{ "resourceType" : "Bundle", "id" : "1000000-3", "meta" : { "profile" : ["http://hl7.org/fhir/StructureDefinition/Bundle"] }, "type" : "transaction-response", "timestamp" : "2021-12-31T20:26:23.217+00:00", "link" : [{ "relation" : "self", "url" : "https://example.com/base/fhir/Patient?ct=W5sidG9rZW4iOiIrUklEOn53MThjQUk5RlVPZ0lEQUFBQUFBQU" }], "entry" : [{ "fullUrl" : "https://example.com/base/Patient/1-3", "resource" : { "resourceType" : "Patient", "id" : "1-3", "meta" : { "lastUpdated" : "2021-01-07T13:26:22.0314215+00:00", "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"] }, "language" : "en-US", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient 1-3

Last updated: 2021-01-07 13:26:22+0000; Language: en-US

Profile: US Core Patient Profile

Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)

Active:trueMarital Status:unknown
Other Ids:
  • Medical record number/1234-234-1243-12345678901m
  • Health Plan Identifier/1234-234-1243-12345678901u
  • Patient external identifier/1234-234-1243-12345678901a
Contact Detail
  • ph: (443)555-1212
  • ph: (410)678-2323
  • 123 Main Street Pittsburgh PA 12519
" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MB" }] }, "system" : "https://www.xxxhealthplan.com/fhir/memberidentifier", "value" : "https://www.xxxhealthplan.com/fhir/memberidentifier#1234-234-1243-12345678901" }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR" }] }, "system" : "https://www.xxxhealthplan.com/fhir/medicalrecordnumber", "value" : "1234-234-1243-12345678901m" }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "XV" }] }, "system" : "https://www.xxxhealthplan.com/fhir/uniquememberidentifier", "value" : "1234-234-1243-12345678901u" }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PT" }] }, "system" : "https://www.xxxhealthplan.com/fhir/patacctnum", "value" : "1234-234-1243-12345678901a" }], "active" : true, "name" : [{ "family" : "Appleseed", "given" : ["Johnny"] }], "telecom" : [{ "system" : "phone", "value" : "(443)555-1212", "rank" : 1 }, { "system" : "phone", "value" : "(410)678-2323", "rank" : 2 }], "gender" : "male", "birthDate" : "1986-01-01", "address" : [{ "type" : "physical", "line" : ["123 Main Street"], "city" : "Pittsburgh", "state" : "PA", "postalCode" : "12519" }], "maritalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "code" : "UNK" }] } }, "response" : { "status" : "200" } }, { "fullUrl" : "https://example.com/base/Encounter/6-1-2-3", "resource" : { "resourceType" : "Encounter", "id" : "6-1-2-3", "meta" : { "lastUpdated" : "2021-01-14T19:26:23.217+00:00", "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter 6-1-2-3

Last updated: 2021-01-14 19:26:23+0000

Profile: US Core Encounter Profile

status: Finished

class: v3 Code System ActCode: AMB (Ambulatory)

type: Consultation

subject: Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)

" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "AMB", "display" : "Ambulatory" }, "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "version" : "http://snomed.info/sct/731000124108", "code" : "11429006", "display" : "Consultation" }] }], "subject" : { "reference" : "Patient/1-2" } }, "response" : { "status" : "200" } }, { "fullUrl" : "https://example.com/base/Encounter/7-1-2-3", "resource" : { "resourceType" : "Encounter", "id" : "7-1-2-3", "meta" : { "lastUpdated" : "2021-01-15T20:26:23.217+00:00", "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter 7-1-2-3

Last updated: 2021-01-15 20:26:23+0000

Profile: US Core Encounter Profile

status: Finished

class: v3 Code System ActCode: AMB (Ambulatory)

type: Consultation

subject: Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)

" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "AMB", "display" : "Ambulatory" }, "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "version" : "http://snomed.info/sct/731000124108", "code" : "11429006", "display" : "Consultation" }] }], "subject" : { "reference" : "Patient/1-3" } }, "response" : { "status" : "200" } }, { "fullUrl" : "https://example.com/base/Encounter/8-2-3", "resource" : { "resourceType" : "Encounter", "id" : "8-2-3", "meta" : { "lastUpdated" : "2021-03-15T20:26:23.217+00:00", "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter 8-2-3

