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International Patient Summary

The operation $summary on a Patient is outlined in the International Patient Summary Implementation Guide. This operation generates a document containing crucial healthcare information about the subject of care. The output of this operation is an IPS Bundle, classified as a document type. The first resource within this bundle is an IPS Composition, which organizes healthcare records into sections. The second resource is the Patient, and the remaining resources in the Bundle are those referenced by the Composition.

The primary goal of the International Patient Summary (IPS) is to provide essential healthcare information for unplanned care across national borders. However, it is also valuable for local applications and planned care scenarios.

Implementation notes

  • To ensure the IPS dataset is minimal yet comprehensive enough to support potential reuse beyond the IPS scope like for example customising the IPS for the national context, the Kodjin FHIR Server enables configuration of Composition sections using a low-code, declarative approach.

  • To expedite the IPS generation process while minimizing resource utilization, data preparation for the IPS is performed asynchronously using an event-driven approach.

  • This feature is optional and can be disabled as needed.

Endpoints

GET: [fhir_base]/Patient/$summary

GET: [fhir_base]/Patient/[id]/$summary

Query parameters

Query parameter Type Status Description
identifer uri supported When the logical id of the patient is not used, servers MAY choose to support patient selection based on provided identifier
profile uri unsupported A specific profile for the patient summary may be specified. By default, servers MAY use the Bundle profile
graph uri unsupported Servers MAY choose to allow any graph definition to be specified, but MAY require that the client choose a graph definition from a specific list of known supported definitions. The server is not required to support a formal definition of the graph on the end point

