Personal Health Records
1.0.0-ballot - ballot International flag

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 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="pdr-message"/>
  <type value="message"/>
  <entry>
    <fullUrl
             value="http://example.org/baseR4/MessageHeader/pdr-message-header"/>
    <resource>
      <MessageHeader>
        <id value="pdr-message-header"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <eventUri value="urn:mitre:healthmanager:pdr"/>
        <source>
          <endpoint value="http://example.org"/>
        </source>
        <focus>
          <reference
                     value="http://example.org/baseR4/Encounter/ee6beac6-aaaa-957c-767e-1e1caa5c816c"/>
        </focus>
        <focus>
          <reference
                     value="http://example.org/baseR4/Procedure/ee6beac6-aaaa-957c-767e-1e1c925c816c"/>
        </focus>
        <focus>
          <reference
                     value="http://example.org/baseR4/Patient/71a8b156-760b-df6b-859e-eefc7932a526"/>
        </focus>
      </MessageHeader>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/baseR4/Patient/71a8b156-760b-df6b-859e-eefc7932a526"/>
    <resource>
      <Patient>
        <id value="71a8b156-760b-df6b-859e-eefc7932a526"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <system value="https://github.com/synthetichealth/synthea"/>
          <value value="71a8b156-760b-df6b-859e-eefc7932a526"/>
        </identifier>
        <identifier>
          <system value="urn:mitre:healthmanager:account:username"/>
          <value value="a394Kutch271"/>
        </identifier>
        <identifier>
          <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="71a8b156-760b-df6b-859e-eefc7932a526"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="SS"/>
              <display value="Social Security Number"/>
            </coding>
            <text value="Social Security Number"/>
          </type>
          <system value="http://hl7.org/fhir/sid/us-ssn"/>
          <value value="999-12-3038"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="DL"/>
              <display value="Driver's license number"/>
            </coding>
            <text value="Driver's license number"/>
          </type>
          <system value="urn:oid:2.16.840.1.113883.4.3.25"/>
          <value value="S99996224"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PPN"/>
              <display value="Passport Number"/>
            </coding>
            <text value="Passport Number"/>
          </type>
          <system
                  value="http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber"/>
          <value value="X15390510X"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Kutch271"/>
          <given value="Adriana394"/>
          <prefix value="Mrs."/>
        </name>
        <name>
          <use value="maiden"/>
          <family value="Hintz995"/>
          <given value="Adriana394"/>
          <prefix value="Mrs."/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="555-237-5240"/>
          <use value="home"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1966-05-16"/>
        <address>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/geolocation">
            <extension url="latitude">
              <valueDecimal value="42.3980503884975"/>
            </extension>
            <extension url="longitude">
              <valueDecimal value="-70.97134547950968"/>
            </extension>
          </extension>
          <line value="455 Bayer Rapid Suite 75"/>
          <city value="Boston"/>
          <state value="MA"/>
          <postalCode value="02120"/>
          <country value="US"/>
        </address>
        <maritalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
            <code value="L"/>
            <display value="Legally Separated"/>
          </coding>
          <text value="Legally Separated"/>
        </maritalStatus>
        <multipleBirthBoolean value="false"/>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="en-US"/>
              <display value="English (United States)"/>
            </coding>
            <text value="English (United States)"/>
          </language>
        </communication>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/baseR4/Encounter/ee6beac6-aaaa-957c-767e-1e1caa5c816c"/>
    <resource>
      <Encounter>
        <id value="ee6beac6-aaaa-957c-767e-1e1caa5c816c"/>
        <text>
          <status value="generated"/>
          <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 (use: official, )</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>
        </text>
        <identifier>
          <use value="official"/>
          <system value="https://github.com/synthetichealth/synthea"/>
          <value value="ee6beac6-aaaa-957c-767e-1e1caa5c816c"/>
        </identifier>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="185349003"/>
            <display value="Encounter for check up (procedure)"/>
          </coding>
          <text value="Encounter for check up (procedure)"/>
        </type>
        <subject>
          <reference value="Patient/71a8b156-760b-df6b-859e-eefc7932a526"/>
          <display value="Mrs. Adriana394 Kutch271"/>
        </subject>
        <period>
          <start value="2022-02-15T10:20:13-05:00"/>
          <end value="2022-02-15T10:35:13-05:00"/>
        </period>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/baseR4/Procedure/ee6beac6-aaaa-957c-767e-1e1c925c816c"/>
    <resource>
      <Procedure>
        <id value="ee6beac6-aaaa-957c-767e-1e1c925c816c"/>
        <text>
          <status value="generated"/>
          <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 (use: official, )</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>
        </text>
        <identifier>
          <use value="official"/>
          <system value="https://github.com/synthetichealth/synthea"/>
          <value value="ee6beac6-aaaa-957c-767e-1e1c925c816c"/>
        </identifier>
        <status value="completed"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="73761001"/>
            <display value="Colonoscopy (procedure)"/>
          </coding>
          <text value="Colonoscopy"/>
        </code>
        <subject>
          <reference value="Patient/71a8b156-760b-df6b-859e-eefc7932a526"/>
          <display value="Mrs. Adriana394 Kutch271"/>
        </subject>
        <encounter>
          <reference value="Encounter/ee6beac6-aaaa-957c-767e-1e1caa5c816c"/>
        </encounter>
        <performedDateTime value="2022-02-15T10:20:13-05:00"/>
      </Procedure>
    </resource>
  </entry>
</Bundle>