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- <Bundle xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
- xsi:schemaLocation="http://hl7.org/fhir ../../../../git/FHIRTransforms/schemas/FHIR/STU3/bundle.xsd"
- xmlns="http://hl7.org/fhir">
- <!--DiabetesPreventionReferralRequestMessageBundle-->
- <id value="44"/>
- <meta>
- <versionId value="3"/>
- <lastUpdated value="2019-01-12T17:49:02.000+00:00"/>
- <profile
- value="http://hl7.org/fhir/us/bser/StructureDefinition/DiabetesPreventionReferralRequestMessageBundle"
- />
- </meta>
- <type value="message"/>
- <entry>
- <fullUrl value="urn:uuid:fc5857a1-98cb-4d3d-b6a0-fa0c18b3057d"/>
- <resource>
- <MessageHeader xmlns="http://hl7.org/fhir">
- <!--MessageHeaderInitiator-->
- <id value="fc5857a1-98cb-4d3d-b6a0-fa0c18b3057d"/>
- <event>
- <system value="https://www.hl7.org/fhir/valueset-message-events.html"/>
- <code value="referral-req"/>
- <display value="Referral Request"/>
- </event>
- <receiver>
- <!--PractitionerRole/ReferralRecipient goes directluy tp Practioner-->
- <extension url="http://expample.org/practitioner-role">
- <valueReference>
- <reference value="urn:uuid:ffa2bf53-ee09-43a1-b11a-73ed0f1cd73b"
- />
- </valueReference>
- </extension>
- <reference value="urn:uuid:421269ad-abef-49bc-8cac-d3a5d4b00299"/>
- </receiver>
- <sender>
- <!--PractitionerRole/ReferralInitiator-->
- <extension url="http://expample.org/practitioner-role">
- <valueReference>
- <reference value="urn:uuid:538791da-3555-460e-9e7f-76d25988a546"
- />
- </valueReference>
- </extension>
- <reference value="urn:uuid:598af951-66e4-4910-a964-7e41533b183c"/>
- </sender>
- <timestamp value="2018-12-11T05:05:11Z"/>
- <source>
- <name value="Centricity"/>
- <endpoint value="https://apisandbox.gehealthcare.com:9443/demoAPIServer"/>
- </source>
- <reason>
- <coding>
- <system
- value="https://www.hl7.org/fhir/valueset-message-reason-encounter.html"/>
- <code value="class-enroll"/>
- <display value="Enroll in Class"/>
- </coding>
- </reason>
- <focus>
- <!-- ReferralRequest1 -->
- <reference value="urn:uuid:1b82e7bd-27bb-49bd-a404-0e5a7d2fa98c"/>
- </focus>
- </MessageHeader>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:1b82e7bd-27bb-49bd-a404-0e5a7d2fa98c"/>
- <resource>
- <ReferralRequest xmlns="http://hl7.org/fhir">
- <!-- ReferralRequest1 -->
- <id value="1b82e7bd-27bb-49bd-a404-0e5a7d2fa98c"/>
- <meta>
- <profile
- value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeRReferralRequest"
- />
- </meta>
- <identifier>
- <value value="71949668"/>
- </identifier>
- <status value="active"/>
- <intent value="order"/>
- <serviceRequested>
- <coding>
- <system value="http://snomed.info/sct"/>
- <code value="385804009"/>
- <display value="Diabetes care"/>
- </coding>
- </serviceRequested>
- <subject>
- <reference value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8"/>
- </subject>
- <authoredOn value="2018-12-11"/>
- <requester>
- <agent>
- <extension url="http://expample.org/practitioner-role">
- <valueReference>
- <reference
- value="urn:uuid:538791da-3555-460e-9e7f-76d25988a546"/>
- </valueReference>
- </extension>
- <reference value="urn:uuid:598af951-66e4-4910-a964-7e41533b183c"/>
- </agent>
- </requester>
- <recipient>
- <extension url="http://expample.org/practitioner-role">
- <valueReference>
- <reference value="urn:uuid:ffa2bf53-ee09-43a1-b11a-73ed0f1cd73b"
- />
- </valueReference>
- </extension>
- <reference value="urn:uuid:421269ad-abef-49bc-8cac-d3a5d4b00299"/>
- </recipient>
- <reasonCode>
- <coding>
- <system value="http://snomed.info/sct"/>
- <code value="15777000"/>
- <display value="Prediabetes"/>
- </coding>
- </reasonCode>
