{
  "resourceType": "Bundle",
  "id": "bundle-swart",
  "meta": {
    "profile": [
      "http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr"
    ]
  },
  "identifier": {
    "system": "urn:ietf:rfc:4122",
    "value": "3e594fe5-3ed5-4305-a214-99c87e1f3bfa"
  },
  "entry": [
    {
      "fullUrl": "http://example.org/Composition/composition-swart",
      "resource": {
        "resourceType": "Composition",
        "id": "composition-swart",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr"
          ]
        },
        "author": [
          {
            "reference": "http://example.org/Organization/organization-sophia"
          }
        ],
        "section": [
          {
            "text": {
              "status": "generated"
            },
            "section": [
              {
                "text": {
                  "status": "generated"
                },
                "entry": [
                  {
                    "reference": "Observation/gewicht-swart",
                    "display": "63 kg"
                  },
                  {
                    "reference": "Observation/bloeddruk-swart",
                    "display": "70/120 mmHg"
                  },
                  {
                    "reference": "Observation/levenvoelen-swart",
                    "display": "foetale bewegingen aanwezig"
                  }
                ],
                "title": "Vital signs",
                "code": {
                  "coding": [
                    {
                      "code": "8716-3",
                      "system": "http://loinc.org",
                      "display": "Vital signs"
                    }
                  ]
                }
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "67851-6",
                  "system": "http://loinc.org",
                  "display": "Admission evaluation note"
                }
              ]
            },
            "title": "Admission evaluation"
          },
          {
            "section": [
              {
                "text": {
                  "status": "generated"
                },
                "entry": [
                  {
                    "reference": "Observation/alcohol-swart",
                    "display": "does not drink alcohol"
                  },
                  {
                    "reference": "Observation/tobacco-swart",
                    "display": "smokes occasionally cigarettes"
                  }
                ],
                "title": "Social history",
                "code": {
                  "coding": [
                    {
                      "code": "29762-2",
                      "system": "http://loinc.org",
                      "display": "Social history Narrative"
                    }
                  ]
                }
              },
              {
                "text": {
                  "status": "generated"
                },
                "entry": [
                  {
                    "reference": "Procedure/sectio-swart",
                    "display": "planned primary sectio caesarea"
                  }
                ],
                "title": "Significant procedures",
                "code": {
                  "coding": [
                    {
                      "code": "10185-7",
                      "system": "http://loinc.org",
                      "display": "Hospital discharge procedures Narrative"
                    }
                  ]
                }
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "11450-4",
                  "system": "http://loinc.org"
                }
              ]
            },
            "title": "35090-0"
          },
          {
            "text": {
              "status": "generated"
            },
            "entry": [
              {
                "reference": "Condition/condition-meerling"
              },
              {
                "reference": "http://example.org/Condition/condition-growth"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "11348-0",
                  "system": "http://loinc.org"
                }
              ]
            },
            "title": "Problem List"
          },
          {
            "text": {
              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">The scheduled cesarean section procedure was performed on the day of admission without complications. Intraoperative and postoperative courses were uneventful. Postoperative pain was managed effectively with standard analgesia. Vital signs remained stable throughout the stay, and there were no signs of infection or other complications. The patient was mobilized on postoperative day one and tolerated oral intake well. Mother and newborn received routine postnatal care.</div>"
            },
            "code": {
              "coding": [
                {
                  "code": "8648-8",
                  "system": "http://loinc.org",
                  "display": "Hospital Course"
                }
              ]
            },
            "title": "Hospital Course"
          },
          {
            "text": {
              "status": "generated"
            },
            "entry": [
              {
                "reference": "Observation/lab-swart-3",
                "display": "ABO group"
              },
              {
                "reference": "urn:uuid:a7c687cd-27dd-4b42-88c2-5e32418847ae",
                "display": "Rh D factor"
              },
              {
                "reference": "urn:uuid:5863804b-b0aa-4292-8bc2-13a769ad50d7",
                "display": "hemoglobin"
              },
              {
                "reference": "urn:uuid:2640f290-85c4-426f-b912-4b5051f4f35a",
                "display": "HIV 1 As"
