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  1. <?xml version="1.0" encoding="UTF-8"?>
  2. <Bundle xmlns="http://hl7.org/fhir">
  3. <id value="DiabetesPreventionReferralFeedbackMessageBundle"/>
  4. <meta>
  5. <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/DiabetesPreventionReferralfeedbackMessageBundle"/>
  6. </meta>
  7. <type value="message"/>
  8. <entry>
  9. <Resource>
  10. <fullUrl value="urn:uuid:337e22ab-0ced-480a-9be7-450094e7267c"/>
  11. <MessageHeader xmlns="http://hl7.org/fhir">
  12. <id value="337e22ab-0ced-480a-9be7-450094e7267c"/>
  13. <meta>
  14. <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/MessageHeaderInitiator"/>
  15. </meta>
  16. <event>
  17. <type>
  18. <coding>
  19. <system value="http://hl7.org/fhir/ValueSet/message-events"/>
  20. <code value="referral feedback"/>
  21. <display value="Referral Feedback Report"/>
  22. </coding>
  23. </type>
  24. </event>
  25. <reciever>
  26. <extension url="http://expample.org/practitioner-role">
  27. <valueReference>
  28. <reference value="PractitionerRole/538791da-3555-460e-9e7f-76d25988a546"/>
  29. </valueReference>
  30. </extension>
  31. <reference value="Practitioner/598af951-66e4-4910-a964-7e41533b183"/>
  32. </reciever>
  33. <sender>
  34. <extension url="http://expample.org/practitioner-role">
  35. <valueReference>
  36. <reference value="PractitionerRole/ffa2bf53-ee09-43a1-b11a-73ed0f1cd73b"/>
  37. </valueReference>
  38. </extension>
  39. <reference value="Practitioner/421269ad-abef-49bc-8cac-d3a5d4b00299"/>
  40. </sender>
  41. <timestamp value="2019-01-11T07:05:11"/>
  42. <source>
  43. <name value="RedCap"/>
  44. <endpoint value="https://YMCAsandbox.RedCap.com:9443/demoAPIServer"/>
  45. </source>
  46. <reason>
  47. <type>
  48. <coding>
  49. <system value="https://www.hl7.org/fhir/valueset-message-reason-encounter"/>
  50. <code value="interim feedback report"/>
  51. <display value="interim feedback report"/>
  52. </coding>
  53. </type>
  54. </reason>
  55. <focus>
  56. <reference value="Composition/6b2fd643-a3b1-47af-bbce-027103ed3c1d"/>
  57. </focus>
  58. </MessageHeader>
  59. </Resource>
  60. </entry>
  61. <entry>
  62. <fullUrl value="urn:uuid:6b2fd643-a3b1-47af-bbce-027103ed3c1d"/>
  63. <resource>
  64. <Composition xmlns="http://hl7.org/fhir">
  65. <id value="6b2fd643-a3b1-47af-bbce-027103ed3c1d"/>
  66. <meta>
  67. <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/PatientRole"/>
  68. </meta>
  69. <identifier>
  70. <system value="urn:oid:1.3.6.1.4.1.26580.190.12457709"/>
  71. <value value="1234561"/>
  72. </identifier>
  73. <status value="final"/>
  74. <type>
  75. <coding>
  76. <system value="http://hl7.org/fhir/v3/NullFlavor"/>
  77. <code value="UNC"/>
  78. <display value="Referral Feedback"/>
  79. </coding>
  80. </type>
  81. <subject>
  82. <reference value="Patient/cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8"/>
  83. </subject>
  84. <date value="2019-01-11"/>
  85. <author>
  86. <!--This should be the practitioner who recived ther request-->
  87. <reference value="PatientRole Instance Example 1"/>
  88. </author>
  89. <title value="Interim Referral Feedback Report"/>
  90. <section>
  91. <title value="Interim Feedback Supporting Information"/>
  92. <code>
  93. <coding>
  94. <system value="http://hl7.org/fhir/v3/NullFlavor"/>
  95. <code value="UNC"/>
  96. <display value="InterimFeedbackSupportingInformation"/>
  97. </coding>
  98. </code>
  99. <entry>
  100. <!-- FeedbackReferralStatusObservation Instance Example-->
