<?xml version="1.0" encoding="UTF-8"?>
<Bundle xmlns="http://hl7.org/fhir">
    <id value="DiabetesPreventionReferralRequestMessageBundle"/>
    <meta>
        <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/DiabetesPreventionReferralRequestMessageBundle"/>
    </meta>
    <type value="collection"/>
    <entry>
        <resource>
        	<MessageHeader xmlns="http://hl7.org/fhir">
			<id value="MessageHeaderInitiator"/>
			    <meta>
			        <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Referral-Request-Message-Header"/>
			    </meta>
			    <event>
			      <type>
			    		<coding>
			    			<system value="https://www.hl7.org/fhir/valueset-message-events.html"/>
			    			<code value="referral-req"/>
			                <display value="Referral Request"/>
			    		</coding>
			      </type>
			    </event>
			    <reciever>
			        <reference value="ReferralRecipient1"/>

			    </reciever>
			    <sender>
			    	<reference value="ReferralInitiator Instance Example 1"/>
			    </sender>
			    <timestamp value="2018-12-11T05:05:11"/>
			    <source>
			        <name value="Centricity"/>
			        <endpoint value="https://apisandbox.gehealthcare.com:9443/demoAPIServer"/>
			    </source>
			    <reason>
			        <type>
			    		<coding>
			    			<system value="https://www.hl7.org/fhir/valueset-message-reason-encounter.html"/>
			    			<code value="class-enroll"/>
			                <display value="Enroll in Class"/>
			    		</coding>
			      </type>
			    </reason>
			    <focus>
			        <reference value="Diabetes ReferralRequestTransaction 1"/>
			    </focus>
			    </MessageHeader>
        </resource>
    </entry>
    <entry>
    	 <resource>
    		<PractitionerRole xmlns="http://hl7.org/fhir">
			    <id value="ReferralRecipient1"/>
			    <meta>
			        <profile
			            value="http://hl7.org/fhir/us/bser/StructureDefinition/ReferralInitiatorPractitionerRole"/>
			    </meta>
			    <practitioner>
			        <reference value="PractitionerPerson Instance Example 2"/>
			    </practitioner>
			    <organization>
			        <reference value="OrganizationEntity Instance Example 2"/>
			    </organization>
			   <code>
			        <coding>
			            <system value="http://hl7.org/fhir/ValueSet/practitioner-role"/>
			            <code value="doctor"/>
			            <display value="Doctor"/>
			        </coding>
			    </code>
			    <location>
			        <reference value="ServiceDeliveryLocation Instance Example Recipient"/>
			    </location>
			</PractitionerRole>
			 </resource>
    </entry>

