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

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Source1

{
  "resourceType": "Bundle",
  "id": "BundleTransactionSubmitMiReport",
  "type": "transaction",
  "timestamp": "2023-05-03T02:15:49.21+00:00",
  "identifier": {
    "system": "http://ontariohealth.ca/fhir/NamingSystem/id-org1-mi-transaction-bundle",
    "value": "64e604f1-436d-4f7e-8bfb-1b49157cd83d"
  },
  "entry": [
    {
      "resource": {
        "resourceType": "Organization",
        "identifier": [
          {
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi",
            "value": "101426379257"
          }
        ],
        "name": "The Ottawa Hospital",
        "telecom": [
          {
            "system": "phone",
            "value": "613-123-4567"
          }
        ]
      },
      "fullUrl": "urn:uuid:b2fdf4cd-77fb-4ac3-ab0e-44dca89574f1",
      "request": {
        "method": "PUT",
        "url": "Organization?identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi|101426379257"
      }
    },
    {
      "resource": {
        "resourceType": "Location",
        "identifier": [
          {
            "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi",
            "value": "101426379257"
          }
        ],
        "name": "The Ottawa Hospital"
      },
      "fullUrl": "urn:uuid:cd8d4a81-ea13-495a-8d40-81c35ca78c34",
      "request": {
        "method": "PUT",
        "url": "Location?identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-provider-upi|101426379257"
      }
    },
    {
      "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:b2baaec3-7729-4195-b2f1-2c9b9b854834",
      "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:ea6b1e81-ea13-495a-8d40-81c35ca78c45",
      "request": {
        "method": "PUT",
        "url": "Practitioner?identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician|23456"
      }
    },
    {
      "resource": {
        "resourceType": "PractitionerRole",
        "practitioner": {
          "reference": "urn:uuid:b2baaec3-7729-4195-b2f1-2c9b9b854834"
        },
        "organization": {
          "reference": "urn:uuid:b2fdf4cd-77fb-4ac3-ab0e-44dca89574f1"
        },
        "code": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/practitioner-role",
                "code": "doctor",
                "display": "Doctor"
              }
            ]
          }
        ]
      },
      "fullUrl": "urn:uuid:dc9c5e81-ea13-495a-8d40-81c35ca78c34",
      "request": {
        "method": "PUT",
        "url": "PractitionerRole?practitioner.identifier=https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-physician|12345"
      }
    },
    {
      "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"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code": "M",
              "display": "Married"
            }
          ]
        },
        "multipleBirthBoolean": false,
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "code": "en",
                  "system": "urn:ietf:bcp:47",
                  "display": "English"
                }
              ]
            }
          }
        ],
        "generalPractitioner": [
          {
            "reference": "urn:uuid:b2baaec3-7729-4195-b2f1-2c9b9b854834",
            "type": "Practitioner"
          }
        ]
      },
      "fullUrl": "urn:uuid:cd8d4a81-ea13-495a-8d40-81c35ca78c35",
      "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": "123456789"
          }
        ],
        "code": {
          "coding": [
            {
              "extension": [
                {
                  "url": "http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-code-type",
                  "valueCode": "local"
                }
              ],
              "code": "IMG011008",
              "system": "urn:oid:2.16.840.1.113883.3.239.23.18.10",
              "display": "CT ABDOMEN W WO IV CONTRAST PELVIS W"
            }
          ]
        },
        "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"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info",
                "code": "394914008",
                "display": "Radiology"
              }
            ]
          }
        ],
        "status": "active",
        "intent": "filler-order",
        "priority": "routine",
        "subject": {
          "reference": "urn:uuid:cd8d4a81-ea13-495a-8d40-81c35ca78c35"
        },
        "occurrenceDateTime": "2023-05-13",
        "authoredOn": "2023-05-12T15:00:00+00:00",
        "requester": {
          "reference": "urn:uuid:dc9c5e81-ea13-495a-8d40-81c35ca78c34",
          "type": "PractitionerRole"
        },
        "performer": [
          {
            "reference": "urn:uuid:ce6f6a81-ea13-495a-8d40-81c35ca78c35",
            "type": "Practitioner"
          }
        ],
        "locationReference": [
          {
            "reference": "urn:uuid:cd8d4a81-ea13-495a-8d40-81c35ca78c34"
          }
        ],
        "reasonCode": [
          {
            "text": "Clinical reason"
          }
        ],
        "note": [
          {
            "text": "some note"
          }
        ]
      },
