{ "resourceType" : "Bundle", "id" : "ex-comprehensiveProvideDocumentBundleDocument", "meta" : { "profile" : ["https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.ProvideBundle"], "security" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "code" : "HTEST" }] }, "type" : "transaction", "timestamp" : "2004-10-25T23:50:50-05:00", "entry" : [{ "fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800001", "resource" : { "resourceType" : "List", "id" : "aaaaaaaa-bbbb-cccc-dddd-e00888800001", "meta" : { "profile" : ["https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.SubmissionSet"], "security" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "code" : "HTEST" }] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: List aaaaaaaa-bbbb-cccc-dddd-e00888800001

Profile: MHD SubmissionSet Comprehensive

Security Label: test health data (Details: ActReason code HTEST = 'test health data')

Date: 2004-10-25 23:50:50-0500 Mode: Working List Status: Current Code: SubmissionSet as a FHIR List
Subject: Eve Everywoman Female, DoB: 1955-01-06
Items
DocumentReference: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0,UUID:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d; status = current; type = Attending Discharge summary; category = History of Immunization note; date = 2020-02-01 23:50:50-0500; securityLabel = normal
" }, "extension" : [{ "url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "225728007" }] } }, { "url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId", "valueIdentifier" : { "value" : "urn:oid:1.2.3.4" } }], "identifier" : [{ "use" : "official", "type" : { "coding" : [{ "system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/IHE.MHD.MHDIdentifierType", "code" : "entryUUID" }] }, "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:5d3d3a7d-82a6-4fe0-8d87-ee2cb87fa219" }, { "use" : "usual", "type" : { "coding" : [{ "system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/IHE.MHD.MHDIdentifierType", "code" : "uniqueId" }] }, "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:1.2.129.6.58.92.88337.1" }], "status" : "current", "mode" : "working", "code" : { "coding" : [{ "system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes", "code" : "submissionset" }] }, "subject" : { "reference" : "http://example.org/fhir/Patient/fdoc-patient" }, "date" : "2004-10-25T23:50:50-05:00", "entry" : [{ "item" : { "reference" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800002" } }] }, "request" : { "method" : "POST", "url" : "List" } }, { "fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800002", "resource" : { "resourceType" : "DocumentReference", "id" : "aaaaaaaa-bbbb-cccc-dddd-e00888800002", "meta" : { "profile" : ["https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference"], "security" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason", "code" : "HTEST" }] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: DocumentReference aaaaaaaa-bbbb-cccc-dddd-e00888800002

Profile: MHD DocumentReference Comprehensive

Security Label: test health data (Details: ActReason code HTEST = 'test health data')

identifier: Identifier type for XDS UniqueId/urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0, Identifier type for XDS entryUUID/urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d

status: Current

type: Attending Discharge summary

category: History of Immunization note

subject: Eve Everywoman Female, DoB: 1955-01-06

date: 2020-02-01 23:50:50-0500

author: Practitioner Adam Careful

securityLabel: normal

content

Attachments

-ContentTypeLanguageUrlTitleCreation
*application/fhir+jsonEnglishBundle: identifier = UUID:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0; type = document; timestamp = 2013-05-28 22:12:21+0000Discharge Summary from Responsible Clinician2013-05-28 22:12:21+0000

format: IHE Format Code set for use with Document Sharing: urn:ihe:iti:xds:2017:mimeTypeSufficient (mimeType Sufficient)

Contexts

-EncounterFacilityTypePracticeSettingSourcePatientInfo
*Identifier: https://www.example.org/encounters/S100Children's hospitalAdult mental illness - specialty (qualifier value)Dee Schmidt (no stated gender), DoB Unknown ( http://example.org/patients#mrn-1234)

Generated Narrative: Practitioner #fdoc-practitioner

identifier: http://www.acme.org/practitioners/23

name: Adam Careful

Generated Narrative: Patient #aaaaaaaa-bbbb-cccc-dddd-e00888800004

Dee Schmidt (no stated gender), DoB Unknown ( http://example.org/patients#mrn-1234)

