Da Vinci Unsolicited Notifications
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Da Vinci Unsolicited Notifications, published by HL7 International / Infrastructure And Messaging. This guide is not an authorized publication; it is the continuous build for version 1.1.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-alerts/ and changes regularly. See the Directory of published versions

Admit/Discharge/Transfer Use Case

Page standards status: Trial-use

Introduction

This use case demonstrates how the Da Vinci Notifications IG framework is used to define the Da Vinci Notification Bundle for admissions, transfers, and discharges and how to send a notification between a Sender and a Recipient/Intermediary.

Use Case Background

The intent of this use case is to focus on the beginning and end of patient encounters. The following list illustrates the type of events that this use case covers.1

  • admission to the emergency department
  • admission to a hospital or equivalent facility as an inpatient
  • admission to to a health care facility for a predetermined length of time, usually less than 24 hours
  • admission to a hospital or equivalent facility for observation
  • admission to a healthcare facility on a nonresident basis for example, for an outpatient medical procedure or surgery
  • transfer from the emergency room to an inpatient status
  • discharge to the patient's home environment
  • discharge or transfer to a long-term care facility
  • discharge or transfer to a post-acute care rehabilitation facility
  • notification that the patient expired during the encounter

Having the ability to send notifications to update physicians and care management teams when a patient has a significant encounters (such as inpatient, ER visits, surgery etc.) is key to improving patient care. The intent of these notifications is not to replace existing data exchange mechanisms, for example the discharge summary; but rather to notify of the event and provide enough data to gather more information, if desired. These notifications improve post-discharge transitions, promote communication between providers and encourage follow up care. The expectation for this use case is that the business rules for triggering the notification is the same that is used for an HL7 V2 ADT A01 message. Figure 6 illustrates how some of the admit, transfer and discharge data elements corresponded to the resource in the message bundle.

Transfer notifications should only be used if:

  • Your organization calls it a "transfer" when the patient moves from the emergency room to an inpatient status
  • Your organizations calls it a "transfer" when a patient moves from inpatient to another facility like an inpatient rehab facility.

You should not use transfer notifications:

  • If your facility only uses admit and discharge transactions for the above scenarios
  • For bed changes within the same facility, i.e. ICU to a step-down.
Figure 6
bundle_graphic.svg

FHIR Resources for Admission, Transfer, and Discharge Notifications

To carry information regarding admission, transfer, and discharge event messages, the required resources for the message Bundle need to be defined. The core components of the Bundle are defined in the Framework page and include the MessageHeader and the "root" resource represented by the MessageHeader.focus. For admission, transfer and discharge, the Encounter is the focus of the event as shown in igure 7. For this scenario, the Da Vinci Admit/Discharge/Transfer Notification Encounter Profile - which is based on the US Core Encounter Profile - is used:

Figure 7
admit_message_graph1.svg

The other "required if present" resources defined in the framework are those referenced by MessageHeader.author, MessageHeader.responsible, MessageHeader.sender and those referenced by the Da Vinci Admit/Discharge/Transfer Notification Encounter Profile. These combine to make up a 'generic' Encounter message bundle structure illustrated in Figure 8 below:

Figure 8
admit_message_graph2.svg

The following additional resources (or rather profiles) have been determined to be "required if present" by the Da Vinci community to fulfill the data item requirements specific to admissions and discharge.

  • US Core Condition Encounter Diagnosis Profile
  • Da Vinci Admit/Discharge/Transfer Notification Coverage

Adding these additional components results in the following resource graph showing all the required resources and their relationships for the admission and discharge notification use case shown in Figure 9:

Figure 9
admit_message_graph3.svg

An alternate representation of this graph is a table with each row representing an "edge" - an ordered pair of the form (source profile, target profile):

Link Source Profile Path Target Profile Min Max
1 Da Vinci Notification MessageHeader Profile MessageHeader.focus Da Vinci Admit/Discharge/Transfer Notification Encounter Profile 1 1
2 Da Vinci Admit/Discharge/Transfer Notification Encounter Profile Encounter.location US Core Location Profile 1 *
3 Da Vinci Admit/Discharge/Transfer Notification Encounter Profile Encounter.participant.individual US Core Practitioner Profile 0 *
4 Da Vinci Admit/Discharge/Transfer Notification Encounter Profile Encounter.subject US Core Patient Profile 1 1
5 Da Vinci Admit/Discharge/Transfer Notification Coverage Profile Coverage.beneficary US Core Patient Profile 0 1
6 US Core Condition Encounter Diagnosis Profile Condition.encounter Da Vinci Admit/Discharge/Transfer Notification Encounter Profile 0 *
7 Da Vinci Notification MessageHeader Profile MessageHeader.sender US Core Practitioner Profile|US Core PractitionerRole Profile|US Core Organization Profile 0 1
8 Da Vinci Notification MessageHeader Profile MessageHeader.responsible US Core Practitioner Profile|US Core PractitionerRole Profile|US Core Organization Profile 0 1
9 Da Vinci Notification MessageHeader Profile MessageHeader.author US Core Practitioner Profile|US Core PractitionerRole Profile 0 1

Note that an Admit/Discharge/Transfer Bundle may contain more or less resources than this graph illustrates since:
a) having additional resources in the message bundle is not prohibited as long as the resources are reference by or reference another resource in the message bundle and
b) not all the resources listed above may be present in the source system. For example, including a diagnosis on an admit/transfer/discharge notification allows the recipient to determine if additional action is required, but an encounter diagnosis may not be available until well after discharge. (For a more detailed discussion of when required resources may be absent, see the section on Must Support)

Admit/Discharge/Transfer Message Profiles

The following FHIR Profiles can be used to formally define this resource graph for the admission, transfer, and discharge events. Note that except for the first profile listed below, these profiles constrain their references to other profiles within the same bundle.

Examples

Da Vinci Notification Bundles such as these examples can be assembled based on any of the above definitions.

  • Bundle/admit-notification-intermediate-translate-bundle
  • Bundle/admit-notification-intermediate-transmit-bundle
  • Bundle/admit-notification-message-bundle-01
  • Bundle/admit-notification-message-bundle-02
  • Bundle/discharge-notification-message-bundle-01
  • Bundle/transfer-notification-message-bundle-01

    • Pushing Unsolicited Admit/Discharge/Transfer Notification

    In the interaction shown in Figure 10, the HealthCare facility is acting in the role of the Notification Sender and the Notification Recipient can be any of the actors listed on the home page. To notify the Notification Recipients/Intermediary of an admit or discharge event, the Notification Sender uses $process-message operation to submit the Notification Message to appropriate FHIR endpoints. Not shown in Figure 10 is that when the Intermediary successfully receives and processes the notifications, it subsequently forwards the data to the end users.

    Figure 10
    $process_message_admit_wf.svg

    Example Transactions

    The following example transactions show examples of using the $process-message operation to send a notification messages.

    Examples

    Scenario:

    'Patient Y has been admitted to Provider X 's facility. Acting in the role of Sender, Provider X alerts Payer Z, who is acting in the Recipient role, of the admission. The Notification is transacted as the [$process-message] operation. The body of the operation is a Message Bundle containing:'

    1. The Message Header which is the first resource in the bundle and contains the the message event code - that identifies the nature of the notification.
    2. The other resources in the bundle depend on the type of the notification use case and may be defined by FHIR Profiles.

    An HTTP Status success code is returned on successful submission.

