
- </asserter>
-    <dateRecorded value="2013-04-04"/><!--  The problem was entered at April fourth  -->
- <code><!--  The problem is a fever  -->
+  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f201</p><p><b>clinicalStatus</b>: active</p><p><b>verificationStatus</b>: confirmed</p><p><b>category</b>: Problem <span>(Details : {SNOMED CT code &#39;55607006&#39; = &#39;Problem (finding)&#39;, given as &#39;Problem&#39;}; {http://hl7.org/fhir/condition-category code &#39;problem-list-item&#39; = &#39;Problem List Item)</span></p><p><b>severity</b>: Mild <span>(Details : {SNOMED CT code &#39;255604002&#39; = &#39;Mild (qualifier value)&#39;, given as &#39;Mild&#39;})</span></p><p><b>code</b>: Fever <span>(Details : {SNOMED CT code &#39;386661006&#39; = &#39;Fever (finding)&#39;, given as &#39;Fever&#39;})</span></p><p><b>bodySite</b>: Entire body as a whole <span>(Details : {SNOMED CT code &#39;38266002&#39; = &#39;Entire body as a whole&#39;, given as &#39;Entire body as a whole&#39;})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>context</b>: <a>Encounter/f201</a></p><p><b>onset</b>: Apr 2, 2013</p><p><b>assertedDate</b>: Apr 4, 2013</p><p><b>asserter</b>: <a>Practitioner/f201</a></p><h3>Evidences</h3><table><tr><td>-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td>*</td><td>degrees C <span>(Details : {SNOMED CT code &#39;258710007&#39; = &#39;Degrees Celsius (qualifier value)&#39;, given as &#39;degrees C&#39;})</span></td><td><a>Temperature</a></td></tr></table></div></text><clinicalStatus value="active"/>
+  <verificationStatus value="confirmed"/>
+  <category>
+    <!--  The fever is a mild problem  -->
     <coding>
-       <system value="http://snomed.info/sct"/>
-       <code value="386661006"/>
-       <display value="Fever"/> 
+      <system value="http://snomed.info/sct"/>
+      <code value="55607006"/>
+      <display value="Problem"/>
     </coding>
- </code>
- <category><!--  The fever is a mild problem  -->
     <coding>
-        <system value="http://snomed.info/sct"/>
-        <code value="55607006"/>
-        <display value="Problem"/> 
+      <system value="http://hl7.org/fhir/condition-category"/>
+      <code value="problem-list-item"/>
     </coding>
+  </category>
+  <severity>
+    <!--  The fever is mild   -->
     <coding>
-        <system value="http://hl7.org/fhir/condition-category"/>
-        <code value="finding"/>
+      <system value="http://snomed.info/sct"/>
+      <code value="255604002"/>
+      <display value="Mild"/>
     </coding>
- </category>
-    <clinicalStatus value="active"/>
-    <verificationStatus value="confirmed"/> 
- <severity><!--  The fever is mild   -->
-    <coding>
-        <system value="http://snomed.info/sct"/>
-        <code value="255604002"/>
-        <display value="Mild"/> 
-    </coding>
- </severity>
- <onsetDateTime value="2013-04-02"/><!--  Problem began on April second  -->
- <!--  No remission means no <rebatement>  -->
- <evidence><!--  Problem is confirmed by 39 degrees Celsius  -->
+  </severity>
   <code>
+    <!--  The problem is a fever  -->
     <coding>
-        <system value="http://snomed.info/sct"/>
-        <code value="258710007"/>
-        <display value="degrees C"/> 
-    </coding>        
+      <system value="http://snomed.info/sct"/>
+      <code value="386661006"/>
+      <display value="Fever"/>
+    </coding>
   </code>
-  <detail>
-     <reference value="Observation/f202"/>
-     <display value="Temperature"/>
-  </detail>
- </evidence>
- <bodySite><!--  Fever applies to whole body  -->
+  <bodySite>
+    <!--  Fever applies to whole body  -->
     <coding>
-        <system value="http://snomed.info/sct"/>
-        <code value="38266002"/>
-        <display value="Entire body as a whole"/>  
+      <system value="http://snomed.info/sct"/>
+      <code value="38266002"/>
+      <display value="Entire body as a whole"/>