              }
            ],
            "code": {
              "coding": [
                {
                  "code": "30954-2",
                  "system": "http://loinc.org",
                  "display": "Relevant diagnostic tests/laboratory data Narrative"
                }
              ]
            },
            "title": "Results"
          },
          {
            "text": {
              "status": "generated"
            },
            "code": {
              "coding": [
                {
                  "code": "8650-4",
                  "system": "http://loinc.org",
                  "display": "Hospital discharge disposition Narrative"
                }
              ]
            },
            "title": "Discharge details"
          }
        ],
        "type": {
          "coding": [
            {
              "code": "34105-7",
              "system": "http://loinc.org",
              "display": "Hospital Discharge summary"
            }
          ]
        },
        "status": "final",
        "subject": {
          "reference": "http://example.org/Patient/patient-swart"
        },
        "encounter": {
          "reference": "Encounter/ziekenhuisopname-swart"
        },
        "date": "2025-02-08T10:18:13.947+00:00",
        "title": "Hospital Discharge summary",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "http://example.org/Condition/condition-growth",
      "resource": {
        "resourceType": "Condition",
        "id": "condition-growth",
        "clinicalStatus": {
          "coding": [
            {
              "code": "resolved",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "code": "22033007",
              "system": "http://snomed.info/sct",
              "display": "Fetal growth restriction"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient-swart",
          "display": "Fiona F XXX_Swart"
        },
        "onsetDateTime": "2025-02-08"
      }
    },
    {
      "fullUrl": "http://example.org/Condition/condition-meerling",
      "resource": {
        "resourceType": "Condition",
        "id": "condition-meerling",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/hdr/StructureDefinition/condition-eu-hdr"
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "code": "resolved",
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "code": "459168005",
              "system": "http://snomed.info/sct",
              "display": "Monochorionic diamniotic twin pregnancy"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient-swart",
          "display": "Fiona F XXX_Swart"
        },
        "onsetDateTime": "2025-02-08"
      }
    },
    {
      "fullUrl": "http://example.org/Encounter/ziekenhuisopname-swart",
      "resource": {
        "resourceType": "Encounter",
        "id": "ziekenhuisopname-swart",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"
          ]
        },
        "period": {
          "start": "2025-02-08T10:00:00+00:00",
          "end": "2025-02-12T12:00:00+00:00"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "code": "65147003",
                "system": "http://snomed.info/sct",
                "display": "Twin pregnancy"
              }
            ]
          }
        ],
        "reasonReference": [
          {
            "reference": "Condition/condition-meerling",
            "display": "Twin pregnancy"
          }
        ],
        "diagnosis": [
          {
            "condition": {
              "reference": "Condition/condition-meerling",
              "display": "monochoriale diamniotische tweelingzwangerschap"
            }
          }
        ],
        "status": "finished",
        "class": {
          "code": "IMP",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
        },
        "subject": {
          "reference": "Patient/patient-swart",
          "display": "Fiona F XXX_Swart"
        }
      }
    },
    {
      "fullUrl": "http://example.org/Observation/alcohol-swart",
      "resource": {
        "resourceType": "Observation",
        "id": "alcohol-swart",
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "228273003",
              "system": "http://snomed.info/sct",
              "display": "Alcohol drinking behaviour"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient-swart",
          "display": "Fiona F XXX_Swart"
        },
        "effectiveDateTime": "2025-02-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "105542008",
              "system": "http://snomed.info/sct",
              "display": "Current non-drinker of alcohol"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "http://example.org/Observation/bloeddruk-swart",
      "resource": {
        "resourceType": "Observation",
        "id": "bloeddruk-swart",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "85354-9",
              "system": "http://loinc.org",
              "display": "Blood pressure panel with all children optional"
            },
            {
              "code": "55284-4",
              "system": "http://loinc.org",
              "display": "Blood pressure systolic and diastolic"
            },
            {
              "code": "46973005",
              "system": "http://snomed.info/sct",
              "display": "Blood pressure taking"
            }
          ]
        },
        "component": [
          {
            "code": {
              "coding": [
                {
                  "code": "8480-6",
                  "system": "http://loinc.org",
                  "display": "Systolic blood pressure"
                }
              ]
            },
            "valueQuantity": {
              "value": 120,
              "code": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "unit": "mmHg"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "code": "8462-4",
