PrescribeIT® Specification and Guide Version 5.0


v5.0 of this specification has been superseded by v5.3. v5.3 is compatible but adds additional features for Quebec.

The version (Bundle.meta.tag:version) that is sent in the message will remain PrescribeIT5.0

 
Raw XML


<Bundle xmlns="http://hl7.org/fhir">
<!--        Note: This id will not be present when the message is submitted to the inbox.  It will be assigned by the inbox as part of processing        -->
  <id value="example-g2-201-p190"/>
  <meta>
    <profile
             value="http://sharedhealth.exchange/fhir/StructureDefinition/profile-bundle-message"/>
    <profile
             value="http://prescribeit.ca/fhir/StructureDefinition/interaction-bundle-201"/>
    <tag>
      <system
              value="https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion"/>
      <code value="PrescribeIT5.0"/>
    </tag>
  </meta>
  <type value="message"/>
  <entry>
    <fullUrl value="urn:uuid:54fc3e09-e279-4b74-a8ff-2649ec968642"/>
    <resource>
      <MessageHeader>
        <id value="54fc3e09-e279-4b74-a8ff-2649ec968642"/>
        <meta>
          <profile
                   value="http://prescribeit.ca/fhir/StructureDefinition/interaction-messageheader-201"/>
        </meta>
        <timestamp value="2016-10-04T12:15:38.123-06:00"/>
        <event>
          <system
                  value="https://fhir.infoway-inforoute.ca/CodeSystem/sharedmessageevents"/>
          <code value="201"/>
        </event>
        <source>
          <extension
                     url="http://sharedhealth.exchange/fhir/StructureDefinition/ext-messageheader-application-id">
            <valueUri value="urn:oid:1.2.3.4.5.6.9999"/>
          </extension>
          <extension
                     url="http://sharedhealth.exchange/fhir/StructureDefinition/ext-messageheader-conformance-version">
            <valueString
                         value="Sending software version number that passed conformance"/>
          </extension>
          <name value="Sending application internal identifier"/>
          <software value="Sending application software name"/>
          <version value="Sending software version number"/>
        <!--        Note that the endpoint has to be a URI.  Could be urn:oid:1.2.3.4        -->
          <endpoint
                    value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000992"/>
        </source>
        <destination>
          <endpoint
                    value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000991"/>
        </destination>
        <data>
          <reference value="Task/9b830eff-7405-4f14-bfe8-b1f42ca83062"/>
        </data>
      </MessageHeader>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
    <resource>
      <Patient>
        <id value="ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
        <identifier>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/v2/0203"/>
              <code value="JHN"/>
            </coding>
            <text value="OHIP"/>
          </type>
          <system value="urn:oid:2.16.840.1.113883.4.59"/>
        <!--           OHIP identification system           -->
          <value value="1234567890"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/v2/0203"/>
              <code value="MR"/>
            </coding>
            <text value="Local Patient ID"/>
          </type>
          <system value="urn:oid:1.2.3.4.5.6.9999.1"/>
        <!--           Sending Application identification system Patient ID           -->
          <value value="PMS-12345"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Lerr Jr"/>
          <given value="Todd"/>
          <given value="G."/>
          <prefix value="Mr"/>
          <suffix value="DDS"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="(555) 555-1212"/>
          <use value="mobile"/>
        </telecom>
        <telecom>
          <extension
                     url="http://sharedhealth.exchange/fhir/StructureDefinition/ext-contactpoint-confidential">
            <valueBoolean value="true"/>
          </extension>
          <system value="phone"/>
          <value value="(858) 429-5190"/>
          <use value="home"/>
        </telecom>
        <gender value="male"/>
        <birthDate value="2012-06-07"/>
        <address>
          <line value="123 North 102nd Street"/>
          <line value="Apt 4d"/>
          <city value="Harrisburg"/>
          <state value="ON"/>
          <postalCode value="M2N 7H6"/>
          <country value="Canada"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
  <!--  Fax-only ids won't be in the Provider Registry so we use GUIDs  -->
    <fullUrl value="urn:uuid:67a47a0e-f98b-4233-ab3e-d7c8222207db"/>
    <resource>
      <Practitioner>
        <id value="67a47a0e-f98b-4233-ab3e-d7c8222207db"/>
        <identifier>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/v2/0203"/>
              <code value="LN"/>
            </coding>
            <text value="License number"/>
          </type>
          <system value="urn:oid:2.16.840.1.113883.3.239.13.43"/>
          <value value="OCP12345"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Pharmacist"/>
          <given value="Paula"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="(987)654-3210"/>
          <use value="work"/>
        </telecom>
        <practitionerRole>
          <organization>
            <reference
                       value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000992"/>
          </organization>
        </practitionerRole>
        <practitionerRole>
          <role>
            <coding>
              <system value="http://hl7.org/fhir/practitioner-role"/>
              <code value="pharmacist"/>
              <display value="Pharmacist"/>
            </coding>
          </role>
          <specialty>
          <!--  inv-1: Must have coding or text but not both            <coding>              <system value="http://hl7.org/fhir/ValueSet/practitioner-specialty"/>              <code value="cardio"/>            </coding>  -->
