Da Vinci - Coverage Requirements Discovery
2.1.0-preview - STU 2 United States of America flag

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.1.0-preview: STU 2.1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.1. For a full list of available versions, see the Directory of published versions

: Example EHR response - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "search-response",
  "type" : "batch-response",
  "entry" : [
    {
      "fullUrl" : "http://example.org/someEHR/fhir/Patient/123",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "123",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Amy V. Baxter </b> female, DoB: 1987-02-20 ( Medical Record Number:\u00a01032702\u00a0(use:\u00a0USUAL))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Alternate names (see the one above)\">Alt. Name:</td><td colspan=\"3\">Amy V. Shaw (OLD)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Details:</td><td colspan=\"3\"><ul><li>ph: 555-555-5555(HOME)</li><li><a href=\"mailto:amy.shaw@example.com\">amy.shaw@example.com</a></li><li>49 MEADOW ST MOUNDS OK 74047 US (OLD)</li><li>183 MOUNTAIN VIEW ST MOUNDS OK 74048 US </li></ul></td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode" : "F"
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex",
            "valueCode" : "248152002"
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                  "code" : "UNK",
                  "display" : "Unknown"
                }
              ],
              "text" : "Unknown"
            }
          }
        ],
        "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" : [
          {
            "use" : "old",
            "family" : "Shaw",
            "given" : [
              "Amy",
              "V."
            ],
            "period" : {
              "start" : "2016-12-06",
              "end" : "2020-07-22"
            }
          },
          {
            "family" : "Baxter",
            "given" : [
              "Amy",
              "V."
            ],
            "suffix" : [
              "PharmD"
            ],
            "period" : {
              "start" : "2020-07-22"
            }
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "555-555-5555",
            "use" : "home"
          },
          {
            "system" : "email",
            "value" : "amy.shaw@example.com"
          }
        ],
        "gender" : "female",
        "birthDate" : "1987-02-20",
        "address" : [
          {
            "use" : "old",
            "line" : [
              "49 MEADOW ST"
            ],
            "city" : "MOUNDS",
            "state" : "OK",
            "postalCode" : "74047",
            "country" : "US",
            "period" : {
              "start" : "2016-12-06",
              "end" : "2020-07-22"
            }
          },
          {
            "line" : [
              "183 MOUNTAIN VIEW ST"
            ],
            "city" : "MOUNDS",
            "state" : "OK",
            "postalCode" : "74048",
            "country" : "US",
            "period" : {
              "start" : "2020-07-22"
            }
          }
        ]
      },
      "response" : {
        "status" : "200",
        "lastModified" : "2019-03-15T15:38:13.028Z"
      }
    },
    {
      "fullUrl" : "urn:uuid:f95e9abf-1c8f-4873-ad15-f6f016334568",
      "resource" : {
        "resourceType" : "Bundle",
        "id" : "f95e9abf-1c8f-4873-ad15-f6f016334568",
        "type" : "searchset",
        "total" : 1,
        "link" : [
          {
            "relation" : "self",
            "url" : "Encounter?_id=987&_include=Encounter:service-provider&_include=Encounter:practitioner&_include=Encounter:location"
          }
        ],
        "entry" : [
          {
            "fullUrl" : "http://example.org/someEHR/fhir/Encounter/987",
            "resource" : {
              "resourceType" : "Encounter",
              "id" : "987",
              "text" : {
                "status" : "generated",
                "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>status</b>: finished</p><p><b>class</b>: ambulatory</p><p><b>type</b>: Office Visit</p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient/example</a> &quot; SHAW&quot;</p><p><b>period</b>: 2015-11-01 17:00:14-0500 --&gt; 2015-11-01 18:00:14-0500</p><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td>Holy Family Hospital</td></tr></table></div>"
              },
              "status" : "finished",
              "class" : {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "AMB",
                "display" : "ambulatory"
              },
              "type" : [
                {
                  "coding" : [
                    {
                      "system" : "http://www.ama-assn.org/go/cpt",
                      "code" : "99211"
                    }
                  ],
                  "text" : "Office Visit"
                }
              ],
              "subject" : {
                "reference" : "http://example.org/someEHR/fhir/Patient/123"
              },
              "period" : {