- <supportingInfo>
- <!-- ReferralRequestSupportingBundle -->
- <reference value="urn:uuid:0bdbb1e5-5016-4291-8249-d16d8d07181f"/>
- </supportingInfo>
- <supportingInfo>
- <!-- ReferralRequestSupportingBundle -->
- <reference value="urn:uuid:29be9d88-0027-4f02-9b2c-f7a27aaaf10b"/>
- </supportingInfo>
- <supportingInfo>
- <!-- ReferralRequestSupportingBundle -->
- <reference value="urn:uuid:22449d51-3d71-49bd-a79a-c1f7557e09ef"/>
- </supportingInfo>
- </ReferralRequest>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:ffa2bf53-ee09-43a1-b11a-73ed0f1cd73b"/>
- <resource>
- <PractitionerRole xmlns="http://hl7.org/fhir">
- <!--ReferralRecipient-->
- <id value="ffa2bf53-ee09-43a1-b11a-73ed0f1cd73b"/>
- <practitioner>
- <!-- Practitioner2 -->
- <reference value="urn:uuid:421269ad-abef-49bc-8cac-d3a5d4b00299"/>
- </practitioner>
- <organization>
- <reference value="urn:uuid:f5db0002-3a69-472b-9263-be8d977fdaff"/>
- </organization>
- <code>
- <coding>
- <system value="http://hl7.org/fhir/practitioner-role"/>
- <code value="doctor"/>
- <display value="Doctor"/>
- </coding>
- </code>
- <location>
- <reference value="urn:uuid:17d9e3c9-a6a8-4550-b4db-d6f5a453d983"/>
- </location>
- </PractitionerRole>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:538791da-3555-460e-9e7f-76d25988a546"/>
- <resource>
- <PractitionerRole xmlns="http://hl7.org/fhir">
- <!-- ReferralInitiator -->
- <id value="538791da-3555-460e-9e7f-76d25988a546"/>
- <meta>
- <profile
- value="http://hl7.org/fhir/us/bser/StructureDefinition/ReferralInitiatorPractitionerRole"
- />
- </meta>
- <practitioner>
- <reference value="urn:uuid:598af951-66e4-4910-a964-7e41533b183c"/>
- </practitioner>
- <organization>
- <reference value="urn:uuid:e6d1abc8-595f-41ab-a6dc-13a034d3fac7"/>
- </organization>
- <code>
- <coding>
- <system value="http://hl7.org/fhir/practitioner-role"/>
- <code value="doctor"/>
- <display value="Doctor"/>
- </coding>
- </code>
- <location>
- <!-- urn:uuid:ServiceDeliveryLocationInitiator-->
- <reference value="urn:uuid:25fa3dbc-dc9e-42c2-b681-0352765645af"/>
- </location>
- </PractitionerRole>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:421269ad-abef-49bc-8cac-d3a5d4b00299"/>
- <resource>
- <Practitioner xmlns="http://hl7.org/fhir">
- <!-- Practitioner2 -->
- <id value="421269ad-abef-49bc-8cac-d3a5d4b00299"/>
- <meta>
- <profile
- value="http://hl7.org/fhir/us/bser/StructureDefinition/PractitionerPerson"/>
- </meta>
- <identifier>
- <system value="urn:oid:2.16.840.1.113883.4.6"/>
- <value value="1972548287"/>
- </identifier>
- <name>
- <family value="Liyanage"/>
- <given value="Udaya"/>
- <prefix value="Dr."/>
- </name>
- <telecom>
- <system value="phone"/>
- <value value="(618) 942-2002"/>
- <use value="work"/>
- </telecom>
- <address>
- <line value="220 S PARK AVE "/>
- <city value="HERRIN"/>
- <state value="IL"/>
- <postalCode value="62948"/>
- </address>
- </Practitioner>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:25fa3dbc-dc9e-42c2-b681-0352765645af"/>
- <resource>
- <Location xmlns="http://hl7.org/fhir">
- <!-- ServiceDeliveryLocationInitiator -->
- <id value="25fa3dbc-dc9e-42c2-b681-0352765645af"/>
- <meta>
- <profile
- value="http://hl7.org/fhir/us/bser/StructureDefinition/ServiceDeliveryLocation"
- />
- </meta>
- <identifier>
- <system value="urn:oid:2.16.840.1.113883.4.6"/>
- <value value="1659603009"/>
- </identifier>
- <name value="Alliance Of Chicago Therapeutic Services and Supplies"/>
- <type>
- <coding>
- <system value="http://hl7.org/CodeSystem/organization-type"/>
- <code value="prov"/>
- <display value="Healthcare Provider"/>
- </coding>
- </type>
- <telecom>
- <system value="phone"/>