    Push Notification using the $process-message

    POST [base]/$process-message

    Request body

    {
  "resourceType" : "Bundle",
  "id" : "admit-notification-message-bundle-01",
  "type" : "message",
  "timestamp" : "2020-08-17T17:15:12.011868Z",
  "entry" : [{
    "fullUrl" : "urn:uuid:31ab7fe2-e0ad-11ea-bf7c-864d2e68a322",
    "resource" : {
      "resourceType" : "MessageHeader",
      "id" : "31ab7fe2-e0ad-11ea-bf7c-864d2e68a322",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/notifications-messageheader",
        "http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/admit-notification-messageheader"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_31ab7fe2-e0ad-11ea-bf7c-864d2e68a322\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader 31ab7fe2-e0ad-11ea-bf7c-864d2e68a322</b></p><a name=\"31ab7fe2-e0ad-11ea-bf7c-864d2e68a322\"> </a><a name=\"hc31ab7fe2-e0ad-11ea-bf7c-864d2e68a322\"> </a><a name=\"31ab7fe2-e0ad-11ea-bf7c-864d2e68a322-en-US\"> </a><p><b>event</b>: <a href=\"CodeSystem-notification-event.html#notification-event-notification-admit\">Da Vinci Event CodeSystem Notification notification-admit</a>: Admit Notification</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>Intermediary-Simulator</td><td><a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&amp;canonical=https://example.org/Endpoints/DaVinci-Notifications-Intermediary\">https://example.org/Endpoints/DaVinci-Notifications-Intermediary</a></td></tr></table><p><b>sender</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-a9f20dc1-5147-3789-bcef-bbecb41c5983\">HOLY FAMILY HOSPITAL</a></p><p><b>author</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-0000016f-57cb-cdac-0000-00000000014a\">Dr. Janeth814 Jakubowski832</a></p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Software</b></td><td><b>Version</b></td><td><b>Contact</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>Acme Central Patient Registry</td><td>FooBar Patient Manager</td><td>3.1.45.AABB</td><td><a href=\"tel:+1(555)1234567\">+1 (555) 123 4567</a></td><td><a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&amp;canonical=https://example.org/Endpoints/P456\">https://example.org/Endpoints/P456</a></td></tr></table><p><b>responsible</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-a9f20dc1-5147-3789-bcef-bbecb41c5983\">HOLY FAMILY HOSPITAL</a></p><p><b>focus</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\">Admit Notification(Unknown (qualifier value))</a></p></div>"
      },
      "eventCoding" : {
        "system" : "http://hl7.org/fhir/us/davinci-alerts/CodeSystem/notification-event",
        "code" : "notification-admit",
        "display" : "Admit Notification"
      },
      "destination" : [{
        "name" : "Intermediary-Simulator",
        "endpoint" : "https://example.org/Endpoints/DaVinci-Notifications-Intermediary"
      }],
      "sender" : {
        "reference" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
        "display" : "HOLY FAMILY HOSPITAL"
      },
      "author" : {
        "reference" : "urn:uuid:0000016f-57cb-cdac-0000-00000000014a",
        "display" : "Dr. Janeth814 Jakubowski832"
      },
      "source" : {
        "name" : "Acme Central Patient Registry",
        "software" : "FooBar Patient Manager",
        "version" : "3.1.45.AABB",
        "contact" : {
          "system" : "phone",
          "value" : "+1 (555) 123 4567"
        },
        "endpoint" : "https://example.org/Endpoints/P456"
      },
      "responsible" : {
        "reference" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
        "display" : "HOLY FAMILY HOSPITAL"
      },
      "focus" : [{
        "reference" : "urn:uuid:5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82",
        "display" : "Admit Notification(Unknown (qualifier value))"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82",
    "resource" : {
      "resourceType" : "Encounter",
      "id" : "5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82",
      "meta" : {
        "versionId" : "54",
        "lastUpdated" : "2020-04-28T21:32:21.199+00:00",
        "source" : "#DlfWMd7j9EX8TaLI"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter 5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82</b></p><a name=\"5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\"> </a><a name=\"hc5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\"> </a><a name=\"5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82-en-US\"> </a><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\">version: 54; Last updated: 2020-04-28 21:32:21+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #DlfWMd7j9EX8TaLI</p></div><p><b>identifier</b>: <code>http://example.org</code>/Elden718Halvorson12420181021T2122150700</p><p><b>status</b>: In Progress</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActCode.html#v3-ActCode-EMER\">ActCode EMER</a>: emergency</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 261665006}\">Unknown (qualifier value)</span></p><p><b>subject</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\">Mr. Elden718 Halvorson124</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-0000016f-57cb-cdac-0000-00000000014a\">Dr. Janeth814 Jakubowski832</a></td></tr></table><p><b>period</b>: 2018-10-21 21:22:15-0700 --&gt; 2018-10-21 22:22:15-0700</p><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-09188b81-0d1d-453c-b0fa-203ef88c794c\">HOLY FAMILY HOSPITAL</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-a9f20dc1-5147-3789-bcef-bbecb41c5983\">HOLY FAMILY HOSPITAL</a></p></div>"
      },
      "identifier" : [{
        "system" : "http://example.org",
        "value" : "Elden718Halvorson12420181021T2122150700"
      }],
      "status" : "in-progress",
      "class" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "EMER"
      },
      "type" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "261665006",
          "display" : "Unknown (qualifier value)"
        }],
        "text" : "Unknown (qualifier value)"
      }],
      "subject" : {
        "reference" : "urn:uuid:06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b",
        "display" : "Mr. Elden718 Halvorson124"
      },
      "participant" : [{
        "individual" : {
          "reference" : "urn:uuid:0000016f-57cb-cdac-0000-00000000014a",
          "display" : "Dr. Janeth814 Jakubowski832"
        }
      }],
      "period" : {
        "start" : "2018-10-21T21:22:15-07:00",
        "end" : "2018-10-21T22:22:15-07:00"
      },
      "location" : [{
        "location" : {
          "reference" : "urn:uuid:09188b81-0d1d-453c-b0fa-203ef88c794c",
          "display" : "HOLY FAMILY HOSPITAL"
        }
      }],
      "serviceProvider" : {
        "reference" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
        "display" : "HOLY FAMILY HOSPITAL"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2020-04-28T20:27:52.935+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b</b></p><a name=\"06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\"> </a><a name=\"hc06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\"> </a><a name=\"06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b-en-US\"> </a><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\">version: 4; Last updated: 2020-04-28 20:27:52+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Elden718 Halvorson124 (official) Male, DoB: 2000-10-15 ( https://github.com/synthetichealth/synthea#06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus S}\">Never Married</span></td><td style=\"background-color: #f3f5da\" title=\"Known multipleBirth status of Patient\">Multiple Birth:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>Medical Record Number/06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b</li><li>Social Security Number/999-87-1037</li><li>Driver's License/S99952689</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 555-903-1143(Home)</li><li>715 Crona Corner Methuen MA 01844 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en-US}\">English</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2186-5\">Race &amp; Ethnicity - CDC 2186-5</a>: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Mother's maiden (unmarried) name, commonly collected to help verify patient identity.\"><a href=\"http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-mothersMaidenName.html\">Patient Mother's Maiden Name</a></td><td colspan=\"3\">Marge692 Yost751</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.\"><a href=\"http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-birthPlace.html\">Patient Birth Place</a></td><td colspan=\"3\">Rockland Massachusetts US </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*.\"><a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">M</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2106-3\">Race &amp; Ethnicity - CDC 2106-3</a>: White</li><li>text: White</li></ul></td></tr></table></div>"
      },
      "extension" : [{
        "extension" : [{
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2106-3",
            "display" : "White"
          }
        },
        {
          "url" : "text",
          "valueString" : "White"
        }],
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
      },
      {
        "extension" : [{
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2186-5",
            "display" : "Not Hispanic or Latino"
          }
        },
        {
          "url" : "text",
          "valueString" : "Not Hispanic or Latino"
        }],
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
        "valueString" : "Marge692 Yost751"
      },
      {
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
        "valueCode" : "M"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
        "valueAddress" : {
          "city" : "Rockland",
          "state" : "Massachusetts",
          "country" : "US"
        }
      }],
      "identifier" : [{
        "system" : "https://github.com/synthetichealth/synthea",
        "value" : "06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b"
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical Record Number"
          }],
          "text" : "Medical Record Number"
        },
        "system" : "http://hospital.smarthealthit.org",
        "value" : "06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b"
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "SS",
            "display" : "Social Security Number"
          }],
          "text" : "Social Security Number"
        },
        "system" : "http://hl7.org/fhir/sid/us-ssn",
        "value" : "999-87-1037"
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "DL",
            "display" : "Driver's license number"
          }],
          "text" : "Driver's License"
        },
        "system" : "urn:oid:2.16.840.1.113883.4.3.25",
        "value" : "S99952689"
      }],
      "name" : [{
        "use" : "official",
        "family" : "Halvorson124",
        "given" : ["Elden718"],
        "prefix" : ["Mr."]
      }],
      "telecom" : [{
        "system" : "phone",
        "value" : "555-903-1143",
        "use" : "home"
      }],
      "gender" : "male",
      "birthDate" : "2000-10-15",
      "address" : [{
        "extension" : [{
          "extension" : [{
            "url" : "latitude",
            "valueDecimal" : 42.757779285956644
          },
          {
            "url" : "longitude",
            "valueDecimal" : -71.14760946593316
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/geolocation"
        }],
        "line" : ["715 Crona Corner"],
        "city" : "Methuen",
        "state" : "MA",
        "postalCode" : "01844",
        "country" : "US"
      }],
      "maritalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
          "code" : "S",
          "display" : "Never Married"
        }],
        "text" : "Never Married"
      },
      "multipleBirthBoolean" : false,
      "communication" : [{
        "language" : {
          "coding" : [{
            "system" : "urn:ietf:bcp:47",
            "code" : "en-US",
            "display" : "English (Region=United States)"
          }],
          "text" : "English"
        }
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:09188b81-0d1d-453c-b0fa-203ef88c794c",
    "resource" : {
      "resourceType" : "Location",
      "id" : "09188b81-0d1d-453c-b0fa-203ef88c794c",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2020-04-28T20:27:53.156+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_09188b81-0d1d-453c-b0fa-203ef88c794c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location 09188b81-0d1d-453c-b0fa-203ef88c794c</b></p><a name=\"09188b81-0d1d-453c-b0fa-203ef88c794c\"> </a><a name=\"hc09188b81-0d1d-453c-b0fa-203ef88c794c\"> </a><a name=\"09188b81-0d1d-453c-b0fa-203ef88c794c-en-US\"> </a><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\">version: 4; Last updated: 2020-04-28 20:27:53+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>status</b>: Active</p><p><b>name</b>: HOLY FAMILY HOSPITAL</p><p><b>telecom</b>: ph: 9786870156</p><p><b>address</b>: 70 EAST STREET METHUEN MA 01844 US </p><h3>Positions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td style=\"display: none\">*</td><td>-71.178588</td><td>42.742751</td></tr></table><p><b>managingOrganization</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-a9f20dc1-5147-3789-bcef-bbecb41c5983\">HOLY FAMILY HOSPITAL</a></p></div>"
      },
      "status" : "active",
      "name" : "HOLY FAMILY HOSPITAL",
      "telecom" : [{
        "system" : "phone",
        "value" : "9786870156"
      }],
      "address" : {
        "line" : ["70 EAST STREET"],
        "city" : "METHUEN",
        "state" : "MA",
        "postalCode" : "01844",
        "country" : "US"
      },
      "position" : {
        "longitude" : -71.178588,
        "latitude" : 42.742751
      },
      "managingOrganization" : {
        "reference" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
        "display" : "HOLY FAMILY HOSPITAL"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:0000016f-57cb-cdac-0000-00000000014a",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "0000016f-57cb-cdac-0000-00000000014a",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2020-04-28T20:27:53.186+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_0000016f-57cb-cdac-0000-00000000014a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 0000016f-57cb-cdac-0000-00000000014a</b></p><a name=\"0000016f-57cb-cdac-0000-00000000014a\"> </a><a name=\"hc0000016f-57cb-cdac-0000-00000000014a\"> </a><a name=\"0000016f-57cb-cdac-0000-00000000014a-en-US\"> </a><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\">version: 4; Last updated: 2020-04-28 20:27:53+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/9999999995</p><p><b>active</b>: true</p><p><b>name</b>: Janeth814 Jakubowski832 </p><p><b>telecom</b>: <a href=\"mailto:Janeth814.Jakubowski832@example.com\">Janeth814.Jakubowski832@example.com</a></p><p><b>address</b>: 70 EAST STREET METHUEN MA 01844 US </p><p><b>gender</b>: Female</p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "9999999995"
      }],
      "active" : true,
      "name" : [{
        "family" : "Jakubowski832",
        "given" : ["Janeth814"],
        "prefix" : ["Dr."]
      }],
      "telecom" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
          "valueBoolean" : true
        }],
        "system" : "email",
        "value" : "Janeth814.Jakubowski832@example.com",
        "use" : "work"
      }],
      "address" : [{
        "line" : ["70 EAST STREET"],
        "city" : "METHUEN",
        "state" : "MA",
        "postalCode" : "01844",
        "country" : "US"
      }],
      "gender" : "female"
    }
  },
  {
    "fullUrl" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "a9f20dc1-5147-3789-bcef-bbecb41c5983",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2020-04-28T20:27:52.708+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_a9f20dc1-5147-3789-bcef-bbecb41c5983\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization a9f20dc1-5147-3789-bcef-bbecb41c5983</b></p><a name=\"a9f20dc1-5147-3789-bcef-bbecb41c5983\"> </a><a name=\"hca9f20dc1-5147-3789-bcef-bbecb41c5983\"> </a><a name=\"a9f20dc1-5147-3789-bcef-bbecb41c5983-en-US\"> </a><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\">version: 4; Last updated: 2020-04-28 20:27:52+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>identifier</b>: <code>https://github.com/synthetichealth/synthea</code>/a9f20dc1-5147-3789-bcef-bbecb41c5983, <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/9941339100</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: HOLY FAMILY HOSPITAL</p><p><b>telecom</b>: ph: 9786870156</p><p><b>address</b>: 70 EAST STREET METHUEN MA 01844 US </p></div>"
      },
      "identifier" : [{
        "system" : "https://github.com/synthetichealth/synthea",
        "value" : "a9f20dc1-5147-3789-bcef-bbecb41c5983"
      },
      {
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "9941339100"
      }],
      "active" : true,
      "type" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
          "code" : "prov",
          "display" : "Healthcare Provider"
        }],
        "text" : "Healthcare Provider"
      }],
      "name" : "HOLY FAMILY HOSPITAL",
      "telecom" : [{
        "system" : "phone",
        "value" : "9786870156"
      }],
      "address" : [{
        "line" : ["70 EAST STREET"],
        "city" : "METHUEN",
        "state" : "MA",
        "postalCode" : "01844",
        "country" : "US"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:4ac41715-fcbd-421c-8796-9b2c9706dd3f",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "4ac41715-fcbd-421c-8796-9b2c9706dd3f",
      "meta" : {
        "versionId" : "10",
        "lastUpdated" : "2020-04-28T20:28:00.008+00:00",
        "source" : "#cabiJIK51sD2iz4N"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_4ac41715-fcbd-421c-8796-9b2c9706dd3f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition 4ac41715-fcbd-421c-8796-9b2c9706dd3f</b></p><a name=\"4ac41715-fcbd-421c-8796-9b2c9706dd3f\"> </a><a name=\"hc4ac41715-fcbd-421c-8796-9b2c9706dd3f\"> </a><a name=\"4ac41715-fcbd-421c-8796-9b2c9706dd3f-en-US\"> </a><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\">version: 10; Last updated: 2020-04-28 20:28:00+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #cabiJIK51sD2iz4N</p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/conditions 1234}\">Examplitis</span></p><p><b>subject</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\">Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\">Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000</a></p><p><b>onset</b>: 2018-10-21 21:22:15-0700</p><p><b>recordedDate</b>: 2018-10-21 21:22:15-0700</p></div>"
      },
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code" : "active"
        }]
      },
      "verificationStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code" : "confirmed"
        }]
      },
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "encounter-diagnosis",
          "display" : "Encounter Diagnosis"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://example.org/fhir/conditions",
          "code" : "1234",
          "display" : "Examplitis"
        }],
        "text" : "Examplitis"
      },
      "subject" : {
        "reference" : "urn:uuid:06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b"
      },
      "encounter" : {
        "reference" : "urn:uuid:5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82"
      },
      "onsetDateTime" : "2018-10-21T21:22:15-07:00",
      "recordedDate" : "2018-10-21T21:22:15-07:00"
    }
  },
  {
    "fullUrl" : "urn:uuid:cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172",
    "resource" : {
      "resourceType" : "Coverage",
      "id" : "cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172",
      "meta" : {
        "versionId" : "10",
        "lastUpdated" : "2020-04-28T20:27:52.686+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172</b></p><a name=\"cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><a name=\"hccc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><a name=\"cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172-en-US\"> </a><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\">version: 10; Last updated: 2020-04-28 20:27:52+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:\">Blue Cross Blue Shield</span></p><p><b>subscriberId</b>: 12345</p><p><b>beneficiary</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\">Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>payor</b>: <a href=\"Bundle-admit-notification-intermediate-transmit-bundle.html#urn-uuid-cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172\">Blue Cross Blue Shield</a></p></div>"
      },
      "status" : "active",
      "type" : {
        "text" : "Blue Cross Blue Shield"
      },
      "subscriberId" : "12345",
      "beneficiary" : {
        "reference" : "urn:uuid:06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b"
      },
      "relationship" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
          "code" : "self"
        }],
        "text" : "Self"
      },
      "payor" : [{
        "reference" : "urn:uuid:cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172",
        "display" : "Blue Cross Blue Shield"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172",
      "meta" : {
        "versionId" : "10",
        "lastUpdated" : "2020-04-28T20:27:53.069+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172</b></p><a name=\"cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><a name=\"hccc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><a name=\"cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172-en-US\"> </a><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\">version: 10; Last updated: 2020-04-28 20:27:53+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/0000010005</p><p><b>active</b>: true</p><p><b>name</b>: Blue Cross Blue Shield</p><p><b>telecom</b>: ph: 1-800-262-2583(Work)</p><p><b>address</b>: Michigan Plaza Chicago IL 60007 </p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "0000010005"
      }],
      "active" : true,
      "name" : "Blue Cross Blue Shield",
      "telecom" : [{
        "system" : "phone",
        "value" : "1-800-262-2583",
        "use" : "work"
      }],
      "address" : [{
        "line" : ["Michigan Plaza"],
        "city" : "Chicago",
        "state" : "IL",
        "postalCode" : "60007"
      }]
    }
  }]
}

