Da Vinci Unsolicited Notifications Implementation Guide (Release 0.2.0 STU1 Ballot)

This page is part of the Da Vinci Unsolicited Notifications (v0.2.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

JSON Format: Bundle-discharge-notification-message-bundle-01

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{
  "resourceType" : "Bundle",
  "id" : "discharge-notification-message-bundle-01",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/notifications-bundle"
    ]
  },
  "type" : "message",
  "timestamp" : "2019-11-14T08:08:47Z",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:267b18ce-3d37-4581-9baa-6fada338038b",
      "resource" : {
        "resourceType" : "MessageHeader",
        "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\">\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>Generated Narrative with Details</b>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>id</b>: discharge-notification-messageheader-01</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>meta</b>:\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>event</b>: Notification Admit (Details: http://hl7.org/fhir/us/davinci-alerts/CodeSystem/notification-event code notification-discharge = 'Notification Discharge', stated as 'Notification payloadMimeType')</p>\n\t\t\t\t\t\t<h3>Destinations</h3>\n\t\t\t\t\t\t<table class=\"grid\">\n\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t<td>-</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Name</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Endpoint</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t<td>*</td>\n\t\t\t\t\t\t\t\t<td>Acme Message Gateway</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<a href=\"https://example.org/Endpoints/P123\">https://example.org/Endpoints/P123</a>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t</table>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>sender</b>:\n\t\t\t\t\t\t\t<a href=\"urn:uuid:7221aa91-d9e1-44fa-8b90-c5a8c7caeade\">Saint Luke W Endpoint</a>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>author</b>:\n\t\t\t\t\t\t\t<a href=\"urn:uuid:e4b71aed-1c54-4f85-bea0-48444aa31f59\">Ronald Bone</a>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<h3>Sources</h3>\n\t\t\t\t\t\t<table class=\"grid\">\n\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t<td>-</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Name</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Software</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Version</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Contact</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Endpoint</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t<td>*</td>\n\t\t\t\t\t\t\t\t<td>Acme Central Patient Registry</td>\n\t\t\t\t\t\t\t\t<td>FooBar Patient Manager</td>\n\t\t\t\t\t\t\t\t<td>3.1.45.AABB</td>\n\t\t\t\t\t\t\t\t<td>ph: +1 (555) 123 4567</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<a href=\"https://example.org/Endpoints/P456\">https://example.org/Endpoints/P456</a>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t</table>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>responsible</b>:\n\t\t\t\t\t\t\t<a href=\"urn:uuid:7221aa91-d9e1-44fa-8b90-c5a8c7caeade\">Saint Luke W Endpoint</a>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>focus</b>:\n\t\t\t\t\t\t\t<a href=\"urn:uuid:a33d1eed-c4ad-4def-8087-042b7ac0f2b7\">Inpatient Encounter</a>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t</div>"
        },
        "eventCoding" : {
          "system" : "http://hl7.org/fhir/us/davinci-alerts/CodeSystem/notification-event",
          "code" : "notification-admit",
          "display" : "Notification Admit"
        },
        "destination" : [
          {
            "name" : "Acme Message Gateway",
            "endpoint" : "https://example.org/Endpoints/P123"
          }
        ],
        "sender" : {
          "reference" : "urn:uuid:7221aa91-d9e1-44fa-8b90-c5a8c7caeade",
          "display" : "Saint Luke W Endpoint"
        },
        "author" : {
          "reference" : "urn:uuid:e4b71aed-1c54-4f85-bea0-48444aa31f59",
          "display" : "Ronald Bone"
        },
        "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:7221aa91-d9e1-44fa-8b90-c5a8c7caeade",
          "display" : "Saint Luke W Endpoint"
        },
        "focus" : [
          {
            "reference" : "urn:uuid:a33d1eed-c4ad-4def-8087-042b7ac0f2b7",
            "display" : "Inpatient Encounter"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:a33d1eed-c4ad-4def-8087-042b7ac0f2b7",
      "resource" : {
        "resourceType" : "Encounter",
        "meta" : {
          "lastUpdated" : "2017-05-26T11:56:57.250-04:00",
          "profile" : [
