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Packageca.on.mi.r4
Resource TypeBundle
IdBundleTransactionSubmitMiImageManifest.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "BundleTransactionSubmitMiImageManifest",
  "identifier": {
    "system": "urn:oid:2.16.840.1.113883.3.239.23.18.10",
    "value": "dafefe64-d3ab-4366-a643-8816c4ec61bc"
  },
  "type": "transaction",
  "timestamp": "2023-05-03T02:15:49.21+00:00",
  "entry": [
    {
      "resource": {
        "resourceType": "Organization",
        "identifier": [
          {
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi",
            "value": "1220043596"
          }
        ],
        "name": "Lake Community Clinic",
        "telecom": [
          {
            "system": "phone",
            "value": "416-555-9766"
          }
        ]
      },
      "fullUrl": "urn:uuid:85a4d6fa-c9ec-4f5a-a1f7-f8312c13e940",
      "request": {
        "method": "PUT",
        "url": "Organization?identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi|1220043596"
      }
    },
    {
      "resource": {
        "resourceType": "Organization",
        "identifier": [
          {
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi",
            "value": "1220043534"
          }
        ],
        "name": "Best MI lab",
        "telecom": [
          {
            "system": "phone",
            "value": "416-111-2222"
          }
        ]
      },
      "fullUrl": "urn:uuid:360249a8-79a7-4fbf-8066-e3dea1e47fed",
      "request": {
        "method": "PUT",
        "url": "Organization?identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi|1220043534"
      }
    },
    {
      "resource": {
        "resourceType": "Location",
        "identifier": [
          {
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi",
            "value": "1220043534"
          }
        ],
        "name": "Best MI lab ABC",
        "description": "ABC location of the Best MI lab"
      },
      "fullUrl": "urn:uuid:a7f01530-29a4-4938-af59-08b67cb58dc2",
      "request": {
        "method": "PUT",
        "url": "Location?identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi|1220043534"
      }
    },
    {
      "resource": {
        "resourceType": "Practitioner",
        "identifier": [
          {
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician",
            "value": "12345"
          }
        ],
        "name": [
          {
            "family": "Adams",
            "given": [
              "Ben",
              "William"
            ],
            "prefix": [
              "Dr."
            ]
          }
        ]
      },
      "fullUrl": "urn:uuid:f5886eb4-61d5-4fe2-915e-fe8c754ea2a2",
      "request": {
        "method": "PUT",
        "url": "Practitioner?identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician|12345"
      }
    },
    {
      "resource": {
        "resourceType": "Practitioner",
        "identifier": [
          {
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician",
            "value": "23456"
          }
        ],
        "name": [
          {
            "family": "Careful",
            "given": [
              "Beth"
            ],
            "prefix": [
              "Dr"
            ]
          }
        ]
      },
      "fullUrl": "urn:uuid:16d4fef7-7573-450e-bc7a-e1a5332d2d53",
      "request": {
        "method": "PUT",
        "url": "Practitioner?identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician|23456"
      }
    },
    {
      "resource": {
        "resourceType": "PractitionerRole",
        "practitioner": {
          "reference": "urn:uuid:f5886eb4-61d5-4fe2-915e-fe8c754ea2a2"
        },
        "organization": {
          "reference": "urn:uuid:85a4d6fa-c9ec-4f5a-a1f7-f8312c13e940"
        },
        "code": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/practitioner-role",
                "code": "doctor",
                "display": "Doctor"
              }
            ]
          }
        ]
      },
      "fullUrl": "urn:uuid:b4d9b7ee-6893-4708-9dad-b1a33c306977",
      "request": {
        "method": "PUT",
        "url": "PractitionerRole?practitioner.identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician|12345"
      }
    },
    {
      "resource": {
        "resourceType": "PractitionerRole",
        "practitioner": {
          "reference": "urn:uuid:16d4fef7-7573-450e-bc7a-e1a5332d2d53"
        },
        "organization": {
          "reference": "urn:uuid:360249a8-79a7-4fbf-8066-e3dea1e47fed"
        },
        "code": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/practitioner-role",
                "code": "doctor",
                "display": "Doctor"
              }
            ]
          }
        ]
      },
      "fullUrl": "urn:uuid:19a8c43a-0dcf-49cf-8acb-0509bdd9f54f",
      "request": {
        "method": "PUT",
        "url": "PractitionerRole?practitioner.identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician|23456"
      }
    },
    {
      "resource": {
        "resourceType": "Patient",
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR"
                }
              ]
            },
            "system": "http://ehealthontario.ca/fhir/NamingSystem/id-cambridge-memorial-mrn",
            "value": "23456789"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "JHN"