     </coding>
- </bodySite>
+  </bodySite>
+  <subject>
+    <!--  It entails Roel's problem  -->
+    <reference value="Patient/f201"/>
+    <display value="Roel"/>
+  </subject>
+  <context>
+    <reference value="Encounter/f201"/>
+  </context>
+  <onsetDateTime value="2013-04-02"/>
+  <assertedDate value="2013-04-04"/>
+  <asserter>
+    <reference value="Practitioner/f201"/>
+  </asserter>
+  <evidence>
+    <!--  Problem is confirmed by 39 degrees Celsius  -->
+    <code>
+      <coding>
+        <system value="http://snomed.info/sct"/>
+        <code value="258710007"/>
+        <display value="degrees C"/>
+      </coding>
+    </code>
+    <detail>
+      <reference value="Observation/f202"/>
+      <display value="Temperature"/>
+    </detail>
+  </evidence>
 </Condition>

data/fixtures/record/condition-example-f205-infection.xml

@@ -1,20 +1,21 @@
 <?xml version="1.0" encoding="UTF-8"?><Condition xmlns="http://hl7.org/fhir">
   <id value="f205"/>
- <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f205</p><p><b>patient</b>: <a>Roel</a></p><p><b>asserter</b>: <a>Practitioner/f201</a></p><p><b>dateRecorded</b>: Apr 4, 2013</p><p><b>code</b>: Bacterial infectious disease <span>(Details : {SNOMED CT code &#39;87628006&#39; = &#39;87628006&#39;, given as &#39;Bacterial infectious disease&#39;})</span></p><p><b>clinicalStatus</b>: active</p><p><b>verificationStatus</b>: differential</p></div></text><patient>
-     <reference value="Patient/f201"/>
-     <display value="Roel"/>
- </patient>
- <asserter>
-     <reference value="Practitioner/f201"/>
- </asserter>
-    <dateRecorded value="2013-04-04"/><!--  The problem was entered at April fourth  -->
- <code><!--  The problem is a bacterial infection   -->
+  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f205</p><p><b>clinicalStatus</b>: active</p><p><b>verificationStatus</b>: differential</p><p><b>code</b>: Bacterial infectious disease <span>(Details : {SNOMED CT code &#39;87628006&#39; = &#39;Bacterial infectious disease (disorder)&#39;, given as &#39;Bacterial infectious disease&#39;})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>assertedDate</b>: Apr 4, 2013</p><p><b>asserter</b>: <a>Practitioner/f201</a></p></div></text><clinicalStatus value="active"/>
+  <verificationStatus value="differential"/>
+  <code>
+    <!--  The problem is a bacterial infection   -->
     <coding>
-       <system value="http://snomed.info/sct"/>
-       <code value="87628006"/>
-       <display value="Bacterial infectious disease"/> 
+      <system value="http://snomed.info/sct"/>
+      <code value="87628006"/>
+      <display value="Bacterial infectious disease"/>
     </coding>
- </code>
-    <clinicalStatus value="active"/>
-    <verificationStatus value="differential"/>
+  </code>
+  <subject>
+    <reference value="Patient/f201"/>
+    <display value="Roel"/>
+  </subject>
+  <assertedDate value="2013-04-04"/>
+  <asserter>
+    <reference value="Practitioner/f201"/>
+  </asserter>
 </Condition>

data/fixtures/record/diagnosticreport-example-f201-brainct.xml

@@ -1,18 +1,45 @@
-<?xml version="1.0" encoding="UTF-8"?>
-<DiagnosticReport xmlns="http://hl7.org/fhir">
-  <status value="final"/>
-  <code>
-    <coding>
-      <system value="http://snomed.info/sct"/>
-      <code value="429858000"/>
-    </coding>
-  </code>
-  <subject>
-    <reference value="Patient/foo"/>
-  </subject>
-  <effectiveDateTime value="2015-10-15T16:25:44Z"/>
-  <issued value="2015-10-15T16:25:26Z"/>
-  <performer>
-    <reference value="Practitioner/foo"/>
-  </performer>
-</DiagnosticReport>
+<?xml version="1.0" encoding="UTF-8"?><DiagnosticReport xmlns="http://hl7.org/fhir">
+	<id value="f201"/>