            "http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/admit-discharge-notification-encounter"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>Generated Narrative with Details</b>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>id</b>: admit-discharge-notification-encounter-01</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>meta</b>:\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>status</b>: finished</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>type</b>: Inpatient hospital care\n\t\t\t\t\t\t\t<span style=\"background: LightGoldenRodYellow\">(Details : {http://www.ama-assn.org/go/cpt code '99234' = '99234)</span>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>subject</b>:\n\t\t\t\t\t\t\t<a href=\"urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4\">Amy V. Shaw</a>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<h3>Participants</h3>\n\t\t\t\t\t\t<table class=\"grid\">\n\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t<td>-</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Type</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Period</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Individual</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t<td>*</td>\n\t\t\t\t\t\t\t\t<td>primary performer\n\t\t\t\t\t\t\t\t\t<span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-ParticipationType code 'PPRF' = 'primary performer)</span>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t<td>Nov 1, 2015, 2:00:14 PM --&gt; Nov 1, 2015, 3:00:14 PM</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<a href=\"urn:uuid:e4b71aed-1c54-4f85-bea0-48444aa31f59\">Ronald Bone</a>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t</table>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>period</b>: Nov 1, 2015, 2:00:14 PM --&gt; Nov 1, 2015, 3:00:14 PM</p>\n\t\t\t\t\t\t<h3>Locations</h3>\n\t\t\t\t\t\t<table class=\"grid\">\n\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t<td>-</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Location</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t<td>*</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<a href=\"urn:uuid:75ea28b5-74b8-4d9c-9eb5-cfdc10b48fa\">Health Level Seven International - Amherst</a>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t</table>\n\t\t\t\t\t</div>"
        },
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "IMP",
          "display" : "inpatient encounter"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://www.ama-assn.org/go/cpt",
                "code" : "99234"
              }
            ],
            "text" : "Inpatient hospital care"
          }
        ],
        "subject" : {
          "reference" : "urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4",
          "display" : "Amy V. Shaw"
        },
        "participant" : [
          {
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code" : "PPRF"
                  }
                ],
                "text" : "primary performer"
              }
            ],
            "period" : {
              "start" : "2015-11-01T17:00:14-05:00",
              "end" : "2015-11-01T18:00:14-05:00"
            },
            "individual" : {
              "reference" : "urn:uuid:e4b71aed-1c54-4f85-bea0-48444aa31f59",
              "display" : "Ronald Bone"
            }
          }
        ],
        "period" : {
          "start" : "2015-11-01T17:00:14-05:00",
          "end" : "2015-11-01T18:00:14-05:00"
        },
        "hospitalization" : {
          "dischargeDisposition" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code" : "home",
                "display" : "Home"
              }
            ],
            "text" : "The patient was dicharged to home"
          }
        },
        "location" : [
          {
            "location" : {
              "reference" : "urn:uuid:75ea28b5-74b8-4d9c-9eb5-cfdc10b48fa",
              "display" : "Health Level Seven International - Amherst"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:75ea28b5-74b8-4d9c-9eb5-cfdc10b48fa",
      "resource" : {
        "resourceType" : "Location",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-location"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>Generated Narrative with Details</b>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>id</b>: hl7east</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>meta</b>:\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>identifier</b>: 29</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>status</b>: active</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>name</b>: Health Level Seven International - Amherst</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>description</b>: HL7 Headquarters - East</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>telecom</b>: ph: (+1) 734-677-7777</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>address</b>: 3300 Washtenaw Avenue, Suite 227 Amherst MA 01002 USA\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<h3>Positions</h3>\n\t\t\t\t\t\t<table class=\"grid\">\n\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t<td>-</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Longitude</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Latitude</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t<td>*</td>\n\t\t\t\t\t\t\t\t<td>-72.519854</td>\n\t\t\t\t\t\t\t\t<td>42.373222</td>\n\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t</table>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>managingOrganization</b>: Health Level Seven International</p>\n\t\t\t\t\t</div>"
        },
        "identifier" : [
          {
            "system" : "http://www.acme.org/location",
            "value" : "29"
          }
        ],