                }
              ]
            },
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn",
            "value": "1234567890"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Onsmith1",
            "given": [
              "Onjohn1",
              "William"
            ],
            "suffix": [
              "III"
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "555-555-5555",
            "use": "work"
          }
        ],
        "gender": "male",
        "birthDate": "1926-02-24",
        "address": [
          {
            "use": "home",
            "type": "physical",
            "line": [
              "13 Boring St"
            ],
            "city": "Toronto",
            "state": "ON",
            "postalCode": "M1M M2M",
            "country": "CAN"
          }
        ],
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "code": "en",
                  "system": "urn:ietf:bcp:47",
                  "display": "English"
                }
              ]
            }
          }
        ],
        "generalPractitioner": [
          {
            "reference": "urn:uuid:f5886eb4-61d5-4fe2-915e-fe8c754ea2a2"
          }
        ]
      },
      "fullUrl": "urn:uuid:41479ac8-f3b2-4ffa-9542-d3a0f67e7149",
      "request": {
        "method": "PUT",
        "url": "Patient?identifier=http://ehealthontario.ca/fhir/NamingSystem/id-cambridge-memorial-mrn|23456789"
      }
    },
    {
      "resource": {
        "resourceType": "ServiceRequest",
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "ACSN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "display": "Accession ID"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.3.239.23.18.10",
            "value": "556677"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "ABC",
              "system": "urn:oid:2.16.840.1.113883.3.239.23.18.10.5",
              "display": "CT Pelvis Hip Left"
            }
          ]
        },
        "requisition": {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code": "PGN",
                "display": "Placer Group Number"
              }
            ]
          },
          "system": "urn:oid:2.16.840.1.113883.3.239.23.18.10.11",
          "value": "ABC-Placer-Group-Number-123456"
        },
        "status": "active",
        "intent": "filler-order",
        "subject": {
          "reference": "urn:uuid:41479ac8-f3b2-4ffa-9542-d3a0f67e7149"
        },
        "authoredOn": "2023-05-12",
        "requester": {
          "reference": "urn:uuid:b4d9b7ee-6893-4708-9dad-b1a33c306977",
          "type": "PractitionerRole"
        },
        "performer": [
          {
            "reference": "urn:uuid:360249a8-79a7-4fbf-8066-e3dea1e47fed",
            "type": "Organization"
          }
        ],
        "locationReference": [
          {
            "reference": "urn:uuid:a7f01530-29a4-4938-af59-08b67cb58dc2"
          }
        ]
      },
      "fullUrl": "urn:uuid:ffb622c5-579f-408f-9cd3-aeb64b0425b1",
      "request": {
        "method": "PUT",
        "url": "ServiceRequest?identifier=urn:oid:2.16.840.1.113883.3.239.23.18.10|556677"
      }
    },
    {
      "resource": {
        "resourceType": "ImagingStudy",
        "extension": [
          {
            "url": "https://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-ext-imagingStudyServiceType",
            "valueCoding": {
              "system": "http://snomed.info",
              "code": "394914008",
              "display": "Radiology"
            }
          }
        ],
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "ACSN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "display": "Accession ID"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.3.239.23.18.10",
            "value": "556677"
          },
          {
            "system": "urn:dicom:uid",
            "value": "urn:oid:2.16.124.113543.6003.1154777499.30246.19789.3503430045.1"
          }
        ],
        "status": "available",
        "subject": {
          "reference": "urn:uuid:41479ac8-f3b2-4ffa-9542-d3a0f67e7149"
        },
        "started": "2023-05-18T16:01:20+00:00",
        "basedOn": [
          {
            "reference": "urn:uuid:ffb622c5-579f-408f-9cd3-aeb64b0425b1"
          }
        ],
        "referrer": {
          "reference": "urn:uuid:b4d9b7ee-6893-4708-9dad-b1a33c306977",
          "type": "PractitionerRole"
        },
        "interpreter": [
          {
            "reference": "urn:uuid:19a8c43a-0dcf-49cf-8acb-0509bdd9f54f",
            "type": "PractitionerRole"
          }
        ],
        "endpoint": [
          {
            "reference": "Endpoint/hosp1-wado",
            "identifier": {
              "system": "http://ontariohealth.ca/mi/fhir/NamingSystem/ocinet-imaging-dicom-application-entity-title",
              "value": "Example AE title"
            }
          },
          {
            "reference": "Endpoint/hosp1-qido",
            "identifier": {
              "system": "http://ontariohealth.ca/mi/fhir/NamingSystem/ocinet-imaging-dicom-application-entity-title",
              "value": "Example AE title"
            }
          },
          {
            "reference": "Endpoint/hosp1-dicom",
            "identifier": {
              "system": "http://ontariohealth.ca/mi/fhir/NamingSystem/ocinet-imaging-dicom-application-entity-title",
