Da Vinci - Payer Coverage Decision Exchange (PCDE)
1.0.0 - STU 1

Da Vinci - Payer Coverage Decision Exchange (PCDE), published by HL7 International - Financial Management Work Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/davinci-pcde/ and changes regularly. See the Directory of published versions

## : PCDE Document example - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="pcde-document"/>
      <meta>
        <lastUpdated value="2019-07-21T11:01:00+05:00"/>
      </meta>
      <identifier>
        <system value="http://originalinsuranceinc.com/documentIDs"/>
        <value value="A12345"/>
      </identifier>
      <type value="document"/>
      <timestamp value="2019-07-21T11:01:00+05:00"/>
      <entry>
        <fullUrl value="http://originalinsuranceinc.com/fhir/Composition/1"/>
        <resource>
          <Composition>
            <id value="1"/>
            <meta>
            <!--  There's no expectation that most instances would declare a profile.  It's done here to help with publishing validation  -->
              <profile
                       value="http://hl7.org/fhir/us/davinci-pcde/StructureDefinition/profile-composition"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Composition</b></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 Composition "1" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-profile-composition.html">PCDE Coverage Transition Composition Profile</a></p></div><p><b>status</b>: final</p><p><b>type</b>: Coverage Transition Document <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-PCDEtempCodes.html">PCDE Temporary Codes</a>#pcde)</span></p><p><b>date</b>: 2019-07-21 11:09:00+0700</p><p><b>author</b>: <a href="#Practitioner_1">See above (Practitioner/1)</a></p><p><b>title</b>: Coverage Decision Exchange Document (Joe Smith, 2019-07-21)</p><h3>Events</h3><table class="grid"><tr><td>-</td><td><b>Detail</b></td></tr><tr><td>*</td><td><a href="#Coverage_1">See above (Coverage/1)</a></td></tr></table></div>
            </text>
            <status value="final"/>
            <type>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes"/>
                <code value="pcde"/>
              </coding>
            </type>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <date value="2019-07-21T23:09:00+07:00"/>
            <author>
              <reference value="Practitioner/1"/>
            </author>
            <title
                   value="Coverage Decision Exchange Document (Joe Smith, 2019-07-21)"/>
            <event>
              <detail>
                <reference value="Coverage/1"/>
              </detail>
            </event>
            <section>
              <title value="Active Treatments"/>
              <code>
                <coding>
                  <system
                          value="http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes"/>
                  <code value="activeTreatment"/>
                </coding>
              </code>
              <section>
                <title value="Consulation re: MCI"/>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes"/>
                    <code value="treatment"/>
                  </coding>
                </code>
                <entry>
                  <reference value="CarePlan/1"/>
                </entry>
              </section>
              <section>
                <title value="Prior coverage"/>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes"/>
                    <code value="priorCoverage"/>
                  </coding>
                </code>
                <entry>
                  <reference value="Claim/1"/>
                </entry>
                <entry>
                  <reference value="ClaimResponse/1"/>
                </entry>
              </section>
              <section>
                <title value="Supporting information"/>
                <code>
                  <coding>
                    <system
                            value="http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes"/>
                    <code value="supportingInfo"/>
                  </coding>
                </code>
                <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                                    Joe Smith is a subscriber to Maryland Capital Insurance Company. During a regular physical, Dr. James Gardener, Joe’s primary care physician, diagnosed a potential heart problem, acute myocardial infarction; unspecified site.
                                    Dr. Gardener had referred Joe to Dr. Susan Watson, a cardiologist for a consultation.
                                    During the consultation examination, Dr. Watson determined that Joe’s diagnosis requires hospitalization and a surgical procedure, a triple bypass venous graft.
                                    The operation and recovery was at Montgomery Hospital.
