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Packagehl7.fhir.us.davinci-deqm.r4
Resource TypeBundle
IdBundle-sde-example-patient-data-bundle.json
FHIR VersionR4

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Narrative

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Source1

{
  "resourceType": "Bundle",
  "id": "sde-example-patient-data-bundle",
  "type": "transaction",
  "entry": [
    {
      "fullUrl": "urn:uuid:050deac6-0544-43df-bff9-7506f8687469",
      "resource": {
        "resourceType": "Patient",
        "id": "patient04",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient04\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient04</b></p><a name=\"patient04\"> </a><a name=\"hcpatient04\"> </a><a name=\"patient04-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-patient.html\">QICore Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Jane E. Doe  Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#patient04)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: CDC Race and Ethnicity 2135-2: Hispanic or Latino</li><li>detailed: CDC Race and Ethnicity 2184-0: Dominican</li><li>detailed: CDC Race and Ethnicity 2148-5: Mexican</li><li>text: Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: CDC Race and Ethnicity 2106-3: White</li><li>ombCategory: CDC Race and Ethnicity 1002-5: American Indian or Alaska Native</li><li>ombCategory: CDC Race and Ethnicity 2028-9: Asian</li><li>detailed: CDC Race and Ethnicity 1586-7: Shoshone</li><li>detailed: CDC Race and Ethnicity 2036-2: Filipino</li><li>text: Mixed</li></ul></td></tr></table></div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2106-3",
                  "display": "White"
                }
              },
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "1002-5",
                  "display": "American Indian or Alaska Native"
                }
              },
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2028-9",
                  "display": "Asian"
                }
              },
              {
                "url": "detailed",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "1586-7",
                  "display": "Shoshone"
                }
              },
              {
                "url": "detailed",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2036-2",
                  "display": "Filipino"
                }
              },
              {
                "url": "text",
                "valueString": "Mixed"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2135-2",
                  "display": "Hispanic or Latino"
                }
              },
              {
                "url": "detailed",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2184-0",
                  "display": "Dominican"
                }
              },
              {
                "url": "detailed",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2148-5",
                  "display": "Mexican"
                }
              },
              {
                "url": "text",
                "valueString": "Hispanic or Latino"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          }
        ],
        "identifier": [
          {
            "system": "urn:oid:2.16.840.1.113883.6.1000",
            "value": "patient04"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Doe",
            "given": [
              "Jane",
              "E."
            ]
          }
        ],
        "gender": "female",
        "birthDate": "1987-02-19"
      },
      "request": {
        "method": "PUT",
        "url": "Patient/patient04"
      }
    },
    {
      "fullUrl": "urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369",
      "resource": {
        "resourceType": "Encounter",
        "id": "encounter04",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter04\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter04</b></p><a name=\"encounter04\"> </a><a name=\"hcencounter04\"> </a><a name=\"encounter04-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-encounter.html\">QICore Encounter</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode IMP</a>: inpatient encounter</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 185347001}\">Encounter for problem (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient01.html\">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>period</b>: 2022-01-01 --&gt; 2022-01-31</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-nhsn-iip-con101.html\">Condition: clinicalStatus = Active; verificationStatus = Confirmed; category = Encounter Diagnosis; onset[x] = 2022-01-08 11:00:00+0000</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role CC}\">Chief complaint</span></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">home</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location01.html\">Location DaVinciClinic01</a></td></tr></table></div>"
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "IMP",
          "display": "inpatient encounter"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "185347001",
                "display": "Encounter for problem (procedure)"
              }
            ]
          }
        ],
        "subject": {
          "reference": "Patient/patient01"
        },
        "period": {
          "start": "2022-01-01",
          "end": "2022-01-31"
        },
        "diagnosis": [
          {
            "condition": {
              "reference": "Condition/nhsn-iip-con101"
            },
            "use": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                  "code": "CC"
                }
              ]
            }
          }
        ],
        "hospitalization": {
          "dischargeDisposition": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code": "home",
                "display": "home"
              }
            ]
          }
        },
        "location": [
          {
            "location": {
              "reference": "Location/location01"
            }
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Encounter/encounter04"
      }
    },
    {