              "value": "Example AE title"
            }
          }
        ],
        "modality": [
          {
            "code": "CT",
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "display": "Computed Tomography"
          }
        ],
        "procedureCode": [
          {
            "coding": [
              {
                "code": "ABC",
                "system": "urn:oid:2.16.840.1.113883.3.239.23.18.10.5",
                "display": "CT Pelvis Hip Left"
              }
            ]
          }
        ],
        "numberOfSeries": 1,
        "numberOfInstances": 1,
        "description": "Some description",
        "series": [
          {
            "uid": "2.16.124.113543.6003.1154777499.30246.19789.3503430045.1",
            "number": 1,
            "modality": {
              "code": "CT",
              "system": "http://dicom.nema.org/resources/ontology/DCM",
              "display": "Computed Tomography"
            },
            "bodySite": {
              "code": "12921003",
              "system": "http://snomed.info/sct",
              "display": "Structure of pelvis (body structure)"
            },
            "laterality": {
              "code": "7771000",
              "system": "http://snomed.info/sct",
              "display": "Left (qualifier value)"
            },
            "started": "2023-05-18T16:01:20+00:00",
            "description": "Some series description",
            "numberOfInstances": 1,
            "performer": [
              {
                "function": {
                  "coding": [
                    {
                      "code": "PRF",
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "display": "performer"
                    }
                  ]
                },
                "actor": {
                  "reference": "urn:uuid:19a8c43a-0dcf-49cf-8acb-0509bdd9f54f"
                }
              },
              {
                "function": {
                  "coding": [
                    {
                      "code": "AUT",
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "display": "author (originator)"
                    }
                  ]
                },
                "actor": {
                  "reference": "urn:uuid:85a4d6fa-c9ec-4f5a-a1f7-f8312c13e940"
                }
              }
            ],
            "instance": [
              {
                "uid": "2.16.124.113543.6003.1154777499.30246.19789.3503430045.1.1",
                "sopClass": {
                  "code": "urn:oid:1.2.840.10008.5.1.4.1.1.2",
                  "system": "urn:ietf:rfc:3986",
                  "display": "CT Image Storage"
                },
                "number": 1,
                "title": "Some series description title"
              }
            ]
          }
        ]
      },
      "fullUrl": "urn:uuid:52e6a10a-d5b6-4f6a-a55b-a162c56a5bc1",
      "request": {
        "method": "PUT",
        "url": "ImagingStudy?identifier=urn:oid:2.16.840.1.113883.3.239.23.18.10|556677"
      }
    },
    {
      "fullUrl": "urn:uuid:d92f3f37-40a4-4622-87fb-1724a8607e96",
      "resource": {
        "resourceType": "Provenance",
        "meta": {
          "tag": [
            {
              "system": "http://ontariohealth.ca/fhir/CodeSystem/cdf-data-domains",
              "code": "mi",
              "display": "Medical Imaging"
            }
          ]
        },
        "target": [
          {
            "identifier": {
              "system": "http://ontariohealth.ca/fhir/NamingSystem/id-org1-mi-transaction-bundle",
              "value": "urn:uuid:dafefe64-d3ab-4366-a643-8816c4ec61bc"
            }
          }
        ],
        "recorded": "2026-01-15T06:36:00+00:00",
        "policy": [
          "http://ontariohealth.ca/fhir/provenance-policy/ocinet"
        ],
        "activity": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle",
              "code": "transform",
              "display": "Transform/Translate Record Lifecycle Event"
            }
          ]
        },
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code": "composer",
                  "display": "Composer"
                }
              ]
            },
            "who": {
              "identifier": {
                "system": "http://ehealthontario.ca/fhir/NamingSystem/id-oneid-clientid",
                "value": "xyz-client-id"
              }
            }
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code": "transformer",
                  "display": "Transformer"
                }
              ]
            },
            "who": {
              "display": "OCINet HL7v2 to FHIR Translation Engine"
            }
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code": "author",
                  "display": "Author"
                }
              ]
            },
            "who": {
              "identifier": {
                "system": "ietf:rfc:3986",
                "value": "urn:oid:2.16.840.1.113883.3.239.23.10"
              }
            }
          }
        ],
        "entity": [
          {
            "role": "derivation",
            "what": {
              "identifier": {
                "system": "urn:oid:2.16.840.1.113883.3.239.23.10",
                "value": "abc-msh-10-value"
              }
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Provenance"
      }
    }
  ]
}