                "start" : "2015-11-01T17:00:14-05:00",
                "end" : "2015-11-01T18:00:14-05:00"
              },
              "location" : [
                {
                  "location" : {
                    "reference" : "http://example.org/someEHR/fhir/Location/hospital",
                    "display" : "Holy Family Hospital"
                  }
                }
              ]
            },
            "search" : {
              "mode" : "match"
            }
          },
          {
            "fullUrl" : "http://example.org/someEHR/fhir/Location/hospital",
            "resource" : {
              "resourceType" : "Location",
              "id" : "hospital",
              "text" : {
                "status" : "generated",
                "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>name</b>: Acme Clinic</p><p></p><p><b>address</b>: 3300 WASHTENAW AVE STE 227 AMHERST MA 01002 USA </p></div>"
              },
              "name" : "Acme Clinic",
              "address" : {
                "line" : [
                  "3300 WASHTENAW AVE STE 227"
                ],
                "city" : "AMHERST",
                "state" : "MA",
                "postalCode" : "01002",
                "country" : "USA"
              },
              "managingOrganization" : {
                "reference" : "http://example.org/someEHR/fhir/Organization/GHI"
              }
            },
            "search" : {
              "mode" : "include"
            }
          }
        ]
      },
      "response" : {
        "status" : "200",
        "lastModified" : "2019-03-15T15:38:13.028Z"
      }
    },
    {
      "fullUrl" : "urn:uuid:c81d99b6-caf9-4e01-8eda-0550a837def3",
      "resource" : {
        "resourceType" : "Bundle",
        "id" : "c81d99b6-caf9-4e01-8eda-0550a837def3",
        "type" : "searchset",
        "total" : 1,
        "link" : [
          {
            "relation" : "self",
            "url" : "http://example.org/someEHR/fhir/r4/Coverage?patient=123&status=active"
          }
        ],
        "entry" : [
          {
            "fullUrl" : "http://example.org/someEHR/fhir/Coverage/COV1",
            "resource" : {
              "resourceType" : "Coverage",
              "id" : "COV1",
              "text" : {
                "status" : "generated",
                "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>identifier</b>: Member Number:\u00a088800933501</p><p><b>status</b>: active</p><p><b>type</b>: PPO</p><p><b>subscriberId</b>: 888009335</p><p><b>beneficiary</b>: <a href=\"Patient-example.html\">Patient/example</a> &quot; SHAW&quot;</p><p><b>relationship</b>: Self</p><p><b>period</b>: 2020-01-01 --&gt; (ongoing)</p><p><b>payor</b>: Acme Health Plan</p><blockquote><p><b>class</b></p><p><b>type</b>: An employee group</p><p><b>value</b>: xyz</p><p><b>name</b>: XYZ employee Group Plan</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: A specific suite of benefits.</p><p><b>value</b>: gold</p><p><b>name</b>: Acme Gold Plan</p></blockquote></div>"
              },
              "identifier" : [
                {
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code" : "MB",
                        "display" : "Member Number"
                      }
                    ]
                  },
                  "system" : "http://example.org/fhir/memberidentifier",
                  "value" : "88800933501"
                }
              ],
              "status" : "active",
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                    "code" : "PPO",
                    "display" : "preferred provider organization policy"
                  }
                ],
                "text" : "PPO"
              },
              "subscriberId" : "888009335",
              "beneficiary" : {
                "reference" : "http://example.org/someEHR/fhir/Patient/123"
              },
              "relationship" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
                    "code" : "self"
                  }
                ],
                "text" : "Self"
              },
              "period" : {
                "start" : "2020-01-01"
              },
              "payor" : [
                {
                  "reference" : "http://example.org/someEHR/fhir/Organization/acme-payer",
                  "display" : "Acme Health Plan"
                }
              ],
              "class" : [
                {
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
                        "code" : "group",
                        "display" : "Group"
                      }
                    ],
                    "text" : "An employee group"
                  },
                  "value" : "xyz",
                  "name" : "XYZ employee Group Plan"
                },
                {
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
                        "code" : "plan",
                        "display" : "Plan"
                      }
                    ],
                    "text" : "A specific suite of benefits."