            <text value="Pharmacist">
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation">
                <valueString value="Pharmacien">
                  <extension
                             url="http://hl7.org/fhir/StructureDefinition/iso21090-ST-language">
                    <valueCode value="fr"/>
                  </extension>
                </valueString>
              </extension>
            </text>
          </specialty>
        </practitionerRole>
        <communication>
          <coding>
            <system value="urn:ietf:bcp:47"/>
            <code value="en-CA"/>
          </coding>
        </communication>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Practitioner/4388836452"/>
    <resource>
      <Practitioner>
        <id value="4388836452"/>
        <identifier>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/v2/0203"/>
              <code value="LN"/>
            </coding>
            <text value="License number"/>
          </type>
          <system value="urn:oid:2.16.840.1.113883.4.41"/>
        <!--          License ID may be part of the SAML token          -->
          <value value="134IDY41W988"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/v2/0203"/>
              <code value="PRN"/>
            </coding>
          </type>
          <system
                  value="http://sharedhealth.exchange/fhir/NamingSystem/registry-id-practitioner"/>
        <!--          Provider ID may be part of the SAML token          -->
          <value value="4388836452"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Martel"/>
        <!--          EMR Suffix will be included in the family tag          -->
          <given value="Dr"/>
          <given value="Benoit"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="(123) 456-7890"/>
          <use value="work"/>
        </telecom>
        <practitionerRole>
          <organization>
            <reference
                       value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000991"/>
          </organization>
        </practitionerRole>
        <communication>
          <coding>
            <system value="urn:ietf:bcp:47"/>
            <code value="en-CA"/>
          </coding>
        </communication>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000992"/>
    <resource>
      <Organization>
        <id value="CPR1000992"/>
        <identifier>
          <system
                  value="http://sharedhealth.exchange/fhir/NamingSystem/registry-id-organization"/>
          <value value="CPR1000992"/>
        </identifier>
        <name value="Simplicity #9999"/>
        <telecom>
          <system value="phone"/>
          <value value="(123) 123-4567"/>
          <use value="work"/>
        </telecom>
        <address>
          <type value="both"/>
          <line value="123 Some Street"/>
          <city value="Hamilton"/>
          <state value="ON"/>
          <postalCode value="A1B 2C3"/>
          <country value="Canada"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000991"/>
    <resource>
      <Organization>
        <id value="CPR1000991"/>
        <identifier>
          <system
                  value="http://sharedhealth.exchange/fhir/NamingSystem/registry-id-organization"/>
          <value value="CPR1000991"/>
        </identifier>
        <name value="PS Suite #8888"/>
        <telecom>
          <system value="phone"/>
          <value value="(123) 123-4567"/>
          <use value="work"/>
        </telecom>
        <address>
          <type value="both"/>
          <line value="456 Some Street"/>
          <city value="Hamilton"/>
          <state value="ON"/>
          <postalCode value="A1B 2C4"/>
          <country value="Canada"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:9b830eff-7405-4f14-bfe8-b1f42ca83062"/>
    <resource>
      <Task>
        <id value="9b830eff-7405-4f14-bfe8-b1f42ca83062"/>
        <meta>
          <profile
                   value="http://prescribeit.ca/fhir/StructureDefinition/task-p190-m"/>
        </meta>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/extension-Task.groupIdentifier">
          <valueIdentifier>
            <system value="urn:oid:1.2.3.4.5.6.9999.3"/>
            <value value="ri-Group-Identifier"/>
          </valueIdentifier>
        </extension>
        <modifierExtension
                           url="http://prescribeit.ca/fhir/StructureDefinition/ext-task-do-not-autofill">
          <valueBoolean value="true"/>
        </modifierExtension>
        <type>
          <coding>
            <system
                    value="https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontasktype"/>
            <code value="p190-m"/>
          </coding>
        </type>
        <priority value="high"/>
        <status value="requested"/>
        <subject>
          <reference
                     value="MedicationOrder/ded75587-840a-48ad-9be9-daee203b45ba"/>
        </subject>
        <for>
          <reference value="Patient/ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
        </for>
        <created value="2016-10-04T12:15:38.123-06:00"/>
        <lastModified value="2016-10-04T12:15:38.123-06:00"/>
        <creator>
          <reference
                     value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000992"/>
        </creator>
        <owner>
          <reference
                     value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Practitioner/4388836452"/>
        </owner>
      </Task>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ded75587-840a-48ad-9be9-daee203b45ba"/>
    <resource>
      <MedicationOrder>
        <id value="ded75587-840a-48ad-9be9-daee203b45ba"/>
        <contained>
          <Medication>
            <id value="med"/>
            <code>
              <coding>
                <system
                        value="https://fhir.infoway-inforoute.ca/CodeSystem/canadianclinicaldrugdataset"/>
                <code value="8000926"/>
                <display
                         value="brompheniramine and codeine and guaifenesin and phenylephrine"/>
