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This page is part of the US Public Health Profiles Library (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: US Public Health Reporting Bundle - Eve Everywoman - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "us-ph-reporting-bundle-example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-reporting-bundle"
    ]
  },
  "type" : "message",
  "timestamp" : "2020-11-20T11:15:33-10:00",
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/Bundle/inline-us-ph-messageheader-content-bundle",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "inline-us-ph-messageheader-content-bundle",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-messageheader"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MessageHeader</b><a name=\"inline-us-ph-messageheader-content-bundle\"> </a></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 &quot;inline-us-ph-messageheader-content-bundle&quot; </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-codesystem-message-types 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 style=\"display: none\">-</td><td><b>Name</b></td><td><b>Target</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</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> &quot;Salem Medical Center&quot;</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</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 style=\"display: none\">*</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-codesystem-triggerdefinition-namedevents.html\">US Public Health CodeSystem - Trigger Definition Named Events</a>#encounter-close)</span></p><p><b>focus</b>: <a href=\"#Bundle_us-ph-content-bundle-example\">See above (Bundle/us-ph-content-bundle-example)</a></p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-data-encrypted-extension",
            "valueBoolean" : false
          },
          {
            "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-message-processing-category-extension",
            "valueCode" : "consequence"
          }
        ],
        "eventCoding" : {
          "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-message-types",
          "code" : "eicr-case-report-message",
          "display" : "Indicates a message containing electronic case report healthcare data sent from clinical care."
        },
        "destination" : [
          {
            "name" : "YMCA Acme Message Gateway",
            "target" : {
              "reference" : "Device/device-software-ymca"
            },
            "endpoint" : "http://example.org/ymca/fhir"
          }
        ],
        "sender" : {
          "reference" : "Organization/us-ph-organization-salem-medical-center"
        },
        "source" : {
          "name" : "Acme Central Patient Registry",
          "software" : "FooBar Patient Manager",
          "version" : "3.1.45.AABB",
          "contact" : {
            "system" : "phone",
            "value" : "+1 (555) 123 4567"
          },
          "endpoint" : "http://example.org/salem-medical-center/fhir"
        },
        "reason" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/ph-library/CodeSystem/us-ph-codesystem-triggerdefinition-namedevents",
              "code" : "encounter-close",
              "display" : "Indicates the close of an encounter"
            }
          ]
        },
        "focus" : [
          {
            "reference" : "Bundle/us-ph-content-bundle-example"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Bundle/us-ph-content-bundle-example",
      "resource" : {
        "resourceType" : "Bundle",
        "id" : "us-ph-content-bundle-example",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-content-bundle"
          ]
        },
        "type" : "collection",
        "timestamp" : "2022-06-20T11:15:33-10:00",
        "entry" : [
          {
            "fullUrl" : "http://example.org/fhir/Patient/us-ph-patient-eve-everywoman",
            "resource" : {
              "resourceType" : "Patient",
              "id" : "us-ph-patient-eve-everywoman",
              "meta" : {
                "profile" : [
                  "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient"
                ]
              },
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "text",
                      "valueString" : "White"
                    },
                    {
                      "url" : "ombCategory",
                      "valueCoding" : {
                        "system" : "urn:oid:2.16.840.1.113883.6.238",
                        "code" : "2106-3",
                        "display" : "White"
                      }
                    }
                  ],
                  "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
                },
                {
                  "extension" : [
                    {
                      "url" : "text",
                      "valueString" : "Not Hispanic or Latino"
                    },
                    {
                      "url" : "ombCategory",
                      "valueCoding" : {
                        "system" : "urn:oid:2.16.840.1.113883.6.238",
                        "code" : "2186-5",
                        "display" : "Not Hispanic or Latino"
                      }
                    }
                  ],
                  "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
                },
                {
                  "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
                  "valueCode" : "F"
                },
                {
                  "extension" : [
                    {
                      "url" : "value",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                            "code" : "ASKU",
                            "display" : "asked but unknown"
                          }
                        ],
                        "text" : "asked but unknown"
                      }
                    }
                  ],
                  "url" : "http://hl7.org/fhir/StructureDefinition/individual-genderIdentity"
                },
                {
                  "extension" : [
                    {
                      "url" : "TribeName",
                      "valueCoding" : {
                        "system" : "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS",
                        "code" : "91",
                        "display" : "Fort Mojave Indian Tribe of Arizona, California & Nevada"
                      }
                    },
                    {
                      "url" : "EnrolledTribeMember",
                      "valueBoolean" : true
                    }
                  ],
                  "url" : "http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-tribal-affiliation-extension"
                }
              ],
              "identifier" : [
                {
                  "use" : "usual",
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code" : "MR",
                        "display" : "Medical Record Number"
                      }
                    ]
                  },
                  "system" : "http://hospital.smarthealthit.org",
                  "value" : "1032702"
                }
              ],
              "active" : true,
              "name" : [
                {
                  "family" : "Everywoman",
                  "given" : [
                    "Eve",
                    "L"
                  ]
                }
              ],
              "telecom" : [
                {
                  "system" : "phone",
                  "value" : "1-(404)555-1212",
                  "use" : "home"
                },
                {
                  "system" : "email",
                  "value" : "eve.everywoman@example.com"
                }
              ],
              "gender" : "female",
              "birthDate" : "1974-11-24",
              "deceasedBoolean" : false,
              "address" : [
                {
                  "line" : [
                    "2222 Home Street"
                  ],
                  "city" : "Ann Arbor",
                  "state" : "MI",
                  "postalCode" : "99999",
                  "country" : "US"
                }
              ],
              "communication" : [
                {
                  "language" : {
                    "coding" : [
                      {
                        "system" : "urn:ietf:bcp:47",
                        "code" : "en",
                        "display" : "English"
                      }
                    ]
                  }
                }
              ]
            }
          }
        ]
      }
    }
  ]
}