    Response Headers:

    HTTP/1.1 200 OK
[other headers]

    OperationOutcome:

    {
    "id": "intermediary-response",
    "issue": [
        {
            "code": "informational",
            "details": {
                "text": "The message was received and the message has been fully processed"
            },
            "severity": "information"
        }
    ],
    "resourceType": "OperationOutcome",
    "text": {
        "div": "<div><p><b>Operation Outcome for :</b></p><p>All OK</p><table class=\"grid\"><tr><td><b>Severity</b></td><td><b>Location</b></td><td><b>Details</b></td><td><b>Diagnostics</b></td><td><b>Type</b></td></tr><tr><td>information</td><td/><td>The message was received and the message has been fully processed</td><td/><td>informational</td></tr></table></div>",
        "status": "generated"
    }
}


    Examples

    Scenario:

    Patient Y has been moved from the Provider X 's emergency room to an inpatient status. Provider X 's considers this a "transfer" event. Acting in the role of Sender, Provider X alerts Payer Z, who is acting in the Recipient role, of the transfer. The Notification is transacted as the [$process-message] operation. The body of the operation is a Message Bundle containing:

    1. The Message Header which is the first resource in the bundle and contains the the message event code - that identifies the nature of the notification.
    2. The other resources in the bundle depend on the type of the notification use case and may be defined by FHIR Profiles.

    An HTTP Status success code is returned on successful submission.