Example

Example - use of $summary

    curl --location 'https://demo.kodjin.com/fhir/Patient/8a215a7f-2428-45fd-9ed2-88ec672d5158/$summary'
    {
    "resourceType": "Bundle",
    "type": "document",
    "entry": [
    {
    "fullUrl": "urn:uuid:1efba9cd-4059-42df-a6f9-a197221020b8",
    "resource": {
        "resourceType": "Composition",
        "id": "1efba9cd-4059-42df-a6f9-a197221020b8",
        "author": [
            {
                "reference": "Organization/kodjin"
            }
        ],
        "date": "2024-04-22T17:17:07.558053760+00:00",
        "identifier": {
            "system": "https://demo.kodjin.com/fhir",
            "value": "1efba9cd-4059-42df-a6f9-a197221020b8"
        },
        "section": [
            {
                "code": {
                    "coding": [
                        {
                            "system": "http://loinc.org",
                            "code": "10160-0"
                        }
                    ]
                },
                "entry": [
                    {
                        "reference": "MedicationRequest/430d9870-4e59-43af-82d2-bfa0cf3c8b4c"
                    },
                    {
                        "reference": "MedicationStatement/badbd041-22bc-48b0-a62b-db8bd843a11c"
                    },
                    {
                        "reference": "MedicationAdministration/baf5899b-0a84-4d07-9b37-5a94c6638664"
                    },
                    {
                        "reference": "MedicationDispense/4ca48ead-373d-4094-a463-95a584284182"
                    }
                ],
                "id": "medication_summary",
                "text": {
                    "status": "generated",
                    "div": "<p>Medication Summary section</p>"
                },
                "title": "Medication Summary section"
            },
            {
                "code": {
                    "coding": [
                        {
                            "system": "http://loinc.org",
                            "code": "48765-2"
                        }
                    ]
                },
                "entry": [
                    {
                        "reference": "AllergyIntolerance/ade809a2-039e-415e-ad4a-8a035fb9ba00"
                    }
                ],
                "id": "allergies_intolerances",
                "text": {
                    "status": "generated",
                    "div": "<p>IPS Allergies and Intolerances Section</p>"
                },
                "title": "IPS Allergies and Intolerances Section"
            },
            {
                "code": {
                    "coding": [
                        {
                            "system": "http://loinc.org",
                            "code": "11450-4"
                        }
                    ]
                },
                "entry": [
                    {
                        "reference": "Condition/5c70c8bf-1b74-4c69-9a45-c3ab93bc0fe5"
                    }
                ],
                "id": "problems",
                "text": {
                    "status": "generated",
                    "div": "<p>IPS Problems Section</p>"
                },
                "title": "IPS Problems Section"
            },
            {
                "code": {
                    "coding": [
                        {
                            "system": "http://loinc.org",
                            "code": "47519-4"
                        }
                    ]
                },
                "entry": [
                    {
                        "reference": "Procedure/6923d883-be85-4959-82ba-4d160ec203e2"
                    }
                ],
                "id": "procedures",
                "text": {
                    "status": "generated",
                    "div": "<p>IPS History of Procedures Section</p>"
                },
                "title": "IPS History of Procedures Section"
            },
            {
                "code": {
                    "coding": [
                        {
                            "system": "http://loinc.org",
                            "code": "11369-6"
                        }
                    ]
                },
                "entry": [
                    {
                        "reference": "Immunization/0f4b2c16-7cc4-4c07-a6ed-20fbe905a44f"
                    }
                ],
                "id": "immunizations",
                "text": {
                    "status": "generated",
                    "div": "<p>IPS Immunizations Section</p>"
                },
                "title": "IPS Immunizations Section"
            },
            {
                "code": {
                    "coding": [
                        {
                            "system": "http://loinc.org",
                            "code": "46264-8"
                        }
                    ]
                },
                "entry": [
                    {
                        "reference": "DeviceUseStatement/172f8f27-81b3-4655-8036-4385ded170b8"
                    }
                ],
                "id": "medical_devices",
                "text": {