                                </div>
                </text>
                <entry>
                  <reference value="DocumentReference/1"/>
                </entry>
              </section>
            </section>
          </Composition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://originalinsuranceinc.com/fhir/Patient/1"/>
        <resource>
          <Patient>
            <id value="1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b></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 Patient "1" </p></div><p><b>identifier</b>: id: 444222222</p><p><b>name</b>: JOE SMITH </p><p><b>gender</b>: male</p></div>
            </text>
            <identifier>
              <system
                      value="http://originalinsuranceinc.com/fhir/NamingSystem/client-ids"/>
              <value value="444222222"/>
            </identifier>
            <name>
              <family value="SMITH"/>
              <given value="JOE"/>
            </name>
            <gender value="male"/>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://originalinsuranceinc.com/fhir/Coverage/1"/>
        <resource>
          <Coverage>
            <id value="1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Coverage</b></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 Coverage "1" </p></div><p><b>status</b>: active</p><p><b>subscriberId</b>: 12345678</p><p><b>beneficiary</b>: <a href="#Patient_1">See above (Patient/1)</a></p><p><b>payor</b>: <a href="#Organization_1">See above (Organization/1)</a></p></div>
            </text>
            <status value="active"/>
            <subscriberId value="12345678"/>
            <beneficiary>
              <reference value="Patient/1"/>
            </beneficiary>
            <payor>
              <reference value="Organization/1"/>
            </payor>
          </Coverage>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://originalinsuranceinc.com/fhir/Organization/1"/>
        <resource>
          <Organization>
            <id value="1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b></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 Organization "1" </p></div><p><b>identifier</b>: id: 789312</p><p><b>active</b>: true</p><p><b>name</b>: MARYLAND CAPITAL INSURANCE COMPANY</p></div>
            </text>
            <identifier>
              <system value="http://originalinsuranceinc.com/fhir/NamingSystem/ETIN"/>
              <value value="789312"/>
            </identifier>
            <active value="true"/>
            <name value="MARYLAND CAPITAL INSURANCE COMPANY"/>
          </Organization>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://originalinsuranceinc.com/fhir/CarePlan/1"/>
        <resource>
          <CarePlan>
            <id value="1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: CarePlan</b></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 CarePlan "1" </p></div><p><b>instantiatesUri</b>: <a href="http://originalinsuranceinc.com/consultReviewURI">http://originalinsuranceinc.com/consultReviewURI</a></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>category</b>: Assessment and Plan of Treatment <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-careplan-category.html">US Core CarePlan Category Extension Codes</a>#assess-plan)</span></p><p><b>subject</b>: <a href="#Patient_1">See above (Patient/1)</a></p><blockquote><p><b>activity</b></p><h3>Details</h3><table class="grid"><tr><td>-</td><td><b>Code</b></td><td><b>ReasonReference</b></td><td><b>Status</b></td></tr><tr><td>*</td><td>Consultation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (SERVICE_TYPE_CODE#3)</span></td><td><a href="#Condition_1">See above (Condition/1)</a></td><td>in-progress</td></tr></table></blockquote></div>
            </text>
            <instantiatesUri
                             value="http://originalinsuranceinc.com/consultReviewURI"/>
            <status value="active"/>
            <intent value="plan"/>
            <category>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/core/CodeSystem/careplan-category"/>
                <code value="assess-plan"/>
              </coding>
            </category>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <activity>
              <detail>
                <code>
                  <coding>
                    <system value="http://example.org/SERVICE_TYPE_CODE"/>
                    <code value="3"/>
                    <display value="Consultation"/>
                  </coding>
                </code>
                <reasonReference>
                  <reference value="Condition/1"/>
                </reasonReference>
                <status value="in-progress"/>
              </detail>
            </activity>
          </CarePlan>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://originalinsuranceinc.com/fhir/Claim/1"/>
        <resource>
          <Claim>