    Push Notification using the $process-message

    POST [base]/$process-message

    Request body

    {
  "resourceType" : "Bundle",
  "id" : "transfer-notification-message-bundle-01",
  "type" : "message",
  "timestamp" : "2020-08-17T18:57:26.887078Z",
  "entry" : [{
    "fullUrl" : "urn:uuid:7a5df5f4-e0bb-11ea-834a-864d2e68a322",
    "resource" : {
      "resourceType" : "MessageHeader",
      "id" : "7a5df5f4-e0bb-11ea-834a-864d2e68a322",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/notifications-messageheader",
        "http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/transfer-notification-messageheader"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_7a5df5f4-e0bb-11ea-834a-864d2e68a322\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader 7a5df5f4-e0bb-11ea-834a-864d2e68a322</b></p><a name=\"7a5df5f4-e0bb-11ea-834a-864d2e68a322\"> </a><a name=\"hc7a5df5f4-e0bb-11ea-834a-864d2e68a322\"> </a><a name=\"7a5df5f4-e0bb-11ea-834a-864d2e68a322-en-US\"> </a><p><b>event</b>: <a href=\"CodeSystem-notification-event.html#notification-event-notification-transfer\">Da Vinci Event CodeSystem Notification notification-transfer</a>: Transfer Notification</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>Intermediary-Simulator</td><td><a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&amp;canonical=https://example.org/Endpoints/DaVinci-Notifications-Intermediary\">https://example.org/Endpoints/DaVinci-Notifications-Intermediary</a></td></tr></table><p><b>sender</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-a9f20dc1-5147-3789-bcef-bbecb41c5983\">HOLY FAMILY HOSPITAL</a></p><p><b>author</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-0000016f-57cb-cdac-0000-00000000014a\">Dr. Janeth814 Jakubowski832</a></p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Software</b></td><td><b>Version</b></td><td><b>Contact</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>Acme Central Patient Registry</td><td>FooBar Patient Manager</td><td>3.1.45.AABB</td><td><a href=\"tel:+1(555)1234567\">+1 (555) 123 4567</a></td><td><a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&amp;canonical=https://example.org/Endpoints/P456\">https://example.org/Endpoints/P456</a></td></tr></table><p><b>responsible</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-a9f20dc1-5147-3789-bcef-bbecb41c5983\">HOLY FAMILY HOSPITAL</a></p><p><b>focus</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\">Transfer Notification(Examplotomy Encounter)</a></p></div>"
      },
      "eventCoding" : {
        "system" : "http://hl7.org/fhir/us/davinci-alerts/CodeSystem/notification-event",
        "code" : "notification-transfer",
        "display" : "Transfer Notification"
      },
      "destination" : [{
        "name" : "Intermediary-Simulator",
        "endpoint" : "https://example.org/Endpoints/DaVinci-Notifications-Intermediary"
      }],
      "sender" : {
        "reference" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
        "display" : "HOLY FAMILY HOSPITAL"
      },
      "author" : {
        "reference" : "urn:uuid:0000016f-57cb-cdac-0000-00000000014a",
        "display" : "Dr. Janeth814 Jakubowski832"
      },
      "source" : {
        "name" : "Acme Central Patient Registry",
        "software" : "FooBar Patient Manager",
        "version" : "3.1.45.AABB",
        "contact" : {
          "system" : "phone",
          "value" : "+1 (555) 123 4567"
        },
        "endpoint" : "https://example.org/Endpoints/P456"
      },
      "responsible" : {
        "reference" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
        "display" : "HOLY FAMILY HOSPITAL"
      },
      "focus" : [{
        "reference" : "urn:uuid:5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82",
        "display" : "Transfer Notification(Examplotomy Encounter)"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82",
    "resource" : {
      "resourceType" : "Encounter",
      "id" : "5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82",
      "meta" : {
        "versionId" : "55",
        "lastUpdated" : "2020-04-28T21:32:28.234+00:00",
        "source" : "#XuOGgQteQKG8lTEO"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter 5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82</b></p><a name=\"5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\"> </a><a name=\"hc5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\"> </a><a name=\"5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82-en-US\"> </a><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\">version: 55; Last updated: 2020-04-28 21:32:28+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #XuOGgQteQKG8lTEO</p></div><p><b>identifier</b>: <code>http://example.org</code>/Elden718Halvorson12420181021T2122150700</p><p><b>status</b>: In Progress</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode IMP</a>: inpatient encounter</p><p><b>type</b>: <span title=\"Codes:{http://example.org/fhir/encounters 1234}\">Examplotomy Encounter</span></p><p><b>subject</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\">Mr. Elden718 Halvorson124</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-0000016f-57cb-cdac-0000-00000000014a\">Dr. Janeth814 Jakubowski832</a></td></tr></table><p><b>period</b>: 2018-10-21 21:22:15-0700 --&gt; 2018-10-21 22:22:15-0700</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>AdmitSource</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/admit-source emd}\">Transfer from accident/emergency department</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-09188b81-0d1d-453c-b0fa-203ef88c794c\">HOLY FAMILY HOSPITAL</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-a9f20dc1-5147-3789-bcef-bbecb41c5983\">HOLY FAMILY HOSPITAL</a></p></div>"
      },
      "identifier" : [{
        "system" : "http://example.org",
        "value" : "Elden718Halvorson12420181021T2122150700"
      }],
      "status" : "in-progress",
      "class" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "IMP"
      },
      "type" : [{
        "coding" : [{
          "system" : "http://example.org/fhir/encounters",
          "code" : "1234",
          "display" : "Examplotomy Encounter"
        }],
        "text" : "Examplotomy Encounter"
      }],
      "subject" : {
        "reference" : "urn:uuid:06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b",
        "display" : "Mr. Elden718 Halvorson124"
      },
      "participant" : [{
        "individual" : {
          "reference" : "urn:uuid:0000016f-57cb-cdac-0000-00000000014a",
          "display" : "Dr. Janeth814 Jakubowski832"
        }
      }],
      "period" : {
        "start" : "2018-10-21T21:22:15-07:00",
        "end" : "2018-10-21T22:22:15-07:00"
      },
      "hospitalization" : {
        "admitSource" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/admit-source",
            "code" : "emd",
            "display" : "From accident/emergency department"
          }],
          "text" : "Transfer from accident/emergency department"
        }
      },
      "location" : [{
        "location" : {
          "reference" : "urn:uuid:09188b81-0d1d-453c-b0fa-203ef88c794c",
          "display" : "HOLY FAMILY HOSPITAL"
        }
      }],
      "serviceProvider" : {
        "reference" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
        "display" : "HOLY FAMILY HOSPITAL"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2020-04-28T20:27:52.935+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b</b></p><a name=\"06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\"> </a><a name=\"hc06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\"> </a><a name=\"06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b-en-US\"> </a><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\">version: 4; Last updated: 2020-04-28 20:27:52+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Elden718 Halvorson124 (official) Male, DoB: 2000-10-15 ( https://github.com/synthetichealth/synthea#06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus S}\">Never Married</span></td><td style=\"background-color: #f3f5da\" title=\"Known multipleBirth status of Patient\">Multiple Birth:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>Medical Record Number/06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b</li><li>Social Security Number/999-87-1037</li><li>Driver's License/S99952689</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 555-903-1143(Home)</li><li>715 Crona Corner Methuen MA 01844 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en-US}\">English</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2186-5\">Race &amp; Ethnicity - CDC 2186-5</a>: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Mother's maiden (unmarried) name, commonly collected to help verify patient identity.\"><a href=\"http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-mothersMaidenName.html\">Patient Mother's Maiden Name</a></td><td colspan=\"3\">Marge692 Yost751</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.\"><a href=\"http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-birthPlace.html\">Patient Birth Place</a></td><td colspan=\"3\">Rockland Massachusetts US </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*.\"><a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">M</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2106-3\">Race &amp; Ethnicity - CDC 2106-3</a>: White</li><li>text: White</li></ul></td></tr></table></div>"
      },
      "extension" : [{
        "extension" : [{
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2106-3",
            "display" : "White"
          }
        },
        {
          "url" : "text",
          "valueString" : "White"
        }],
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
      },
      {
        "extension" : [{
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2186-5",
            "display" : "Not Hispanic or Latino"
          }
        },
        {
          "url" : "text",
          "valueString" : "Not Hispanic or Latino"
        }],
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
        "valueString" : "Marge692 Yost751"
      },
      {
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
        "valueCode" : "M"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
        "valueAddress" : {
          "city" : "Rockland",
          "state" : "Massachusetts",
          "country" : "US"
        }
      }],
      "identifier" : [{
        "system" : "https://github.com/synthetichealth/synthea",
        "value" : "06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b"
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical Record Number"
          }],
          "text" : "Medical Record Number"
        },
        "system" : "http://hospital.smarthealthit.org",
        "value" : "06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b"
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "SS",
            "display" : "Social Security Number"
          }],
          "text" : "Social Security Number"
        },
        "system" : "http://hl7.org/fhir/sid/us-ssn",
        "value" : "999-87-1037"
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "DL",
            "display" : "Driver's license number"
          }],
          "text" : "Driver's License"
        },
        "system" : "urn:oid:2.16.840.1.113883.4.3.25",
        "value" : "S99952689"
      }],
      "name" : [{
        "use" : "official",
        "family" : "Halvorson124",
        "given" : ["Elden718"],
        "prefix" : ["Mr."]
      }],
      "telecom" : [{
        "system" : "phone",
        "value" : "555-903-1143",
        "use" : "home"
      }],
      "gender" : "male",
      "birthDate" : "2000-10-15",
      "address" : [{
        "extension" : [{
          "extension" : [{
            "url" : "latitude",
            "valueDecimal" : 42.757779285956644
          },
          {
            "url" : "longitude",
            "valueDecimal" : -71.14760946593316
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/geolocation"
        }],
        "line" : ["715 Crona Corner"],
        "city" : "Methuen",
        "state" : "MA",
        "postalCode" : "01844",
        "country" : "US"
      }],
      "maritalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
          "code" : "S",
          "display" : "Never Married"
        }],
        "text" : "Never Married"
      },
      "multipleBirthBoolean" : false,
      "communication" : [{
        "language" : {
          "coding" : [{
            "system" : "urn:ietf:bcp:47",
            "code" : "en-US",
            "display" : "English (Region=United States)"
          }],
          "text" : "English"
        }
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:09188b81-0d1d-453c-b0fa-203ef88c794c",
    "resource" : {
      "resourceType" : "Location",
      "id" : "09188b81-0d1d-453c-b0fa-203ef88c794c",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2020-04-28T20:27:53.156+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_09188b81-0d1d-453c-b0fa-203ef88c794c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location 09188b81-0d1d-453c-b0fa-203ef88c794c</b></p><a name=\"09188b81-0d1d-453c-b0fa-203ef88c794c\"> </a><a name=\"hc09188b81-0d1d-453c-b0fa-203ef88c794c\"> </a><a name=\"09188b81-0d1d-453c-b0fa-203ef88c794c-en-US\"> </a><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\">version: 4; Last updated: 2020-04-28 20:27:53+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>status</b>: Active</p><p><b>name</b>: HOLY FAMILY HOSPITAL</p><p><b>telecom</b>: ph: 9786870156</p><p><b>address</b>: 70 EAST STREET METHUEN MA 01844 US </p><h3>Positions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td style=\"display: none\">*</td><td>-71.178588</td><td>42.742751</td></tr></table><p><b>managingOrganization</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-a9f20dc1-5147-3789-bcef-bbecb41c5983\">HOLY FAMILY HOSPITAL</a></p></div>"
      },
      "status" : "active",
      "name" : "HOLY FAMILY HOSPITAL",
      "telecom" : [{
        "system" : "phone",
        "value" : "9786870156"
      }],
      "address" : {
        "line" : ["70 EAST STREET"],
        "city" : "METHUEN",
        "state" : "MA",
        "postalCode" : "01844",
        "country" : "US"
      },
      "position" : {
        "longitude" : -71.178588,
        "latitude" : 42.742751
      },
      "managingOrganization" : {
        "reference" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
        "display" : "HOLY FAMILY HOSPITAL"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:0000016f-57cb-cdac-0000-00000000014a",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "0000016f-57cb-cdac-0000-00000000014a",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2020-04-28T20:27:53.186+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_0000016f-57cb-cdac-0000-00000000014a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 0000016f-57cb-cdac-0000-00000000014a</b></p><a name=\"0000016f-57cb-cdac-0000-00000000014a\"> </a><a name=\"hc0000016f-57cb-cdac-0000-00000000014a\"> </a><a name=\"0000016f-57cb-cdac-0000-00000000014a-en-US\"> </a><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\">version: 4; Last updated: 2020-04-28 20:27:53+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/9999999995</p><p><b>active</b>: true</p><p><b>name</b>: Janeth814 Jakubowski832 </p><p><b>telecom</b>: <a href=\"mailto:Janeth814.Jakubowski832@example.com\">Janeth814.Jakubowski832@example.com</a></p><p><b>address</b>: 70 EAST STREET METHUEN MA 01844 US </p><p><b>gender</b>: Female</p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "9999999995"
      }],
      "active" : true,
      "name" : [{
        "family" : "Jakubowski832",
        "given" : ["Janeth814"],
        "prefix" : ["Dr."]
      }],
      "telecom" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
          "valueBoolean" : true
        }],
        "system" : "email",
        "value" : "Janeth814.Jakubowski832@example.com",
        "use" : "work"
      }],
      "address" : [{
        "line" : ["70 EAST STREET"],
        "city" : "METHUEN",
        "state" : "MA",
        "postalCode" : "01844",
        "country" : "US"
      }],
      "gender" : "female"
    }
  },
  {
    "fullUrl" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "a9f20dc1-5147-3789-bcef-bbecb41c5983",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2020-04-28T20:27:52.708+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_a9f20dc1-5147-3789-bcef-bbecb41c5983\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization a9f20dc1-5147-3789-bcef-bbecb41c5983</b></p><a name=\"a9f20dc1-5147-3789-bcef-bbecb41c5983\"> </a><a name=\"hca9f20dc1-5147-3789-bcef-bbecb41c5983\"> </a><a name=\"a9f20dc1-5147-3789-bcef-bbecb41c5983-en-US\"> </a><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\">version: 4; Last updated: 2020-04-28 20:27:52+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>identifier</b>: <code>https://github.com/synthetichealth/synthea</code>/a9f20dc1-5147-3789-bcef-bbecb41c5983, <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/9941339100</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: HOLY FAMILY HOSPITAL</p><p><b>telecom</b>: ph: 9786870156</p><p><b>address</b>: 70 EAST STREET METHUEN MA 01844 US </p></div>"
      },
      "identifier" : [{
        "system" : "https://github.com/synthetichealth/synthea",
        "value" : "a9f20dc1-5147-3789-bcef-bbecb41c5983"
      },
      {
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "9941339100"
      }],
      "active" : true,
      "type" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
          "code" : "prov",
          "display" : "Healthcare Provider"
        }],
        "text" : "Healthcare Provider"
      }],
      "name" : "HOLY FAMILY HOSPITAL",
      "telecom" : [{
        "system" : "phone",
        "value" : "9786870156"
      }],
      "address" : [{
        "line" : ["70 EAST STREET"],
        "city" : "METHUEN",
        "state" : "MA",
        "postalCode" : "01844",
        "country" : "US"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:4ac41715-fcbd-421c-8796-9b2c9706dd3f",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "4ac41715-fcbd-421c-8796-9b2c9706dd3f",
      "meta" : {
        "versionId" : "10",
        "lastUpdated" : "2020-04-28T20:28:00.008+00:00",
        "source" : "#cabiJIK51sD2iz4N"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_4ac41715-fcbd-421c-8796-9b2c9706dd3f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition 4ac41715-fcbd-421c-8796-9b2c9706dd3f</b></p><a name=\"4ac41715-fcbd-421c-8796-9b2c9706dd3f\"> </a><a name=\"hc4ac41715-fcbd-421c-8796-9b2c9706dd3f\"> </a><a name=\"4ac41715-fcbd-421c-8796-9b2c9706dd3f-en-US\"> </a><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\">version: 10; Last updated: 2020-04-28 20:28:00+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #cabiJIK51sD2iz4N</p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/conditions 1234}\">Examplitis</span></p><p><b>subject</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\">Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\">Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000</a></p><p><b>onset</b>: 2018-10-21 21:22:15-0700</p><p><b>recordedDate</b>: 2018-10-21 21:22:15-0700</p></div>"
      },
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code" : "active"
        }]
      },
      "verificationStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code" : "confirmed"
        }]
      },
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "encounter-diagnosis",
          "display" : "Encounter Diagnosis"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://example.org/fhir/conditions",
          "code" : "1234",
          "display" : "Examplitis"
        }],
        "text" : "Examplitis"
      },
      "subject" : {
        "reference" : "urn:uuid:06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b"
      },
      "encounter" : {
        "reference" : "urn:uuid:5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82"
      },
      "onsetDateTime" : "2018-10-21T21:22:15-07:00",
      "recordedDate" : "2018-10-21T21:22:15-07:00"
    }
  },
  {
    "fullUrl" : "urn:uuid:cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172",
    "resource" : {
      "resourceType" : "Coverage",
      "id" : "cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172",
      "meta" : {
        "versionId" : "10",
        "lastUpdated" : "2020-04-28T20:27:52.686+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172</b></p><a name=\"cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><a name=\"hccc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><a name=\"cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172-en-US\"> </a><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\">version: 10; Last updated: 2020-04-28 20:27:52+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:\">Blue Cross Blue Shield</span></p><p><b>subscriberId</b>: 12345</p><p><b>beneficiary</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\">Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>payor</b>: <a href=\"Bundle-admit-notification-intermediate-transmit-bundle.html#urn-uuid-cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172\">Blue Cross Blue Shield</a></p></div>"
      },
      "status" : "active",
      "type" : {
        "text" : "Blue Cross Blue Shield"
      },
      "subscriberId" : "12345",
      "beneficiary" : {
        "reference" : "urn:uuid:06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b"
      },
      "relationship" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
          "code" : "self"
        }],
        "text" : "Self"
      },
      "payor" : [{
        "reference" : "urn:uuid:cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172",
        "display" : "Blue Cross Blue Shield"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172",
      "meta" : {
        "versionId" : "10",
        "lastUpdated" : "2020-04-28T20:27:53.069+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172</b></p><a name=\"cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><a name=\"hccc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><a name=\"cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172-en-US\"> </a><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\">version: 10; Last updated: 2020-04-28 20:27:53+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/0000010005</p><p><b>active</b>: true</p><p><b>name</b>: Blue Cross Blue Shield</p><p><b>telecom</b>: ph: 1-800-262-2583(Work)</p><p><b>address</b>: Michigan Plaza Chicago IL 60007 </p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "0000010005"
      }],
      "active" : true,
      "name" : "Blue Cross Blue Shield",
      "telecom" : [{
        "system" : "phone",
        "value" : "1-800-262-2583",
        "use" : "work"
      }],
      "address" : [{
        "line" : ["Michigan Plaza"],
        "city" : "Chicago",
        "state" : "IL",
        "postalCode" : "60007"
      }]
    }
  }]
}