      "fullUrl": "urn:uuid:ea6b1e81-ea13-495a-8d40-81c35ca78c44",
      "request": {
        "method": "PUT",
        "url": "ServiceRequest?identifier=urn:oid:2.16.840.1.113883.3.239.23.18.10|123456789"
      }
    },
    {
      "resource": {
        "resourceType": "DiagnosticReport",
        "language": "en",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/diagnosticReport-addendumOf",
            "valueReference": {
              "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": "123456789"
              }
            }
          }
        ],
        "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": "123456789"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "PLAC",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "display": "Placer Identifier"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.3.239.23.18.10.10",
            "value": "ABC-Placer-Order-Number-12345"
          }
        ],
        "code": {
          "coding": [
            {
              "code": "C0028-1",
              "system": "http://ontariohealth.ca/fhir/ehr/CodeSystem/provincial-extension-document-type",
              "display": "General Radiology Report"
            }
          ]
        },
        "basedOn": [
          {
            "reference": "urn:uuid:ea6b1e81-ea13-495a-8d40-81c35ca78c44"
          }
        ],
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info",
                "code": "394914008",
                "display": "Radiology"
              }
            ]
          }
        ],
        "status": "final",
        "subject": {
          "reference": "urn:uuid:40db42e6-57a4-4be9-9817-c49e030a18df"
        },
        "effectiveDateTime": "2023-05-18T16:01:20+00:00",
        "issued": "2023-05-21T21:24:31+00:00",
        "performer": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/event-performerFunction",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code": "AUT",
                      "display": "author (originator)"
                    }
                  ]
                }
              }
            ],
            "reference": "urn:uuid:f2f0c29e-3f76-43a5-9f0d-e8f351b97bdf",
            "type": "Practitioner"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/event-performerFunction",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code": "LA",
                      "display": "legal authenticator"
                    }
                  ]
                }
              }
            ],
            "reference": "urn:uuid:f2f0c29e-3f76-43a5-9f0d-e8f351b97bdf",
            "type": "Practitioner"
          }
        ],
        "resultsInterpreter": [
          {
            "reference": "urn:uuid:f2f0c29e-3f76-43a5-9f0d-e8f351b97bdf",
            "type": "Practitioner"
          }
        ],
        "imagingStudy": [
          {
            "reference": "urn:uuid:80dc14b7-097c-4c85-a305-c8feee456c31"
          }
        ],
        "result": [
          {
            "reference": "urn:uuid:ceef9e8f-5672-4656-bf0e-4836334aaa22"
          }
        ]
      },
      "fullUrl": "urn:uuid:a414da25-a7a7-4cf0-abdf-9aac8bdd615a",
      "request": {
        "method": "PUT",
        "url": "DiagnosticReport?identifier=urn:oid:2.16.840.1.113883.3.239.23.18.10|123456789"
      }
    },
    {
      "fullUrl": "urn:uuid:ceef9e8f-5672-4656-bf0e-4836334aaa22",
      "resource": {
        "resourceType": "Observation",
        "identifier": [
          {
            "system": "urn:oid:2.16.840.1.113883.3.239.23.18.10.1",
            "value": "123456789-obs-1"
          }
        ],
        "basedOn": [
          {
            "reference": "urn:uuid:ea6b1e81-ea13-495a-8d40-81c35ca78c44"
          }
        ],
        "status": "preliminary",
        "effectiveDateTime": "2023-05-18T16:01:20+00:00",
        "code": {
          "text": "SR Text"
        },
        "subject": {
          "reference": "urn:uuid:cd8d4a81-ea13-495a-8d40-81c35ca78c35"
        },
        "valueString": "Hands and wrists, two views of the right and left hand and wrist were obtained. There is generalized osteopenia. There are OA changes seen at the first CMC joint with subchondral sclerosis and joint space narrowing. Ulnar styloids appear intact. There is no chondrocalcinosis. There are some degenerative changes seen at the carpus but without any obvious erosive changes. There are no erosions seen at any of the MCP or PIP joints. There are scattered areas of joint space narrowing at the PIP and DIP joints.IMPRESSION:1. Osteoarthritis changes.2. Osteopenia.3. No definite erosions.         NOTE:  THIS IS A PRELIMINARY REPORT AND MAY DIFFER FROM THE FINAL VERSION           Reporting Radiologist:        Dr.  Pavlosky, William F           Date Transcribed 25/11/13 13:48",
        "note": [
          {
            "text": "Example Note"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Observation?identifier=urn:oid:2.16.840.1.113883.3.239.23.18.10.1|123456789-obs-1"
      }
    },
    {
      "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:64e604f1-436d-4f7e-8bfb-1b49157cd83d"
            }
          }
        ],
        "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"
      }
    }
  ]
}