        "status" : "active",
        "name" : "Health Level Seven International - Amherst",
        "description" : "HL7 Headquarters - East",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(+1) 734-677-7777"
          }
        ],
        "address" : {
          "line" : [
            "3300 Washtenaw Avenue, Suite 227"
          ],
          "city" : "Amherst",
          "state" : "MA",
          "postalCode" : "01002",
          "country" : "USA"
        },
        "position" : {
          "longitude" : -72.519854,
          "latitude" : 42.373222
        },
        "managingOrganization" : {
          "display" : "Health Level Seven International"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:e4b71aed-1c54-4f85-bea0-48444aa31f59",
      "resource" : {
        "resourceType" : "Practitioner",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>Generated Narrative with Details</b>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>id</b>: practitioner-1</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>meta</b>:\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>identifier</b>: 9941339108, 25456</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>name</b>: Ronald Bone\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>address</b>: 1003 Healthcare Drive Amherst MA 01002 (HOME)</p>\n\t\t\t\t\t</div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org.fhir/sid/us-npi",
            "value" : "9941339108"
          },
          {
            "system" : "http://www.acme.org/practitioners",
            "value" : "25456"
          }
        ],
        "name" : [
          {
            "family" : "Bone",
            "given" : [
              "Ronald"
            ],
            "prefix" : [
              "Dr"
            ]
          }
        ],
        "address" : [
          {
            "use" : "home",
            "line" : [
              "1003 Healthcare Drive"
            ],
            "city" : "Amherst",
            "state" : "MA",
            "postalCode" : "01002"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4",
      "resource" : {
        "resourceType" : "Patient",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>Generated Narrative with Details</b>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>id</b>: example</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>identifier</b>: Medical Record Number = 1032702 (USUAL)</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>active</b>: true</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>name</b>: Amy V. Shaw\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>telecom</b>: ph: 555-555-5555(HOME), amy.shaw@example.com</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>gender</b>:\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>birthsex</b>: Female</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>birthDate</b>: Feb 20, 2007</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>address</b>: 49 Meadow St Mounds OK 74047 US\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>race</b>: White, American Indian or Alaska Native, Asian, Shoshone, Filipino</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>ethnicity</b>: Hispanic or Latino, Dominican, Mexican</p>\n\t\t\t\t\t</div>"
        },
        "extension" : [
          {
            "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" : "2106-3",
                  "display" : "White"
                }
              },
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "1002-5",
                  "display" : "American Indian or Alaska Native"
                }
              },
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2028-9",
                  "display" : "Asian"
                }
              },
              {
                "url" : "detailed",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "1586-7",
                  "display" : "Shoshone"
                }
              },
              {
                "url" : "detailed",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2036-2",
                  "display" : "Filipino"
                }
              },
              {
                "url" : "text",
                "valueString" : "Mixed"
              }
            ]
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2135-2",
                  "display" : "Hispanic or Latino"
                }
              },
              {
                "url" : "detailed",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2184-0",
                  "display" : "Dominican"
                }
              },
              {
                "url" : "detailed",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2148-5",
                  "display" : "Mexican"
                }
              },
              {
                "url" : "text",
                "valueString" : "Hispanic or Latino"
              }
            ]
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode" : "F"
          }
        ],
        "identifier" : [
          {
            "use" : "usual",
            "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" : "1032702"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "Shaw",
            "given" : [
              "Amy",
              "V."