    Response Headers:

    HTTP/1.1 200 OK
[other headers]

    OperationOutcome:

    {
    "id": "intermediary-response",
    "issue": [
        {
            "code": "informational",
            "details": {
                "text": "The message was received and the message has been fully processed"
            },
            "severity": "information"
        }
    ],
    "resourceType": "OperationOutcome",
    "text": {
        "div": "<div><p><b>Operation Outcome for :</b></p><p>All OK</p><table class=\"grid\"><tr><td><b>Severity</b></td><td><b>Location</b></td><td><b>Details</b></td><td><b>Diagnostics</b></td><td><b>Type</b></td></tr><tr><td>information</td><td/><td>The message was received and the message has been fully processed</td><td/><td>informational</td></tr></table></div>",
        "status": "generated"
    }
}


    Examples

    Scenario:

    Patient Y has been discharged from Provider X 's facility. Acting in the role of Sender, Provider X notifies Payer Z, who is acting in the Recipient role, of the discharge. The Notification is transacted as the [$process-message] operation. The body of the operation is a Message Bundle containing:

    1. The Message Header which is the first resource in the bundle and contains the the message event code - that identifies the nature of the notification.
    2. The other resources in the bundle depend on the type of the notification use case and may be defined by the FHIR Profiles.

    An HTTP Status success code is returned on successful submission.

