FHIR IG analytics| Package | ca.on.erec.r4 |
| Resource Type | Bundle |
| Id | eReCm-1 Requester Add ServiceRequest v12 with form.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "Bundle",
"id": "8f7287b6-63d8-4717-828b-417a84f2f727",
"meta": {
"profile": [
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]
},
"identifier": {
"system": "http://ex-erec-identifier-system.org",
"value": "4177b6d8-63f2-4717-814b-8288a84ff727"
},
"type": "message",
"timestamp": "2024-10-24T00:00:00.0000+00:00",
"entry": [
{
"fullUrl": "urn:uuid:926e2bbf-4bb3-4cfa-a14e-5e0fd0f7edf3",
"resource": {
"resourceType": "MessageHeader",
"id": "926e2bbf-4bb3-4cfa-a14e-5e0fd0f7edf3",
"meta": {
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"url": "http://ehealthontario.ca/fhir/StructureDefinition/ext-routing-options",
"valueCodeableConcept": {
"coding": [
{
"system": "http://ehealthontario.ca/fhir/CodeSystem/ereferral-source-types",
"code": "DR",
"display": "Referral Source Type - Primary Care Provider"
}
]
}
}
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"eventCoding": {
"system": "https://ehealthontario.ca/fhir/CodeSystem/message-event-code",
"code": "add-service-request"
},
"destination": [
{
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"endpoint": "http://rmstarget.org/fhir/$process-message"
}
],
"author": {
"reference": "urn:uuid:32f22305-2e70-4099-929c-5c0d5123168e",
"display": "Dr. Abby Smith"
},
"source": {
"endpoint": "http://rmssource.org/fhir/$process-message"
},
"focus": [
{
"reference": "urn:uuid:ead2a7f7-b102-4a00-96de-d02042033749"
}
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}
},
{
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"resource": {
"resourceType": "ServiceRequest",
"id": "ead2a7f7-b102-4a00-96de-d02042033749",
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},
"identifier": [
{
"system": "http://example-identifier-system-uri.ca",
"value": "serviceRequest-id"
}
],
"status": "active",
"intent": "proposal",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "77477000",
"display": "Computed tomography (procedure)"
}
]
}
],
"priority": "routine",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "303653007",
"display": "Computed tomography of head (procedure)"
}
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"subject": {
"reference": "urn:uuid:4e826c7d-3709-484f-9ff0-ed1d13d8353b"
},
"authoredOn": "2024-10-24",
"requester": {
"reference": "urn:uuid:32f22305-2e70-4099-929c-5c0d5123168e",
"display": "Dr. Abby Smith"
},
"performer": [
{
"reference": "urn:uuid:5c8926df-537c-4a71-b183-e30d15b05312",
"identifier": {
"system": "http://healthcareservice-system-uri.ca",
"value": "service-id"
}
}
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"supportingInfo": [
{
"reference": "urn:uuid:9cea3cb8-d24f-4be2-acbf-dbc6c3801493",
"display": "Referral Form"
}
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{
"fullUrl": "urn:uuid:4e826c7d-3709-484f-9ff0-ed1d13d8353b",
"resource": {
"resourceType": "Patient",
"id": "4e826c7d-3709-484f-9ff0-ed1d13d8353b",
"meta": {
"profile": [
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},
"identifier": [
{
"extension": [
{
"url": "http://ehealthontario.ca/fhir/StructureDefinition/ext-id-health-card-version-code",
"valueString": "EX"
}
],
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "JHN"
}
],
"text": "Ontario, Canada Personal Health Number"
},
"system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn",
"value": "1445589654"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
],
"text": "The Hospital"
},
"system": "http://ehealthontario.ca/fhir/NamingSystem/id-example1-uri",
"value": "ABC12345"
}
],
"active": true,
"name": [
{
"family": "Tanev",
"given": [
"John"
]
}
],
"telecom": [
{
"system": "phone",
"value": "1 (111) 222 4444",
"rank": 1
},
{
"system": "email",
"value": "johntanev@example.com",
"rank": 2
}
],
"gender": "male",
"birthDate": "1980-10-01",
"address": [
{
"use": "home",
"type": "physical",
"line": [
"123 Any Street"
],
"city": "Waterloo",
"state": "ON",
"postalCode": "N2L 3G1"
}
],
"contact": [
{
"relationship": [
{
"coding": [
{
"system": "http://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship",
"code": "EC",
"display": "Emergency Contact"
}
],
"text": "Emergency Contact"
}
],
"name": {
"family": "McContact",
"given": [
"David"
]
},
"telecom": [
{
"system": "phone",
"value": "(555) 555 1212",
"rank": 1
}
],
"address": {
"line": [
"50 Water St."