Last updated: 2021-03-15 20:26:23+0000

Profile: US Core Encounter Profile

status: Finished

class: v3 Code System ActCode: AMB (Ambulatory)

type: Consultation

subject: Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)

" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "AMB", "display" : "Ambulatory" }, "type" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "version" : "http://snomed.info/sct/731000124108", "code" : "11429006", "display" : "Consultation" }] }], "subject" : { "reference" : "Patient/1-3" } }, "response" : { "status" : "200" } }, { "fullUrl" : "https://example.com/base/Provenance/1000002-1-2-3", "resource" : { "resourceType" : "Provenance", "id" : "1000002-1-2-3", "meta" : { "versionId" : "1", "lastUpdated" : "2021-01-14T19:26:23.217+00:00", "profile" : ["http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provenance"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Provenance 1000002-1-2-3

version: 1; Last updated: 2021-01-14 19:26:23+0000

Profile: PDex Provenance

Provenance for Encounter: status = finished; class = Ambulatory (v3 Code System ActCode#AMB); type = Consultation

Summary

Recorded2020-07-10 16:26:23+0000

Agents

Typewho
AuthorOrganization Provider 1
" }, "target" : [{ "reference" : "https://example.com/base/Encounter/6-1-2-3" }], "recorded" : "2020-07-10T16:26:23.217+00:00", "agent" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type", "code" : "author", "display" : "Author" }] }, "who" : { "reference" : "Organization/ProviderOrg1" } }], "entity" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource", "code" : "hl7ccda", "display" : "HL7 C-CDA" }] } }], "role" : "source", "what" : { "display" : "No reference available" } }] }, "response" : { "status" : "200" } }, { "fullUrl" : "https://example.com/base/Provenance/1000003-1-2-3", "resource" : { "resourceType" : "Provenance", "id" : "1000003-1-2-3", "meta" : { "versionId" : "1", "lastUpdated" : "2021-10-01T20:26:23.217+00:00" }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Provenance 1000003-1-2-3

version: 1; Last updated: 2021-10-01 20:26:23+0000

Provenance for Encounter: status = finished; class = Ambulatory (v3 Code System ActCode#AMB); type = Consultation

Summary

Recorded2020-07-10 16:26:23+0000

Agents

Typewho
AuthorOrganization Provider 1
" }, "target" : [{ "reference" : "Encounter/7-1-2-3" }], "recorded" : "2020-07-10T16:26:23.217+00:00", "agent" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type", "code" : "author", "display" : "Author" }] }, "who" : { "reference" : "Organization/ProviderOrg1" } }], "entity" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource", "code" : "hl7ccda", "display" : "HL7 C-CDA" }] } }], "role" : "source", "what" : { "display" : "No reference available" } }] }, "response" : { "status" : "200" } }, { "fullUrl" : "https://example.com/base/Provenance/1000005-2", "resource" : { "resourceType" : "Provenance", "id" : "1000005-2", "meta" : { "versionId" : "1", "lastUpdated" : "2021-10-01T20:26:23.217+00:00" }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Provenance 1000005-2

version: 1; Last updated: 2021-10-01 20:26:23+0000

Provenance for Encounter: status = finished; class = Ambulatory (v3 Code System ActCode#AMB); type = Consultation

Summary

Recorded2021-03-10 16:26:23+0000

Agents

Typewho
AuthorOrganization Provider 1
" }, "target" : [{ "reference" : "Encounter/8-2-3" }], "recorded" : "2021-03-10T16:26:23.217+00:00", "agent" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type", "code" : "author", "display" : "Author" }] }, "who" : { "reference" : "Organization/ProviderOrg1" } }], "entity" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource", "code" : "hl7ccda", "display" : "HL7 C-CDA" }] } }], "role" : "source", "what" : { "display" : "No reference available" } }] }, "response" : { "status" : "200" } }, { "fullUrl" : "https://example.com/base/Provenance/1000004-1-2-3", "resource" : { "resourceType" : "Provenance", "id" : "1000004-1-2-3", "meta" : { "versionId" : "1", "lastUpdated" : "2019-12-31T20:26:23.217+00:00" }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Provenance 1000004-1-2-3

version: 1; Last updated: 2019-12-31 20:26:23+0000

Provenance for:

