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<!--
Patient Summary of Martha, 45yo
Created by her general practitioner on 2017-07-20
in Dordrecht (NL) where Martha lives when she is in Europe
-->
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<title>Patient Summary as of July 20, 2017 14:30</title>
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<name>
<given>Beetje</given>
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<family>Hulp</family>
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<name>
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<addr>
<streetAddressLine>Promenade des Anglais 111</streetAddressLine>
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<country>France</country>
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<associatedPerson>
<name>
<given>Martha</given>
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body
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<!-- IPS Problems Section -->
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<code code="11450-4" codeSystem="2.16.840.1.113883.6.1" displayName="Problem list"/>
<title>Active Problems</title>
<text>
<content ID="prob-1">Hot flushes</content>
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<entry typeCode="COMP" contextConductionInd="true">
<act classCode="ACT" moodCode="EVN">
<!-- IPS Problem Concern Entry -->
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<!-- IPS Problem Entry -->
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<!-- IPS Problem Status Observation -->
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<component>
<section>
<title>Actieve probleme</title>
<text>
<content>opvliegers</content>
</text>
<languageCode code="nl-NL"/>
</section>
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<component>
<section classCode="DOCSECT">
<!-- IPS Medication Summary Section -->
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<code code="10160-0" codeSystem="2.16.840.1.113883.6.1" displayName="Medication use"/>
<title>Medication</title>
<text>
<table>
<thead>
<tr>
<th>Medication</th>
<th>Strength</th>
<th>Form</th>
<th>Dosage</th>
<th>Comment</th>
</tr>
</thead>
<tbody>
<tr ID="med-1">
<td>Anastrozole</td>
<td>1 mg</td>
<td>tablet</td>
<td>once daily</td>
<td>treatment for breast cancer</td>
</tr>
<tr ID="med-2">
<td>Black Cohosh Extract</td>
<td> </td>
<td>pil</td>
<td> </td>
<td>herbal supplement</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="COMP" contextConductionInd="true">
<substanceAdministration classCode="SBADM" moodCode="EVN">
<!-- IPS Medication Entry -->
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<id root="1.2.3.999" extension="b75f92cb-61d4-469a-9387-df5ef70d25f0"/>
<code code="DRUG" displayName="Drug therapy" codeSystem="2.16.840.1.113883.5.4"/>
<text>
<reference value="#med-1"/>
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<statusCode code="completed"/>
<effectiveTime xsi:type="IVL_TS">
<low value="201503"/>
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<routeCode code="20053000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Oral use" codeSystemName="EDQM"/>
<consumable typeCode="CSM">
<manufacturedProduct classCode="MANU">
<!-- IPS ManufacturedProduct -->
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<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
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<!-- primary code from IDMP -->
<code nullFlavor="NA">
<translation code="108774000" codeSystem="2.16.840.1.113883.6.96" displayName="Anastrozole (product)"/>
<translation code="99872" codeSystem="2.16.840.1.113883.2.4.4.1" displayName="ANASTROZOL 1MG TABLET" codeSystemName="GPK">
<translation code="2076667" codeSystem="2.16.840.1.113883.2.4.4.7" displayName="ANASTROZOL CF TABLET FILMOMHULD 1MG" codeSystemName="HPK"/>
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<cpm:denominator value="1" unit="{tablet}"/>
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<substanceAdministration classCode="SBADM" moodCode="EVN">
<!-- IPS Subordinate SubstanceAdministration -->
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<statusCode code="completed"/>
