US Public Health Reporting Bundle - Eve Everywoman - US Public Health Profiles Library v2.0.0-ballot

US Public Health Profiles Library
2.0.0-ballot - STU 2 - Ballot United States of America flag

This page is part of the US Public Health Profiles Library (v2.0.0-ballot: STU 2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 1.0.0. For a full list of available versions, see the Directory of published versions

Example Bundle: US Public Health Reporting Bundle - Eve Everywoman

Profile: US Public Health Reporting Bundle

Bundle us-ph-reporting-bundle-example of type message

Entry 1 - fullUrl = http://example.org/fhir/MessageHeader/us-ph-messageheader-content-bundle-example

Resource MessageHeader:

Profile: US Public Health MessageHeader
US Public Health Data Encrypted Extension: false
US Public Health Message Processing Category Extension: consequence
event: US Public Health CodeSystem - Message Types eicr-case-report-message: Indicates a message containing electronic case report healthcare data sent from clinical care.
Destinations
- Name Target
* YMCA Acme Message Gateway Bundle: type = message; timestamp = 2020-11-20 11:15:33-1000
sender: Bundle: identifier = UUID:2be4b4e4-6df1-4cb2-a947-c70fa0eda53b; type = document; timestamp = 2022-06-02 22:13:23+0000
Sources
- Name Software Version Contact
* Acme Central Patient Registry FooBar Patient Manager 3.1.45.AABB +1 (555) 123 4567
reason: Indicates the close of an encounter
focus: Bundle: type = message; timestamp = 2020-11-20 11:15:33-1000

Entry 2 - fullUrl = http://example.org/fhir/Bundle/us-ph-content-bundle-example

Resource Bundle:

Profile: US Public Health Content Bundle
Bundle us-ph-content-bundle-example of type collection

Entry 1 - fullUrl = http://example.org/fhir/Patient/us-ph-patient-eve-everywoman-inline
Resource Patient:
Generated Narrative: Patient us-ph-patient-eve-everywoman
Profile: US Public Health Patient
Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual, ))
Active: true Deceased: false
Contact Detail
ph: 1-(404)555-1212(Home)
eve.everywoman@example.org
2222 Home Street Ann Arbor MI 99999 US
Language: English
US Core Ethnicity Extension:
text: Not Hispanic or Latino
ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino
US Core Birth Sex Extension F
US Core Race Extension:
text: White
ombCategory: CDC Race and Ethnicity 2106-3: White
US Core Tribal Affiliation Extension:
tribalAffiliation: Fort Mojave Indian Tribe of Arizona, California & Nevada
isEnrolled: true

Entry 2 - fullUrl = http://example.org/fhir/PractitionerRole/us-ph-practitionerrole-henry-seven-inline
Resource PractitionerRole:
Generated Narrative: PractitionerRole us-ph-practitionerrole-henry-seven
Profile: US Public Health PractitionerRole
identifier: NPI/9941339100
practitioner: Henry Seven, MD
organization: Salem Medical Center
code: Primary Care Clinic/Center
specialty: Family practice
location: Salem Medical Center
telecom: henry.seven@example.org

Entry 3 - fullUrl = http://example.org/fhir/Location/us-ph-location-salem-medical-center-inline
Resource Location:
Generated Narrative: Location us-ph-location-salem-medical-center
Profile: US Public Health Location
identifier: NPI/1063494177
status: Active
name: Clinic Bldg A, Salem Medical Center
type: Hospital
telecom: ph: (+1) (555)555-3001, fax: (+1) (555)555-3002, mail@smc.org
address: Clinic Bldg A 4444 Healthcare Drive Ann Arbor MI 99999
managingOrganization: Organization Salem Medical Center

Entry 4 - fullUrl = http://example.org/fhir/Practitioner/us-core-practitioner-henry-seven-inline
Resource Practitioner:
Generated Narrative: Practitioner us-core-practitioner-henry-seven
Profile: US Core Practitioner Profile
identifier: NPI/9941339100
name: Seven Henry
telecom: henry.seven@example.org
address: 1002 Healthcare Drive Ann Arbor MI 99999 US

Entry 5 - fullUrl = http://example.org/fhir/Condition/us-ph-condition-encounter-diagnosis-diabetes-inline
Resource Condition:
Generated Narrative: Condition us-ph-condition-encounter-diagnosis-diabetes
Profile: US Public Health Condition Encounter Diagnosis
category: Encounter Diagnosis
code: Diabetes mellitus (disorder)
subject: Eve Everywoman
onset: 2017-08-23
asserter: Henry Seven, MD

Entry 6 - fullUrl = http://example.org/fhir/Organization/us-ph-organization-salem-medical-center-inline
Resource Organization:
Generated Narrative: Organization us-ph-organization-salem-medical-center
Profile: US Public Health Organization
identifier: NPI/1407071236
active: true
name: Salem Medical Center
telecom: +1-555-555-1111, mail@salemmedicalcenter.com
address: 22222 Health Authority Drive Ann Arbor MI 99999

Entry 7 - fullUrl = http://example.org/fhir/Device/device-software-ymca-inline
Resource Device:
Generated Narrative: Device device-software-ymca
identifier: http://example.org/software/client-ids/goodhealth_id
manufacturer: Acme Devices, Inc
type: EHR
Versions
- Value
* 10.23-23423
contact: http://example.org
url: http://example.org/ymca/software/

Entry 3 - fullUrl = http://example.org/fhir/Device/device-software-ymca

Resource Device:

identifier: http://example.org/software/client-ids/goodhealth_id
manufacturer: Acme Devices, Inc
type: EHR
Versions
- Value
* 10.23-23423
contact: http://example.org

Entry 4 - fullUrl = http://example.org/fhir/Organization/us-ph-organization-salem-medical-center

Resource Organization:

Profile: US Public Health Organization
identifier: NPI/1407071236
active: true
name: Salem Medical Center
contact
telecom: +1-555-555-1111, mail@salemmedicalcenter.com
address: 22222 Health Authority Drive Ann Arbor MI 99999

IG © 2025+ HL7 International / Public Health. Package hl7.fhir.us.ph-library#2.0.0-ballot based on FHIR 4.0.1. Generated 2025-07-30
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