+	<text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f201</p><p><b>status</b>: final</p><p><b>category</b>: Radiology <span>(Details : {SNOMED CT code &#39;394914008&#39; = &#39;Radiology - specialty (qualifier value)&#39;, given as &#39;Radiology&#39;}; {http://hl7.org/fhir/v2/0074 code &#39;RAD&#39; = &#39;Radiology)</span></p><p><b>code</b>: CT of head-neck <span>(Details : {SNOMED CT code &#39;429858000&#39; = &#39;Computed tomography of head and neck (procedure)&#39;, given as &#39;Computed tomography (CT) of head and neck&#39;})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>effective</b>: Dec 1, 2012 12:00:00 PM</p><p><b>issued</b>: Dec 1, 2012 12:00:00 PM</p><p><b>performer</b>: <a>Blijdorp MC</a></p><p><b>imagingStudy</b>: HEAD and NECK CT DICOM imaging study</p><p><b>conclusion</b>: CT brains: large tumor sphenoid/clivus.</p><p><b>codedDiagnosis</b>: Malignant tumor of craniopharyngeal duct <span>(Details : {SNOMED CT code &#39;188340000&#39; = &#39;Malignant tumor of craniopharyngeal duct (disorder)&#39;, given as &#39;Malignant tumor of craniopharyngeal duct&#39;})</span></p></div></text><status value="final"/>
+	<!--   No identifier or request details were available   -->
+	<category>
+		<!--   The request was honored by the Department of Radiology   -->
+		<coding>
+			<system value="http://snomed.info/sct"/>
+			<code value="394914008"/>
+			<display value="Radiology"/>
+		</coding>
+		<coding>
+			<system value="http://hl7.org/fhir/v2/0074"/>
+			<code value="RAD"/>
+		</coding>
+	</category>
+	<code>
+		<coding>
+			<system value="http://snomed.info/sct"/>
+			<code value="429858000"/>
+			<display value="Computed tomography (CT) of head and neck"/>
+		</coding>
+		<text value="CT of head-neck"/>
+	</code>
+	<subject>
+		<reference value="Patient/f201"/>
+		<display value="Roel"/>
+	</subject>
+	<effectiveDateTime value="2012-12-01T12:00:00+01:00"/>
+	<issued value="2012-12-01T12:00:00+01:00"/>
+	<performer>
+		<reference value="Organization/f203"/>
+		<display value="Blijdorp MC"/>
+	</performer>
+	<!--   The actual CT imagenot available -  following reference used to demonstrate the usage of the element  -->
+	<imagingStudy><display value="HEAD and NECK CT DICOM imaging study"/></imagingStudy>
+	<conclusion value="CT brains: large tumor sphenoid/clivus."/>
+	<codedDiagnosis>
+		<coding>
+			<system value="http://snomed.info/sct"/>
+			<code value="188340000"/>
+			<display value="Malignant tumor of craniopharyngeal duct"/>
+		</coding>
+	</codedDiagnosis>
+</DiagnosticReport>

data/fixtures/record/encounter-example-f201-20130404.xml

@@ -1,17 +1,44 @@
-<?xml version="1.0" encoding="UTF-8"?>
-<Encounter xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
+<?xml version="1.0" encoding="UTF-8"?><Encounter xmlns="http://hl7.org/fhir">
   <id value="f201"/>
-  <status value="finished"/>
-  <class value="outpatient"/>
-  <patient>
-    <reference value="Patient/f201"/>
-  </patient>
-  <participant>
-    <individual>
-      <reference value="Practitioner/f201"/>
+ <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f201</p><p><b>identifier</b>: Encounter_Roel_20130404 (TEMP)</p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://hl7.org/fhir/v3/ActCode code AMB = &#39;ambulatory&#39;, stated as &#39;ambulatory&#39;)</p><p><b>type</b>: Consultation <span>(Details : {SNOMED CT code &#39;11429006&#39; = &#39;Consultation (procedure)&#39;, given as &#39;Consultation&#39;})</span></p><p><b>priority</b>: Normal <span>(Details : {SNOMED CT code &#39;17621005&#39; = &#39;Normal (qualifier value)&#39;, given as &#39;Normal&#39;})</span></p><p><b>patient</b>: <a>Roel</a></p><h3>Participants</h3><table><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a>Practitioner/f201</a></td></tr></table><p><b>reason</b>: The patient had fever peaks over the last couple of days. He is worried about these peaks. <span>(Details )</span></p><p><b>serviceProvider</b>: <a>Organization/f201</a></p></div></text><identifier>
+    <use value="temp"/><!--   0..1 The use of this identifier   -->