                    "status": "generated",
                    "div": "<p>IPS Medical Devices Section</p>"
                },
                "title": "IPS Medical Devices Section"
            },
            {
                "code": {
                    "coding": [
                        {
                            "system": "http://loinc.org",
                            "code": "46264-8"
                        }
                    ]
                },
                "entry": [
                    {
                        "reference": "Observation/26387d39-87cf-4c3c-b06d-d95b62d05a90"
                    }
                ],
                "id": "results",
                "text": {
                    "status": "generated",
                    "div": "<p>IPS Results Section</p>"
                },
                "title": "IPS Results Section"
            }
        ],
        "status": "final",
        "subject": {
            "reference": "Patient/8a215a7f-2428-45fd-9ed2-88ec672d5158"
        },
        "text": {
            "status": "generated",
            "div": "<p>Composition</p>"
        },
        "title": "International Patient Summary",
        "type": {
            "coding": [
                {
                    "system": "http://loinc.org",
                    "code": "60591-5",
                    "display": "Patient summary Document"
                }
            ]
        }
    }
    },
    {
    "fullUrl": "https://demo.kodjin.com/fhir/Patient/8a215a7f-2428-45fd-9ed2-88ec672d5158",
    "resource": {
        "resourceType": "Patient",
        "id": "8a215a7f-2428-45fd-9ed2-88ec672d5158",
        "meta": {
            "source": "postman_tests",
            "versionId": "1",
            "tag": [
                {
                    "code": "postman_tests",
                    "system": "test"
                }
            ],
            "profile": [
                "https://standards.digital.health.nz/fhir/StructureDefinition/nzps-patient"
            ],
            "lastUpdated": "2024-04-22T17:14:14.901028530+00:00"
        },
        "text": {
            "status": "generated",
            "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>John Doe</b> male, DoB: 1998-01-01</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail:</td><td colspan=\"3\">23 thule st NZL </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"District Health Board relating to a NZ Healthcare Service, Location (Facility) or Patient (primary, physical home address).\"><a href=\"StructureDefinition-dhb.html\">District Health Board linked to a NZ Healthcare Service, Location or Patient:</a></td><td colspan=\"3\"><ul><li><span title=\"Codes: {https://standards.digital.health.nz/ns/dhb-code G00026-A}\">Northland District Health Board</span></li></ul></td></tr></table></div>"
        },
        "extension": [
            {
                "url": "http://hl7.org.nz/fhir/StructureDefinition/dhb",
                "valueCodeableConcept": {
                    "coding": [
                        {
                            "system": "https://standards.digital.health.nz/ns/dhb-code",
                            "code": "G00026-A",
                            "display": "Northland District Health Board"
                        }
                    ]
                }
            }
        ],
        "name": [
            {
                "text": "Alessandra Bartell",
                "family": "Bartell",
                "given": [
                    "Alessandra"
                ]
            }
        ],
        "gender": "female",
        "birthDate": "2021-06-10",
        "address": [
            {
                "extension": [
                    {
                        "url": "http://hl7.org.nz/fhir/StructureDefinition/building-name",
                        "valueString": "Big Red Shed"
                    }
                ],
                "line": [
                    "23 thule st"
                ],
                "country": "NZL"
            }
        ]
    }
    },
    {
    "fullUrl": "https://demo.kodjin.com/fhir/DeviceUseStatement/172f8f27-81b3-4655-8036-4385ded170b8",
    "resource": {
        "resourceType": "DeviceUseStatement",
        "id": "172f8f27-81b3-4655-8036-4385ded170b8",
        "meta": {
            "profile": [
                "http://hl7.org/fhir/uv/ips/StructureDefinition/DeviceUseStatement-uv-ips"
            ],
            "versionId": "1",
            "lastUpdated": "2024-04-22T17:16:06.033750007+00:00"
        },
        "text": {
            "status": "generated",
            "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">No known devices in use</div>"
        },
        "status": "active",
        "subject": {
            "reference": "Patient/8a215a7f-2428-45fd-9ed2-88ec672d5158",
            "display": "Annelise Black (inject 70-275)"
        },
        "_timingDateTime": {
            "extension": [
                {
                    "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode": "unknown"
                }
            ]
        },
        "device": {
            "reference": "Device/f0d1466d-498b-44c7-88cc-373dbd18e7d0"
        }
    }
    },
    {
    "fullUrl": "https://demo.kodjin.com/fhir/MedicationDispense/4ca48ead-373d-4094-a463-95a584284182",