Summary

Recorded2019-12-31 20:26:23+0000

Agents

TypeRolewho
TransmitterOrganization Payer 1
" }, "target" : [{ "reference" : "Patient/1-3" }, { "reference" : "Encounter/6-1-2-3" }, { "reference" : "Encounter/7-1-2-3" }, { "reference" : "Provenance/1000002-1-2-3" }, { "reference" : "Provenance/1000003-1-2-3" }], "recorded" : "2019-12-31T20:26:23.217+00:00", "agent" : [{ "type" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type", "code" : "transmitter", "display" : "Transmitter" }] }, "role" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/contractsignertypecodes", "code" : "TRANS" }] }], "who" : { "reference" : "Organization/Payer1" } }] }, "response" : { "status" : "200" } }, { "fullUrl" : "https://example.com/base/Provenance/1000004-2", "resource" : { "resourceType" : "Provenance", "id" : "1000004-2", "meta" : { "versionId" : "1", "lastUpdated" : "2020-06-15T20:26:23.217+00:00" }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Provenance 1000004-2

version: 1; Last updated: 2020-06-15 20:26:23+0000

Provenance for:

Summary

Recorded2020-06-15 20:26:23+0000

Agents

Typewho
AuthorOrganization Provider 1
" }, "target" : [{ "reference" : "Encounter/8-2-3" }, { "reference" : "Provenance/1000005-2" }], "recorded" : "2020-06-15T20:26:23.217+00:00", "agent" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type", "code" : "author", "display" : "Author" }] }, "who" : { "reference" : "Organization/ProviderOrg1" } }], "entity" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource", "code" : "hl7ccda", "display" : "HL7 C-CDA" }] } }], "role" : "source", "what" : { "display" : "No reference available" } }] }, "response" : { "status" : "200" } }, { "fullUrl" : "https://example.com/base/Provenance/1000005-2-3", "resource" : { "resourceType" : "Provenance", "id" : "1000005-2-3", "meta" : { "versionId" : "1", "lastUpdated" : "2020-12-31T20:26:23.217+00:00" }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Provenance 1000005-2-3

version: 1; Last updated: 2020-12-31 20:26:23+0000

Provenance for Bundle: type = transaction-response; timestamp = 2019-12-31 20:26:23+0000

Summary

Recorded2019-12-31 20:26:23+0000

Agents

TypeRolewho
TransmitterOrganization Payer 1
" }, "target" : [{ "reference" : "Bundle/1000000-2" }], "recorded" : "2019-12-31T20:26:23.217+00:00", "agent" : [{ "type" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type", "code" : "transmitter", "display" : "Transmitter" }] }, "role" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/contractsignertypecodes", "code" : "TRANS" }] }], "who" : { "reference" : "Organization/Payer1" } }] }, "response" : { "status" : "200" } }, { "fullUrl" : "https://example.com/base/Provenance/1000006-3", "resource" : { "resourceType" : "Provenance", "id" : "1000006-3", "meta" : { "versionId" : "1", "lastUpdated" : "2020-12-31T20:26:23.217+00:00" }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Provenance 1000006-3

version: 1; Last updated: 2020-12-31 20:26:23+0000

Provenance for Bundle: type = transaction-response; timestamp = 2019-12-31 20:26:23+0000

Summary

Recorded2019-12-31 20:26:23+0000

Agents

TypeRolewho
TransmitterOrganization Payer 1
" }, "target" : [{ "reference" : "Bundle/1000000-2" }], "recorded" : "2019-12-31T20:26:23.217+00:00", "agent" : [{ "type" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type", "code" : "transmitter", "display" : "Transmitter" }] }, "role" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/contractsignertypecodes", "code" : "TRANS" }] }], "who" : { "reference" : "Organization/Payer1" } }] }, "response" : { "status" : "200" } }] }