- <value value="(909) 427-5000"/>
- <use value="work"/>
- </telecom>
- <address>
- <use value="work"/>
- <line value="2800 W PETERSON AVE"/>
- <city value="Chicago"/>
- <state value="IL"/>
- <postalCode value="60659"/>
- <country value="USA"/>
- </address>
- </Location>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:17d9e3c9-a6a8-4550-b4db-d6f5a453d983"/>
- <resource>
- <Location xmlns="http://hl7.org/fhir">
- <!-- ServiceDeliveryLocationRecipient-->
- <id value="17d9e3c9-a6a8-4550-b4db-d6f5a453d983"/>
- <meta>
- <profile
- value="http://hl7.org/fhir/us/bser/StructureDefinition/ServiceDeliveryLocation"
- />
- </meta>
- <identifier>
- <system value="urn:oid:2.16.840.1.113883.4.6"/>
- <value value="1215372123"/>
- </identifier>
- <name value="YMCA of Metropolitan Chicago"/>
- <type>
- <coding>
- <system value="http://hl7.org/CodeSystem/organization-type"/>
- <code value="prov"/>
- <display value="Healthcare Provider"/>
- </coding>
- </type>
- <telecom>
- <system value="phone"/>
- <value value="(909) 427-5000"/>
- <use value="work"/>
- </telecom>
- <address>
- <use value="work"/>
- <line value="1030 W Van Buren St"/>
- <city value="Chicago"/>
- <state value="IL"/>
- <postalCode value="60607"/>
- <country value="USA"/>
- </address>
- </Location>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:598af951-66e4-4910-a964-7e41533b183c"/>
- <resource>
- <Practitioner xmlns="http://hl7.org/fhir">
- <!-- Practitioner1 -->
- <id value="598af951-66e4-4910-a964-7e41533b183c"/>
- <meta>
- <profile
- value="http://hl7.org/fhir/us/bser/StructureDefinition/PractitionerPerson"/>
- </meta>
- <identifier>
- <system value="urn:oid:2.16.840.1.113883.4.6"/>
- <value value="1063784882"/>
- </identifier>
- <name>
- <family value="Heard"/>
- <given value="Elisa"/>
- <prefix value="Dr."/>
- </name>
- <telecom>
- <system value="phone"/>
- <value value="(847) 548-6000"/>
- <use value="work"/>
- </telecom>
- <address>
- <line value="18640 West Belvidere Road"/>
- <city value="Grayslake"/>
- <state value="IL"/>
- <postalCode value="60030"/>
- </address>
- </Practitioner>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8"/>
- <resource>
- <Patient xmlns="http://hl7.org/fhir">
- <id value="cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8"/>
- <meta>
- <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/PatientRole"/>
- </meta>
- <identifier>
- <type>
- <coding>
- <system value="http://hl7.org/fhir/v2/0203"/>
- <code value="MR"/>
- <display value="Medical Record Number"/>
- </coding>
- </type>
- <system value="urn:oid:2.16.840.1.113883.4.3.17"/>
- <value value="F255-9215-0094"/>
- </identifier>
- <name>
- <use value="official"/>
- <family value="Beal"/>
- <given value="Bradley"/>
- </name>
- <telecom>
- <system value="phone"/>
- <value value="(999) 607-2500"/>
- </telecom>
- <gender value="male"/>
- <birthDate value="1950-03-22"/>
- <address>
- <line value="609 Lizeth Streets"/>
- <city value="Chicago"/>
- <state value="IL"/>
- <postalCode value="60609"/>
- </address>
- <communication>
- <language>
- <coding>
- <system value="urn:ietf:bcp:47"/>
- <code value="en-US"/>
- <display value="English (United States)"/>
- </coding>
- </language>
- <preferred value="true"/>
- </communication>
- </Patient>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:29be9d88-0027-4f02-9b2c-f7a27aaaf10b"/>
- <resource>
- <Observation xmlns="http://hl7.org/fhir">
- <id value="29be9d88-0027-4f02-9b2c-f7a27aaaf10b"/>
- <status value="final"/>
- <code>
- <coding>
- <system value="http://loinc.org"/>
- <code value="80913-7"/>
- <display value="Highest level of education"/>
- </coding>
- </code>
- <subject>