            <id value="1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Claim</b></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 Claim "1" </p></div><p><b>identifier</b>: id: 111099</p><p><b>status</b>: active</p><p><b>type</b>: Professional <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-claim-type.html">Claim Type Codes</a>#professional)</span></p><p><b>use</b>: preauthorization</p><p><b>patient</b>: <a href="#Patient_1">See above (Patient/1)</a></p><p><b>created</b>: 2019-07-20</p><p><b>insurer</b>: <a href="#Organization_1">See above (Organization/1)</a></p><p><b>provider</b>: <a href="http://example.org/fhir/Organization/provider">http://example.org/fhir/Organization/provider</a></p><p><b>priority</b>: Normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-processpriority.html">Process Priority Codes</a>#normal)</span></p><h3>CareTeams</h3><table class="grid"><tr><td>-</td><td><b>Sequence</b></td><td><b>Provider</b></td></tr><tr><td>*</td><td>1</td><td><a href="http://example.org/fhir/Organization/provider">http://example.org/fhir/Organization/provider</a></td></tr></table><h3>Diagnoses</h3><table class="grid"><tr><td>-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td>*</td><td>1</td><td>Chronic pain syndrome <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#G89.4)</span></td></tr></table><h3>Insurances</h3><table class="grid"><tr><td>-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td>*</td><td>1</td><td>true</td><td><a href="#Coverage_1">See above (Coverage/1)</a></td></tr></table><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>CareTeamSequence</b></td><td><b>DiagnosisSequence</b></td><td><b>ProductOrService</b></td><td><b>Location[x]</b></td></tr><tr><td>*</td><td>, , </td><td>1</td><td>1</td><td>1</td><td>Consultation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (1365#3)</span></td><td>11 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-CMSPlaceofServiceCodes.html">CMS Place of Service Codes (POS)</a>#11)</span></td></tr></table></div>
            </text>
            <identifier>
              <system value="http://example.org/PATIENT_EVENT_TRACE_NUMBER"/>
              <value value="111099"/>
              <assigner>
                <identifier>
                  <system value="http://example.org/USER_ASSIGNED"/>
                  <value value="9012345678"/>
                </identifier>
              </assigner>
            </identifier>
            <status value="active"/>
            <type>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
                <code value="professional"/>
              </coding>
            </type>
            <use value="preauthorization"/>
            <patient>
              <reference value="Patient/1"/>
            </patient>
            <created value="2019-07-20"/>
            <insurer>
              <reference value="Organization/1"/>
            </insurer>
            <provider>
              <reference value="http://example.org/fhir/Organization/provider"/>
            </provider>
            <priority>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/processpriority"/>
                <code value="normal"/>
                <display value="Normal"/>
              </coding>
            </priority>
            <careTeam>
              <sequence value="1"/>
              <provider>
                <reference value="http://example.org/fhir/Organization/provider"/>
              </provider>
            </careTeam>
            <diagnosis>
              <sequence value="1"/>
              <diagnosisCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
                  <code value="G89.4"/>
                </coding>
              </diagnosisCodeableConcept>
            </diagnosis>
            <insurance>
              <sequence value="1"/>
              <focal value="true"/>
              <coverage>
                <reference value="Coverage/1"/>
              </coverage>
            </insurance>
            <item>
              <extension
                         url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://codesystem.x12.org/005010/1525"/>
                    <code value="SC"/>
                    <display value="Specialty Care Review"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://codesystem.x12.org/005010/1322"/>
                    <code value="I"/>
                    <display value="Initial"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService">
                <valueReference>
                  <reference value="ServiceRequest/1"/>
                </valueReference>
              </extension>
              <sequence value="1"/>
              <careTeamSequence value="1"/>
              <diagnosisSequence value="1"/>
              <productOrService>
                <coding>
                  <system value="http://codesystem.x12.org/005010/1365"/>
                  <code value="3"/>
                  <display value="Consultation"/>
                </coding>
              </productOrService>
              <locationCodeableConcept>
                <coding>
                  <system
                          value="https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set"/>
                  <code value="11"/>
                </coding>
              </locationCodeableConcept>
            </item>