                  },
                  "value" : "gold",
                  "name" : "Acme Gold Plan"
                }
              ]
            },
            "search" : {
              "mode" : "match"
            }
          }
        ]
      },
      "response" : {
        "status" : "200",
        "lastModified" : "2019-03-15T15:38:13.028Z"
      }
    },
    {
      "fullUrl" : "urn:uuid:dc616366-2f3f-4cca-b02c-0f80981770db",
      "resource" : {
        "resourceType" : "Bundle",
        "id" : "dc616366-2f3f-4cca-b02c-0f80981770db",
        "type" : "searchset",
        "total" : 2,
        "link" : [
          {
            "relation" : "self",
            "url" : "http://example.org/someEHR/fhir/r4/Medication?_id=MED1,MED2&_sort=_id"
          }
        ],
        "entry" : [
          {
            "fullUrl" : "http://example.org/someEHR/fhir/Mediation/MED1",
            "resource" : {
              "resourceType" : "Medication",
              "id" : "MED1",
              "text" : {
                "status" : "generated",
                "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">diclofenac potassium 50 MG Oral Tablet</div>"
              },
              "code" : {
                "coding" : [
                  {
                    "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
                    "code" : "855942",
                    "display" : "diclofenac potassium 50 MG Oral Tablet"
                  }
                ],
                "text" : "diclofenac potassium 50 MG Oral Tablet"
              }
            },
            "search" : {
              "mode" : "match"
            }
          },
          {
            "fullUrl" : "http://example.org/someEHR/fhir/Mediation/MED2",
            "resource" : {
              "resourceType" : "Medication",
              "id" : "MED2",
              "text" : {
                "status" : "generated",
                "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Abuse-Deterrent 12 HR oxycodone hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]</div>"
              },
              "code" : {
                "coding" : [
                  {
                    "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
                    "code" : "1049504",
                    "display" : "Abuse-Deterrent 12 HR oxycodone hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]"
                  }
                ],
                "text" : "Abuse-Deterrent 12 HR oxycodone hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]"
              }
            },
            "search" : {
              "mode" : "match"
            }
          }
        ]
      },
      "response" : {
        "status" : "200",
        "lastModified" : "2019-03-15T15:38:13.037Z"
      }
    },
    {
      "fullUrl" : "urn:uuid:ee0d8bb2-f7a1-4b53-bfff-902dd4513b07",
      "resource" : {
        "resourceType" : "Bundle",
        "id" : "ee0d8bb2-f7a1-4b53-bfff-902dd4513b07",
        "type" : "searchset",
        "total" : 1,
        "link" : [
          {
            "relation" : "self",
            "url" : "http://example.org/someEHR/fhir/r4/PractitionerRole?_id=123&_include=PractitionerRole:organization&_include=PractitionerRole:practitioner&_sort=_id"
          }
        ],
        "entry" : [
          {
            "fullUrl" : "http://example.org/someEHR/fhir/PractitionerRole/ABC",
            "resource" : {
              "resourceType" : "PractitionerRole",
              "id" : "ABC",
              "meta" : {
                "lastUpdated" : "2016-02-29T23:52:32.387Z"
              },
              "text" : {
                "status" : "generated",
                "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dr. Ronald Bone, primary care physician at Acme Clinic</div>"
              },
              "practitioner" : {
                "reference" : "http://example.org/someEHR/fhir/Practitioner/DEF",
                "display" : "Dr. Ronald Bone"
              },
              "organization" : {
                "reference" : "http://example.org/someEHR/fhir/Organization/GHI",
                "display" : "Acme Clinic"
              },
              "code" : [
                {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
                      "code" : "PCP",
                      "display" : "primary care physician"
                    },
                    {
                      "system" : "http://nucc.org/provider-taxonomy",
                      "code" : "261QP2300X",