- <reference value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8"/>
- </subject>
- <valueCodeableConcept>
- <coding>
- <system value="http://hl7.org/fhir/v3/EducationLevel/vs.html"/>
- <code value="BD"/>
- <display value="College or baccalaureate degree complete"/>
- </coding>
- </valueCodeableConcept>
- </Observation>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:22449d51-3d71-49bd-a79a-c1f7557e09ef"/>
- <resource>
- <Observation xmlns="http://hl7.org/fhir">
- <id value="22449d51-3d71-49bd-a79a-c1f7557e09ef"/>
- <status value="final"/>
- <code>
- <coding>
- <system value="http://loinc.org"/>
- <code value="74165-2"/>
- <display value="History of employment status"/>
- </coding>
- </code>
- <subject>
- <reference value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8"/>
- </subject>
- <valueCodeableConcept>
- <coding>
- <system value="http://hl7.org/fhir/v2-0066"/>
- <code value="1"/>
- <display value="Full time employed"/>
- </coding>
- </valueCodeableConcept>
- </Observation>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:e6d1abc8-595f-41ab-a6dc-13a034d3fac7"/>
- <resource>
- <Organization xmlns="http://hl7.org/fhir">
- <id value="e6d1abc8-595f-41ab-a6dc-13a034d3fac7"/>
- <identifier>
- <system value="urn:oid:2.16.840.1.113883.4.6"/>
- <value value="1659603009"/>
- </identifier>
- <type>
- <coding>
- <system value="http://hl7.org/CodeSystem/organization-type"/>
- <code value="prov"/>
- <display value="Healthcare Provider"/>
- </coding>
- </type>
- <name value="Alliance Of Chicago Therapeutic Services and Supplies"/>
- <telecom>
- <system value="phone"/>
- <value value="(773)-661-4499"/>
- </telecom>
- <address>
- <use value="work"/>
- <line value="2800 W PETERSON AVE"/>
- <city value="Chicago"/>
- <state value="IL"/>
- <postalCode value="60659"/>
- <country value="USA"/>
- </address>
- </Organization>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:f5db0002-3a69-472b-9263-be8d977fdaff"/>
- <resource>
- <Organization xmlns="http://hl7.org/fhir">
- <!-- OrganizationEntity2 -->
- <id value="f5db0002-3a69-472b-9263-be8d977fdaff"/>
- <identifier>
- <system value="urn:oid:2.16.840.1.113883.4.6"/>
- <value value="1215372123"/>
- </identifier>
- <type>
- <coding>
- <system value="http://hl7.org/CodeSystem/organization-type"/>
- <code value="prov"/>
- <display value="Healthcare Provider"/>
- </coding>
- </type>
- <name value="YMCA of Metropolitan Chicago"/>
- <telecom>
- <system value="phone"/>
- <value value="(909) 427-5000"/>
- <use value="work"/>
- </telecom>
- <address>
- <use value="work"/>
- <line value="1030 W Van Buren St"/>
- <city value="Chicago"/>
- <state value="IL"/>
- <postalCode value="60607"/>
- <country value="USA"/>
- </address>
- </Organization>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:0bdbb1e5-5016-4291-8249-d16d8d07181f"/>
- <resource>
- <!-- Support Bundle Starts Here -->
- <Bundle xmlns="http://hl7.org/fhir">
- <!-- DiabetesRequestSupportBundle -->
- <id value="0bdbb1e5-5016-4291-8249-d16d8d07181f"/>
- <meta>
- <profile
- value="http://hl7.org/fhir/us/bser/StructureDefinition/DiabetesRequestSupportBundle"
- />
- </meta>
- <type value="collection"/>
- <entry>
- <fullUrl value="urn:uuid:f08e2abf-30c5-49b0-9ada-105d52204ca6"/>
- <resource>
- <Observation xmlns="http://hl7.org/fhir">
- <!-- BodyMassIndexObservation1 -->
- <id value="f08e2abf-30c5-49b0-9ada-105d52204ca6"/>
- <meta>
- <profile
- value="http://hl7.org/fhir/us/bser/StructureDefinition/BodyMassIndexObservation"
- />
- </meta>
- <status value="final"/>
- <category>
- <coding>
- <system value="http://hl7.org/fhir/observation-category"/>
- <code value="vital-signs"/>
- <display value="Vital Signs"/>
