Personal Health Records
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This page is part of the Standard Personal Health Record (v1.0.0-ballot: STU1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

: PatientDataReceipt Message - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "pdr-message",
  "type" : "message",
  "entry" : [
    {
      "fullUrl" : "http://example.org/baseR4/MessageHeader/pdr-message-header",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "pdr-message-header",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_pdr-message-header\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader pdr-message-header</b></p><a name=\"pdr-message-header\"> </a><a name=\"hcpdr-message-header\"> </a><a name=\"pdr-message-header-en-US\"> </a><p><b>event</b>: urn:mitre:healthmanager:pdr</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"http://example.org\">http://example.org</a></td></tr></table><p><b>focus</b>: </p><ul><li><a href=\"Bundle-pdr-message.html#http-//example.org/baseR4/Encounter/ee6beac6-aaaa-957c-767e-1e1caa5c816c\">Bundle: type = message</a></li><li><a href=\"Bundle-pdr-message.html#http-//example.org/baseR4/Procedure/ee6beac6-aaaa-957c-767e-1e1c925c816c\">Bundle: type = message</a></li><li><a href=\"Bundle-pdr-message.html#http-//example.org/baseR4/Patient/71a8b156-760b-df6b-859e-eefc7932a526\">Bundle: type = message</a></li></ul></div>"
        },
        "eventUri" : "urn:mitre:healthmanager:pdr",
        "source" : {
          "endpoint" : "http://example.org"
        },
        "focus" : [
          {
            "reference" : "http://example.org/baseR4/Encounter/ee6beac6-aaaa-957c-767e-1e1caa5c816c"
          },
          {
            "reference" : "http://example.org/baseR4/Procedure/ee6beac6-aaaa-957c-767e-1e1c925c816c"
          },
          {
            "reference" : "http://example.org/baseR4/Patient/71a8b156-760b-df6b-859e-eefc7932a526"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/baseR4/Patient/71a8b156-760b-df6b-859e-eefc7932a526",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "71a8b156-760b-df6b-859e-eefc7932a526",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_71a8b156-760b-df6b-859e-eefc7932a526\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 71a8b156-760b-df6b-859e-eefc7932a526</b></p><a name=\"71a8b156-760b-df6b-859e-eefc7932a526\"> </a><a name=\"hc71a8b156-760b-df6b-859e-eefc7932a526\"> </a><a name=\"71a8b156-760b-df6b-859e-eefc7932a526-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Adriana394 Kutch271 (official) Female, DoB: 1966-05-16 ( https://github.com/synthetichealth/synthea#71a8b156-760b-df6b-859e-eefc7932a526)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus L}\">Legally Separated</span></td><td style=\"background-color: #f3f5da\" title=\"Known multipleBirth status of Patient\">Multiple Birth:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li><code>urn:mitre:healthmanager:account:username</code>/a394Kutch271</li><li>Medical Record Number/71a8b156-760b-df6b-859e-eefc7932a526</li><li>Social Security Number/999-12-3038</li><li>Driver's license number/S99996224</li><li>Passport Number/X15390510X</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Alternate names (see the one above)\">Alt. Name:</td><td colspan=\"3\">Adriana394 Hintz995 (Name changed for Marriage)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 555-237-5240(Home)</li><li>455 Bayer Rapid Suite 75 Boston MA 02120 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en-US}\">English (United States)</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "https://github.com/synthetichealth/synthea",
            "value" : "71a8b156-760b-df6b-859e-eefc7932a526"
          },
          {
            "system" : "urn:mitre:healthmanager:account:username",
            "value" : "a394Kutch271"
          },
          {
            "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" : "71a8b156-760b-df6b-859e-eefc7932a526"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "SS",
                  "display" : "Social Security Number"
                }
              ],
              "text" : "Social Security Number"
            },
            "system" : "http://hl7.org/fhir/sid/us-ssn",
            "value" : "999-12-3038"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "DL",
                  "display" : "Driver's license number"
                }
              ],
              "text" : "Driver's license number"
            },
            "system" : "urn:oid:2.16.840.1.113883.4.3.25",
            "value" : "S99996224"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PPN",
                  "display" : "Passport Number"
                }
              ],
              "text" : "Passport Number"
            },
            "system" : "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
            "value" : "X15390510X"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Kutch271",
            "given" : [
              "Adriana394"
            ],
            "prefix" : [
              "Mrs."
            ]
          },
          {
            "use" : "maiden",
            "family" : "Hintz995",
            "given" : [
              "Adriana394"
            ],
            "prefix" : [
              "Mrs."