    Push Notification using the $process-message

    POST [base]/$process-message

    Request body

    {
  "resourceType" : "Bundle",
  "id" : "discharge-notification-message-bundle-01",
  "type" : "message",
  "timestamp" : "2020-08-17T19:00:15.888493Z",
  "entry" : [{
    "fullUrl" : "urn:uuid:df0bb058-e0bb-11ea-a11a-864d2e68a322",
    "resource" : {
      "resourceType" : "MessageHeader",
      "id" : "df0bb058-e0bb-11ea-a11a-864d2e68a322",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/discharge-notification-messageheader"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_df0bb058-e0bb-11ea-a11a-864d2e68a322\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader df0bb058-e0bb-11ea-a11a-864d2e68a322</b></p><a name=\"df0bb058-e0bb-11ea-a11a-864d2e68a322\"> </a><a name=\"hcdf0bb058-e0bb-11ea-a11a-864d2e68a322\"> </a><a name=\"df0bb058-e0bb-11ea-a11a-864d2e68a322-en-US\"> </a><p><b>event</b>: <a href=\"CodeSystem-notification-event.html#notification-event-notification-discharge\">Da Vinci Event CodeSystem Notification notification-discharge</a>: Discharge Notification</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>Intermediary-Simulator</td><td><a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&amp;canonical=https://example.org/Endpoints/DaVinci-Notifications-Intermediary\">https://example.org/Endpoints/DaVinci-Notifications-Intermediary</a></td></tr></table><p><b>sender</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-a9f20dc1-5147-3789-bcef-bbecb41c5983\">HOLY FAMILY HOSPITAL</a></p><p><b>author</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-0000016f-57cb-cdac-0000-00000000014a\">Dr. Janeth814 Jakubowski832</a></p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Software</b></td><td><b>Version</b></td><td><b>Contact</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>Acme Central Patient Registry</td><td>FooBar Patient Manager</td><td>3.1.45.AABB</td><td><a href=\"tel:+1(555)1234567\">+1 (555) 123 4567</a></td><td><a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&amp;canonical=https://example.org/Endpoints/P456\">https://example.org/Endpoints/P456</a></td></tr></table><p><b>responsible</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-a9f20dc1-5147-3789-bcef-bbecb41c5983\">HOLY FAMILY HOSPITAL</a></p><p><b>focus</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\">Discharge Notification(Examplotomy Encounter)</a></p></div>"
      },
      "eventCoding" : {
        "system" : "http://hl7.org/fhir/us/davinci-alerts/CodeSystem/notification-event",
        "code" : "notification-discharge",
        "display" : "Discharge Notification"
      },
      "destination" : [{
        "name" : "Intermediary-Simulator",
        "endpoint" : "https://example.org/Endpoints/DaVinci-Notifications-Intermediary"
      }],
      "sender" : {
        "reference" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
        "display" : "HOLY FAMILY HOSPITAL"
      },
      "author" : {
        "reference" : "urn:uuid:0000016f-57cb-cdac-0000-00000000014a",
        "display" : "Dr. Janeth814 Jakubowski832"
      },
      "source" : {
        "name" : "Acme Central Patient Registry",
        "software" : "FooBar Patient Manager",
        "version" : "3.1.45.AABB",
        "contact" : {
          "system" : "phone",
          "value" : "+1 (555) 123 4567"
        },
        "endpoint" : "https://example.org/Endpoints/P456"
      },
      "responsible" : {
        "reference" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
        "display" : "HOLY FAMILY HOSPITAL"
      },
      "focus" : [{
        "reference" : "urn:uuid:5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82",
        "display" : "Discharge Notification(Examplotomy Encounter)"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82",
    "resource" : {
      "resourceType" : "Encounter",
      "id" : "5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82",
      "meta" : {
        "versionId" : "56",
        "lastUpdated" : "2020-04-28T21:32:34.376+00:00",
        "source" : "#TtGHW1V3SxiqqQj4"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter 5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82</b></p><a name=\"5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\"> </a><a name=\"hc5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\"> </a><a name=\"5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82-en-US\"> </a><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\">version: 56; Last updated: 2020-04-28 21:32:34+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #TtGHW1V3SxiqqQj4</p></div><p><b>identifier</b>: <code>http://example.org</code>/Elden718Halvorson12420181021T2122150700</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode IMP</a>: inpatient encounter</p><p><b>type</b>: <span title=\"Codes:{http://example.org/fhir/encounters 1234}\">Examplotomy Encounter</span></p><p><b>subject</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\">Mr. Elden718 Halvorson124</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-0000016f-57cb-cdac-0000-00000000014a\">Dr. Janeth814 Jakubowski832</a></td></tr></table><p><b>period</b>: 2018-10-21 21:22:15-0700 --&gt; 2018-10-23 22:22:15-0700</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://www.nubc.org/patient-discharge 1}\">Discharge to Home or Self Care (Routine Discharge)</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-09188b81-0d1d-453c-b0fa-203ef88c794c\">HOLY FAMILY HOSPITAL</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-a9f20dc1-5147-3789-bcef-bbecb41c5983\">HOLY FAMILY HOSPITAL</a></p></div>"
      },
      "identifier" : [{
        "system" : "http://example.org",
        "value" : "Elden718Halvorson12420181021T2122150700"
      }],
      "status" : "finished",
      "class" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "IMP"
      },
      "type" : [{
        "coding" : [{
          "system" : "http://example.org/fhir/encounters",
          "code" : "1234",
          "display" : "Examplotomy Encounter"
        }],
        "text" : "Examplotomy Encounter"
      }],
      "subject" : {
        "reference" : "urn:uuid:06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b",
        "display" : "Mr. Elden718 Halvorson124"
      },
      "participant" : [{
        "individual" : {
          "reference" : "urn:uuid:0000016f-57cb-cdac-0000-00000000014a",
          "display" : "Dr. Janeth814 Jakubowski832"
        }
      }],
      "period" : {
        "start" : "2018-10-21T21:22:15-07:00",
        "end" : "2018-10-23T22:22:15-07:00"
      },
      "hospitalization" : {
        "dischargeDisposition" : {
          "coding" : [{
            "system" : "http://www.nubc.org/patient-discharge",
            "code" : "1",
            "display" : "Discharge to Home or Self Care (Routine Discharge)"
          }],
          "text" : "Discharge to Home or Self Care (Routine Discharge)"
        }
      },
      "location" : [{
        "location" : {
          "reference" : "urn:uuid:09188b81-0d1d-453c-b0fa-203ef88c794c",
          "display" : "HOLY FAMILY HOSPITAL"
        }
      }],
      "serviceProvider" : {
        "reference" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
        "display" : "HOLY FAMILY HOSPITAL"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2020-04-28T20:27:52.935+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b</b></p><a name=\"06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\"> </a><a name=\"hc06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\"> </a><a name=\"06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b-en-US\"> </a><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\">version: 4; Last updated: 2020-04-28 20:27:52+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Elden718 Halvorson124 (official) Male, DoB: 2000-10-15 ( https://github.com/synthetichealth/synthea#06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus S}\">Never Married</span></td><td style=\"background-color: #f3f5da\" title=\"Known multipleBirth status of Patient\">Multiple Birth:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>Medical Record Number/06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b</li><li>Social Security Number/999-87-1037</li><li>Driver's License/S99952689</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 555-903-1143(Home)</li><li>715 Crona Corner Methuen MA 01844 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en-US}\">English</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2186-5\">Race &amp; Ethnicity - CDC 2186-5</a>: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Mother's maiden (unmarried) name, commonly collected to help verify patient identity.\"><a href=\"http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-mothersMaidenName.html\">Patient Mother's Maiden Name</a></td><td colspan=\"3\">Marge692 Yost751</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.\"><a href=\"http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-patient-birthPlace.html\">Patient Birth Place</a></td><td colspan=\"3\">Rockland Massachusetts US </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*.\"><a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">M</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2106-3\">Race &amp; Ethnicity - CDC 2106-3</a>: White</li><li>text: White</li></ul></td></tr></table></div>"
      },
      "extension" : [{
        "extension" : [{
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2106-3",
            "display" : "White"
          }
        },
        {
          "url" : "text",
          "valueString" : "White"
        }],
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
      },
      {
        "extension" : [{
          "url" : "ombCategory",
          "valueCoding" : {
            "system" : "urn:oid:2.16.840.1.113883.6.238",
            "code" : "2186-5",
            "display" : "Not Hispanic or Latino"
          }
        },
        {
          "url" : "text",
          "valueString" : "Not Hispanic or Latino"
        }],
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
        "valueString" : "Marge692 Yost751"
      },
      {
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
        "valueCode" : "M"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
        "valueAddress" : {
          "city" : "Rockland",
          "state" : "Massachusetts",
          "country" : "US"
        }
      }],
      "identifier" : [{
        "system" : "https://github.com/synthetichealth/synthea",
        "value" : "06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b"
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical Record Number"
          }],
          "text" : "Medical Record Number"
        },
        "system" : "http://hospital.smarthealthit.org",
        "value" : "06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b"
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "SS",
            "display" : "Social Security Number"
          }],
          "text" : "Social Security Number"
        },
        "system" : "http://hl7.org/fhir/sid/us-ssn",
        "value" : "999-87-1037"
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "DL",
            "display" : "Driver's license number"
          }],
          "text" : "Driver's License"
        },
        "system" : "urn:oid:2.16.840.1.113883.4.3.25",
        "value" : "S99952689"
      }],
      "name" : [{
        "use" : "official",
        "family" : "Halvorson124",
        "given" : ["Elden718"],
        "prefix" : ["Mr."]
      }],
      "telecom" : [{
        "system" : "phone",
        "value" : "555-903-1143",
        "use" : "home"
      }],
      "gender" : "male",
      "birthDate" : "2000-10-15",
      "address" : [{
        "extension" : [{
          "extension" : [{
            "url" : "latitude",
            "valueDecimal" : 42.757779285956644
          },
          {
            "url" : "longitude",
            "valueDecimal" : -71.14760946593316
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/geolocation"
        }],
        "line" : ["715 Crona Corner"],
        "city" : "Methuen",
        "state" : "MA",
        "postalCode" : "01844",
        "country" : "US"
      }],
      "maritalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
          "code" : "S",
          "display" : "Never Married"
        }],
        "text" : "Never Married"
      },
      "multipleBirthBoolean" : false,
      "communication" : [{
        "language" : {
          "coding" : [{
            "system" : "urn:ietf:bcp:47",
            "code" : "en-US",
            "display" : "English (Region=United States)"
          }],
          "text" : "English"
        }
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:09188b81-0d1d-453c-b0fa-203ef88c794c",
    "resource" : {
      "resourceType" : "Location",
      "id" : "09188b81-0d1d-453c-b0fa-203ef88c794c",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2020-04-28T20:27:53.156+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_09188b81-0d1d-453c-b0fa-203ef88c794c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location 09188b81-0d1d-453c-b0fa-203ef88c794c</b></p><a name=\"09188b81-0d1d-453c-b0fa-203ef88c794c\"> </a><a name=\"hc09188b81-0d1d-453c-b0fa-203ef88c794c\"> </a><a name=\"09188b81-0d1d-453c-b0fa-203ef88c794c-en-US\"> </a><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\">version: 4; Last updated: 2020-04-28 20:27:53+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>status</b>: Active</p><p><b>name</b>: HOLY FAMILY HOSPITAL</p><p><b>telecom</b>: ph: 9786870156</p><p><b>address</b>: 70 EAST STREET METHUEN MA 01844 US </p><h3>Positions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td style=\"display: none\">*</td><td>-71.178588</td><td>42.742751</td></tr></table><p><b>managingOrganization</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-a9f20dc1-5147-3789-bcef-bbecb41c5983\">HOLY FAMILY HOSPITAL</a></p></div>"
      },
      "status" : "active",
      "name" : "HOLY FAMILY HOSPITAL",
      "telecom" : [{
        "system" : "phone",
        "value" : "9786870156"
      }],
      "address" : {
        "line" : ["70 EAST STREET"],
        "city" : "METHUEN",
        "state" : "MA",
        "postalCode" : "01844",
        "country" : "US"
      },
      "position" : {
        "longitude" : -71.178588,
        "latitude" : 42.742751
      },
      "managingOrganization" : {
        "reference" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
        "display" : "HOLY FAMILY HOSPITAL"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:0000016f-57cb-cdac-0000-00000000014a",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "0000016f-57cb-cdac-0000-00000000014a",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2020-04-28T20:27:53.186+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_0000016f-57cb-cdac-0000-00000000014a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 0000016f-57cb-cdac-0000-00000000014a</b></p><a name=\"0000016f-57cb-cdac-0000-00000000014a\"> </a><a name=\"hc0000016f-57cb-cdac-0000-00000000014a\"> </a><a name=\"0000016f-57cb-cdac-0000-00000000014a-en-US\"> </a><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\">version: 4; Last updated: 2020-04-28 20:27:53+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/9999999995</p><p><b>active</b>: true</p><p><b>name</b>: Janeth814 Jakubowski832 </p><p><b>telecom</b>: <a href=\"mailto:Janeth814.Jakubowski832@example.com\">Janeth814.Jakubowski832@example.com</a></p><p><b>address</b>: 70 EAST STREET METHUEN MA 01844 US </p><p><b>gender</b>: Female</p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "9999999995"
      }],
      "active" : true,
      "name" : [{
        "family" : "Jakubowski832",
        "given" : ["Janeth814"],
        "prefix" : ["Dr."]
      }],
      "telecom" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct",
          "valueBoolean" : true
        }],
        "system" : "email",
        "value" : "Janeth814.Jakubowski832@example.com",
        "use" : "work"
      }],
      "address" : [{
        "line" : ["70 EAST STREET"],
        "city" : "METHUEN",
        "state" : "MA",
        "postalCode" : "01844",
        "country" : "US"
      }],
      "gender" : "female"
    }
  },
  {
    "fullUrl" : "urn:uuid:a9f20dc1-5147-3789-bcef-bbecb41c5983",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "a9f20dc1-5147-3789-bcef-bbecb41c5983",
      "meta" : {
        "versionId" : "4",
        "lastUpdated" : "2020-04-28T20:27:52.708+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_a9f20dc1-5147-3789-bcef-bbecb41c5983\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization a9f20dc1-5147-3789-bcef-bbecb41c5983</b></p><a name=\"a9f20dc1-5147-3789-bcef-bbecb41c5983\"> </a><a name=\"hca9f20dc1-5147-3789-bcef-bbecb41c5983\"> </a><a name=\"a9f20dc1-5147-3789-bcef-bbecb41c5983-en-US\"> </a><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\">version: 4; Last updated: 2020-04-28 20:27:52+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>identifier</b>: <code>https://github.com/synthetichealth/synthea</code>/a9f20dc1-5147-3789-bcef-bbecb41c5983, <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/9941339100</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: HOLY FAMILY HOSPITAL</p><p><b>telecom</b>: ph: 9786870156</p><p><b>address</b>: 70 EAST STREET METHUEN MA 01844 US </p></div>"
      },
      "identifier" : [{
        "system" : "https://github.com/synthetichealth/synthea",
        "value" : "a9f20dc1-5147-3789-bcef-bbecb41c5983"
      },
      {
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "9941339100"
      }],
      "active" : true,
      "type" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
          "code" : "prov",
          "display" : "Healthcare Provider"
        }],
        "text" : "Healthcare Provider"
      }],
      "name" : "HOLY FAMILY HOSPITAL",
      "telecom" : [{
        "system" : "phone",
        "value" : "9786870156"
      }],
      "address" : [{
        "line" : ["70 EAST STREET"],
        "city" : "METHUEN",
        "state" : "MA",
        "postalCode" : "01844",
        "country" : "US"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:4ac41715-fcbd-421c-8796-9b2c9706dd3f",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "4ac41715-fcbd-421c-8796-9b2c9706dd3f",
      "meta" : {
        "versionId" : "10",
        "lastUpdated" : "2020-04-28T20:28:00.008+00:00",
        "source" : "#cabiJIK51sD2iz4N"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_4ac41715-fcbd-421c-8796-9b2c9706dd3f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition 4ac41715-fcbd-421c-8796-9b2c9706dd3f</b></p><a name=\"4ac41715-fcbd-421c-8796-9b2c9706dd3f\"> </a><a name=\"hc4ac41715-fcbd-421c-8796-9b2c9706dd3f\"> </a><a name=\"4ac41715-fcbd-421c-8796-9b2c9706dd3f-en-US\"> </a><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\">version: 10; Last updated: 2020-04-28 20:28:00+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #cabiJIK51sD2iz4N</p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/conditions 1234}\">Examplitis</span></p><p><b>subject</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\">Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82\">Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000</a></p><p><b>onset</b>: 2018-10-21 21:22:15-0700</p><p><b>recordedDate</b>: 2018-10-21 21:22:15-0700</p></div>"
      },
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code" : "active"
        }]
      },
      "verificationStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code" : "confirmed"
        }]
      },
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "encounter-diagnosis",
          "display" : "Encounter Diagnosis"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://example.org/fhir/conditions",
          "code" : "1234",
          "display" : "Examplitis"
        }],
        "text" : "Examplitis"
      },
      "subject" : {
        "reference" : "urn:uuid:06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b"
      },
      "encounter" : {
        "reference" : "urn:uuid:5fe62cd5-bfcf-4d3b-a1e9-80d6f75d6f82"
      },
      "onsetDateTime" : "2018-10-21T21:22:15-07:00",
      "recordedDate" : "2018-10-21T21:22:15-07:00"
    }
  },
  {
    "fullUrl" : "urn:uuid:cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172",
    "resource" : {
      "resourceType" : "Coverage",
      "id" : "cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172",
      "meta" : {
        "versionId" : "10",
        "lastUpdated" : "2020-04-28T20:27:52.686+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172</b></p><a name=\"cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><a name=\"hccc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><a name=\"cc6ac2fe-2bf4-11ea-a5f5-a4d18ccf5172-en-US\"> </a><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\">version: 10; Last updated: 2020-04-28 20:27:52+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:\">Blue Cross Blue Shield</span></p><p><b>subscriberId</b>: 12345</p><p><b>beneficiary</b>: <a href=\"Bundle-admit-notification-intermediate-translate-bundle.html#urn-uuid-06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b\">Bundle: type = message; timestamp = 2020-08-18 03:46:17+0000</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>payor</b>: <a href=\"Bundle-admit-notification-intermediate-transmit-bundle.html#urn-uuid-cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172\">Blue Cross Blue Shield</a></p></div>"
      },
      "status" : "active",
      "type" : {
        "text" : "Blue Cross Blue Shield"
      },
      "subscriberId" : "12345",
      "beneficiary" : {
        "reference" : "urn:uuid:06e1f0dd-5fbe-4480-9bb4-6b54ec02d31b"
      },
      "relationship" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
          "code" : "self"
        }],
        "text" : "Self"
      },
      "payor" : [{
        "reference" : "urn:uuid:cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172",
        "display" : "Blue Cross Blue Shield"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172",
      "meta" : {
        "versionId" : "10",
        "lastUpdated" : "2020-04-28T20:27:53.069+00:00",
        "source" : "#pPvYTutotnO7vQfK"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172</b></p><a name=\"cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><a name=\"hccc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172\"> </a><a name=\"cc6ac93e-2bf4-11ea-a5f5-a4d18ccf5172-en-US\"> </a><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\">version: 10; Last updated: 2020-04-28 20:27:53+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #pPvYTutotnO7vQfK</p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/0000010005</p><p><b>active</b>: true</p><p><b>name</b>: Blue Cross Blue Shield</p><p><b>telecom</b>: ph: 1-800-262-2583(Work)</p><p><b>address</b>: Michigan Plaza Chicago IL 60007 </p></div>"
      },
      "identifier" : [{
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "0000010005"
      }],
      "active" : true,
      "name" : "Blue Cross Blue Shield",
      "telecom" : [{
        "system" : "phone",
        "value" : "1-800-262-2583",
        "use" : "work"
      }],
      "address" : [{
        "line" : ["Michigan Plaza"],
        "city" : "Chicago",
        "state" : "IL",
        "postalCode" : "60007"
      }]
    }
  }]
}