    "resource": {
        "resourceType": "MedicationDispense",
        "id": "4ca48ead-373d-4094-a463-95a584284182",
        "status": "in-progress",
        "medicationReference": {
            "reference": "Medication/c204a891-9298-44b6-848b-97274ee1f291"
        },
        "subject": {
            "reference": "Patient/8a215a7f-2428-45fd-9ed2-88ec672d5158",
            "display": "Donald Duck"
        },
        "performer": [
            {
                "actor": {
                    "reference": "Practitioner/df33e17c-43f4-4b08-8e11-61be0018b7a0"
                }
            }
        ],
        "authorizingPrescription": [
            {
                "reference": "MedicationRequest/430d9870-4e59-43af-82d2-bfa0cf3c8b4c"
            }
        ],
        "dosageInstruction": [
            {
                "sequence": 1,
                "timing": {
                    "repeat": {
                        "frequency": 2,
                        "period": 21,
                        "periodUnit": "d"
                    }
                },
                "route": {
                    "coding": [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "394899003",
                            "display": "oral administration of treatment"
                        }
                    ]
                },
                "doseAndRate": [
                    {
                        "type": {
                            "coding": [
                                {
                                    "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                                    "code": "ordered",
                                    "display": "Ordered"
                                }
                            ]
                        },
                        "doseQuantity": {
                            "value": 500,
                            "unit": "mg",
                            "system": "http://unitsofmeasure.org",
                            "code": "mg"
                        }
                    }
                ]
            }
        ],
        "meta": {
            "versionId": "1",
            "lastUpdated": "2024-04-22T17:15:38.512714650+00:00"
        }
    }
    },
    {
    "fullUrl": "https://demo.kodjin.com/fhir/AllergyIntolerance/ade809a2-039e-415e-ad4a-8a035fb9ba00",
    "resource": {
        "resourceType": "AllergyIntolerance",
        "meta": {
            "profile": [
                "https://standards.digital.health.nz/fhir/StructureDefinition/nzps-allergyintolerance"
            ],
            "versionId": "1",
            "lastUpdated": "2024-04-22T17:15:54.636685124+00:00"
        },
        "id": "ade809a2-039e-415e-ad4a-8a035fb9ba00",
        "text": {
            "status": "generated",
            "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: AllergyIntolerance</b><a name=\"allergyintolerance-multiple-codings\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource AllergyIntolerance &quot;allergyintolerance-multiple-codings&quot; </p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-allergyintolerance-clinical.html\">AllergyIntolerance Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-allergyintolerance-verification.html\">AllergyIntolerance Verification Status</a>#confirmed)</span></p><p><b>code</b>: Penicillin (substance) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#764146007; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#91936005 &quot;Allergy to penicillin (finding)&quot;; <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#7984 &quot;penicillin V&quot;; <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-WC.html\">WHO ATC</a>#N03AA02 &quot;phenobarbital&quot;)</span></p><p><b>patient</b>: <a href=\"Patient-66033.html\">Patient/66033</a> &quot; LUX-BRENNARD&quot;</p><p><b>onset</b>: Absent because : <code>unknown</code></p></div>"
        },
        "clinicalStatus": {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                    "code": "active"
                }
            ]
        },
        "verificationStatus": {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
                    "code": "confirmed"
                }
            ]
        },
        "code": {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "764146007",
                    "display": "Penicillin (substance)"
                },
                {
                    "system": "http://snomed.info/sct",
                    "code": "91936005",
                    "display": "Allergy to penicillin (finding)"
                },
                {
                    "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                    "code": "7984",
                    "display": "penicillin V"
                },
                {
                    "system": "http://www.whocc.no/atc",
                    "code": "N03AA02",
                    "display": "phenobarbital"
                }
            ]
        },
        "patient": {
            "reference": "Patient/8a215a7f-2428-45fd-9ed2-88ec672d5158"
        },
        "_onsetDateTime": {
            "extension": [
                {
                    "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode": "unknown"