" }, "contained" : [{ "resourceType" : "Practitioner", "id" : "fdoc-practitioner", "identifier" : [{ "system" : "http://www.acme.org/practitioners", "value" : "23" }], "name" : [{ "family" : "Careful", "given" : ["Adam"], "prefix" : ["Dr"] }] }, { "resourceType" : "Patient", "id" : "aaaaaaaa-bbbb-cccc-dddd-e00888800004", "identifier" : [{ "system" : "http://example.org/patients", "value" : "mrn-1234" }], "name" : [{ "family" : "Schmidt", "given" : ["Dee"] }] }], "identifier" : [{ "type" : { "coding" : [{ "system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/IHE.MHD.MHDIdentifierType", "code" : "uniqueId" }] }, "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0" }, { "type" : { "coding" : [{ "system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/IHE.MHD.MHDIdentifierType", "code" : "entryUUID" }] }, "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d" }], "status" : "current", "type" : { "coding" : [{ "system" : "http://loinc.org", "code" : "28655-9" }] }, "category" : [{ "coding" : [{ "system" : "http://loinc.org", "code" : "11369-6" }] }], "subject" : { "reference" : "http://example.org/fhir/Patient/fdoc-patient" }, "date" : "2020-02-01T23:50:50-05:00", "author" : [{ "reference" : "#fdoc-practitioner" }], "securityLabel" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality", "code" : "N", "display" : "normal" }] }], "content" : [{ "attachment" : { "contentType" : "application/fhir+json", "language" : "en", "url" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800003", "title" : "Discharge Summary from Responsible Clinician", "creation" : "2013-05-28T22:12:21Z" }, "format" : { "system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode", "code" : "urn:ihe:iti:xds:2017:mimeTypeSufficient" } }], "context" : { "encounter" : [{ "identifier" : { "system" : "https://www.example.org/encounters", "value" : "S100" } }], "facilityType" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "82242000" }] }, "practiceSetting" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "408467006" }] }, "sourcePatientInfo" : { "reference" : "#aaaaaaaa-bbbb-cccc-dddd-e00888800004" } } }, "request" : { "method" : "POST", "url" : "DocumentReference" } }, { "fullUrl" : "urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00888800003", "resource" : { "resourceType" : "Bundle", "id" : "ex-fhir-document-bundle", "meta" : { "lastUpdated" : "2013-05-28T22:12:21Z" }, "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0" }, "type" : "document", "timestamp" : "2013-05-28T22:12:21Z", "entry" : [{ "fullUrl" : "http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57", "resource" : { "resourceType" : "Composition", "id" : "180f219f-97a8-486d-99d9-ed631fe4fc57", "meta" : { "lastUpdated" : "2013-05-28T22:12:21Z" }, "status" : "final", "type" : { "coding" : [{ "system" : "http://loinc.org", "code" : "28655-9" }], "text" : "Discharge Summary from Responsible Clinician" }, "subject" : { "reference" : "Patient/fdoc-patient" }, "encounter" : { "reference" : "Encounter/fdoc-encounter" }, "date" : "2013-02-01T12:30:02Z", "author" : [{ "reference" : "Practitioner/fdoc-practitioner" }], "title" : "Discharge Summary", "section" : [{ "title" : "Reason for admission", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "29299-5", "display" : "Reason for visit Narrative" }] }, "text" : { "status" : "additional", "div" : "
Details
Acute Asthmatic attack. Was wheezing for days prior to admission.
" }, "entry" : [{ "reference" : "Observation/fdoc-observation" }] }, { "title" : "Medications on Discharge", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10183-2", "display" : "Hospital discharge medications Narrative" }] }, "text" : { "status" : "additional", "div" : "
MedicationLast ChangeLast ChangeReason
Theophylline 200mg BD after mealscontinued
Ventolin InhalerstoppedGetting side effect of tremor
" }, "entry" : [{ "reference" : "MedicationRequest/fdoc-medicationrequest" }, { "reference" : "MedicationStatement/fdoc-medicationstatement" }] }, { "title" : "Known allergies", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "48765-2", "display" : "Allergies and adverse reactions Document" }] }, "text" : { "status" : "additional", "div" : "