+    <value value="Encounter_Roel_20130404"/>
+ </identifier>
+ <status value="finished"/><!--  Encounter has finished  -->
+    <class>
+        <system value="http://hl7.org/fhir/v3/ActCode"/>
+        <code value="AMB"/> <!--   outpatient   -->
+        <display value="ambulatory"/>
+    </class>
+ <type><!--  TODO Why is this merely a CodeableConcept and not Resource (any)?  -->
+    <coding>
+       <system value="http://snomed.info/sct"/>
+       <code value="11429006"/>
+       <display value="Consultation"/>
+    </coding>
+ </type>
+ <priority><!--  Normal priority  -->
+    <coding>
+       <system value="http://snomed.info/sct"/>
+       <code value="17621005"/>
+       <display value="Normal"/>
+    </coding>
+ </priority>
+ <patient>
+     <reference value="Patient/f201"/>
+     <display value="Roel"/>
+ </patient>
+ <participant>
+     <individual>
+         <reference value="Practitioner/f201"/>
     </individual>
-  </participant>
-  <serviceProvider>
-    <reference value="Organization/f201"/>
-  </serviceProvider>
-</Encounter>
+ </participant>
+ <reason>
+   <text value="The patient had fever peaks over the last couple of days. He is worried about these peaks."/>
+ </reason>
+ <!--  No indication, because no referral took place  -->
+ <!--  No hospitalization was deemed necessary  -->
+ <serviceProvider>
+     <reference value="Organization/f201"/>
+ </serviceProvider>
+</Encounter>

data/fixtures/record/encounter-example-f202-20130128.xml

@@ -1,17 +1,59 @@
-<?xml version="1.0" encoding="UTF-8"?>
-<Encounter xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
+<?xml version="1.0" encoding="UTF-8"?><Encounter xmlns="http://hl7.org/fhir">
   <id value="f202"/>
-  <status value="finished"/>
-  <class value="inpatient"/>
-  <patient>
-    <reference value="Patient/f201"/>
-  </patient>
-  <participant>
-    <individual>
-      <reference value="Practitioner/f201"/>
+ <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f202</p><p><b>identifier</b>: Encounter_Roel_20130128 (TEMP)</p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://hl7.org/fhir/v3/ActCode code AMB = &#39;ambulatory&#39;, stated as &#39;ambulatory&#39;)</p><p><b>type</b>: Chemotherapy <span>(Details : {SNOMED CT code &#39;367336001&#39; = &#39;Chemotherapy (procedure)&#39;, given as &#39;Chemotherapy&#39;})</span></p><p><b>priority</b>: Urgent <span>(Details : {SNOMED CT code &#39;103391001&#39; = &#39;Urgency (qualifier value)&#39;, given as &#39;Urgent&#39;})</span></p><p><b>patient</b>: <a>Roel</a></p><h3>Participants</h3><table><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a>Practitioner/f201</a></td></tr></table><p><b>length</b>: 56 minutes<span> (Details: UCUM code min = &#39;min&#39;)</span></p><p><b>reason</b>: The patient is treated for a tumor. <span>(Details )</span></p><p><b>indication</b>: <a>Roel&#39;s TPF chemotherapy on January 28th, 2013</a></p><p><b>serviceProvider</b>: <a>Organization/f201</a></p></div></text><identifier>
+    <use value="temp"/><!--   0..1 The use of this identifier   -->
+    <value value="Encounter_Roel_20130128"/>
+ </identifier>
+ <status value="finished"/><!--  Encounter has finished  -->
+    <class>
+        <system value="http://hl7.org/fhir/v3/ActCode"/>
+        <code value="AMB"/> <!--   outpatient encounter for chemotherapy   -->
+        <display value="ambulatory"/>
+    </class>
+ <type>
+    <coding>
+       <system value="http://snomed.info/sct"/>
+       <code value="367336001"/>
+       <display value="Chemotherapy"/> 
+    </coding>
+ </type>
+ <priority><!--  Urgent priority, because of complications  -->
+    <coding>
+       <system value="http://snomed.info/sct"/>
+       <code value="103391001"/>
+       <display value="Urgent"/>
+    </coding>
+ </priority>
+ <patient>
+     <reference value="Patient/f201"/>