                }
            ]
        }
    }
    },
    {
    "fullUrl": "https://demo.kodjin.com/fhir/Observation/26387d39-87cf-4c3c-b06d-d95b62d05a90",
    "resource": {
        "resourceType": "Observation",
        "meta": {
            "profile": [
                "https://standards.digital.health.nz/fhir/StructureDefinition/nzps-observation-results"
            ],
            "versionId": "1",
            "lastUpdated": "2024-04-22T17:16:12.630387108+00:00"
        },
        "id": "26387d39-87cf-4c3c-b06d-d95b62d05a90",
        "text": {
            "status": "generated",
            "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"hemoglobin\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;hemoglobin&quot; </p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Hemoglobin A1c/Hemoglobin.total in Blood by HPLC <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#17856-6)</span></p><p><b>subject</b>: <a href=\"Patient-eumfh-39-07.html\">Patient/eumfh-39-07</a> &quot; HEIG&quot;</p><p><b>effective</b>: 2017-11-10 08:20:00+0100</p><p><b>performer</b>: <a href=\"Organization-TII-Organization1.html\">Organization/TII-Organization1</a> &quot;Someplace General Hospital&quot;</p><p><b>value</b>: 7.5 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>note</b>: Above stated goal of 7.0 %</p></div>"
        },
        "status": "final",
        "category": [
            {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                        "code": "laboratory"
                    }
                ]
            }
        ],
        "code": {
            "coding": [
                {
                    "system": "http://loinc.org",
                    "code": "17856-6",
                    "display": "Hemoglobin A1c/Hemoglobin.total in Blood by HPLC"
                }
            ]
        },
        "subject": {
            "reference": "Patient/8a215a7f-2428-45fd-9ed2-88ec672d5158"
        },
        "effectiveDateTime": "2017-11-10T08:20:00+01:00",
        "performer": [
            {
                "reference": "Organization/518a682a-e30f-4842-8a76-9c325b92f105"
            }
        ],
        "valueQuantity": {
            "value": 7.5,
            "unit": "%",
            "system": "http://unitsofmeasure.org",
            "code": "%"
        },
        "note": [
            {
                "text": "Above stated goal of 7.0 %"
            }
        ]
    }
    },
    {
    "fullUrl": "https://demo.kodjin.com/fhir/MedicationAdministration/baf5899b-0a84-4d07-9b37-5a94c6638664",
    "resource": {
        "resourceType": "MedicationAdministration",
        "id": "baf5899b-0a84-4d07-9b37-5a94c6638664",
        "text": {
            "status": "generated",
            "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medadminexample03</p><p><b>contained</b>: </p><p><b>status</b>: on-hold</p><p><b>statusReason</b>: Administration of medication not done due to a contraindication (situation) <span>(Details : {SNOMED CT code '373147003' = 'Medication not administered because contraindicated', given as 'Administration of medication not done due to a contraindication (situation)'})</span></p><p><b>medication</b>: id: med0303; Alemtuzumab 10mg/ml (Lemtrada) <span>(Details : {RxNorm code '1594660' = 'alemtuzumab 10 MG/ML [Lemtrada]', given as 'Alemtuzumab 10mg/ml (Lemtrada)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>context</b>: <a>Encounter/f001</a></p><p><b>supportingInformation</b>: <a>Condition/f204</a></p><p><b>effective</b>: 15/01/2015 2:30:00 PM --&gt; 15/01/2015 2:30:00 PM</p><p><b>request</b>: <a>MedicationRequest/medrx0317</a></p><p><b>note</b>: Patient started Bupropion this morning - will administer in a reduced dose tomorrow</p></div>"
        },
        "contained": [
            {
                "resourceType": "Medication",
                "id": "med0303",
                "code": {
                    "coding": [
                        {
                            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                            "code": "1594660",
                            "display": "Alemtuzumab 10mg/ml (Lemtrada)"
                        }
                    ]
                }
            }
        ],
        "status": "on-hold",
        "statusReason": [
            {
                "coding": [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "373147003",
                        "display": "Administration of medication not done due to a contraindication (situation)"
                    }
                ]
            }
        ],
        "medicationReference": {
            "reference": "#med0303"
        },
        "subject": {
            "reference": "Patient/8a215a7f-2428-45fd-9ed2-88ec672d5158",
            "display": "Donald Duck"
        },
        "effectivePeriod": {
            "start": "2015-01-15T14:30:00+01:00",
            "end": "2015-01-15T14:30:00+01:00"
        },
        "request": {
            "reference": "MedicationRequest/430d9870-4e59-43af-82d2-bfa0cf3c8b4c"
        },
        "note": [
            {
                "text": "Patient started Bupropion this morning - will administer in a reduced dose tomorrow"
            }
        ],