  101. <reference value="Observation/91a42efb-ddaf-4cbe-8fa4-7ead01d05fb6"/>
  102. </entry>
  103. </section>
  104. <section>
  105. <title value="Referral Feedback Supporting Bundle"/>
  106. <code>
  107. <coding>
  108. <system value="http://hl7.org/fhir/v3/NullFlavor"/>
  109. <code value="UNC"/>
  110. <display value="ReferralFeedbackSupportingBundle"/>
  111. </coding>
  112. </code>
  113. <entry>
  114. <reference value="Bundle/34cfcf90-3c83-4886-a68c-acc73ac64f07"/>
  115. </entry>
  116. </section>
  117. </Composition>
  118. </resource>
  119. </entry>
  120. <entry>
  121. <fullUrl value="urn:uuid:91a42efb-ddaf-4cbe-8fa4-7ead01d05fb6"/>
  122. <resource>
  123. <Observation xmlns="http://hl7.org/fhir">
  124. <id value="91a42efb-ddaf-4cbe-8fa4-7ead01d05fb6"/>
  125. <meta>
  126. <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/FeedbackReferralStatusObservation"/>
  127. </meta>
  128. <status value="final"/>
  129. <code>
  130. <coding>
  131. <system value="http://hl7.org/fhir/v3/NullFlavor"/>
  132. <code value="UNC"/>
  133. <display value="Feedback Referral Status Observation"/>
  134. </coding>
  135. </code>
  136. <component>
  137. <ReferralActivityStatus>
  138. <code>
  139. <coding>
  140. <system value="http://hl7.org/fhir/v3/NullFlavor"/>
  141. <code value="UNC"/>
  142. <display value="Referral Activity Status"/>
  143. </coding>
  144. </code>
  145. <valueCodeableConcept>
  146. <coding>
  147. <system value="http://hl7.org/fhir/v3/NullFlavor"/>
  148. <code value="UNC"/>
  149. <display value="Intake Completed"/>
  150. </coding>
  151. </valueCodeableConcept>
  152. </ReferralActivityStatus>
  153. </component>
  154. <component>
  155. <ReferralActivityStatusReason>
  156. <code>
  157. <coding>
  158. <system value="http://hl7.org/fhir/v3/NullFlavor"/>
  159. <code value="UNC"/>
  160. <display value="Referral Activity Status Reason"/>
  161. </coding>
  162. </code>
  163. <valueCodeableConcept>
  164. <coding>
  165. <system value="http://hl7.org/fhir/v3/NullFlavor"/>
  166. <code value="UNC"/>
  167. <display value="Patient met all intake requirements"/>
  168. </coding>
  169. </valueCodeableConcept>
  170. </ReferralActivityStatusReason>
  171. </component>
  172. <component>
  173. <ReferralType>
  174. <code>
  175. <coding>
  176. <system value="http://hl7.org/fhir/v3/NullFlavor"/>
  177. <code value="UNC"/>
  178. <display value="Referral Type"/>
  179. </coding>
  180. </code>
  181. <valueCodeableConcept>
  182. <coding>
  183. <system value="http://hl7.org/fhir/v3/NullFlavor"/>
  184. <code value="UNC"/>
  185. <display value="Diabetes"/>
  186. </coding>
  187. </valueCodeableConcept>
  188. </ReferralType>
  189. </component>
  190. <component>
  191. <ReferralStatus>
  192. <code>
  193. <coding>
  194. <system value="http://hl7.org/fhir/v3/NullFlavor"/>
  195. <code value="UNC"/>
  196. <display value="Referral Status"/>
  197. </coding>
  198. </code>
  199. <valueCodeableConcept>
  200. <coding>
  201. <system value="http://hl7.org/fhir/v3/NullFlavor"/>
  202. <code value="UNC"/>
  203. <display value="Active"/>
  204. </coding>
  205. </valueCodeableConcept>
  206. </ReferralStatus>
  207. </component>
  208.  
  209. <component>
  210. <coding>
  211. <system value="http://hl7.org/fhir/observation-category"/>
  212. <code value="procedure"/>
  213. <display value="Procedure"/>
  214. </coding>
  215. <code>
  216. <coding>
  217. <system value="http://snomed.info/sct"/>
  218. <code value="298057009"/>
  219. <display value="Number of Appointments Attended"/>
  220. </coding>
  221. </code>
  222. </component>
  223.  