<effectiveTime xsi:type="PIVL_TS" institutionSpecified="true">
<period value="1" unit="d"/>
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<doseQuantity>
<low value="1" unit="{tablet}"/>
</doseQuantity>
<consumable>
<manufacturedProduct>
<manufacturedMaterial nullFlavor="NA"/>
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<entry typeCode="COMP" contextConductionInd="true">
<substanceAdministration classCode="SBADM" moodCode="EVN">
<!-- IPS Medication Entry -->
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<id root="1.2.3.999" extension="9e312d6b-c6b6-439a-a730-6efaa5dcf8bc"/>
<code code="DRUG" displayName="Drug therapy" codeSystem="2.16.840.1.113883.5.4"/>
<text>
<reference value="#med-2"/>
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<statusCode code="completed"/>
<effectiveTime xsi:type="IVL_TS">
<low value="201601"/>
</effectiveTime>
<routeCode code="20053000" codeSystem="0.4.0.127.0.16.1.1.2.1" displayName="Oral use" codeSystemName="EDQM"/>
<consumable typeCode="CSM">
<manufacturedProduct classCode="MANU">
<!-- IPS ManufacturedProduct -->
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<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<templateId root="2.16.840.1.113883.10.22.4.3"/>
<!-- primary code from IDMP -->
<code nullFlavor="NA">
<originalText>Black Cohosh Extract herbal supplement</originalText>
<translation code="412588001" codeSystem="2.16.840.1.113883.6.96" displayName="Cimicifuga racemosa extract (substance)"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
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<component>
<section>
<title>Medicatie</title>
<text>
<table>
<thead>
<tr>
<th>medicatie</th>
<th>sterkte</th>
<th>toedieningsvorm</th>
<th>dosering</th>
<th>commentaar</th>
</tr>
</thead>
<tbody>
<tr>
<td>ANASTROZOL</td>
<td>1MG</td>
<td>TABLET</td>
<td>once daily</td>
<td>treatment for breast cancer</td>
</tr>
<tr>
<td>Zwarte Cohosh Extract</td>
<td> </td>
<td>pil</td>
<td> </td>
<td>kruiden</td>
</tr>
</tbody>
</table>
</text>
<languageCode code="nl-NL"/>
</section>
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</section>
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<component>
<section classCode="DOCSECT">
<!-- IPS Allergies and Intolerances Section -->
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<id root="1.2.3.999" extension="d3760a22-fd4f-400c-b35c-5f6301cb3bd9"/>
<code code="48765-2" codeSystem="2.16.840.1.113883.6.1" displayName="Allergies &or adverse reactions"/>
<title>Allergies and Intolerances</title>
<text>
<content ID="ai1">Penicillin, high criticality, active</content>
</text>
<entry typeCode="COMP" contextConductionInd="true">
<act classCode="ACT" moodCode="EVN">
<!-- IPS Allergy and Intolerance Concern -->
<templateId root="2.16.840.1.113883.10.22.4.5"/>
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<statusCode code="active"/>
<effectiveTime>
<low value="2010"/>
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<entryRelationship typeCode="SUBJ" inversionInd="false">
<observation classCode="OBS" moodCode="EVN">
<!-- IPS Allergy or Intolerance -->
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<id root="1.2.3.999" extension="6273319e-b6f4-46f4-a4f1-72f3a8db673a"/>
<code code="allergy" displayName="Allergy" codeSystem="2.16.840.1.113883.4.642.1.122"/>
<text>
<reference value="#ai1"/>
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<statusCode code="completed"/>
<effectiveTime>
<low value="2010"/>
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<value xsi:type="CD" code="91936005" codeSystem="2.16.840.1.113883.6.96" displayName="Allergy to penicillin (disorder)"/>
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<!-- IPS Criticality Observation -->
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<code code="82606-5" codeSystem="2.16.840.1.113883.6.1"/>
<statusCode code="completed"/>
<value xsi:type="CD" code="high" displayName="High Risk" codeSystem="2.16.840.1.113883.4.642.1.120"/>
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<entryRelationship typeCode="REFR" inversionInd="false">
<observation classCode="OBS" moodCode="EVN">
<!-- IPS Allergy Status Observation -->
