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ADT_A28_FHIR.json
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ADT_A28_FHIR.json
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{
"resourceType": "Bundle",
"id": "20ee7d01-7559-438f-a7cd-a15a1af1e0e4",
"type": "message",
"timestamp": "2023-03-31T22:36:24.844Z",
"entry": [
{
"fullUrl": "urn:uuid:eccec187-9d04-4c7e-9a16-210fd5a16ede",
"resource": {
"resourceType": "MessageHeader",
"meta": {
"profile": [
"https://fhir.redoxengine.com/StructureDefinition/redox-message-header"
]
},
"eventCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0354",
"code": "ADT_A28",
"display": "Add person information"
},
"definition": "https://fhir.redoxengine.com/EventDefinition/PatientAdminCreatedNotification",
"source": {
"name": "RDX",
"endpoint": "urn:uuid:0f5227ca-53cc-481f-b0e0-d7f226934971"
},
"focus": [
{
"reference": "urn:uuid:ee5685c9-645d-46fd-980f-9cb84fc09715"
},
{
"reference": "urn:uuid:1d34f92d-3b90-4372-9256-b24d1a92067d",
"type": "Encounter"
}
],
"sender": {
"reference": "urn:uuid:0670f996-720f-4051-831b-20be2d14fa75",
"type": "Organization"
},
"responsible": {
"display": "RDX"
}
}
},
{
"fullUrl": "urn:uuid:1d34f92d-3b90-4372-9256-b24d1a92067d",
"resource": {
"resourceType": "Encounter",
"status": "unknown",
"class": {
"code": "unknown",
"system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"display": "unknown"
},
"subject": {
"reference": "urn:uuid:ee5685c9-645d-46fd-980f-9cb84fc09715",
"type": "Patient"
},
"participant": [
{
"type": [
{
"text": "ATND",
"coding": [
{
"code": "ATND",
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"display": "attender"
}
]
}
]
},
{
"type": [
{
"text": "REF",
"coding": [
{
"code": "REF",
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"display": "referrer"
}
]
}
]
}
],
"account": [
{
"reference": "urn:uuid:1d611e91-b416-41d8-b041-cb8010d04ddb",
"type": "Account"
}
]
}
},
{
"fullUrl": "urn:uuid:ee5685c9-645d-46fd-980f-9cb84fc09715",
"resource": {
"resourceType": "Patient",
"identifier": [
{
"system": "urn:redox:0f5227ca-53cc-481f-b0e0-d7f226934971:mr",
"value": "0000000001"
},
{
"system": "urn:redox:0f5227ca-53cc-481f-b0e0-d7f226934971:ehrid",
"value": "e167267c-16c9-4fe3-96ae-9cff5703e90a"
},
{
"system": "urn:redox:0f5227ca-53cc-481f-b0e0-d7f226934971:nist",
"value": "a1d4ee8aba494ca"
},
{
"system": "http://hl7.org/fhir/sid/us-ssn",
"value": "101-01-0001"
}
],
"communication": [
{
"language": {
"coding": [
{
"code": "unknown",
"system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"display": "unknown"
}
]
}
}
],
"name": [
{
"given": [
"Timothy",
"Paul"
],
"family": "Bixby",
"text": "Timothy Paul Bixby"
}
],
"active": true,
"gender": "male",
"address": [
{
"city": "Monroe",
"line": [
"4762 Hickory Street"
],
"country": "US",
"state": "WI"
}
],
"telecom": [
{
"value": "(808) 867-5301",
"system": "other",
"use": "home"
}
],
"birthDate": "2008-01-06",
"maritalStatus": {
"text": "S"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension": [
{
"url": "text",
"valueString": "U"
}
]
}
],
"contact": [
{
"relationship": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0131",
"code": "BP",
"display": "Billing contact person"
}
]
}
],
"name": {
"given": [
"Kent"
],
"family": "Bixby",
"text": "Kent Bixby"
},
"address": {
"city": "Monroe",
"line": [
"4762 Hickory Street"
],
"country": "USA",
"state": "WI",
"district": "Green"
}
},
{
"relationship": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0131",
"code": "N",
"display": "Next-of-Kin"
}
]
}
],
"name": {
"given": [
"Barbara"
],
"family": "Bixby",
"text": "Barbara Bixby"
},
"telecom": [
{
"value": "(918) 936-8865",
"system": "phone"
}
],
"address": {
"city": "Monroe",
"line": [
"4762 Hickory Street"
],
"country": "US",
"state": "WI",
"district": "Green"
}
}
]
}
},
{
"fullUrl": "urn:uuid:1d611e91-b416-41d8-b041-cb8010d04ddb",
"resource": {
"resourceType": "Account",
"identifier": [
{
"system": "accountNumber"
}
],
"status": "unknown",
"subject": [
{
"reference": "urn:uuid:ee5685c9-645d-46fd-980f-9cb84fc09715",
"type": "Patient"
}
],
"coverage": [
{
"coverage": {
"reference": "urn:uuid:d729a767-f47c-4149-a099-bd0e286e20ef",
"type": "Coverage"
}
}
],
"guarantor": [
{
"party": {
"reference": "urn:uuid:3e8b9833-3afe-42d6-88d7-e3fdcee0164a",
"type": "RelatedPerson"
}
}
]
}
},
{
"fullUrl": "urn:uuid:b417ba42-8651-40f6-8de3-89c819e92a4c",
"resource": {
"resourceType": "RelatedPerson",
"patient": {
"reference": "urn:uuid:ee5685c9-645d-46fd-980f-9cb84fc09715",
"type": "Patient"
}
}
},
{
"fullUrl": "urn:uuid:3e8b9833-3afe-42d6-88d7-e3fdcee0164a",
"resource": {
"resourceType": "RelatedPerson",
"relationship": [
{
"text": "Father",
"coding": [
{
"code": "FTH",
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode"
}
]
}
],
"name": [
{
"given": [
"Kent"
],
"family": "Bixby",
"text": "Kent Bixby"
}
],
"address": [
{
"city": "Monroe",
"line": [
"4762 Hickory Street"
],
"country": "USA",
"state": "WI",
"district": "Green"
}
],
"patient": {
"reference": "urn:uuid:ee5685c9-645d-46fd-980f-9cb84fc09715",
"type": "Patient"
}
}
},
{
"fullUrl": "urn:uuid:0670f996-720f-4051-831b-20be2d14fa75",
"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:88defaba-9d41-4522-82ff-3bfb76325567",
"resource": {
"resourceType": "Practitioner"
}
},
{
"fullUrl": "urn:uuid:795e330c-af2f-4b87-954c-ce99b9fc30d8",
"resource": {
"resourceType": "CareTeam",
"subject": {
"reference": "urn:uuid:ee5685c9-645d-46fd-980f-9cb84fc09715",
"type": "Patient"
},
"encounter": {
"reference": "urn:uuid:1d34f92d-3b90-4372-9256-b24d1a92067d",
"type": "Encounter"
}
}
},
{
"fullUrl": "urn:uuid:d729a767-f47c-4149-a099-bd0e286e20ef",
"resource": {
"resourceType": "Coverage",
"status": "active",
"period": {
"start": "2015-01-01",
"end": "2020-12-31"
},
"class": [
{
"value": "847025-024-0009",
"name": "Accelerator Labs",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "group",
"display": "Group"
}
]
}
},
{
"value": "31572",
"name": "HMO Deductible Plan",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "plan",
"display": "Plan"
}
]
}
}
],
"beneficiary": {
"reference": "urn:uuid:ee5685c9-645d-46fd-980f-9cb84fc09715",
"type": "Patient"
}
}
}
]
}