+     <display value="Roel"/>
+ </patient>
+ <participant>
+     <individual>
+         <reference value="Practitioner/f201"/>
     </individual>
-  </participant>
-  <serviceProvider>
-    <reference value="Organization/f201"/>
-  </serviceProvider>
-</Encounter>
+ </participant>
+ <length>
+    <value value="56"/>
+    <unit value="minutes"/>
+    <system value="http://unitsofmeasure.org"/>
+    <code value="min"/>
+ </length>
+ <reason>
+		<extension url="http://hl7.org/fhir/StructureDefinition/encounter-primaryDiagnosis">
+			<valuePositiveInt value="2"/>
+		</extension>
+   <text value="The patient is treated for a tumor."/>
+ </reason>
+ <indication>
+		<extension url="http://hl7.org/fhir/StructureDefinition/encounter-primaryDiagnosis">
+			<valuePositiveInt value="1"/>
+		</extension>
+     <reference value="Procedure/f201"/>
+     <display value="Roel&#39;s TPF chemotherapy on January 28th, 2013"/>
+ </indication>
+ <!--  No hospitalization was deemed necessary  -->
+ <serviceProvider>
+     <reference value="Organization/f201"/>
+ </serviceProvider>
+</Encounter>

data/fixtures/record/observation-example-f202-temperature.xml

@@ -1,60 +1,85 @@
-<?xml version="1.0" encoding="UTF-8"?>
-<Observation xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
-  <id value="f202"/>
-  <code><!--Kind of observation = Oral Temperature-->
-    <coding>
-      <system value="http://snomed.info/sct"/>
-      <code value="415945006"/>
-      <display value="Oral temperature"/>
-    </coding>
-    <coding>
-      <system value="http://loinc.org"/>
-      <code value="8310-5"/>
-      <display value="Body temperature"/>
-    </coding>
-    <text value="Body temperature"/>
-  </code>
-  <valueQuantity><!--Temperature=39 degrees Celsius-->
-    <value value="39"/>
-    <units value="degrees C"/>
-    <system value="http://snomed.info/sct"/>
-    <code value="258710007"/>
-  </valueQuantity>
-  <interpretation>
-    <coding>
-      <system value="http://hl7.org/fhir/v2/0078" />
-      <code value="H" />
-    </coding>
-  </interpretation>
-  <issued value="2013-04-04T13:27:00+01:00"/><!--Oral temperature was measured on April fourth-->
-  <status value="entered-in-error"/><!--In the meantime a new oral temperature is measured-->
-  <reliability value="questionable"/><!--http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3418963/-->
-  <bodySiteCodeableConcept>
-    <coding>
-      <system value="http://snomed.info/sct"/>
-      <code value="38266002"/>
-      <display value="Entire body as a whole"/>
-    </coding>
-  </bodySiteCodeableConcept>
-  <method>
-    <coding>
-      <system value="http://snomed.info/sct"/>
-      <code value="89003005"/>
-      <display value="Oral temperature taking"/>
-    </coding>
-  </method>
-  <!--No identifier could be provided to this observation-->
-  <subject><!--It entails Roel's temperature-->
-    <reference value="Patient/f201"/>
-    <display value="Roel"/>
-  </subject>
-  <performer>
-    <reference value="Practitioner/f201"/>
-  </performer>
-  <referenceRange>  <!-- 0..* Provides guide for interpretation -->
-    <low>
-      <value value="37.5"/>
-      <units value="degrees C"/>
-    </low>
-  </referenceRange>
-</Observation>
+<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir">
+	<id value="f202"/>
+	<!--   Oral temperature was measured on April fourth   -->