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "555-237-5240",
            "use" : "home"
          }
        ],
        "gender" : "female",
        "birthDate" : "1966-05-16",
        "address" : [
          {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "latitude",
                    "valueDecimal" : 42.3980503884975
                  },
                  {
                    "url" : "longitude",
                    "valueDecimal" : -70.97134547950968
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/geolocation"
              }
            ],
            "line" : [
              "455 Bayer Rapid Suite 75"
            ],
            "city" : "Boston",
            "state" : "MA",
            "postalCode" : "02120",
            "country" : "US"
          }
        ],
        "maritalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code" : "L",
              "display" : "Legally Separated"
            }
          ],
          "text" : "Legally Separated"
        },
        "multipleBirthBoolean" : false,
        "communication" : [
          {
            "language" : {
              "coding" : [
                {
                  "system" : "urn:ietf:bcp:47",
                  "code" : "en-US",
                  "display" : "English (United States)"
                }
              ],
              "text" : "English (United States)"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/baseR4/Encounter/ee6beac6-aaaa-957c-767e-1e1caa5c816c",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "ee6beac6-aaaa-957c-767e-1e1caa5c816c",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_ee6beac6-aaaa-957c-767e-1e1caa5c816c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter ee6beac6-aaaa-957c-767e-1e1caa5c816c</b></p><a name=\"ee6beac6-aaaa-957c-767e-1e1caa5c816c\"> </a><a name=\"hcee6beac6-aaaa-957c-767e-1e1caa5c816c\"> </a><a name=\"ee6beac6-aaaa-957c-767e-1e1caa5c816c-en-US\"> </a><p><b>identifier</b>: <code>https://github.com/synthetichealth/synthea</code>/ee6beac6-aaaa-957c-767e-1e1caa5c816c\u00a0(use:\u00a0official,\u00a0)</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode AMB</a>: ambulatory</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 185349003}\">Encounter for check up (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-pdr-message.html#Patient_71a8b156-760b-df6b-859e-eefc7932a526\">Mrs. Adriana394 Kutch271</a></p><p><b>period</b>: 2022-02-15 10:20:13-0500 --&gt; 2022-02-15 10:35:13-0500</p></div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "system" : "https://github.com/synthetichealth/synthea",
            "value" : "ee6beac6-aaaa-957c-767e-1e1caa5c816c"
          }
        ],
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "AMB"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "185349003",
                "display" : "Encounter for check up (procedure)"
              }
            ],
            "text" : "Encounter for check up (procedure)"
          }
        ],
        "subject" : {
          "reference" : "Patient/71a8b156-760b-df6b-859e-eefc7932a526",
          "display" : "Mrs. Adriana394 Kutch271"
        },
        "period" : {
          "start" : "2022-02-15T10:20:13-05:00",
          "end" : "2022-02-15T10:35:13-05:00"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/baseR4/Procedure/ee6beac6-aaaa-957c-767e-1e1c925c816c",
      "resource" : {
        "resourceType" : "Procedure",
        "id" : "ee6beac6-aaaa-957c-767e-1e1c925c816c",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_ee6beac6-aaaa-957c-767e-1e1c925c816c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure ee6beac6-aaaa-957c-767e-1e1c925c816c</b></p><a name=\"ee6beac6-aaaa-957c-767e-1e1c925c816c\"> </a><a name=\"hcee6beac6-aaaa-957c-767e-1e1c925c816c\"> </a><a name=\"ee6beac6-aaaa-957c-767e-1e1c925c816c-en-US\"> </a><p><b>identifier</b>: <code>https://github.com/synthetichealth/synthea</code>/ee6beac6-aaaa-957c-767e-1e1c925c816c\u00a0(use:\u00a0official,\u00a0)</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 73761001}\">Colonoscopy</span></p><p><b>subject</b>: <a href=\"Bundle-pdr-message.html#Patient_71a8b156-760b-df6b-859e-eefc7932a526\">Mrs. Adriana394 Kutch271</a></p><p><b>encounter</b>: <a href=\"Bundle-pdr-message.html#Encounter_ee6beac6-aaaa-957c-767e-1e1caa5c816c\">Bundle: type = message</a></p><p><b>performed</b>: 2022-02-15 10:20:13-0500</p></div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "system" : "https://github.com/synthetichealth/synthea",
            "value" : "ee6beac6-aaaa-957c-767e-1e1c925c816c"
          }
        ],
        "status" : "completed",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "73761001",
              "display" : "Colonoscopy (procedure)"
            }
          ],
          "text" : "Colonoscopy"
        },
        "subject" : {
          "reference" : "Patient/71a8b156-760b-df6b-859e-eefc7932a526",
          "display" : "Mrs. Adriana394 Kutch271"
        },
        "encounter" : {
          "reference" : "Encounter/ee6beac6-aaaa-957c-767e-1e1caa5c816c"
        },
        "performedDateTime" : "2022-02-15T10:20:13-05:00"
      }
    }
  ]
}