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "555-555-5555",
            "use" : "home"
          },
          {
            "system" : "email",
            "value" : "amy.shaw@example.com"
          }
        ],
        "gender" : "female",
        "birthDate" : "2007-02-20",
        "address" : [
          {
            "line" : [
              "49 Meadow St"
            ],
            "city" : "Mounds",
            "state" : "OK",
            "postalCode" : "74047",
            "country" : "US"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:c470de5b-345c-4945-bc4a-cbdec7d86f54",
      "resource" : {
        "resourceType" : "Coverage",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/admit-discharge-notification-coverage"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>Generated Narrative with Details</b>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>id</b>: admit-discharge-notification-coverage-01</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>meta</b>:\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>identifier</b>: DZW9200000000</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>status</b>: active</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>type</b>: health insurance plan policy\n\t\t\t\t\t\t\t<span style=\"background: LightGoldenRodYellow\">(Details : { http://terminology.hl7.org/CodeSystem/v3-ActCode code ' HIP' = 'health insurance plan policy', given as 'health insurance plan policy'})</span>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>subscriber</b>:\n\t\t\t\t\t\t\t<a href=\"urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4\">\n\t\t\t\t\t\t\t\turn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4</a>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>subscriberId</b>: DZW9200000000</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>beneficiary</b>:\n\t\t\t\t\t\t\t<a href=\"urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4\">\n\t\t\t\t\t\t\t\turn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4</a>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>relationship</b>: Self\n\t\t\t\t\t\t\t<span style=\"background: LightGoldenRodYellow\">(Details : { http://terminology.hl7.org/CodeSystem/subscriber-relationship code ' self' = 'Self', given as ' Self'})</span>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>period</b>: Jan 1, 2016, 12:00:00 AM --&gt; (ongoing)</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>payor</b>: Anthem Blue Cross of California</p>\n\t\t\t\t\t\t<h3>Classes</h3>\n\t\t\t\t\t\t<table class=\"grid\">\n\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t<td>-</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Type</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Value</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t<td>\n\t\t\t\t\t\t\t\t\t<b>Name</b>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t<td>*</td>\n\t\t\t\t\t\t\t\t<td>Plan\n\t\t\t\t\t\t\t\t\t<span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/coverage-class code 'plan' = 'Plan)</span>\n\t\t\t\t\t\t\t\t</td>\n\t\t\t\t\t\t\t\t<td>1FZQ</td>\n\t\t\t\t\t\t\t\t<td>Bronze D HSA</td>\n\t\t\t\t\t\t\t</tr>\n\t\t\t\t\t\t</table>\n\t\t\t\t\t</div>"
        },
        "identifier" : [
          {
            "system" : "https://www.anthem.com/ca",
            "value" : "DZW9200000000"
          }
        ],
        "status" : "active",
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "HIP",
              "display" : "health insurance plan policy"
            }
          ]
        },
        "subscriber" : {
          "reference" : "urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4"
        },
        "subscriberId" : "DZW9200000000",
        "beneficiary" : {
          "reference" : "urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4"
        },
        "relationship" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
              "code" : "self",
              "display" : "Self"
            }
          ]
        },
        "period" : {
          "start" : "2016-01-01"
        },
        "payor" : [
          {
            "display" : "Anthem Blue Cross of California"
          }
        ],
        "class" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
                  "code" : "plan"
                }
              ]
            },
            "value" : "1FZQ",
            "name" : "Bronze D HSA"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:54f0ea3f-dc89-4e71-8d98-8774a5add41e",
      "resource" : {