+	<text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f202</p><p><b>status</b>: entered-in-error</p><p><b>category</b>: Vital Signs <span>(Details : {http://hl7.org/fhir/observation-category code &#39;vital-signs&#39; = &#39;Vital Signs&#39;, given as &#39;Vital Signs&#39;})</span></p><p><b>code</b>: Temperature <span>(Details : {http://acme.lab code &#39;BT&#39; = &#39;BT&#39;, given as &#39;Body temperature&#39;}; {LOINC code &#39;8310-5&#39; = &#39;Body temperature&#39;, given as &#39;Body temperature&#39;}; {LOINC code &#39;8331-1&#39; = &#39;Oral temperature&#39;, given as &#39;Oral temperature&#39;}; {SNOMED CT code &#39;56342008&#39; = &#39;Temperature taking (procedure)&#39;, given as &#39;Temperature taking&#39;})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>issued</b>: Apr 4, 2013 1:27:00 PM</p><p><b>performer</b>: <a>Practitioner/f201</a></p><p><b>value</b>: 39 degrees C<span> (Details: UCUM code Cel = &#39;Cel&#39;)</span></p><p><b>interpretation</b>: High <span>(Details : {http://hl7.org/fhir/v2/0078 code &#39;H&#39; = &#39;High)</span></p><p><b>bodySite</b>: Oral cavity <span>(Details : {SNOMED CT code &#39;74262004&#39; = &#39;Oral cavity structure (body structure)&#39;, given as &#39;Oral cavity&#39;})</span></p><p><b>method</b>: Oral temperature taking <span>(Details : {SNOMED CT code &#39;89003005&#39; = &#39;Oral temperature taking (procedure)&#39;, given as &#39;Oral temperature taking&#39;})</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>High</b></td></tr><tr><td>*</td><td>38.2 degrees C</td></tr></table></div></text><status value="entered-in-error"/>
+	<!--   category code is A code that classifies the general type of observation being made. This is used for searching, sorting and display purposes.  -->
+	<category>
+		<coding>
+			<system value="http://hl7.org/fhir/observation-category"/>
+			<code value="vital-signs"/>
+			<display value="Vital Signs"/>
+		</coding>
+	</category>
+	<code>
+		<!--   Kind of observation = Temperature   -->
+		<!--   local code here   -->
+		<coding>
+			<system value="http://acme.lab"/>
+			<code value="BT"/>
+			<display value="Body temperature"/>
+		</coding>
+		<!--   LOINC and SNOMED CT translations here - Note in the US the primary code will be LOINC per meaningful use.  Further SNOMED CT  has acceeded to LOINC being the primary coding system for vitals and anthropromorphic measures.  SNOMED CT is required in some countries such as the UK.  -->
+		<coding>
+			<system value="http://loinc.org"/>
+			<code value="8310-5"/>
+			<display value="Body temperature"/>
+		</coding>
+		<!--     translation to more specific LOINC code (by system - ie oral temp) this example shows how the  LOINC or method element could be used to convey the same information both not necessary in most cases  -->
+		<coding>
+			<system value="http://loinc.org"/>
+			<code value="8331-1"/>
+			<display value="Oral temperature"/>
+		</coding>
+		<coding>
+			<system value="http://snomed.info/sct"/>
+			<code value="56342008"/>
+			<display value="Temperature taking"/>
+		</coding>
+		<text value="Temperature"/>
+	</code>
+	<!--   No identifier could be provided to this observation   -->
+	<subject>
+		<reference value="Patient/f201"/>
+		<display value="Roel"/>
+	</subject>
+	<issued value="2013-04-04T13:27:00+01:00"/>
+	<performer>
+		<reference value="Practitioner/f201"/>
+	</performer>
+	<valueQuantity>
+		<!--   Temperature=39 degrees Celsius   -->
+		<value value="39"/>
+		<unit value="degrees C"/>
+		<system value="http://unitsofmeasure.org"/>
+		<code value="Cel"/>
+	</valueQuantity>
+	<interpretation>
+		<coding>
+			<system value="http://hl7.org/fhir/v2/0078"/>
+			<code value="H"/>
+		</coding>
+	</interpretation>
+	<!--   In the meantime a new oral temperature is measured   -->
+	<!--   http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3418963/   -->
+	<bodySite>
+		<coding>
+			<system value="http://snomed.info/sct"/>
+			<code value="74262004"/>
+			<display value="Oral cavity"/>
+		</coding>
+	</bodySite>
+	<method>
+		<coding>
+			<system value="http://snomed.info/sct"/>
+			<code value="89003005"/>
+			<display value="Oral temperature taking"/>
+		</coding>
+	</method>
+	<referenceRange>
+		<!--    0..* Provides guide for interpretation    -->
+		<high>
+			<value value="38.2"/>
+			<unit value="degrees C"/>
+		</high>
+	</referenceRange>
+</Observation>