          </Claim>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://originalinsuranceinc.com/fhir/ClaimResponse/1"/>
        <resource>
          <ClaimResponse>
            <id value="1"/>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ClaimResponse</b></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 ClaimResponse "1" </p></div><p><b>identifier</b>: id: 111099</p><p><b>status</b>: active</p><p><b>type</b>: Professional <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-claim-type.html">Claim Type Codes</a>#professional)</span></p><p><b>use</b>: preauthorization</p><p><b>patient</b>: <a href="#Patient_1">See above (Patient/1)</a></p><p><b>created</b>: 2019-07-20</p><p><b>insurer</b>: <a href="#Organization_1">See above (Organization/1)</a></p><p><b>requestor</b>: <a href="http://example.org/fhir/Organization/provider">http://example.org/fhir/Organization/provider</a></p><p><b>outcome</b>: complete</p><blockquote><p><b>item</b></p><blockquote><p><b>ReviewAction</b></p><p><b>value</b>: AUTH0001</p><p><b>value</b>: Certified in total <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (306#A1)</span></p></blockquote><p><b>AuthorizedDate</b>: 2005-05-02 --&gt; 2005-06-02</p><p><b>itemSequence</b>: 1</p><h3>Adjudications</h3><table class="grid"><tr><td>-</td><td><b>Category</b></td></tr><tr><td>*</td><td>Submitted Amount <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-adjudication.html">Adjudication Value Codes</a>#submitted)</span></td></tr></table></blockquote></div>
            </text>
            <identifier>
              <system value="http://example.org/PATIENT_EVENT_TRACE_NUMBER"/>
              <value value="111099"/>
              <assigner>
                <identifier>
                  <system value="http://example.org/USER_ASSIGNED"/>
                  <value value="9012345678"/>
                </identifier>
              </assigner>
            </identifier>
            <status value="active"/>
            <type>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
                <code value="professional"/>
              </coding>
            </type>
            <use value="preauthorization"/>
            <patient>
              <reference value="Patient/1"/>
            </patient>
            <created value="2019-07-20"/>
            <insurer>
              <reference value="Organization/1"/>
            </insurer>
            <requestor>
              <reference value="http://example.org/fhir/Organization/provider"/>
            </requestor>
            <outcome value="complete"/>
            <item>
              <extension
                         url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction">
                <extension url="number">
                  <valueString value="AUTH0001"/>
                </extension>
                <extension
                           url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionCode">
                  <valueCodeableConcept>
                    <coding>
                      <system value="http://codesystem.x12.org/005010/306"/>
                      <code value="A1"/>
                      <display value="Certified in total"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
              </extension>
              <extension
                         url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDate">
                <valuePeriod>
                  <start value="2005-05-02"/>
                  <end value="2005-06-02"/>
                </valuePeriod>
              </extension>
              <itemSequence value="1"/>
              <adjudication>
                <category>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/adjudication"/>
                    <code value="submitted"/>
                  </coding>
                </category>
              </adjudication>
            </item>
          </ClaimResponse>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://originalinsuranceinc.com/fhir/Practitioner/1"/>
        <resource>
          <Practitioner>
            <id value="1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Practitioner</b></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 Practitioner "1" </p></div><p><b>identifier</b>: id: 8189991234</p><p><b>name</b>: JAMES GARDENER </p></div>
            </text>
            <identifier>
              <system value="http://originalinsuranceinc.com/fhir/NamingSystem/ETIN"/>
              <value value="8189991234"/>
            </identifier>
            <name>
              <family value="GARDENER"/>
              <given value="JAMES"/>
            </name>
          </Practitioner>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://originalinsuranceinc.com/fhir/ServiceRequest/1"/>
        <resource>
          <ServiceRequest>
            <id value="1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ServiceRequest</b></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 ServiceRequest "1" </p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>code</b>: Consultation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (1365#3)</span></p><p><b>quantity</b>: 1 VS</p><p><b>subject</b>: <a href="#Patient_1">See above (Patient/1)</a></p><p><b>performer</b>: <a href="#PractitionerRole_1">See above (PractitionerRole/1)</a></p></div>