              </coding>
              <text
                    value="brompheniramine and codeine and guaifenesin and phenylephrine"/>
            </code>
            <product>
              <form>
                <text value="Liquid"/>
              </form>
            </product>
          </Medication>
        </contained>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.category">
          <valueCodeableConcept>
            <coding>
              <system
                      value="https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontype"/>
              <code value="medication"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-prescribe-reason">
          <valueString
                       value="Any relevant information pertaining to the reason/rational that needs to be included as part of this notification, must be populated within this extension."/>
        </extension>
        <extension
                   url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-treatment-type">
          <valueCode value="ACU"/>
        </extension>
      <!--  The rendered dosage instruction MUST contain ALL dosage instructions. This includes ALL child elements of dosage instruction, such as dosage quantity, dosage unit, frequency, etc) in human readable form and must be able to stand on its own. This field will include all of the information contained in the structured dosage as well as patient instructions (eg take with food, starting one day before dental appointment), assembled into one field and formatted as human-readable. Coded values codes should not be used (e.g. 'days' should be used instead of 'd', the code of PO as 'oral' )  -->
        <extension
                   url="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage">
          <valueString value="10 ml other for 7 days 10mL every 4-6 hours."/>
        </extension>
        <extension
                   url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-protocol">
          <valueString
                       value="Identifies the Protocol, Order set, Guideline or other definition that guided the creation of this prescription"/>
        </extension>
        <extension
                   url="http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions">
          <valueString
                       value="To convey explicit instructions to the Pharmacist related to this medication order"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo">
          <valueReference>
            <reference value="Observation/4fb26823-5296-4291-8bc4-82440fc0b343"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo">
          <valueReference>
            <reference value="Observation/f2a711d7-3476-40f4-93a9-118e7ca8ccc7"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo">
          <valueReference>
            <reference value="List/84ef2d41-e27b-4d95-ac48-f0e4ae45e948"/>
          </valueReference>
        </extension>
        <extension
                   url="http://prescribeit.ca/fhir/StructureDefinition/ext-request-detectedissue">
          <valueReference>
            <reference
                       value="DetectedIssue/12d79947-83f0-46be-bf7a-e1658b26facf"/>
          </valueReference>
        </extension>
        <extension
                   url="http://prescribeit.ca/fhir/StructureDefinition/ext-request-detectedissue">
          <valueReference>
            <reference
                       value="DetectedIssue/e7cf6efe-2341-4e6b-94a2-3bba3e020009"/>
          </valueReference>
        </extension>
        <extension
                   url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-over-25-dur">
          <valueBoolean value="false"/>
        </extension>
        <identifier>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/identifier-type"/>
              <code value="PLAC"/>
            </coding>
          </type>
          <system value="urn:oid:1.2.3.4.5.6.9999.2"/>
        <!--           OID Structure includes PMS application instance.branch assigned for MedOrder ID          -->
          <value value="PMS-g2-brompheniramine-20161004"/>
        </identifier>
      <!--  Note: The DIS-assigned identifier will not be present from EMR to PrescribeIT, but may be present from PrescribeIT to PMS  -->
        <identifier>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/v2/0203"/>
              <code value="RRI"/>
            </coding>
          </type>
          <system value="urn:oid:1.2.3.4.5.53.111.2"/>
        <!--           OID Structure includes PMS application instance.branch assigned for MedOrder ID          -->
          <value value="dis-g2-brompheniramine-20161004"/>
        </identifier>
        <status value="active"/>
        <medicationReference>
        <!--       This must match the Medication resource ID       -->
          <reference value="#med"/>
        </medicationReference>
        <patient>
          <reference value="Patient/ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
        </patient>
      <!--  The date (and perhaps time) when the prescription was written.  -->
        <dateWritten value="2016-10-04T12:15:38.123-06:00"/>
        <prescriber>
          <reference value="Practitioner/67a47a0e-f98b-4233-ab3e-d7c8222207db"/>
        </prescriber>
        <dispenseRequest>
          <extension
                     url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-interval">
            <valueQuantity>
              <value value="7"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="d"/>
            </valueQuantity>
          </extension>
          <extension
                     url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-first-fill">
            <extension url="quantity">
              <valueQuantity>
                <value value="100"/>
                <unit value="mL"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mL"/>
              </valueQuantity>
            </extension>
          </extension>
          <extension