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<templateId root="2.16.840.1.113883.10.22.4.20"/>
<code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status" codeSystemName="LOINC"/>
<statusCode code="completed"/>
<value xsi:type="CE" code="active" displayName="Active" codeSystem="2.16.840.1.113883.4.642.3.155"/>
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<component>
<section>
<title>Allergieën en intoleranties</title>
<text>
<content>penicilline, hoge criticaliteit, actief</content>
</text>
<languageCode code="nl-NL"/>
</section>
</component>
</section>
</component>
<component>
<section classCode="DOCSECT">
<!-- IPS History of Past Illness Section -->
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<id root="1.2.3.999" extension="96d6bbd6-91db-436f-ae0e-192925d7ad59"/>
<code code="11348-0" codeSystem="2.16.840.1.113883.6.1" displayName="Past illness"/>
<title>History of Past Illness</title>
<text>
<content ID="hip-1">Breast cancer Stage II <content ID="hip-1-s"></content> with no evidence of recurrence following treatment</content>
</text>
<entry typeCode="COMP" contextConductionInd="true">
<act classCode="ACT" moodCode="EVN">
<!-- IPS Problem Concern Entry -->
<templateId root="2.16.840.1.113883.10.22.4.7"/>
<id root="1.2.3.999" extension="66d4a8c7-9081-43e0-a63f-489c2ae6edd6"/>
<code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
<statusCode code="active"/>
<effectiveTime>
<low value="201501"/>
<high value="201503"/>
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<entryRelationship typeCode="SUBJ" inversionInd="false">
<observation classCode="OBS" moodCode="EVN">
<!-- IPS Problem Entry -->
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<id root="1.2.3.999" extension="0c5ca603-2305-44a5-aa7c-3364e4a4456d"/>
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<text>
<reference value="#hip-1"/>
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<statusCode code="completed"/>
<effectiveTime>
<low value="201501"/>
<high value="201503"/>
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<value xsi:type="CD" code="254837009" displayName="Malignant tumor of breast (disorder)" codeSystem="2.16.840.1.113883.6.96">
<qualifier>
<name code="246090004" codeSystem="2.16.840.1.113883.6.96" displayName="Associated finding (attribute)"/>
<value code="60333009" codeSystem="2.16.840.1.113883.6.96" displayName="Clinical stage II (finding)"/>
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<translation code="8500/3" codeSystem="2.16.840.1.113883.6.43" displayName="Infiltrating duct carcinoma, NOS"/>
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<entryRelationship typeCode="REFR" inversionInd="false">
<observation classCode="OBS" moodCode="EVN">
<!-- IPS Problem Status Observation -->
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<code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status" codeSystemName="LOINC"/>
<text>
<reference value="#hip-1-s"/>
</text>
<statusCode code="completed"/>
<value xsi:type="CE" code="remission" codeSystem="2.16.840.1.113883.4.642.3.155" displayName="Remission" />
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<component>
<section>
<title>Vroegere ziekten</title>
<text>
<content>Borstkanker stadium II zonder aanwijzingen van recidieven na behandeling</content>
</text>
<languageCode code="nl-NL"/>
</section>
</component>
</section>
</component>
<component>
<section classCode="DOCSECT">
<!-- IPS Plan of Treatment Section -->
<templateId root="2.16.840.1.113883.10.22.3.9"/>
<id root="1.2.3.999" extension="4f5ca10e-71d0-42c9-aee5-da32b529402e"/>
<code code="18776-5" codeSystem="2.16.840.1.113883.6.1" displayName="Plan of care note"/>
<title>Plan of Treatment</title>
<text>Continue hormone medication with Anastrozole for total of 5 years and monitor for potential breast cancer recurrence</text>
<component>
<section>
<title>Zorgplan</title>
<text>Hormoonmedicijn met Anastrozole voor een totaal van 5 jaar voortzetten en controleren op eventuele terugkeer van borstkanker</text>
<languageCode code="nl-NL"/>
</section>
</component>
</section>
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