        "meta": {
            "versionId": "1",
            "lastUpdated": "2024-04-22T17:14:24.852819368+00:00"
        }
    }
    },
    {
    "fullUrl": "https://demo.kodjin.com/fhir/Condition/5c70c8bf-1b74-4c69-9a45-c3ab93bc0fe5",
    "resource": {
        "resourceType": "Condition",
        "meta": {
            "profile": [
                "https://standards.digital.health.nz/fhir/StructureDefinition/nzps-condition"
            ],
            "versionId": "1",
            "lastUpdated": "2024-04-22T17:15:56.723241175+00:00"
        },
        "id": "5c70c8bf-1b74-4c69-9a45-c3ab93bc0fe5",
        "text": {
            "status": "generated",
            "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"eumfh-39-07-1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Condition &quot;eumfh-39-07-1&quot; </p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#75326-9)</span></p><p><b>code</b>: Acute myocardial infarction of anterior wall <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#54329005; <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-ICD11MMS.html\">International Classification of Diseases, 11th Revision Mortality and Morbidity Statistics (MMS)</a>#BA41.Z&amp;XA7RE3 &quot;Acute myocardial infarction, unspecified [Anterior wall of heart]&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-eumfh-39-07.html\">Patient/eumfh-39-07: Alexander Heig (inject 39-07)</a> &quot; HEIG&quot;</p><p><b>onset</b>: 2014</p><p><b>asserter</b>: <a href=\"Practitioner-eumfh-39-07.html\">Practitioner/eumfh-39-07: Dr. Mark Antonio</a> &quot; ANTONIO&quot;</p></div>"
        },
        "clinicalStatus": {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                    "code": "active"
                }
            ]
        },
        "category": [
            {
                "coding": [
                    {
                        "system": "http://loinc.org",
                        "code": "75326-9",
                        "display": "Problem"
                    }
                ]
            }
        ],
        "code": {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "54329005",
                    "display": "Acute myocardial infarction of anterior wall"
                },
                {
                    "system": "http://id.who.int/icd/release/11/mms",
                    "code": "BA41.Z&XA7RE3",
                    "display": "Acute myocardial infarction, unspecified [Anterior wall of heart]"
                }
            ]
        },
        "subject": {
            "reference": "Patient/8a215a7f-2428-45fd-9ed2-88ec672d5158",
            "display": "Alexander Heig (inject 39-07)"
        },
        "onsetDateTime": "2014",
        "asserter": {
            "reference": "Practitioner/df33e17c-43f4-4b08-8e11-61be0018b7a0",
            "display": "Dr. Mark Antonio"
        }
    }
    },
    {
    "fullUrl": "https://demo.kodjin.com/fhir/Immunization/0f4b2c16-7cc4-4c07-a6ed-20fbe905a44f",
    "resource": {
        "resourceType": "Immunization",
        "meta": {
            "profile": [
                "https://standards.digital.health.nz/fhir/StructureDefinition/nzips-immunization"
            ],
            "versionId": "1",
            "lastUpdated": "2024-04-22T17:16:01.425258319+00:00"
        },
        "id": "0f4b2c16-7cc4-4c07-a6ed-20fbe905a44f",
        "language": "fr-LU",
        "text": {
            "status": "generated",
            "div": "<div>\" lang=\"fr-LU\">\n\t\t\t<p>\n\t\t\t\t<b>Marie Lux-Brennard</b> (Apr 17, 1998) </p>\n\t\t\t<p>Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite, Jun 3, 1998, 10:00:00 PM</p>\n\t\t\t<p>Voie intramusculaire, Cuisse droite</p>\n\t\t</div>"
        },
        "status": "completed",
        "vaccineCode": {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "871878002",
                    "display": "Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae and Human poliovirus antigens only vaccine product",
                    "_display": {
                        "extension": [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                                "extension": [
                                    {
                                        "url": "lang",
                                        "valueCode": "fr-LU"
                                    },
                                    {
                                        "url": "content",
                                        "valueString": "Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite"
                                    }
                                ]
                            }
                        ]
                    }
                },
                {
                    "system": "http://www.whocc.no/atc",
                    "code": "J07CA02",
                    "display": "diphtheria-pertussis-poliomyelitis-tetanus",
                    "_display": {
                        "extension": [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                                "extension": [
                                    {
                                        "url": "lang",
                                        "valueCode": "fr-LU"
                                    },