    Response Headers:

    HTTP/1.1 200 OK
[other headers]

    OperationOutcome:

    {
    "id": "intermediary-response",
    "issue": [
        {
            "code": "informational",
            "details": {
                "text": "The message was received and the message has been fully processed"
            },
            "severity": "information"
        }
    ],
    "resourceType": "OperationOutcome",
    "text": {
        "div": "<div><p><b>Operation Outcome for :</b></p><p>All OK</p><table class=\"grid\"><tr><td><b>Severity</b></td><td><b>Location</b></td><td><b>Details</b></td><td><b>Diagnostics</b></td><td><b>Type</b></td></tr><tr><td>information</td><td/><td>The message was received and the message has been fully processed</td><td/><td>informational</td></tr></table></div>",
        "status": "generated"
    }
}


    Direct ADT to Da Vinci Notification Mappings

    Since May 1, 2021, CMS has required that hospitals send notifications electronically for admit, transfer, and discharge events to the patient's care team members, for which most implementations currently use HL7 V2 ADT messages (V2). As a result, DirectTrust, a consensus body of forty organizations and individuals representing the care continuum collaborated in creating an Implementation Guide using Direct Secure Messaging for both senders and receivers. The Event Notifications via the Direct Standard® defines the necessary data element to cover the CMS rules, maps those to the V2 elements in several ADT message structures and provides the value sets for coded elements.

    The following table shows the mapping between the Direct ADT message elements and their respective elements in Da Vinci Notification Mappings for the Admit-Transfer-Discharge Use case. In addition, the Direct ADT to Da Vinci Alerts ConceptMap maps the value set concepts between the two product families. A more detailed mapping can be downloaded as an excel file.

