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ADTA01_FHIR2.json
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ADTA01_FHIR2.json
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{
"resourceType": "Bundle",
"id": "e66400d3-c7d2-4720-9f39-c53fa2c25fa4",
"type": "message",
"timestamp": "2023-03-31T22:46:42.163Z",
"entry": [
{
"fullUrl": "urn:uuid:9c1e4b5d-e90c-4910-9185-9aeac9100d7a",
"resource": {
"resourceType": "MessageHeader",
"meta": {
"profile": [
"https://fhir.redoxengine.com/StructureDefinition/redox-message-header"
]
},
"eventCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0354",
"code": "ADT_A09",
"display": "Patient departing"
},
"definition": "https://fhir.redoxengine.com/EventDefinition/PatientAdminArrivedNotification",
"source": {
"name": "DALY_MT",
"endpoint": "urn:uuid:0f5227ca-53cc-481f-b0e0-d7f226934971"
},
"focus": [
{
"reference": "urn:uuid:db5f485f-5583-4761-a987-48b13ea14ee2"
},
{
"reference": "urn:uuid:b2b90a5e-fe79-4cca-b178-7cd04ea3eb15",
"type": "Encounter"
}
],
"sender": {
"reference": "urn:uuid:6bddc897-d31d-44d1-99ea-5f097fefc91c",
"type": "Organization"
},
"responsible": {
"display": "DALY_MT"
}
}
},
{
"fullUrl": "urn:uuid:b2b90a5e-fe79-4cca-b178-7cd04ea3eb15",
"resource": {
"resourceType": "Encounter",
"identifier": [
{
"value": "6952304"
}
],
"status": "unknown",
"class": {
"code": "AMB",
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"display": "ambulatory"
},
"serviceType": {
"text": "Med-Gastroenterology"
},
"subject": {
"reference": "urn:uuid:db5f485f-5583-4761-a987-48b13ea14ee2",
"type": "Patient"
},
"location": [
{
"status": "reserved",
"location": {
"reference": "urn:uuid:12076df4-cab2-4560-8dec-8749b0fb6bc5",
"type": "Location"
}
}
],
"participant": [
{
"type": [
{
"text": "ATND",
"coding": [
{
"code": "ATND",
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"display": "attender"
}
]
}
],
"individual": {
"reference": "urn:uuid:e6c37b92-6a27-4322-ab85-e8328c1830ad"
}
},
{
"type": [
{
"text": "ADM",
"coding": [
{
"code": "ADM",
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"display": "admitter"
}
]
}
],
"individual": {
"reference": "urn:uuid:e6c37b92-6a27-4322-ab85-e8328c1830ad"
}
}
],
"account": [
{
"reference": "urn:uuid:3dc533b7-1d0f-4479-a3ad-c60c52dd4f3e",
"type": "Account"
}
]
}
},
{
"fullUrl": "urn:uuid:db5f485f-5583-4761-a987-48b13ea14ee2",
"resource": {
"resourceType": "Patient",
"identifier": [
{
"type": {
"text": "MRN",
"coding": [
{
"code": "MR",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"display": "Medical record number"
}
]
},
"_system": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/originalText",
"valueString": "MDMH MRN"
}
]
},
"value": "984261"
},
{
"type": {
"text": "MRN",
"coding": [
{
"code": "MR",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"display": "Medical record number"
}
]
},
"system": "urn:redox:0f5227ca-53cc-481f-b0e0-d7f226934971:mdmh_mrn",
"value": "984261"
},
{
"type": {
"text": "EMPI"
},
"system": "urn:redox:0f5227ca-53cc-481f-b0e0-d7f226934971:empi",
"value": "123456"
},
{
"system": "urn:redox:0f5227ca-53cc-481f-b0e0-d7f226934971:mdmh_mrn",
"value": "164579"
},
{
"system": "http://hl7.org/fhir/sid/us-ssn",
"value": "555-55-5555"
},
{
"type": {
"text": "DL",
"coding": [
{
"code": "DL",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"display": "Driver's license number"
}
]
},
"value": "123456789driver1"
}
],
"communication": [
{
"language": {
"text": "English",