    <entry>
    	<resource>
			<Observation xmlns="http://hl7.org/fhir">
			    <id value="EducationLevel Instance Example 1"/>
			    <meta>
			        <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/EducationLevelObservation"/>
			    </meta>
			    <status value="final"/>
			    <code>
			        <coding>
			            <system value="http://loinc.org"/>
			            <code value="80913-7"/>
			            <display value="Highest level of education"/>
			        </coding>
			    </code>
			    <Subject value="Reference(BSeR Patient 1)"/>
			    <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>
    	<Resource>
			<Observation xmlns="http://hl7.org/fhir">
			    <id value="EmploymentStatus Instance Example 1"/>
			    <meta>
			        <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/EmploymentStatusObservation"/>
			    </meta>
			    <status value="final"/>
			    <code>
			        <coding>
			            <system value="http://loinc.org"/>
			            <code value="74165-2"/>
			            <display value="History of employment status"/>
			        </coding>
			    </code>
			    <Subject value="Reference(BSeR Patient 1)"/>
			    <ValueCodeableConcept>
			        <coding>
			            <system value="http://hl7.org/fhir/ValueSet/v2-0066"/>
			            <code value="1"/>
			            <display value="Full time employed"/>
			        </coding>
			    </ValueCodeableConcept>
			</Observation>
    	</Resource>
    </entry>
    <entry>
    	<Resource>
			<Organization xmlns="http://hl7.org/fhir">
			    <id value="OrganizationEntity Instance Example 1"/>
			    <meta>
			        <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/OrganizationEntity"/>
			    </meta>
			    <identifier>
			        <system value="urn:oid:2.16.840.1.113883.4.6" />
			        <value value="1659603009" />
			    </identifier>
			    <type>
			        <concept>
			            <coding>
			                <system value="http://hl7.org/fhir/ValueSet/organization-type" />
			                <code value="prov" />
			                <display value="Healthcare Provider"/>
			            </coding>
			        </concept>
			    </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"/>
			        <postalCode value="60659"/>
			        <state value="IL" />
			        <country value="USA"/>
			    </address>
			</Organization>
    	</Resource>
    </entry>
    <entry>
    	<Resouces>
			<Organization xmlns="http://hl7.org/fhir">
			    <id value="OrganizationEntity Instance Example 2"/>
			    <meta>
			        <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/OrganizationEntity"/>
			    </meta>
			    <identifier>
			        <system value="urn:oid:2.16.840.1.113883.4.6" />
			        <value value="1215372123" />
			    </identifier>
			    <type>
			        <concept>
			            <coding>
			                <system value="http://hl7.org/fhir/ValueSet/organization-type" />
			                <code value="prov" />
			                <display value="Healthcare Provider"/>
			            </coding>
			        </concept>
			    </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"/>
			        <postalCode value="60607"/>
			        <state value="IL" />
			        <country value="USA"/>
			    </address>
			</Organization>
    	</Resouces>
    </entry>
    <entry>
    	<Resource>
			<AllergyIntolerance xmlns="http://hl7.org/fhir">
			    <id value="PatientAllergy Instance Example 1"/>
			    <meta>
			        <profile
			            value="http://hl7.org/fhir/us/bser/StructureDefinition/PatientAllergy"/>
			    </meta>
			    <verificationStatus value="confirmed"/>
			    <type value="allergy"/>
			    <patient>
			        <reference value="PatientRole Instance Example 1"/>
			    </patient>
			    <onsetDateTime value="2015"/>
			    <onsetAge>
			        <value value="65"/>
			        <unit value="yrs"/>
			        <system value="http://unitsofmeasure.org"/>
			        <code value="yrs"/>
			    </onsetAge>
			    <reaction>
			        <substance>
			            <coding>
			                <system value="http://snomed.info/sct"/>
			                <code value="3718001"/>
			                <display value="Cow's milk"/>
			            </coding>
			        </substance>
			        <manifestation>
			            <coding>
			                <system value="http://snomed.info/sct"/>
			                <code value="422400008"/>
			                <display value=" Vomiting"/>
			            </coding>
			        </manifestation>
			        <severity value="mild"/>
			    </reaction>
			</AllergyIntolerance>

    	</Resource>
    </entry>
    <entry>
    	<Resource>
			<RelatedPerson xmlns="http://hl7.org/fhir">
			    <id value="RelatedPersonRole Instance Example 1"/>
			    <meta>
			        <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/RelatedPersonRole"/>
			    </meta>
			    <identifier>
			        <type>
			            <coding>
			                <system value="http://hl7.org/fhir/ValueSet/identifier-type"/>
			                <code value="DL"/>
			                <display value="Driver's license"/>
			            </coding>
			        </type>
			        <system value="urn:oid:2.16.840.1.113883.4.3.17"/>
			        <value value="F255-9225-1194"/>
			    </identifier>
			    <patient>
			        <reference value="PatientRole Instance Example 1"/>
			    </patient>
			    <name>
			        <use value="official"/>
			        <family value="Beal"/>
			        <given value="Jake"/>
			    </name>
			    <relationship>
			    	<type>
			    		<coding>
			    			<system value="http://hl7.org/fhir/valueset-relatedperson-relationshiptype.html"/>
			    			<code value="FAMMEMB"/>
			                <display value="family member"/>
			    		</coding>
			    	</type>
			    </relationship>
			    <telecom>
			        <system value="phone"/>
			        <value value="(999) 407-2520"/>
			    </telecom>
			    <gender value="male"/>
			    <birthDate value="03/22/1956"/>
			    <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>
			</RelatedPerson>
    	</Resource>
    </entry>
</Bundle>