- </coding>
- </category>
- <code>
- <coding>
- <system value="http://loinc.org"/>
- <code value="39156-5"/>
- <display value="Body mass index (BMI) [Ratio]"/>
- </coding>
- </code>
- <subject>
- <reference value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8"/>
- </subject>
- <effectiveDateTime value="2018-12-11"/>
- <valueQuantity>
- <value value="31.2"/>
- <unit value="kg/m2"/>
- <system value="http://unitsofmeasure.org"/>
- <code value="kg/m2"/>
- </valueQuantity>
- </Observation>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:6f99e55a-66a7-453f-b78f-e6821dc5e556"/>
- <resource>
- <Observation xmlns="http://hl7.org/fhir">
- <!-- BodyWeightObservation1 -->
- <id value="6f99e55a-66a7-453f-b78f-e6821dc5e556"/>
- <meta>
- <profile
- value="http://hl7.org/fhir/us/bser/StructureDefinition/BodyWeightObservation"
- />
- </meta>
- <status value="final"/>
- <category>
- <coding>
- <system value="http://hl7.org/fhir/observation-category"/>
- <code value="vital-signs"/>
- <display value="Vital Signs"/>
- </coding>
- </category>
- <code>
- <coding>
- <system value="http://loinc.org"/>
- <code value="29463-7"/>
- <display value="Body Weight"/>
- </coding>
- </code>
- <subject>
- <reference value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8"/>
- </subject>
- <effectiveDateTime value="2018-12-11"/>
- <valueQuantity>
- <value value="105"/>
- <unit value="kg"/>
- <system value="http://unitsofmeasure.org"/>
- <code value="kg"/>
- </valueQuantity>
- </Observation>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:cc841086-4f22-4b92-8ab4-4446fc506ebf"/>
- <resource>
- <Observation xmlns="http://hl7.org/fhir">
- <!-- HemoglobinA1cObservation1 -->
- <id value="cc841086-4f22-4b92-8ab4-4446fc506ebf"/>
- <meta>
- <profile
- value="http://hl7.org/fhir/us/bser/StructureDefinition/A1cObservation"
- />
- </meta>
- <status value="final"/>
- <category>
- <coding>
- <system value="http://hl7.org/fhir/observation-category"/>
- <code value="vital-signs"/>
- <display value="Vital Signs"/>
- </coding>
- </category>
- <code>
- <coding>
- <system value="http://loinc.org"/>
- <code value="4548-4"/>
- <display value="Hemoglobin A1c/Hemoglobin.total in Blood"/>
- </coding>
- </code>
- <subject>
- <reference value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8"/>
- </subject>
- <effectiveDateTime value="2018-12-11"/>
- <valueQuantity>
- <value value="128"/>
- <unit value="mg/dL"/>
- <system value="http://unitsofmeasure.org"/>
- <code value="mg/dL"/>
- </valueQuantity>
- </Observation>
- </resource>
- </entry>
- <entry>
- <fullUrl value="urn:uuid:f4faa626-d79e-4b5b-b898-57f25c9dca0b"/>
- <resource>
- <Observation xmlns="http://hl7.org/fhir">
- <!-- BodyHeightObservation1 -->
- <id value="f4faa626-d79e-4b5b-b898-57f25c9dca0b"/>
- <meta>
- <profile
- value="http://hl7.org/fhir/us/bser/StructureDefinition/BodyHeightObservation"
- />
- </meta>
- <status value="final"/>
- <category>
- <coding>
- <system value="http://hl7.org/fhir/observation-category"/>
- <code value="vital-signs"/>
- <display value="Vital Signs"/>
- </coding>
- </category>
- <code>
- <coding>
- <system value="http://loinc.org"/>
- <code value="8302-2"/>
- <display value="Body height"/>
- </coding>
- </code>
- <subject>
- <reference value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8"/>
- </subject>
- <effectiveDateTime value="2018-12-11"/>
- <valueQuantity>
- <value value="182.88"/>
- <unit value="cm"/>
- <system value="http://unitsofmeasure.org"/>
- <code value="cm"/>
- </valueQuantity>
- </Observation>
- </resource>
- </entry>
- </Bundle>
- </resource>
- </entry>
- </Bundle>
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