                  "system": "http://loinc.org",
                  "display": "Diastolic blood pressure"
                }
              ]
            },
            "valueQuantity": {
              "value": 70,
              "code": "mm[Hg]",
              "system": "http://unitsofmeasure.org",
              "unit": "mmHg"
            }
          }
        ],
        "status": "final",
        "subject": {
          "reference": "Patient/patient-swart",
          "display": "Fiona F XXX_Swart"
        },
        "effectiveDateTime": "2025-02-08"
      }
    },
    {
      "fullUrl": "http://example.org/Observation/gewicht-swart",
      "resource": {
        "resourceType": "Observation",
        "id": "gewicht-swart",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/StructureDefinition/vitalsigns"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "29463-7",
              "system": "http://loinc.org",
              "display": "Body weight"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient-swart",
          "display": "Fiona F XXX_Swart"
        },
        "effectiveDateTime": "2025-02-08",
        "valueQuantity": {
          "value": 63,
          "code": "kg",
          "system": "http://unitsofmeasure.org",
          "unit": "kg"
        }
      }
    },
    {
      "fullUrl": "http://example.org/Observation/lab-swart-3",
      "resource": {
        "resourceType": "Observation",
        "id": "lab-swart-3",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "performer": [
          {
            "reference": "http://example.org/Organization/organization-sophia"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "883-9",
              "system": "http://loinc.org",
              "display": "ABO group [Type] in Blood"
            }
          ]
        },
        "subject": {
          "reference": "http://example.org/Patient/patient-swart",
          "display": "Fiona F XXX_Swart"
        },
        "effectiveDateTime": "2025-02-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "58460004",
              "system": "http://snomed.info/sct",
              "display": "Blood group O"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a7c687cd-27dd-4b42-88c2-5e32418847ae",
      "resource": {
        "resourceType": "Observation",
        "id": "a7c687cd-27dd-4b42-88c2-5e32418847ae",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "performer": [
          {
            "reference": "http://example.org/Organization/organization-sophia"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "1305-2",
              "system": "http://loinc.org",
              "display": "D Ag [Presence] in Blood"
            }
          ]
        },
        "subject": {
          "reference": "http://example.org/Patient/patient-swart",
          "display": "Fiona F XXX_Swart"
        },
        "effectiveDateTime": "2025-02-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "165747007",
              "system": "http://snomed.info/sct",
              "display": "RhD positive"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5863804b-b0aa-4292-8bc2-13a769ad50d7",
      "resource": {
        "resourceType": "Observation",
        "id": "5863804b-b0aa-4292-8bc2-13a769ad50d7",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "performer": [
          {
            "reference": "http://example.org/Organization/organization-sophia"
          }
        ],
        "valueQuantity": {
          "system": "http://unitsofmeasure.org",
          "value": 7.3,
          "code": "mmol/L",
          "unit": "mmol/L"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "93846-4",
              "system": "http://loinc.org",
              "display": "Hemoglobin [Moles/volume] in Venous blood"
            }
          ]
        },
        "subject": {
          "reference": "http://example.org/Patient/patient-swart",
          "display": "Fiona F XXX_Swart"
        },
        "effectiveDateTime": "2025-02-08"
      }
    },
    {
      "fullUrl": "urn:uuid:2640f290-85c4-426f-b912-4b5051f4f35a",
      "resource": {
        "resourceType": "Observation",
        "id": "2640f290-85c4-426f-b912-4b5051f4f35a",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "performer": [
          {
            "reference": "http://example.org/Organization/organization-sophia"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "29893-5",
              "system": "http://loinc.org",
              "display": "HIV 1 Ab [Presence] in Serum or Plasma by Immunoassay"
            }
          ]
        },
        "subject": {
          "reference": "http://example.org/Patient/patient-swart",
          "display": "Fiona F XXX_Swart"
        },
        "effectiveDateTime": "2025-02-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "165815009",
              "system": "http://snomed.info/sct",
              "display": "HIV not detected"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "http://example.org/Observation/levenvoelen-swart",
      "resource": {
        "resourceType": "Observation",
        "id": "levenvoelen-swart",
        "identifier": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.3.11.999.7.6",
            "value": "38e436bf-6b35-11ec-2213-020000000000"
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "364618000",
              "system": "http://snomed.info/sct",
              "display": "Pattern of fetal movement"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient-swart",
          "display": "Fiona F XXX_Swart"
        },
        "effectiveDateTime": "2025-02-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "289431008",
              "system": "http://snomed.info/sct",
              "display": "Fetal movements present"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "http://example.org/Observation/tobacco-swart",