                     url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-total-days-supply">
            <valueQuantity>
              <value value="7"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="d"/>
            </valueQuantity>
          </extension>
          <extension
                     url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-total-quantity">
            <valueQuantity>
              <value value="500"/>
              <unit value="mL"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mL"/>
            </valueQuantity>
          </extension>
          <extension
                     url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-max">
            <valueQuantity>
              <value value="500"/>
              <unit value="mL"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mL"/>
            </valueQuantity>
          </extension>
          <validityPeriod>
            <start value="2018-06-08"/>
            <end value="2018-06-14"/>
          </validityPeriod>
          <quantity>
            <value value="500"/>
            <unit value="mL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mL"/>
          </quantity>
          <expectedSupplyDuration>
            <value value="7"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="d"/>
          </expectedSupplyDuration>
        </dispenseRequest>
      </MedicationOrder>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:4fb26823-5296-4291-8bc4-82440fc0b343"/>
    <resource>
      <Observation>
        <id value="4fb26823-5296-4291-8bc4-82440fc0b343"/>
        <status value="final"/>
        <category>
        <!--       This is mandatory in FHIR and must be included as shown       -->
          <coding>
            <system value="http://hl7.org/fhir/observation-category"/>
            <code value="vital-signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="https://fhir.infoway-inforoute.ca/CodeSystem/pCLOCD"/>
            <code value="8302-2"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
        </subject>
        <effectiveDateTime value="2016-10-04"/>
        <valueQuantity>
          <value value="180"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="cm"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:f2a711d7-3476-40f4-93a9-118e7ca8ccc7"/>
    <resource>
      <Observation>
        <id value="f2a711d7-3476-40f4-93a9-118e7ca8ccc7"/>
        <status value="final"/>
        <category>
        <!--       This is mandatory in FHIR and must be included as shown       -->
          <coding>
            <system value="http://hl7.org/fhir/observation-category"/>
            <code value="vital-signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="https://fhir.infoway-inforoute.ca/CodeSystem/pCLOCD"/>
            <code value="29463-7"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
        </subject>
        <effectiveDateTime value="2016-10-04"/>
        <valueQuantity>
          <value value="80"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="kg"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:84ef2d41-e27b-4d95-ac48-f0e4ae45e948"/>
    <resource>
      <List>
        <id value="84ef2d41-e27b-4d95-ac48-f0e4ae45e948"/>
        <text>
          <status value="additional"/>
          <div xmlns="http://www.w3.org/1999/xhtml">NSAID Intolerance|Severe Latex allergy|Penicillin allergy</div>
        </text>
        <status value="current"/>
        <mode value="snapshot"/>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/list-example-use-codes"/>
            <code value="allergies"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
          <display value="Todd G. Lerr Jr"/>
        </subject>
      </List>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:12d79947-83f0-46be-bf7a-e1658b26facf"/>
    <resource>
      <DetectedIssue>
        <id value="12d79947-83f0-46be-bf7a-e1658b26facf"/>
        <patient>
          <reference value="Patient/ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
        </patient>
        <category>
        <!--  
					<coding>
						<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
						<code value="ALLDONE"/>
						<display value="already performed"/>
					</coding>  -->
          <text value="Plain text representation of the concept"/>
        </category>
        <implicated>
          <reference
                     value="MedicationOrder/ded75587-840a-48ad-9be9-daee203b45ba"/>
        </implicated>
        <detail
                value="Aspirin contraindicated for patients intolerant of NSAIDs"/>
        <mitigation>
          <action>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="1"/>
              <display value="Therapy Appropriate"/>
            </coding>
            <text value="Plain text representation of the concept"/>
          </action>
        </mitigation>
      </DetectedIssue>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:e7cf6efe-2341-4e6b-94a2-3bba3e020009"/>
    <resource>
      <DetectedIssue>
        <id value="e7cf6efe-2341-4e6b-94a2-3bba3e020009"/>
        <patient>
          <reference value="Patient/ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
        </patient>
        <category>
        <!--  
					<coding>
						<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
						<code value="ALRTENDLATE"/>
						<display value="end too late alert"/>
					</coding>  -->
          <text value="Plain text representation of the concept"/>
        </category>
        <implicated>
          <reference
                     value="MedicationOrder/ded75587-840a-48ad-9be9-daee203b45ba"/>
        </implicated>
        <detail
                value="2nd Detected Issue - Aspirin contraindicated for patients intolerant of NSAIDs"/>
        <mitigation>
          <action>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="10"/>
              <display value="Provided Patient Education"/>
            </coding>
            <text value="Plain text representation of the concept"/>
          </action>
        </mitigation>
      </DetectedIssue>
    </resource>
  </entry>
</Bundle>