],
"city": "Waterloo",
"state": "ON",
"postalCode": "N2L 3G2"
}
}
],
"communication": [
{
"language": {
"coding": [
{
"system": "urn:ietf:bcp:47",
"code": "en",
"display": "English"
}
],
"text": "english"
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}
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"generalPractitioner": [
{
"reference": "urn:uuid:32f22305-2e70-4099-929c-5c0d5123168e"
}
]
}
},
{
"fullUrl": "urn:uuid:32f22305-2e70-4099-929c-5c0d5123168e",
"resource": {
"resourceType": "PractitionerRole",
"id": "32f22305-2e70-4099-929c-5c0d5123168e",
"meta": {
"profile": [
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},
"active": true,
"practitioner": {
"reference": "urn:uuid:1505ac3a-9774-49cd-890b-ed12dbb0d4d6"
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"organization": {
"reference": "urn:uuid:f3315d20-22c4-4d02-a2f5-62a6c11a1ef0"
},
"code": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/practitioner-role",
"code": "doctor",
"display": "Doctor"
}
]
}
],
"specialty": [
{
"coding": [
{
"system": "https://fhir.infoway-inforoute.ca/CodeSystem/snomedctcaextension",
"code": "394802001",
"display": "General medicine"
}
]
}
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"location": [
{
"reference": "urn:uuid:8d32678f-ef77-4247-89e3-4fdf4bd16e10"
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"telecom": [
{
"system": "phone",
"value": "555-555-3447",
"use": "work",
"rank": 1
}
]
}
},
{
"fullUrl": "urn:uuid:1505ac3a-9774-49cd-890b-ed12dbb0d4d6",
"resource": {
"resourceType": "Practitioner",
"id": "1505ac3a-9774-49cd-890b-ed12dbb0d4d6",
"meta": {
"profile": [
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},
"identifier": [
{
"system": "http://first-provider-system-uri.ca",
"value": "practitioner-id"
}
],
"name": [
{
"use": "official",
"text": "Abby Smith",
"family": "Smith",
"given": [
"Abby"
]
}
],
"gender": "female",
"birthDate": "1979-02-26",
"qualification": [
{
"code": {
"coding": [
{
"system": "https://fhir.infoway-inforoute.ca/CodeSystem/scptype",
"code": "MD",
"display": "Medical Doctor"
}
]
}
}
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"communication": [
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"coding": [
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"system": "urn:ietf:bcp:47",
"code": "en",
"display": "English"
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"text": "English"
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{
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"resource": {
"resourceType": "Organization",
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"meta": {
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"active": true,
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "prov",
"display": "Healthcare Provider"
}
]
}
],
"name": "Fictional Custodian Organization",
"telecom": [
{
"system": "phone",
"value": "(555) 987-1234",
"use": "work",
"rank": 1
},
{
"system": "fax",
"value": "(555) 987-1234",
"use": "work",
"rank": 2
}
],
"address": [
{
"use": "work",
"type": "physical",
"line": [
"279 Yonge St"
],
"city": "Barrie",
"state": "ON",
"postalCode": "M5B 1N8",
"country": "CAN"
}
]
}
},
{
"fullUrl": "urn:uuid:8d32678f-ef77-4247-89e3-4fdf4bd16e10",
"resource": {
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},
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{
"system": "http://third-system-uri.ca",
"value": "location-id"
}
],
"status": "active",
"name": "Fictional Custodian Organization",
"telecom": [
{
"system": "phone",
"value": "555-555-3448"
}
],
"address": {
"type": "physical",
"line": [
"279 Yonge St"
],
"city": "toronto",
"state": "ON",
"postalCode": "M5B 1N8",
"country": "CAN"
}
}
},
{
"fullUrl": "urn:uuid:5c8926df-537c-4a71-b183-e30d15b05312",
"resource": {
"resourceType": "HealthcareService",
"id": "5c8926df-537c-4a71-b183-e30d15b05312",
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"identifier": [
{
"system": "http://healthcareservice-system-uri.ca",
"value": "service-id"
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],
"active": true,
"type": [
{
"text": "CT"
}
],
"name": "Diagnostic Imaging Clinic"
}
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{
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"status": "completed",
"subject": {
"reference": "urn:uuid:4e826c7d-3709-484f-9ff0-ed1d13d8353b"
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"authored": "2025-01-15",
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"item": [
{
"linkId": "1",
"text": "Section 1 Header",
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"linkId": "1.1",
"text": "String Question in Section 1",
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"valueString": "String Answer"
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{
"linkId": "1.2",
"text": "Boolean Question in Section 1",
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{
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"text": "Number Question in Section 1",
"answer": [
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{
"linkId": "1.4",
"text": "Decimal question in Section 1",
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{
"valueDecimal": 364.9
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},
{
"linkId": "1.5",
"text": "DateTime Question in Section 2",
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{
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{
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{
"valueDate": "2019-09-05"
}
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},
{
"linkId": "2.4",
"text": "Time Question in Section 2",
"answer": [
{
"valueTime": "12:34:56"
}
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}
]
},
{
"linkId": "3",
"text": "CONDITIONAL Section 3 with Question",
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}
}
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}