    Direct Trust ADT Message Data Element Da Vinci Notification Message Element Mapping Comments
    MSH- Message Code not applicable
    MSH- Message Event Da Vinci Notifications MessageHeader Profile.event[x]:eventCoding https://hl7.org/fhir/us/davinci-alerts/2020FEB/ValueSet-notification-event.html
    MSH- Transaction ID Da Vinci Notifications Bundle Profile.identifier.value - must also populate Da Vinci Notifications Bundle Profile.identifier.system to identify the assigning authority
    MSH- Version ID not applicable
    EVN- Event Date/Time For Admission (MSH-9.2 = A01 or A10) Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.period.start For discharge or transfer (MSH-9.2 = A02 or A03 or A06 or A09) Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.period.end AND Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.status = "finished" Mapping depends on the type of notification; in more generic use cases this would map into https://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-provenance-definitions.html#Provenance.recorded
    EVN- Treating Facility NPI (Type 2 NPI) Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.location.location reference to US Core Location Profile.identifier, where https://hl7.org/fhir/R4/datatypes-definitions.html#Identifier.type is valued 'http://hl7.org/fhir/sid/us-npi' Mapping depends on the type of notification; in more generic use cases this would map into https://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-provenance-definitions.html#Provenance.location
    PID- Patient ID Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.identifier.value the element patient.identifier can repeat , but within one occurrence this element can only be used once MUST also populate: https://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-patient-definitions.html#Patient.identifier.system
    PID- Patient ID Type Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.identifier.type the element patient.identifier can repeat , but within one occurrence this element can only be used once
    PID- Patient SSN Last 4 digits Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.identifier.value, where US Core Patient Profile.identifier.type.code is valued 'SS' - but would need to extend the current https://hl7.org/fhir/R4/valueset-identifier-type.html valueset
    PID- Patient First Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.name.given
    PID- Patient Last Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.name.family
    PID- Patient Middle Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.name.given
    PID- Patient Suffix Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.name.suffix
    PID- Patient Alias Indicator US Core Patient Profile.name, where US Core Patient Profile.name.use is valued 'nickname'
    PID- Patient Alias First Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.name.given
    PID- Patient Alias Last Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.name.family
    PID- Patient Alias Middle Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.name.given
    PID- Patient Alias Suffix Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.name.suffix
    PID- Patient Date of Birth Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.birthDate
    PID- Patient Gender Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.gender https://hl7.org/fhir/R4/valueset-administrative-gender.html
    PID- Patient Street Address Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.address.line
    PID- Patient Street Address 2 Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.address.line
    PID- Patient City Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.address.city
    PID- Patient State Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.address.state https://hl7.org/fhir/us/core/STU3.1/ValueSet-us-core-usps-state.html
    PID- Patient ZIP Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.address.postalCode
    PID- Patient Country - if not US Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.address.country
    PID- Patient Telephone Number Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.telecom.value the element patient.telecom can repeat , but within one occurrence this element can only be used once
    PID- Patient Telephone Number Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.telecom.value the element patient.telecom can repeat , but within one occurrence this element can only be used once
    PID- Patient Telecommunication Use Type Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.telecom.system http://hl7.org/fhir/R4/valueset-contact-point-system.html the element patient.telecom can repeat , but within one occurrence this element can only be used once - if the element is not sent this field is not required We don't think patient will have direct addresses, but if that is the case use this mapping: https://hl7.org/fhir/us/davinci-alerts/2020FEB/StructureDefinition-admit-discharge-notification-encounter-definitions.html#Encounter.subject with reference to https://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-patient-definitions.html#Patient.telecom.system with this extension: https://hl7.org/fhir/us/core/StructureDefinition-us-core-direct.html
    PID- Patient email Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.telecom.value the element patient.telecom can repeat , but within one occurrence this element can only be used once
    PID- Patient directAddress
    PID- Patient Account Number Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.account, reference to account.identifier, where account.type = 'PBILLACCT'
    PID- Patient Date of Death Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.subject with reference to US Core Patient Profile.deceased[x]
    PD1- Primary Care Provider Identifier (NPI) Cannot reference practitioner role from US encounter - not sure how to indicate primary care provider in practitioner??? should we expand participation type codes to include these, like they did in V2? in base FHIR can: Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.individual referencing US Core PractitionerRole Profile.practitioner. - where US Core PractitionerRole Profile.specialty Is valued "261QP2300X"
    PD1- Primary Care Provider Last Name Cannot reference practitioner role from US encounter - not sure how to indicate primary care provider in practitioner??? should we expand participation type codes to include these, like they did in V2? in base FHIR can: Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.individual referencing US Core PractitionerRole Profile.practitioner. - where US Core PractitionerRole Profile.specialty Is valued "261QP2300X"
    PD1- Primary Care Provider First Name Cannot reference practitioner role from US encounter - not sure how to indicate primary care provider in practitioner??? should we expand participation type codes to include these, like they did in V2? in base FHIR can: Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.individual referencing US Core PractitionerRole Profile.practitioner. - where US Core PractitionerRole Profile.specialty Is valued "261QP2300X"
    ROL after PID (PD1)- Primary Care Provider Identifier (NPI) Cannot reference practitioner role from US encounter - not sure how to indicate primary care provider in practitioner??? should we expand participation type codes to include these, like they did in V2? in base FHIR can: Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.individual referencing US Core PractitionerRole Profile.practitioner. - where US Core PractitionerRole Profile.specialty Is valued "261QP2300X"
    ROL after PID (PD1)- Primary Care Provider Last Name Cannot reference practitioner role from US encounter - not sure how to indicate primary care provider in practitioner??? should we expand participation type codes to include these, like they did in V2? in base FHIR can: Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.individual referencing US Core PractitionerRole Profile.practitioner. - where US Core PractitionerRole Profile.specialty Is valued "261QP2300X"
    ROL after PID (PD1)- Primary Care Provider First Name
    ROL after PID (PD1)- Role this is covered by the structure of the encounter resource mapping depends on what this ROL segment represents, so not mapped here, but rather for the respective practitioner roles and participating organization
    ROL after PID (PD1)- Person Identifier (NPI) mapping depends on what this ROL segment represents, so not mapped here, but rather for the respective practitioner roles and participating organization
    ROL after PID (PD1)- Person Last Name mapping depends on what this ROL segment represents, so not mapped here, but rather for the respective practitioner roles and participating organization
    ROL after PID (PD1)- Person First Name mapping depends on what this ROL segment represents, so not mapped here, but rather for the respective practitioner roles and participating organization
    ROL after PID (PD1)- Organization Identifier (NPI) Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.serviceProvider referencing https://hl7.org/fhir/R4/organization-definitions.html#Organization.identifier.value, where https://hl7.org/fhir/R4/organization-definitions.html#Organization.identifier.system is valued 'http://hl7.org/fhir/sid/us-npi' mapped based on assumption in V2 note
    ROL after PID (PD1)- Organization Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.serviceProvider referencing https://hl7.org/fhir/R4/organization-definitions.html#Organization.name mapped based on assumption in V2 note
    ROL after PID (PD1)- Person or Organization Direct address mapping depends on what this ROL segment represents, so not mapped here, but rather for the respective practitioner roles and participating organization but in all cases wil need to use this extension: https://hl7.org/fhir/us/core/StructureDefinition-us-core-direct.html
    PV1- Treating Facility Identifier Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.location.location reference to US Core Location Profile.identifier, where https://hl7.org/fhir/R4/datatypes-definitions.html#Identifier.type is valued 'http://hl7.org/fhir/sid/us-npi'
    PV1- Patient Class Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.class https://hl7.org/fhir/R4/v3/ActEncounterCode/vs.html
    PV1- Assigned Patient Location – Point of Care Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.location.location reference to US Core Location Profile.name element is Must Support, but if you have it, name is required
    PV1- Treating Facility Name – Location Description Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.location.location reference to US Core Location Profile.name, where US Core Location Profile.status is valued 'active' Address for this location can be sent in https://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-location-definitions.html#Location.address
    ROL after PV1/PV2- Role mapping depends on what this ROL segment represents, so not mapped here, but rather for the respective practitioner roles and participating organization
    ROL after PV1/PV2- Person Identifier (NPI) mapping depends on what this ROL segment represents, so not mapped here, but rather for the respective practitioner roles and participating organization
    ROL after PV1/PV2- Person Last Name mapping depends on what this ROL segment represents, so not mapped here, but rather for the respective practitioner roles and participating organization
    ROL after PV1/PV2- Person First Name mapping depends on what this ROL segment represents, so not mapped here, but rather for the respective practitioner roles and participating organization
    ROL after PV1/PV2- Organization Identifier (NPI) Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.serviceProvider referencing https://hl7.org/fhir/R4/organization-definitions.html#Organization.identifier.value, where https://hl7.org/fhir/R4/organization-definitions.html#Organization.identifier.system is valued 'http://hl7.org/fhir/sid/us-npi' mapped based on assumption in V2 note
    ROL after PV1/PV2- Organization Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.serviceProvider referencing https://hl7.org/fhir/R4/organization-definitions.html#Organization.name mapped based on assumption in V2 note
    ROL after PV1/PV2- Treating Provider (Attending) Direct address Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'ATND' - referencing http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-practitioner.telecom with extension: https://hl7.org/fhir/us/core/StructureDefinition-us-core-direct.html mapping depends on what this ROL segment represents, so not mapped here, but rather for the respective practitioner roles and participating organization but in all cases will need to use this extension: https://hl7.org/fhir/us/core/StructureDefinition-us-core-direct.html
    ROL after PV1/PV2- Treating Provider (Consulting) Direct address Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'CON' - referencing http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-practitioner.telecom with extension: https://hl7.org/fhir/us/core/StructureDefinition-us-core-direct.html mapping depends on what this ROL segment represents, so not mapped here, but rather for the respective practitioner roles and participating organization but in all cases will need to use this extension: https://hl7.org/fhir/us/core/StructureDefinition-us-core-direct.html
    ROL after PV1/PV2- Treating Provider (Admitting) Direct address Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'ADM' - referencing http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-practitioner.telecom with extension: https://hl7.org/fhir/us/core/StructureDefinition-us-core-direct.html mapping depends on what this ROL segment represents, so not mapped here, but rather for the respective practitioner roles and participating organization but in all cases will need to use this extension: https://hl7.org/fhir/us/core/StructureDefinition-us-core-direct.html
    ROL after PV1/PV2- Treating Facility Address Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.location reference to US Core Location Profile.address
    PV1- Admission Type Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.type https://hl7.org/fhir/us/core/STU3.1/ValueSet-us-core-encounter-type.html This value set includes codes from the following code systems: Include codes from http://snomed.info/sct where concept is-a 308335008 (Patient encounter procedure) Include all codes defined in http://www.ama-assn.org/go/cpt
    PV1- Prior Patient Location Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.location.location reference to US Core Location Profile.name, where US Core Location Profile.status is valued 'completed'
    PV1- Visit Number Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.identifier.value, where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.identifier.type is valued 'VN' The element is Must Support, but the ID value is required
    PV1- Treating Provider (Attending) NPI Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'ATND' - referencing http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-practitioner.identifier.value.html, where http://hl7.org/fhir/R4/datatypes-definitions.html#Identifier.system is valued 'http://hl7.org/fhir/sid/us-npi' This element is R in the USCorePractitioner resource - so one of these doctor types MUST be provided
    PV1- Treating Provider (Attending) Last Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'ATND' - referencing http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-practitioner.name.family This element is R in the USCorePractitioner resource - so one of these doctor types MUST be provided
    PV1- Treating Provider (Attending) First Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'ATND' - referencing http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-practitioner.name.given
    ROL- Treating Provider (Attending) Direct address Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'ATND' - referencing US Core Practitioner Profile.telecom.value, where telecom. "extension" - url : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct" valueBoolean" : true
    PV1- Treating Provider (Consulting) NPI Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'CON' - referencing http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-practitioner.identifier.value.html, where http://hl7.org/fhir/R4/datatypes-definitions.html#Identifier.system is valued 'http://hl7.org/fhir/sid/us-npi' This element is R in the USCorePractitioner resource - so one of these doctor types MUST be provided
    PV1- Treating Provider (Consulting) Last Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'CON' - referencing http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-practitioner.name.family This element is R in the USCorePractitioner resource - so one of these doctor types MUST be provided
    PV1- Treating Provider (Consulting) First Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'CON' - referencing http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-practitioner.name.given
    ROL- Treating Provider (Consulting) Direct address Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'CON' - referencing US Core Practitioner Profile.telecom.value, where telecom. "extension" - url : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct" valueBoolean" : true
    PV1- Treating Provider (Admitting) NPI Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'ADM' - referencing http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-practitioner.identifier.value.html, where http://hl7.org/fhir/R4/datatypes-definitions.html#Identifier.system is valued 'http://hl7.org/fhir/sid/us-npi' This element is R in the USCorePractitioner resource - so one of these doctor types MUST be provided
    PV1- Treating Provider (Admitting) Last Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'ADM' - referencing http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-practitioner.name.family This element is R in the USCorePractitioner resource - so one of these doctor types MUST be provided
    PV1- Treating Provider (Admitting) First Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'ADM' - referencing http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-practitioner.name.given
    ROL- Treating Provider (Admitting) Direct address Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant where Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.participant.type.coding.code is valued 'ADM' - referencing US Core Practitioner Profile.telecom.value, where telecom. "extension" - url : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct" valueBoolean" : true
    PV1- Discharge Disposition Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.hospitalization.dischargeDisposition http://hl7.org/fhir/R4/valueset-encounter-discharge-disposition.html The FHIR value set is example binding, so can use same as in Direct IG
    PV1- Discharged to Location Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.hospitalization.destination reference https://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-location-definitions.html#Location.name
    PV1- Admit Date Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.period.start
    PV1- Discharge Date Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.period.end
    PV2- Admission Reason Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.reasonCode http://hl7.org/fhir/R4/valueset-encounter-reason.html
    PV2- Treating Facility Name Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.location.location reference to US Core Location Profile.name, where US Core Location Profile.status is valued 'active' Address for this location can be sent in https://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-location-definitions.html#Location.address
    PV2- Newborn Baby Indicator Not yet defined in FHIR base specification
    DG1- Diagnosis Code US Core Condition Profile.code.codeableConcept.coding.code, where US Core Condition Profile.category is valued 'encounter-diagnosis' and referencing Da Vinci Admit/Discharge/Transfer Notification Condition Profile.encounter.reference https://hl7.org/fhir/us/core/STU3.1/ValueSet-us-core-condition-code.html Note: Currently using US Core STU3.1 - in US Core STU6.1.0 this value set also includes ICD-9 and ICD-10
    DG1- Diagnosis Description US Core Condition Profile.codecodeableConcept.coding.display and referencing Da Vinci Admit/Discharge/Transfer Notification Condition Profile.encounter.reference The element is optional, but within the element this link is required
    DG1- Diagnosis Coding System US Core Condition Profile.code.codeableConcept.coding.system and referencing Da Vinci Admit/Discharge/Transfer Notification Condition Profile.encounter.reference
    DG1- Diagnosis Type Da Vinci Admit/Discharge/Transfer Notification Encounter Profile.diagnosis.use http://hl7.org/fhir/R4/valueset-diagnosis-role.html
    IN1- Insurance Company Name Da Vinci Admit/Discharge/Transfer Notification Coverage Profile.payor - referencing https://hl7.org/fhir/us/davinci-hrex/STU1/StructureDefinition-hrex-organization.name.html
    IN1- Insurance Group Number Da Vinci Admit/Discharge/Transfer Notification Coverage Profile.class.value where Da Vinci Admit/Discharge/Transfer Notification Coverage Profile.class.type is valued 'group' The class element itself is optional, but this component is required.
    IN1- Insurance Type Da Vinci Admit/Discharge/Transfer Notification Coverage Profile.type http://hl7.org/fhir/R4/valueset-coverage-type.html binding is preferred, so could be adjusted based on need
    IN1- Patient Insurance Member ID Da Vinci Admit/Discharge/Transfer Notification Coverage Profile.identifier, where Da Vinci Admit/Discharge/Transfer Notification Coverage Profile.type defines the type of policy
    IN1- Insured’s ID Number https://hl7.org/fhir/us/davinci-alerts/2020FEB/StructureDefinition-admit-discharge-notification-coverage-definitions.html#Coverage.ext.http://hl7.org/fhir/R5/StructureDefinition/extension-subscriberId
    NK1- Mother's Name US Core RelatedPerson Profile.name US Core V3.1.0, which is what DaVinci Notifications is currenlty based on does not yet have profile for relatedPerson, but V6.1.0 does = https://hl7.org/fhir/us/core/StructureDefinition-us-core-relatedperson.html, so using that for mapping here
    NK1- Mother's Address US Core RelatedPerson Profile.address US Core V3.1.0, which is what DaVinci Notifications is currenlty based on does not yet have profile for relatedPerson, but V6.1.0 does = https://hl7.org/fhir/us/core/StructureDefinition-us-core-relatedperson.html, so using that for mapping here
    NK1- Mother's Phone Number US Core RelatedPerson Profile.telecom US Core V3.1.0, which is what DaVinci Notifications is currenlty based on does not yet have profile for relatedPerson, but V6.1.0 does = https://hl7.org/fhir/us/core/StructureDefinition-us-core-relatedperson.html, so using that for mapping here

    1. Based on the V3 Value SetActEncounterCode and Discharge disposition value sets. ↩