AllergenReaction
DoxycyclineHives
" }, "entry" : [{ "reference" : "AllergyIntolerance/fdoc-allergyintolerance" }] }] } }, { "fullUrl" : "http://example.org/fhir/Practitioner/fdoc-practitioner", "resource" : { "resourceType" : "Practitioner", "id" : "fdoc-practitioner", "identifier" : [{ "system" : "http://www.acme.org/practitioners", "value" : "23" }], "name" : [{ "family" : "Careful", "given" : ["Adam"], "prefix" : ["Dr"] }] } }, { "fullUrl" : "http://example.org/fhir/Patient/fdoc-patient", "resource" : { "resourceType" : "Patient", "id" : "fdoc-patient", "active" : true, "name" : [{ "text" : "Eve Everywoman", "family" : "Everywoman1", "given" : ["Eve"] }], "telecom" : [{ "system" : "phone", "value" : "555-555-2003", "use" : "work" }], "gender" : "female", "birthDate" : "1955-01-06", "address" : [{ "use" : "home", "line" : ["2222 Home Street"] }] } }, { "fullUrl" : "http://example.org/fhir/Encounter/fdoc-encounter", "resource" : { "resourceType" : "Encounter", "id" : "fdoc-encounter", "identifier" : [{ "system" : "http://www.example.org/encounters", "value" : "S100" }], "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "IMP", "display" : "inpatient encounter" }, "type" : [{ "text" : "Orthopedic Admission" }], "subject" : { "reference" : "Patient/fdoc-patient" }, "period" : { "start" : "2013-01-20T12:30:02Z", "end" : "2013-02-01T12:30:02Z" }, "hospitalization" : { "dischargeDisposition" : { "text" : "Discharged to care of GP" } } } }, { "fullUrl" : "http://example.org/fhir/Observation/fdoc-observation", "resource" : { "resourceType" : "Observation", "id" : "fdoc-observation", "status" : "final", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "46241-6" }], "text" : "Reason for admission" }, "subject" : { "reference" : "Patient/fdoc-patient" }, "encounter" : { "reference" : "Encounter/fdoc-encounter" }, "valueString" : "Acute Asthmatic attack. Was wheezing for days prior to admission." } }, { "fullUrl" : "http://example.org/fhir/MedicationRequest/fdoc-medicationrequest", "resource" : { "resourceType" : "MedicationRequest", "id" : "fdoc-medicationrequest", "status" : "unknown", "intent" : "order", "medicationCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "66493003" }], "text" : "Theophylline 200mg" }, "subject" : { "reference" : "Patient/fdoc-patient" }, "requester" : { "reference" : "Practitioner/fdoc-practitioner" }, "reasonCode" : [{ "text" : "Management of Asthma" }], "dosageInstruction" : [{ "additionalInstruction" : [{ "text" : "Take with Food" }], "timing" : { "repeat" : { "frequency" : 2, "period" : 1, "periodUnit" : "d" } }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "394899003", "display" : "oral administration of treatment" }] }, "doseAndRate" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code" : "ordered", "display" : "Ordered" }] }, "doseQuantity" : { "value" : 1, "unit" : "tablet", "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code" : "TAB" } }] }] } }, { "fullUrl" : "http://example.org/fhir/MedicationStatement/fdoc-medicationstatement", "resource" : { "resourceType" : "MedicationStatement", "id" : "fdoc-medicationstatement", "status" : "active", "statusReason" : [{ "text" : "Management of Asthma" }], "medicationCodeableConcept" : { "text" : "Ventolin Inhaler" }, "subject" : { "reference" : "Patient/fdoc-patient" }, "dateAsserted" : "2013-05-05T16:13:03Z" } }, { "fullUrl" : "http://example.org/fhir/AllergyIntolerance/fdoc-allergyintolerance", "resource" : { "resourceType" : "AllergyIntolerance", "id" : "fdoc-allergyintolerance", "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code" : "active", "display" : "Active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification", "code" : "confirmed", "display" : "Confirmed" }] }, "type" : "allergy", "criticality" : "high", "code" : { "text" : "Doxycycline" }, "patient" : { "reference" : "Patient/fdoc-patient" }, "recordedDate" : "2012-09-17", "reaction" : [{ "manifestation" : [{ "text" : "Hives" }] }] } }] }, "request" : { "method" : "POST", "url" : "Bundle" } }] }