This page is part of the Protocols for Clinical Registry Extraction and Data Submission (CREDS) IG (v1.0.0: STU1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="CREDSBundle-Example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/registry-protocols/StructureDefinition/CREDSSubmission"/>
</meta>
<type value="collection"/>
<entry>
<fullUrl value="urn:uuid:a4bab684-4bc2-43b7-82a0-199034a5a5b2"/>
<resource>
<MessageHeader>
<id value="CREDSMHExample"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MessageHeader</b><a name="CREDSMHExample"> </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 "CREDSMHExample" </p></div><p><b>event</b>: <code>urn:uuid:26aa1208-589a-4978-9cb7-728cc51520aa</code></p><p><b>sender</b>: <a href="Organization-VeterinariansHospital.html">Organization/VeterinariansHospital</a> "Veterinarian's Hospital"</p><p><b>enterer</b>: <a href="Practitioner-USCorePractitionerexample.html">Practitioner/USCorePractitionerexample</a> " BONE"</p><h3>Sources</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style="display: none">*</td><td>CREDS Implementation #2</td><td><a href="https://example.org/fhir">https://example.org/fhir</a></td></tr></table><p><b>reason</b>: Discharge <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-message-reasons-encounter.html">Example Message Reason Codes</a>#discharge)</span></p><p><b>focus</b>: <a href="#Patient_261989c3-688c-4941-b767-d8d4c871217c">See above (Patient/261989c3-688c-4941-b767-d8d4c871217c)</a></p></div>
</text>
<eventUri value="urn:uuid:26aa1208-589a-4978-9cb7-728cc51520aa"/>
<sender>🔗
<reference value="Organization/VeterinariansHospital"/>
</sender>
<enterer>🔗
<reference value="Practitioner/USCorePractitionerexample"/>
</enterer>
<source>
<name value="CREDS Implementation #2"/>
<endpoint value="https://example.org/fhir"/>
</source>
<reason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/message-reasons-encounter"/>
<code value="discharge"/>
</coding>
</reason>
<focus>🔗
<reference value="Patient/261989c3-688c-4941-b767-d8d4c871217c"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:261989c3-688c-4941-b767-d8d4c871217c"/>
<resource>
<Patient>
<id value="261989c3-688c-4941-b767-d8d4c871217c"/>
<meta>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-name">
<valueString value="Patient Example"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-description">
<valueMarkdown
value="This is a patient example for the *US Core Patient Profile*."/>
</extension>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b><a name="261989c3-688c-4941-b767-d8d4c871217c"> </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 Patient "261989c3-688c-4941-b767-d8d4c871217c" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-patient.html">US Core Patient Profile</a></p></div><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = '2106-3', stated as 'White')</p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: American Indian or Alaska Native (Details: urn:oid:2.16.840.1.113883.6.238 code 1002-5 = '1002-5', stated as 'American Indian or Alaska Native')</p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Asian (Details: urn:oid:2.16.840.1.113883.6.238 code 2028-9 = '2028-9', stated as 'Asian')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Shoshone (Details: urn:oid:2.16.840.1.113883.6.238 code 1586-7 = '1586-7', stated as 'Shoshone')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Filipino (Details: urn:oid:2.16.840.1.113883.6.238 code 2036-2 = '2036-2', stated as 'Filipino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Mixed</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2135-2 = '2135-2', stated as 'Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Dominican (Details: urn:oid:2.16.840.1.113883.6.238 code 2184-0 = '2184-0', stated as 'Dominican')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Mexican (Details: urn:oid:2.16.840.1.113883.6.238 code 2148-5 = '2148-5', stated as 'Mexican')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Hispanic or Latino</p></blockquote><p><b>US Core Birth Sex Extension</b>: F</p><p><b>identifier</b>: Medical Record Number: 1032702 (use: USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Amy V. Shaw (OLD), Amy V. Baxter </p><p><b>telecom</b>: ph: 555-555-5555(HOME), <a href="mailto:amy.shaw@example.com">amy.shaw@example.com</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1987-02-20</p><p><b>address</b>: </p><ul><li>49 Meadow St Mounds OK 74047 US (OLD)</li><li>183 Mountain View St Mounds OK 74048 US </li></ul></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="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1002-5"/>
<display value="American Indian or Alaska Native"/>
</valueCoding>
</extension>
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2028-9"/>
<display value="Asian"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="1586-7"/>
<display value="Shoshone"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2036-2"/>
<display value="Filipino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Mixed"/>
</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="2135-2"/>
<display value="Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2184-0"/>
<display value="Dominican"/>
</valueCoding>
</extension>
<extension url="detailed">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2148-5"/>
<display value="Mexican"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</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>
<text value="Medical Record Number"/>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="1032702"/>
</identifier>
<active value="true"/>
<name>
<use value="old"/>
<family value="Shaw"/>
<given value="Amy"/>
<given value="V."/>
<period>
<start value="2016-12-06"/>
<end value="2020-07-22"/>
</period>
</name>
<name>
<family value="Baxter"/>
<given value="Amy"/>
<given value="V."/>
<suffix value="PharmD"/>
<period>
<start value="2020-07-22"/>
</period>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-5555"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="amy.shaw@example.com"/>
</telecom>
<gender value="female"/>
<birthDate value="1987-02-20"/>
<address>
<use value="old"/>
<line value="49 Meadow St"/>
<city value="Mounds"/>
<state value="OK"/>
<postalCode value="74047"/>
<country value="US"/>
<period>
<start value="2016-12-06"/>
<end value="2020-07-22"/>
</period>
</address>
<address>
<line value="183 Mountain View St"/>
<city value="Mounds"/>
<state value="OK"/>
<postalCode value="74048"/>
<country value="US"/>
<period>
<start value="2020-07-22"/>
</period>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:ba651db0-7b10-4465-a5c4-411ced9e8254"/>
<resource>
<Encounter>
<id value="CREDSEncounter"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Encounter</b><a name="CREDSEncounter"> </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 Encounter "CREDSEncounter" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT®)</a>#99211)</span></p><p><b>subject</b>: <a href="#Patient_261989c3-688c-4941-b767-d8d4c871217c">See above (Patient/261989c3-688c-4941-b767-d8d4c871217c)</a></p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Individual</b></td></tr><tr><td style="display: none">*</td><td><a href="Practitioner-USCorePractitionerexample.html">Practitioner/USCorePractitionerexample</a> " BONE"</td></tr></table><p><b>period</b>: 2020-10-01 17:00:14-0500 --> 2020-10-01 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><a href="Location-Enc-location.html">Location/Enc-location</a> "North Wing of Veterinarian's Hospital"</td></tr></table></div>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
</class>
<type>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="99211"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/261989c3-688c-4941-b767-d8d4c871217c"/>
</subject>
<participant>
<individual>🔗
<reference value="Practitioner/USCorePractitionerexample"/>
</individual>
</participant>
<period>
<start value="2020-10-01T17:00:14-05:00"/>
<end value="2020-10-01T18:00:14-05:00"/>
</period>
<location>
<location>🔗
<reference value="Location/Enc-location"/>
</location>
</location>
</Encounter>
</resource>
</entry>
</Bundle>
IG © 2022+ HL7 International / Clinical Interoperability Council. Package hl7.fhir.us.registry-protocols#1.0.0 based on FHIR 4.0.1. Generated 2023-11-14
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