                      "display" : "Primary Care Clinic/Center"
                    }
                  ]
                }
              ]
            },
            "search" : {
              "mode" : "match"
            }
          },
          {
            "fullUrl" : "http://example.org/someEHR/fhir/Practitioner/DEF",
            "resource" : {
              "resourceType" : "Practitioner",
              "id" : "DEF",
              "text" : {
                "status" : "generated",
                "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>identifier</b>: <a href=\"https://terminology.hl7.org/NamingSystem-npi.html\">United States National Provider Identifier (NPI)</a> 9941339100, id:\u00a025456</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 HEALTHCARE DR AMHERST MA 01002 (WORK)</p></div>"
              },
              "identifier" : [
                {
                  "system" : "http://hl7.org/fhir/sid/us-npi",
                  "value" : "9941339100"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-jurisdiction",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "https://www.usps.com/",
                            "code" : "MA"
                          }
                        ],
                        "text" : "Massachusetts"
                      }
                    }
                  ],
                  "system" : "http://www.acme.org/practitioners",
                  "value" : "25456"
                }
              ],
              "name" : [
                {
                  "family" : "Bone",
                  "given" : [
                    "Ronald"
                  ],
                  "prefix" : [
                    "Dr"
                  ]
                }
              ],
              "address" : [
                {
                  "use" : "work",
                  "line" : [
                    "1003 HEALTHCARE DR"
                  ],
                  "city" : "AMHERST",
                  "state" : "MA",
                  "postalCode" : "01002"
                }
              ]
            },
            "search" : {
              "mode" : "include"
            }
          },
          {
            "fullUrl" : "http://example.org/someEHR/fhir/Organization/GHI",
            "resource" : {
              "resourceType" : "Organization",
              "id" : "GHI",
              "text" : {
                "status" : "generated",
                "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>identifier</b>: <a href=\"https://terminology.hl7.org/NamingSystem-npi.html\">United States National Provider Identifier (NPI)</a> 1407071236, id:\u00a0121111111</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider</p><p><b>name</b>: Acme Clinic</p><p><b>telecom</b>: ph: (+1) 734-677-7777, <a href=\"mailto:customer-service@acme-clinic.org\">customer-service@acme-clinic.org</a></p><p><b>address</b>: 3300 WASHTENAW AVE STE 227 AMHERST MA 01002 USA </p></div>"
              },
              "identifier" : [
                {
                  "system" : "http://hl7.org/fhir/sid/us-npi",
                  "value" : "1407071236"
                },
                {
                  "system" : "http://example.org/fhir/sid/us-tin",
                  "value" : "121111111"
                }
              ],
              "active" : true,
              "type" : [
                {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                      "code" : "prov",
                      "display" : "Healthcare Provider"
                    }
                  ]
                }
              ],
              "name" : "Acme Clinic",
              "telecom" : [
                {
                  "system" : "phone",
                  "value" : "(+1) 734-677-7777"
                },
                {
                  "system" : "email",
                  "value" : "customer-service@acme-clinic.org"
                }
              ],
              "address" : [
                {
                  "line" : [
                    "3300 WASHTENAW AVE STE 227"
                  ],
                  "city" : "AMHERST",
                  "state" : "MA",
                  "postalCode" : "01002",
                  "country" : "USA"
                }
              ]
            },
            "search" : {
              "mode" : "include"
            }
          }
        ]
      },
      "response" : {
        "status" : "200",
        "lastModified" : "2019-03-15T15:38:13.011Z"
      }
    }
  ]
}