Generated Narrative: Bundle admit-notification-intermediate-transmit-bundle

Bundle admit-notification-intermediate-transmit-bundle of type message

Entry 1 - fullUrl = urn:uuid:2f5fb9f0-e103-11ea-a0c8-0aa89ff15e09

Resource MessageHeader:

Generated Narrative: MessageHeader 2f5fb9f0-e103-11ea-a0c8-0aa89ff15e09

event: Da Vinci Event CodeSystem Notification notification-admit: Admit Notification

Destinations

-	Name
*	My Destination

sender: Da Vinci Intermediary

author: Dr. Janeth814 Jakubowski832

Sources

-	Name	Software	Version	Contact
*	Da Vinci Intermediary Source Application	Acme Patient Manager	3.1.45.AABB	+1-800-555-5555

responsible: HOLY FAMILY HOSPITAL

focus: Admit Notification(Unknown (qualifier value))

Entry 2 - fullUrl = urn:uuid:2f5fddea-e103-11ea-a0c8-0aa89ff15e09

Resource Provenance:

Generated Narrative: Provenance 2f5fddea-e103-11ea-a0c8-0aa89ff15e09

Provenance for Bundle: type = message; timestamp = 2020-08-18 03:30:38+0000

Summary

Recorded	2020-08-18 03:30:38+0000
Activity	Forward the message bundle

Agents

Type	who	On Behalf Of
Author	Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000	Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000
Transmitter	Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000

Entry 3 - fullUrl = urn:uuid:5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82

Resource Encounter:

Generated Narrative: Encounter 5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82

version: 54; Last updated: 2020-04-28 21:32:21+0000;

Information Source: #DlfWMd7j9EX8TaLI

identifier: http://example.org/Elden718Halvorson12420181021T2122150700

status: In Progress

class: emergency

type: Unknown (qualifier value)

subject: Mr. Elden718 Halvorson124

serviceProvider: HOLY FAMILY HOSPITAL

participant

Locations

-	Location
*	HOLY FAMILY HOSPITAL

Entry 4 - fullUrl = urn:uuid:06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b

Resource Patient:

Generated Narrative: Patient 06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b

version: 4; Last updated: 2020-04-28 20:27:52+0000;

Information Source: #pPvYTutotnO7vQfK

Elden718 Halvorson124 (official) Male, DoB: 2000-10-15 ( https://github.com/synthetichealth/synthea#06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b)

---

Marital Status:	Never Married	Multiple Birth:	false
Other Ids:	Medical Record Number/06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b Social Security Number/999-87-1037 Driver's License/S99952689
Contact Detail	ph: 555-903-1143(Home) 715 Crona Corner Methuen MA 01844 US
Language:	English
US Core Ethnicity Extension:	ombCategory: Race & Ethnicity - CDC 2186-5: Not Hispanic or Latino text: Not Hispanic or Latino
Patient Mother's Maiden Name	Marge692 Yost751
Patient Birth Place	Rockland Massachusetts US
US Core Birth Sex Extension	M
US Core Race Extension:	ombCategory: Race & Ethnicity - CDC 2106-3: White text: White

Entry 5 - fullUrl = urn:uuid:09188b81-0d1d-453c-b0fa-203ef88c794c

Resource Location:

Generated Narrative: Location 09188b81-0d1d-453c-b0fa-203ef88c794c

version: 4; Last updated: 2020-04-28 20:27:53+0000;

Information Source: #pPvYTutotnO7vQfK

status: Active

name: HOLY FAMILY HOSPITAL

address: 70 EAST STREET METHUEN MA 01844 US

Positions

-	Longitude	Latitude
*	-71.178588	42.742751

managingOrganization: HOLY FAMILY HOSPITAL

Entry 6 - fullUrl = urn:uuid:0000016f-57cb-cdac-0000-00000000014a

Resource Practitioner:

Generated Narrative: Practitioner 0000016f-57cb-cdac-0000-00000000014a

version: 4; Last updated: 2020-04-28 20:27:53+0000;

Information Source: #pPvYTutotnO7vQfK

identifier: United States National Provider Identifier/9999999995

active: true

name: Janeth814 Jakubowski832

telecom: Janeth814.Jakubowski832@example.com

gender: Female

address: 70 EAST STREET METHUEN MA 01844 US

Entry 7 - fullUrl = urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983

Resource Organization:

Generated Narrative: Organization a9f20dc1-5147-3789-bcef-bbecb41c5983

version: 4; Last updated: 2020-04-28 20:27:52+0000;

Information Source: #pPvYTutotnO7vQfK

identifier: https://github.com/synthetichealth/synthea/a9f20dc1-5147-3789-bcef-bbecb41c5983, United States National Provider Identifier/9941339100

active: true

type: Healthcare Provider

name: HOLY FAMILY HOSPITAL

Contacts

-	Telecom	Address
*	ph: 9786870156	70 EAST STREET METHUEN MA 01844 US

Entry 8 - fullUrl = urn:uuid:4ac41715-fcbd-421c-8796-9b2c9706dd3f

Resource Condition:

Generated Narrative: Condition 4ac41715-fcbd-421c-8796-9b2c9706dd3f

version: 10; Last updated: 2020-04-28 20:28:00+0000;

Information Source: #cabiJIK51sD2iz4N

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: Examplitis

subject: Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000

encounter: Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000

onset: 2018-10-21 21:22:15-0700

recordedDate: 2018-10-21 21:22:15-0700

Entry 9 - fullUrl = urn:uuid:cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172

Resource Coverage:

Generated Narrative: Coverage cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172

version: 10; Last updated: 2020-04-28 20:27:52+0000;

Information Source: #pPvYTutotnO7vQfK

status: Active

type: Blue Cross Blue Shield

subscriberId: 12345

beneficiary: Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000

relationship: Self

Entry 10 - fullUrl = urn:uuid:cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172

Resource Organization:

Generated Narrative: Organization cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172

version: 10; Last updated: 2020-04-28 20:27:53+0000;

Information Source: #pPvYTutotnO7vQfK

identifier: United States National Provider Identifier/0000010005

active: true

name: Blue Cross Blue Shield

Contacts

-	Telecom	Address
*	ph: 1-800-262-2583(Work)	Michigan Plaza Chicago IL 60007

Entry 11 - fullUrl = urn:uuid:4f7c997a-d6a4-11ea-814c-b5baa7182d44

Resource Organization:

Generated Narrative: Organization 4f7c997a-d6a4-11ea-814c-b5baa7182d44

identifier: United States National Provider Identifier/0000010005

active: true

name: Da Vinci Intermediary

Contacts

-	Telecom	Address
*	ph: 1-800-555-5555(Work)	1 Main Chicago IL 60007