                                    {
                                        "url": "content",
                                        "valueString": "DIPHTERIE - COQUELUCHE - POLIOMYELITE - TETANOS"
                                    }
                                ]
                            }
                        ]
                    }
                },
                {
                    "system": "https://cnk.apb.be/codings/cnk_product_codes",
                    "code": "2374429",
                    "display": "BOOSTRIX POLIO SER PREREMPL 1 X 0,5 ML"
                }
            ],
            "text": "Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite"
        },
        "patient": {
            "reference": "Patient/8a215a7f-2428-45fd-9ed2-88ec672d5158"
        },
        "occurrenceDateTime": "1998-06-04T00:00:00+02:00",
        "primarySource": true,
        "lotNumber": "AXK23RWERS",
        "expirationDate": "2000-06-01",
        "site": {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "11207009",
                    "display": "Right thigh",
                    "_display": {
                        "extension": [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                                "extension": [
                                    {
                                        "url": "lang",
                                        "valueCode": "fr-LU"
                                    },
                                    {
                                        "url": "content",
                                        "valueString": "Cuisse droite"
                                    }
                                ]
                            }
                        ]
                    }
                }
            ],
            "text": "Cuisse droite"
        },
        "route": {
            "coding": [
                {
                    "system": "http://standardterms.edqm.eu",
                    "code": "20035000",
                    "display": "Intramuscular use",
                    "_display": {
                        "extension": [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                                "extension": [
                                    {
                                        "url": "lang",
                                        "valueCode": "fr-LU"
                                    },
                                    {
                                        "url": "content",
                                        "valueString": "Voie intramusculaire"
                                    }
                                ]
                            }
                        ]
                    }
                }
            ],
            "text": "Voie intramusculaire"
        }
    }
    },
    {
    "fullUrl": "https://demo.kodjin.com/fhir/MedicationRequest/430d9870-4e59-43af-82d2-bfa0cf3c8b4c",
    "resource": {
        "resourceType": "MedicationRequest",
        "meta": {
            "profile": [
                "https://standards.digital.health.nz/fhir/StructureDefinition/nzps-medicationrequest"
            ],
            "versionId": "1",
            "lastUpdated": "2024-04-22T17:14:16.598332507+00:00"
        },
        "id": "430d9870-4e59-43af-82d2-bfa0cf3c8b4c",
        "text": {
            "status": "generated",
            "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"eumfh-39-07-1-request\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest &quot;eumfh-39-07-1-request&quot; </p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href=\"Medication-eumfh-39-07-1.html\">Medication/eumfh-39-07-1: simvastatin</a></p><p><b>subject</b>: <a href=\"Patient-eumfh-39-07.html\">Patient/eumfh-39-07: Alexander Heig (inject 39-07)</a> &quot; HEIG&quot;</p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 40 mg/day</p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ValidityPeriod</b></td></tr><tr><td style=\"display: none\">*</td><td>2021-01-01 --&gt; (ongoing)</td></tr></table></div>"
        },
        "status": "active",
        "intent": "order",
        "medicationReference": {
            "reference": "Medication/c204a891-9298-44b6-848b-97274ee1f291",
            "display": "simvastatin"
        },
        "subject": {
            "reference": "Patient/8a215a7f-2428-45fd-9ed2-88ec672d5158",
            "display": "Alexander Heig (inject 39-07)"
        },
        "dosageInstruction": [
            {
                "text": "40 mg/day",
                "timing": {
                    "repeat": {
                        "frequency": 1,
                        "period": 1,
                        "periodUnit": "d"
                    }
                },
                "doseAndRate": [
                    {
                        "doseQuantity": {
                            "value": 40,
                            "unit": "mg",
                            "system": "http://unitsofmeasure.org",
                            "code": "mg"
                        }
                    }
                ]
            }
        ],
        "dispenseRequest": {
            "validityPeriod": {
                "start": "2021-01-01"