"coding": [
{
"code": "en",
"system": "urn:ietf:bcp:47",
"display": "English"
}
]
}
}
],
"name": [
{
"given": [
"Carl",
"C"
],
"family": "Carlson",
"text": "Carl C Carlson",
"suffix": [
"Current"
]
}
],
"active": true,
"gender": "male",
"address": [
{
"city": "SPRINGFIELD",
"line": [
"123 FAKE STREET",
"Apt3"
],
"country": "USA",
"type": "physical",
"use": "home",
"state": "OR",
"district": "Ravalli"
},
{
"city": "SPRINGFIELD",
"line": [
"777 FAKE STREET"
],
"country": "USA",
"type": "physical",
"use": "home",
"state": "OR",
"district": "Ravalli"
}
],
"telecom": [
{
"value": "[email protected]",
"system": "email",
"use": "home"
},
{
"value": "(408) 244-7155",
"system": "other",
"use": "home"
},
{
"value": "[email protected]",
"system": "email",
"use": "work"
},
{
"value": "(608) 555-7155",
"system": "other",
"use": "work"
}
],
"birthDate": "1960-05-06",
"maritalStatus": {
"text": "M",
"coding": [
{
"code": "M",
"system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"display": "Married"
}
]
},
"deceasedBoolean": true,
"extension": [
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
"extension": [
{
"url": "text",
"valueString": "African American"
}
]
},
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension": [
{
"url": "text",
"valueString": "Unknown"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:3dc533b7-1d0f-4479-a3ad-c60c52dd4f3e",
"resource": {
"resourceType": "Account",
"identifier": [
{
"system": "urn:redox:0f5227ca-53cc-481f-b0e0-d7f226934971:mdmh_fin",
"value": "6952304"
}
],
"status": "active",
"subject": [
{
"reference": "urn:uuid:db5f485f-5583-4761-a987-48b13ea14ee2",
"type": "Patient"
}
],
"coverage": [
{
"coverage": {
"reference": "urn:uuid:cbdc33e0-1b4c-4f06-8a82-26239d49d3e6",
"type": "Coverage"
},
"priority": 2
},
{
"coverage": {
"reference": "urn:uuid:bd37f4c1-4aab-4057-b529-9bc44a886401",
"type": "Coverage"
},
"priority": 2
}
],
"guarantor": [
{
"party": {
"reference": "urn:uuid:db5f485f-5583-4761-a987-48b13ea14ee2",
"type": "Patient"
}
}
]
}
},
{
"fullUrl": "urn:uuid:7a981851-8510-47c4-91a9-95ac0c8239f4",
"resource": {
"resourceType": "RelatedPerson",
"relationship": [
{
"text": "Mthr"
}
],
"gender": "female",
"name": [
{
"given": [
"RENEE",
"D"
],
"family": "SOUTAR",
"text": "RENEE D SOUTAR"
}
],
"address": [
{
"city": "HANNIBAL",
"line": [
"13324 WHITE CEMETERY RD"
],
"state": "NY"
}
],
"birthDate": "1970-07-22",
"patient": {
"reference": "urn:uuid:db5f485f-5583-4761-a987-48b13ea14ee2",
"type": "Patient"
}
}
},
{
"fullUrl": "urn:uuid:6bddc897-d31d-44d1-99ea-5f097fefc91c",
"resource": {
"resourceType": "Organization",
"name": "Redox Inc.",
"telecom": [
{
"system": "phone",
"value": "(608) 535-9501",
"use": "work"
},
{
"system": "email",
"value": "[email protected]",
"use": "work"
}
],
"address": [
{
"use": "work",
"type": "physical",
"line": [
"2020 Eastwood Drive"
],
"city": "Madison",
"state": "WI",
"postalCode": "53704"
}
]
}
},
{
"fullUrl": "urn:uuid:e6c37b92-6a27-4322-ab85-e8328c1830ad",
"resource": {
"resourceType": "Practitioner",
"identifier": [
{
"value": "12345"
}
],
"name": [
{
"given": [
"AHL UK Ktgxw"
],
"family": "qqAHL(Aoteot 18)",
"prefix": [
"Cerner System"
],
"text": "AHL UK Ktgxw qqAHL(Aoteot 18)"
}
]
}
},
{
"fullUrl": "urn:uuid:5a2f2458-69b6-4271-9962-fffc62887eaa",
"resource": {
"resourceType": "CareTeam",
"subject": {
"reference": "urn:uuid:db5f485f-5583-4761-a987-48b13ea14ee2",
"type": "Patient"
},
"encounter": {