  224. </Observation>
  225. </resource>
  226. </entry>
  227. <entry>
  228. <fullUrl value="urn:uuid:34cfcf90-3c83-4886-a68c-acc73ac64f07"/>
  229. <resource>
  230. <!-- DiabetesFeedbackSupportBundleInstanceExample -->
  231. <Bundle xmlns="http://hl7.org/fhir">
  232. <id value="34cfcf90-3c83-4886-a68c-acc73ac64f07"/>
  233. <meta>
  234. <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/DiabetesFeedbackSupportBundle"/>
  235. </meta>
  236. <type value="collection"/>
  237. <entry>
  238. <fullUrl value = "urn:uuid:70a5b9d0-3153-45cb-adce-672edeace7c2"/>
  239. <resource>
  240. <Observation xmlns="http://hl7.org/fhir">
  241. <id value="70a5b9d0-3153-45cb-adce-672edeace7c2"/>
  242. <meta>
  243. <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/BodyMassIndexObservation"/>
  244. </meta>
  245. <status value="final"/>
  246. <category>
  247. <coding>
  248. <system value="http://hl7.org/fhir/observation-category"/>
  249. <code value="vital-signs"/>
  250. <display value="Vital Signs"/>
  251. </coding>
  252. </category>
  253. <code>
  254. <coding>
  255. <system value="http://loinc.org"/>
  256. <code value="39156-5"/>
  257. <display value="Body mass index (BMI) [Ratio]"/>
  258. </coding>
  259. </code>
  260. <subject>
  261. <reference value="Patient/cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8"/>
  262. </subject>
  263. <effectiveDateTime value="2019-01-11"/>
  264. <valueQuantity>
  265. <value value="29.9"/>
  266. <unit value="kg/m2"/>
  267. <system value="http://unitsofmeasure.org"/>
  268. <code value="kg/m2"/>
  269. </valueQuantity>
  270. </Observation>
  271. </resource>
  272. </entry>
  273. <entry>
  274. <fullUrl value = "urn:uuid:30bcd878-ce0a-4558-95a4-365287155895"/>
  275. <resource>
  276. <Observation xmlns="http://hl7.org/fhir">
  277. <id value="30bcd878-ce0a-4558-95a4-365287155895"/>
  278. <meta>
  279. <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/BodyWeightObservation"/>
  280. </meta>
  281. <status value="final"/>
  282. <category>
  283. <coding>
  284. <system value="http://hl7.org/fhir/observation-category"/>
  285. <code value="vital-signs"/>
  286. <display value="Vital Signs"/>
  287. </coding>
  288. </category>
  289. <code>
  290. <coding>
  291. <system value="http://loinc.org"/>
  292. <code value="29463-7"/>
  293. <display value="Body Weight"/>
  294. </coding>
  295. </code>
  296. <subject>
  297. <reference value="Patient/cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8"/>
  298. </subject>
  299.  
  300. <effectiveDateTime value="2019-01-11"/>
  301. <valueQuantity>
  302. <value value="100"/>
  303. <unit value="kg"/>
  304. <system value="http://unitsofmeasure.org"/>
  305. <code value="kg"/>
  306. </valueQuantity>
  307. </Observation>
  308. </resource>
  309. </entry>
  310. <entry>
  311. <fullUrl value = "urn:uuid:9c332515-b833-4529-975b-3007578dc4cd"/>
  312. <resource>
  313. <Observation xmlns="http://hl7.org/fhir">
  314. <id value="9c332515-b833-4529-975b-3007578dc4cd"/>
  315. <meta>
  316. <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/A1cObservation"/>
  317. </meta>
  318. <status value="final"/>
  319. <category>
  320. <coding>
  321. <system value="http://hl7.org/fhir/observation-category"/>
  322. <code value="vital-signs"/>
  323. <display value="Vital Signs"/>
  324. </coding>
  325. </category>
  326. <code>
  327. <coding>
  328. <system value="http://loinc.org"/>
  329. <code value="4548-4"/>
  330. <display value="Hemoglobin A1c/​Hemoglobin.total in Blood"/>
  331. </coding>
  332. </code>
  333. <Subject value="Patient/cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8 "/>
  334.  
  335. <effectiveDateTime value="2019-01-11"/>
  336. <valueQuantity>
  337. <value value="123"/>
  338. <unit value="mg/dL"/>
  339. <system value="http://unitsofmeasure.org"/>
  340. <code value="mg/dL"/>
  341. </valueQuantity>
  342. </Observation>
  343. </resource>
  344. </entry>
  345. <entry>
  346. <fullUrl value = "urn:uuid:ac1199e5-d0dc-4294-ba66-37628bc45654"/>
  347. <resource>
  348. <Observation xmlns="http://hl7.org/fhir">
  349. <id value="ac1199e5-d0dc-4294-ba66-37628bc45654"/>
  350. <meta>
  351. <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/BodyHeightObservation"/>
  352. </meta>
  353. <status value="final"/>
  354. <category>
  355. <coding>
  356. <system value="http://hl7.org/fhir/observation-category"/>
  357. <code value="vital-signs"/>
  358. <display value="Vital Signs"/>
  359. </coding>
  360. </category>
  361. <code>
  362. <coding>
  363. <system value="http://loinc.org"/>
  364. <code value="8302-2"/>
  365. <display value="Body height"/>
  366. </coding>
  367. </code>
  368. <Subject value="Patient/cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8"/>
  369. <effectiveDateTime value="2018-12-11"/>
  370. <valueQuantity>
  371. <value value="182.88"/>
  372. <unit value="cm"/>
  373. <system value="http://unitsofmeasure.org"/>
  374. <code value="cm"/>
  375. </valueQuantity>
  376. </Observation>
  377. </resource>
  378. </entry>
  379. </Bundle>
  380. </resource>
  381. </entry>
  382.  
  383. </Bundle>
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