        "resourceType" : "Condition",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/admit-discharge-notification-condition"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>Generated Narrative with Details</b>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>id</b>: admit-discharge-notification-condition-01</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>meta</b>:\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>clinicalStatus</b>: Active\n\t\t\t\t\t\t\t<span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-clinical code 'active' = 'Active', given as 'Active'})</span>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>verificationStatus</b>: Confirmed\n\t\t\t\t\t\t\t<span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed' = 'Confirmed', given as 'Confirmed'})</span>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>category</b>: Problem\n\t\t\t\t\t\t\t<span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-category code 'problem-list-item' = 'Problem List Item', given as 'Problem List Item'})</span>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>code</b>: Single liveborn, born in hospital\n\t\t\t\t\t\t\t<span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '442311008' = 'Liveborn born in hospital', given as 'Liveborn born in hospital'})</span>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>subject</b>:\n\t\t\t\t\t\t\t<a href=\"urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4\">Amy V. Shaw</a>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>encounter</b>:\n\t\t\t\t\t\t\t<a href=\"urn:uuid:a33d1eed-c4ad-4def-8087-042b7ac0f2b7\">urn:uuid:a33d1eed-c4ad-4def-8087-042b7ac0f2b7</a>\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>onset</b>: Aug 10, 2016, 12:00:00 AM</p>\n\t\t\t\t\t</div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active",
              "display" : "Active"
            }
          ],
          "text" : "Active"
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "confirmed",
              "display" : "Confirmed"
            }
          ],
          "text" : "Confirmed"
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "problem-list-item",
                "display" : "Problem List Item"
              }
            ],
            "text" : "Problem"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "442311008",
              "display" : "Liveborn born in hospital"
            }
          ],
          "text" : "Single liveborn, born in hospital"
        },
        "subject" : {
          "reference" : "urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4",
          "display" : "Amy V. Shaw"
        },
        "encounter" : {
          "reference" : "urn:uuid:a33d1eed-c4ad-4def-8087-042b7ac0f2b7"
        },
        "onsetDateTime" : "2016-08-10"
      }
    },
    {
      "fullUrl" : "urn:uuid:7221aa91-d9e1-44fa-8b90-c5a8c7caeade",
      "resource" : {
        "resourceType" : "Organization",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t\t\t\t<h1>Organization</h1>\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t<p>ID: 393872</p>\n\t\t\t\t\t\t\t<p>Name: Saint Luke's Hospital of Kansas City\n\t\t\t\t\t\t\t</p>\n\t\t\t\t\t\t\t<p>NPI: 1063494177</p>\n\t\t\t\t\t\t\t<p>Phone:(816)932-2000</p>\n\t\t\t\t\t\t\t<p>Address:4401 Wornall Rd,, MO, 64111</p>\n\t\t\t\t\t\t</div>\n\t\t\t\t\t</div>"
        },
        "contained" : [
          {
            "resourceType" : "Endpoint",
            "id" : "direct",
            "status" : "active",
            "connectionType" : {
              "system" : "http://terminology.hl7.org/CodeSystem/endpoint-connection-type",
              "code" : "direct-project"
            },
            "name" : "Dr. Ronald Bone Direct Address",
            "managingOrganization" : {
              "reference" : "urn:uuid:7221aa91-d9e1-44fa-8b90-c5a8c7caeade"
            },
            "payloadType" : [
              {
                "coding" : [
                  {
                    "system" : "urn:oid:1.3.6.1.4.1.19376.1.2.3",
                    "code" : "urn:hl7-org:sdwg:ccda-structuredBody:1.1"
                  }
                ]
              }
            ],
            "payloadMimeType" : [
              "text/xml"
            ],
            "address" : "mailto:Interoperability@DirectAddress.com"
          }
        ],
        "identifier" : [
          {
            "system" : "http://example.org/fhir/sid/us-npi",
            "value" : "1063494177"
          },
          {
            "system" : "http://example.org/fhir/us/argo/sid/us-ein",
            "value" : "00-0000000"
          }
        ],
        "active" : true,
        "name" : "Saint Luke's Hospital of Kansas City",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(816)932-2000",
            "use" : "work"
          },
          {
            "system" : "other",
            "value" : "http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "text" : "3300 Washtenaw Avenue, Suite 227 Amherst MA 01002",
            "line" : [
              "4401 Wornall Rd,"
            ],
            "city" : "Amherst",
            "state" : "MA",
            "postalCode" : "64111"
          }
        ],
        "endpoint" : [
          {
            "reference" : "#direct"
          }
        ]
      }
    }
  ]
}