            </text>
            <status value="active"/>
            <intent value="order"/>
            <code>
              <coding>
                <system value="http://codesystem.x12.org/005010/1365"/>
                <code value="3"/>
                <display value="Consultation"/>
              </coding>
            </code>
            <quantityQuantity>
              <value value="1"/>
              <unit value="VS"/>
            </quantityQuantity>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <reference value="PractitionerRole/1"/>
            </performer>
          </ServiceRequest>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://originalinsuranceinc.com/fhir/Condition/1"/>
        <resource>
          <Condition>
            <id value="1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Condition</b></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 "1" </p></div><p><b>category</b>: Encounter Diagnosis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>code</b>: Acute myocardial infarction of unspecified site, episode of care unspecified <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (icd-9-cm#410.90)</span></p><p><b>subject</b>: <a href="#Patient_1">See above (Patient/1)</a></p><p><b>recordedDate</b>: 2005-04-30</p></div>
            </text>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                <code value="encounter-diagnosis"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-9-cm"/>
                <code value="410.90"/>
              </coding>
            </code>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <recordedDate value="2005-04-30"/>
          </Condition>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://originalinsuranceinc.com/fhir/PractitionerRole/1"/>
        <resource>
          <PractitionerRole>
            <id value="1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: PractitionerRole</b></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 PractitionerRole "1" </p></div><p><b>practitioner</b>: <a href="#Practitioner_2">See above (Practitioner/2)</a></p><p><b>code</b>: Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (ENTITY_IDENTIFIER_CODE#1P)</span></p></div>
            </text>
            <practitioner>
              <reference value="Practitioner/2"/>
            </practitioner>
            <code>
              <coding>
                <system
                        value="http://example.org/fhir/NamingSystem/ENTITY_IDENTIFIER_CODE"/>
                <code value="1P"/>
                <display value="Provider"/>
              </coding>
            </code>
          </PractitionerRole>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://originalinsuranceinc.com/fhir/Practitioner/2"/>
        <resource>
          <Practitioner>
            <id value="2"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Practitioner</b></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 Practitioner "2" </p></div><p><b>identifier</b>: id: 987654321</p><p><b>name</b>: SUSAN WATSON </p><p><b>telecom</b>: ph: 4029993456</p></div>
            </text>
            <identifier>
              <system
                      value="http://originalinsuranceinc.com/fhir/NamingSystem/practitioner-id"/>
              <value value="987654321"/>
            </identifier>
            <name>
              <family value="WATSON"/>
              <given value="SUSAN"/>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="4029993456"/>
            </telecom>
          </Practitioner>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://originalinsuranceinc.com/fhir/DocumentReference/1"/>
        <resource>
          <DocumentReference>
            <id value="1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: DocumentReference</b></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 DocumentReference "1" </p></div><p><b>status</b>: current</p><p><b>docStatus</b>: final</p><p><b>type</b>: Discharge summary <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#18842-5)</span></p><p><b>subject</b>: <a href="#Patient_1">See above (Patient/1)</a></p><p><b>author</b>: <a href="#Practitioner_1">See above (Practitioner/1)</a></p><blockquote><p><b>content</b></p></blockquote></div>
            </text>
            <status value="current"/>
            <docStatus value="final"/>
            <type>
              <coding>
                <system value="http://loinc.org"/>
                <code value="18842-5"/>
              </coding>
            </type>
            <subject>
              <reference value="Patient/1"/>
            </subject>
            <author>
              <reference value="Practitioner/1"/>
            </author>
            <content>
              <attachment>
                <url
                     value="http://originalinsuranceinc.com/fhir/Binary/DischargeSummaryDocument"/>
              </attachment>
            </content>
          </DocumentReference>
        </resource>
      </entry>
    </Bundle>