"reference": "urn:uuid:b2b90a5e-fe79-4cca-b178-7cd04ea3eb15",
"type": "Encounter"
}
}
},
{
"fullUrl": "urn:uuid:0153b885-6159-4770-be67-d20253ecd20a",
"resource": {
"resourceType": "Location",
"name": "MDMH ENDO",
"mode": "kind"
}
},
{
"fullUrl": "urn:uuid:bef31a81-ce54-40b4-b365-591eae4378ca",
"resource": {
"resourceType": "Location",
"name": "ENDO01",
"mode": "instance",
"physicalType": {
"coding": [
{
"code": "ro",
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"display": "Room"
}
]
},
"operationalStatus": {
"code": "O",
"system": "http://terminology.hl7.org/CodeSystem/v2-0116",
"display": "Occupied"
},
"partOf": {
"reference": "urn:uuid:0153b885-6159-4770-be67-d20253ecd20a"
}
}
},
{
"fullUrl": "urn:uuid:12076df4-cab2-4560-8dec-8749b0fb6bc5",
"resource": {
"resourceType": "Location",
"name": "A",
"mode": "instance",
"physicalType": {
"coding": [
{
"code": "bd",
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"display": "Bed"
}
]
},
"operationalStatus": {
"code": "O",
"system": "http://terminology.hl7.org/CodeSystem/v2-0116",
"display": "Occupied"
},
"partOf": {
"reference": "urn:uuid:bef31a81-ce54-40b4-b365-591eae4378ca"
}
}
},
{
"fullUrl": "urn:uuid:f008a852-e764-45d9-a5fe-13c62e860ebc",
"resource": {
"resourceType": "Location",
"name": "Marcus Daly",
"mode": "instance",
"physicalType": {
"coding": [
{
"code": "si",
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"display": "Site"
}
]
}
}
},
{
"fullUrl": "urn:uuid:0dcbc376-0755-49eb-be3f-25d0e2c8b0c8",
"resource": {
"resourceType": "Location",
"name": "Marcus Daly",
"mode": "instance",
"physicalType": {
"coding": [
{
"code": "bu",
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"display": "Building"
}
]
},
"partOf": {
"reference": "urn:uuid:0153b885-6159-4770-be67-d20253ecd20a"
}
}
},
{
"fullUrl": "urn:uuid:cbdc33e0-1b4c-4f06-8a82-26239d49d3e6",
"resource": {
"resourceType": "Coverage",
"status": "active",
"type": {
"text": "2"
},
"relationship": {
"text": "Mthr",
"coding": [
{
"code": "parent",
"system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"display": "Parent"
}
]
},
"period": {
"start": "2020-12-13",
"end": "2023-02-12"
},
"class": [
{
"value": "1500004000001",
"name": "AETNA SERVICES INC",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "group",
"display": "Group"
}
]
}
},
{
"value": "EPO",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "plan",
"display": "Plan"
}
]
}
}
],
"order": 1,
"beneficiary": {
"reference": "urn:uuid:db5f485f-5583-4761-a987-48b13ea14ee2",
"type": "Patient"
},
"payor": [
{
"reference": "urn:uuid:7a981851-8510-47c4-91a9-95ac0c8239f4",
"type": "RelatedPerson"
}
]
}
},
{
"fullUrl": "urn:uuid:bd37f4c1-4aab-4057-b529-9bc44a886401",
"resource": {
"resourceType": "Coverage",
"status": "active",
"type": {
"text": "2"
},
"relationship": {
"text": "self",
"coding": [
{
"code": "self",
"system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"display": "Self"
}
]
},
"period": {
"start": "2020-12-13",
"end": "2023-02-12"
},
"class": [
{
"value": "1500004000001",
"name": "UPMC",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "group",
"display": "Group"
}
]
}
},
{
"value": "EPO",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "plan",
"display": "Plan"
}
]
}
}
],
"order": 2,
"beneficiary": {
"reference": "urn:uuid:db5f485f-5583-4761-a987-48b13ea14ee2",
"type": "Patient"
},
"payor": [
{
"reference": "urn:uuid:db5f485f-5583-4761-a987-48b13ea14ee2",
"type": "Patient"
}
]
}
}
]
}