This page is part of the US Public Health Profiles Library (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="us-ph-reporting-bundle-example"/>
<meta>
<versionId value="6"/>
<lastUpdated value="2022-08-02T23:38:25.595+00:00"/>
<source value="#cmWalv3i7ii12e50"/>
<profile
value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-reporting-bundle"/>
</meta>
<type value="message"/>
<timestamp value="2020-11-20T11:15:33-10:00"/>
<entry>
<fullUrl
value="http://example.org/fhir/MessageHeader/us-ph-messageheader-case-report"/>
<resource>
<MessageHeader>
<id value="us-ph-messageheader-case-report"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2022-07-22T19:58:50.237+00:00"/>
<source value="#un4cM3WjIQ50i2xQ"/>
<profile
value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-messageheader"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MessageHeader</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MessageHeader "us-ph-messageheader-case-report" Version "3" Updated "2022-07-22 07:58:50+0000" </p><p style="margin-bottom: 0px">Information Source: #un4cM3WjIQ50i2xQ!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-ph-messageheader.html">US Public Health MessageHeader</a></p></div><p><b>US Public Health Data Encrypted Extension</b>: false</p><p><b>US Public Health Message Processing Category Extension</b>: consequence</p><p><b>event</b>: Indicates a message containing electronic case report healthcare data sent from clinical care. (Details: http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-message-types-codesystem code eicr-case-report-message = 'Indicates a message containing electronic case report healthcare data sent from clinical care.', stated as 'Indicates a message containing electronic case report healthcare data sent from clinical care.')</p><h3>Destinations</h3><table class="grid"><tr><td>-</td><td><b>Name</b></td><td><b>Target</b></td><td><b>Endpoint</b></td></tr><tr><td>*</td><td>YMCA Acme Message Gateway</td><td><a href="Device-device-software-ymca.html">Device/device-software-ymca</a></td><td><a href="http://example.org/ymca/fhir">http://example.org/ymca/fhir</a></td></tr></table><p><b>sender</b>: <a href="Organization-us-ph-organization-salem-medical-center.html">Organization/us-ph-organization-salem-medical-center</a> "Salem Medical Center"</p><h3>Sources</h3><table class="grid"><tr><td>-</td><td><b>Name</b></td><td><b>Software</b></td><td><b>Version</b></td><td><b>Contact</b></td><td><b>Endpoint</b></td></tr><tr><td>*</td><td>Acme Central Patient Registry</td><td>FooBar Patient Manager</td><td>3.1.45.AABB</td><td><a href="tel:+1(555)1234567">+1 (555) 123 4567</a></td><td><a href="http://example.org/salem-medical-center/fhir">http://example.org/salem-medical-center/fhir</a></td></tr></table><p><b>reason</b>: Indicates the close of an encounter <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-ph-triggerdefinition-namedevents.html">US Public Health TriggerDefinition NamedEvents</a>#encounter-close)</span></p><p><b>focus</b>: <a href="Bundle-us-ph-document-bundle-example.html">Bundle/us-ph-document-bundle-example</a></p></div>
</text>
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-data-encrypted-extension">
<valueBoolean value="false"/>
</extension>
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-message-processing-category-extension">
<valueCode value="consequence"/>
</extension>
<eventCoding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-message-types-codesystem"/>
<code value="eicr-case-report-message"/>
<display
value="Indicates a message containing electronic case report healthcare data sent from clinical care."/>
</eventCoding>
<destination>
<name value="YMCA Acme Message Gateway"/>
<target>
<reference value="Device/device-software-ymca"/>
</target>
<endpoint value="http://example.org/ymca/fhir"/>
</destination>
<sender>
<reference
value="Organization/us-ph-organization-salem-medical-center"/>
</sender>
<source>
<name value="Acme Central Patient Registry"/>
<software value="FooBar Patient Manager"/>
<version value="3.1.45.AABB"/>
<contact>
<system value="phone"/>
<value value="+1 (555) 123 4567"/>
</contact>
<endpoint value="http://example.org/salem-medical-center/fhir"/>
</source>
<reason>
<coding>
<system
value="http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-triggerdefinition-namedevents"/>
<code value="encounter-close"/>
<display value="Indicates the close of an encounter"/>
</coding>
</reason>
<focus>
<reference value="Bundle/us-ph-document-bundle-example"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Bundle/us-ph-document-bundle-example"/>
<resource>
<Bundle>
<id value="us-ph-content-bundle-example"/>
<type value="collection"/>
<timestamp value="2022-06-20T11:15:33-10:00"/>
<entry>
<fullUrl
value="http://example.org/fhir/Patient/patient-ph-library-eve-everywoman"/>
<resource>
<Patient>
<id value="patient-ph-library-eve-everywoman"/>
<meta>
<versionId value="10"/>
<lastUpdated value="2021-08-17T08:00:32.356+00:00"/>
<source value="#zjFlzHDvZIYVyMAB"/>
<profile
value="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<div class="hapiHeaderText">Eve L
<b>EVERYWOMAN </b>
</div>
<table class="hapiPropertyTable">
<tbody>
<tr>
<td>Identifier</td>
<td>1032702</td>
</tr>
<tr>
<td>Address</td>
<td>
<span>5101 Peachtree St NE </span>
<br/>
<span>Atlanta </span>
<span>GA </span>
<span>US </span>
</td>
</tr>
<tr>
<td>Date of birth</td>
<td>
<span>24 November 1974</span>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2106-3"/>
<display value="White"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="White"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2186-5"/>
<display value="Not Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Not Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</extension>
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-genderidentity-extension">
<extension url="value">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="ASKU"/>
<display value="asked but unknown"/>
</coding>
<text value="asked but unknown"/>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-tribal-affiliation-extension">
<extension url="TribeName">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS"/>
<code value="91"/>
<display
value="Fort Mojave Indian Tribe of Arizona, California"/>
</valueCoding>
</extension>
<extension url="EnrolledTribeMember">
<valueBoolean value="true"/>
</extension>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="1032702"/>
</identifier>
<active value="true"/>
<name>
<family value="Everywoman"/>
<given value="Eve"/>
<given value="L"/>
</name>
<telecom>
<system value="phone"/>
<value value="1-(404)555-1212"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="eve.everywoman@example.com"/>
</telecom>
<gender value="female"/>
<birthDate value="1974-11-24"/>
<deceasedBoolean value="false"/>
<address>
<line value="5101 Peachtree St NE"/>
<city value="Atlanta"/>
<state value="GA"/>
<postalCode value="30302"/>
<country value="US"/>
</address>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en"/>
<display value="English"/>
</coding>
</language>
</communication>
</Patient>
</resource>
</entry>
</Bundle>
</resource>
</entry>
</Bundle>