      "resource": {
        "resourceType": "Observation",
        "id": "tobacco-swart",
        "component": [
          {
            "code": {
              "coding": [
                {
                  "code": "53661000146106",
                  "system": "http://snomed.info/sct",
                  "display": "Type of tobacco used (observable entity)"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "722499006",
                  "system": "http://snomed.info/sct",
                  "display": "Electronic cigarette user"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "code": "266918002",
                  "system": "http://snomed.info/sct",
                  "display": "Tobacco smoking consumption (observable entity)"
                }
              ]
            },
            "valueQuantity": {
              "value": 6,
              "code": "{keer per dag inhaleren}",
              "system": "http://unitsofmeasure.org",
              "unit": "keer per dag inhaleren"
            }
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "code": "365980008",
              "system": "http://snomed.info/sct",
              "display": "Finding of tobacco use and exposure (finding)"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient-swart",
          "display": "Fiona F XXX_Swart"
        },
        "effectiveDateTime": "2025-02-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "230059006",
              "system": "http://snomed.info/sct",
              "display": "Occasional cigarette smoker"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "http://example.org/Organization/organization-sophia",
      "resource": {
        "resourceType": "Organization",
        "id": "organization-sophia",
        "identifier": [
          {
            "system": "http://fhir.nl/fhir/NamingSystem/agb-z",
            "value": "06020806"
          }
        ],
        "type": [
          {
            "coding": [
              {
                "version": "2.16.840.1.113883.2.4.6.7",
                "code": "0300",
                "system": "urn:oid:2.16.840.1.113883.2.4.6.7",
                "display": "Medisch specialist"
              }
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "0107040116"
          },
          {
            "system": "email",
            "value": "info@erasmusmc.nl"
          }
        ],
        "address": [
          {
            "line": [
              "Dr. Molewaterplein 60"
            ],
            "_line": [
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString": "Dr. Molewaterplein"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString": "60"
                  }
                ]
              }
            ],
            "use": "work",
            "city": "Rotterdam",
            "postalCode": "3015GJ",
            "country": "NL"
          }
        ],
        "name": "Erasmus MC, Sophia kinderziekenhuis"
      }
    },
    {
      "fullUrl": "http://example.org/Patient/patient-swart",
      "resource": {
        "resourceType": "Patient",
        "id": "patient-swart",
        "identifier": [
          {
            "system": "http://fhir.nl/fhir/NamingSystem/bsn",
            "value": "999901448"
          }
        ],
        "name": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/humanname-assembly-order",
                "valueCode": "NL1"
              }
            ],
            "given": [
              "Fiona",
              "F"
            ],
            "_given": [
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
                    "valueCode": "BR"
                  }
                ]
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
                    "valueCode": "IN"
                  }
                ]
              }
            ],
            "text": "Fiona XXX_Swart",
            "family": "XXX_Swart",
            "_family": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
                  "valueString": "XXX_Swart"
                }
              ]
            }
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "0655223366",
            "use": "mobile"
          }
        ],
        "address": [
          {
            "line": [
              "Knolweg 1000"
            ],
            "_line": [
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString": "Knolweg"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString": "1000"
                  }
                ]
              }
            ],
            "use": "home",
            "type": "physical",
            "city": "Stitswerd",
            "postalCode": "9999XA",
            "country": "NL"
          }
        ],
        "gender": "female",
        "birthDate": "1985-12-23",
        "multipleBirthBoolean": false
      }
    },
    {
      "fullUrl": "http://example.org/Procedure/sectio-swart",
      "resource": {
        "resourceType": "Procedure",
        "id": "sectio-swart",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/hdr/StructureDefinition/procedure-eu-hdr"
          ]
        },
        "performedPeriod": {
          "start": "2025-02-10T10:03:00+02:00",
          "end": "2025-02-10T11:48:00+02:00"
        },
        "status": "completed",
        "category": {
          "coding": [
            {
              "code": "386637004",
              "system": "http://snomed.info/sct",
              "display": "Obstetric procedure"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "code": "11466000",
              "system": "http://snomed.info/sct",
              "display": "Cesarean section"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient-swart",
          "display": "Fiona F XXX_Swart"
        }
      }
    }
  ],
  "type": "document",
  "timestamp": "2025-05-11T10:18:14.632+00:00"
}