            }
        }
    }
    },
    {
    "fullUrl": "https://demo.kodjin.com/fhir/MedicationStatement/badbd041-22bc-48b0-a62b-db8bd843a11c",
    "resource": {
        "resourceType": "MedicationStatement",
        "meta": {
            "profile": [
                "https://standards.digital.health.nz/fhir/StructureDefinition/nzps-medicationstatement"
            ],
            "versionId": "1",
            "lastUpdated": "2024-04-22T17:14:17.938467437+00:00"
        },
        "id": "badbd041-22bc-48b0-a62b-db8bd843a11c",
        "text": {
            "status": "generated",
            "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationStatement</b><a name=\"eumfh-39-07-1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationStatement &quot;eumfh-39-07-1&quot; </p></div><p><b>status</b>: active</p><p><b>medication</b>: <a href=\"Medication-eumfh-39-07-1.html\">Medication/eumfh-39-07-1: simvastatin</a></p><p><b>subject</b>: <a href=\"Patient-eumfh-39-07.html\">Patient/eumfh-39-07: Alexander Heig (inject 39-07)</a> &quot; HEIG&quot;</p><p><b>effective</b>: 2014 --&gt; (ongoing)</p><blockquote><p><b>dosage</b></p><p><b>text</b>: 40 mg/day</p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div>"
        },
        "status": "active",
        "medicationReference": {
            "reference": "Medication/c204a891-9298-44b6-848b-97274ee1f291",
            "display": "simvastatin"
        },
        "subject": {
            "reference": "Patient/8a215a7f-2428-45fd-9ed2-88ec672d5158",
            "display": "Alexander Heig (inject 39-07)"
        },
        "effectivePeriod": {
            "start": "2014"
        },
        "dosage": [
            {
                "text": "40 mg/day",
                "timing": {
                    "repeat": {
                        "frequency": 1,
                        "period": 1,
                        "periodUnit": "d"
                    }
                },
                "doseAndRate": [
                    {
                        "doseQuantity": {
                            "value": 40,
                            "unit": "mg",
                            "system": "http://unitsofmeasure.org",
                            "code": "mg"
                        }
                    }
                ]
            }
        ]
    }
    },
    {
    "fullUrl": "https://demo.kodjin.com/fhir/Procedure/6923d883-be85-4959-82ba-4d160ec203e2",
    "resource": {
        "resourceType": "Procedure",
        "meta": {
            "profile": [
                "http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips"
            ],
            "versionId": "1",
            "lastUpdated": "2024-04-22T17:15:58.905069232+00:00"
        },
        "id": "6923d883-be85-4959-82ba-4d160ec203e2",
        "text": {
            "status": "generated",
            "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b><a name=\"eumfh-39-07-1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Procedure &quot;eumfh-39-07-1&quot; </p></div><p><b>status</b>: completed</p><p><b>category</b>: Surgical procedure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#387713003)</span></p><p><b>code</b>: Previous balloon angioplasty on mid-LAD stenosis with STENT Implantation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#36969009 &quot;Placement of stent in coronary artery&quot;; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#233258006 &quot;Balloon angioplasty of artery&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-eumfh-39-07.html\">Patient/eumfh-39-07: Alexander Heig (inject 39-07)</a> &quot; HEIG&quot;</p><p><b>performed</b>: ?? --&gt; (ongoing)</p></div>"
        },
        "status": "completed",
        "category": {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "387713003",
                    "display": "Surgical procedure"
                }
            ]
        },
        "code": {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "36969009",
                    "display": "Placement of stent in coronary artery"
                },
                {
                    "system": "http://snomed.info/sct",
                    "code": "233258006",
                    "display": "Balloon angioplasty of artery"
                }
            ],
            "text": "Previous balloon angioplasty on mid-LAD stenosis with STENT Implantation"
        },
        "subject": {
            "reference": "Patient/8a215a7f-2428-45fd-9ed2-88ec672d5158",
            "display": "Alexander Heig (inject 39-07)"
        },
        "performedPeriod": {
            "extension": [
                {
                    "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                    "valueCode": "unknown"
                }
            ]
        }
    }
    }
    ],
    "identifier": {
    "system": "https://demo.kodjin.com/fhir",
    "value": "e3bc6841-a180-4167-9c6f-fb509e8e5ab0"
    },
    "id": "e3bc6841-a180-4167-9c6f-fb509e8e5ab0",
    "language": "en-GB",
    "timestamp": "2024-04-22T17:17:07.574079385+00:00",
    "meta": {
    "profile": [
    "https://standards.digital.health.nz/fhir/StructureDefinition/nzps-bundle"
    ]
    }
    }

Try opearion $summary with our Kodjin FHIR Server Postman Collection