      "fullUrl": "urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "nhsn-iip-add101",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_nhsn-iip-add101\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest nhsn-iip-add101</b></p><a name=\"nhsn-iip-add101\"> </a><a name=\"hcnhsn-iip-add101\"> </a><a name=\"nhsn-iip-add101-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1161609}\">metFORMIN Oral Liquid Product</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Jane E. Doe</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --&gt; 2022-01-31 08:00:00+0000</a></p><p><b>authoredOn</b>: 2022-01-01</p><p><b>requester</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner Ronald Bone </a></p></div>"
        },
        "status": "active",
        "intent": "proposal",
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "1161609",
              "display": "metFORMIN Oral Liquid Product"
            }
          ],
          "text": "metFORMIN Oral Liquid Product"
        },
        "subject": {
          "reference": "Patient/nhsn-iip-ip101",
          "display": "Jane E. Doe"
        },
        "encounter": {
          "reference": "Encounter/nhsn-iip-en101"
        },
        "authoredOn": "2022-01-01",
        "requester": {
          "reference": "Practitioner/practitioner01"
        }
      },
      "request": {
        "method": "PUT",
        "url": "MedicationRequest/nhsn-iip-add101"
      }
    },
    {
      "fullUrl": "urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "nhsn-iip-add101-10",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_nhsn-iip-add101-10\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest nhsn-iip-add101-10</b></p><a name=\"nhsn-iip-add101-10\"> </a><a name=\"hcnhsn-iip-add101-10\"> </a><a name=\"nhsn-iip-add101-10-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></p></div><p><b>identifier</b>: <code>urn:oid:1.2.840.114350.1.13.310.3.7.2.798268</code>/336609269 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient</span></p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1161609}\">metFORMIN Oral Liquid Product</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Amy Shaw</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --&gt; 2022-01-31 08:00:00+0000</a></p><p><b>authoredOn</b>: 2022-01-15 16:50:26+0000</p><p><b>requester</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner Ronald Bone </a></p><p><b>recorder</b>: <a href=\"Practitioner-practitioner02.html\">Practitioner Emile Zieme(official)</a></p><p><b>courseOfTherapyType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy acute}\">Short course (acute) therapy</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Code , Once per 1 day</p><p><b>asNeeded</b>: true</p><blockquote><p><b>doseAndRate</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type calculated}\">calculated</span></p><p><b>dose</b>: 1 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></p></blockquote><blockquote><p><b>doseAndRate</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type ordered}\">ordered</span></p><p><b>dose</b>: 1 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></p></blockquote></blockquote></div>"
        },
        "identifier": [
          {
            "use": "usual",
            "system": "urn:oid:1.2.840.114350.1.13.310.3.7.2.798268",
            "value": "336609269"
          }
        ],
        "status": "active",
        "intent": "proposal",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code": "inpatient",
                "display": "Inpatient"
              }
            ],
            "text": "Inpatient"
          }
        ],
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "1161609",
              "display": "metFORMIN Oral Liquid Product"
            }
          ],
          "text": "metFORMIN Oral Liquid Product"
        },
        "subject": {
          "reference": "Patient/nhsn-iip-ip101",
          "display": "Amy Shaw"
        },
        "encounter": {
          "reference": "Encounter/nhsn-iip-en101"
        },
        "authoredOn": "2022-01-15T16:50:26Z",
        "requester": {
          "reference": "Practitioner/practitioner01"
        },
        "recorder": {
          "reference": "Practitioner/practitioner02"
        },
        "courseOfTherapyType": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
              "code": "acute",
              "display": "Short course (acute) therapy"
            }
          ],
          "text": "Short course (acute) therapy"
        },
        "dosageInstruction": [
          {
            "timing": {
              "repeat": {
                "boundsPeriod": {
                  "start": "2021-02-15T16:43:55Z",
                  "end": "2021-02-22T21:32:24Z"
                },
                "frequency": 1,
                "period": 1,
                "periodUnit": "d"
              },
              "code": {
                "text": "PRN"
              }
            },
            "asNeededBoolean": true,
            "doseAndRate": [
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code": "calculated",
                      "display": "calculated"
                    }
                  ],
                  "text": "calculated"
                },
                "doseQuantity": {
                  "value": 1,
                  "unit": "mg",
                  "system": "http://unitsofmeasure.org",
                  "code": "mg"
                }
              },
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code": "ordered",
                      "display": "ordered"
                    }
                  ],
                  "text": "ordered"
                },
                "doseQuantity": {
                  "value": 1,
                  "unit": "mg",
                  "system": "http://unitsofmeasure.org",
                  "code": "mg"
                }
              }
            ]
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "MedicationRequest/nhsn-iip-add101-10"
      }
    },
    {
      "fullUrl": "urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "nhsn-iip-sr-sde",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_nhsn-iip-sr-sde\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest nhsn-iip-sr-sde</b></p><a name=\"nhsn-iip-sr-sde\"> </a><a name=\"hcnhsn-iip-sr-sde\"> </a><a name=\"nhsn-iip-sr-sde-en-US\"> </a><p><b>identifier</b>: Placer/2345234234234</p><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 57698-3}\">Lipid Panel</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --&gt; 2022-01-31 08:00:00+0000</a></p><p><b>occurrence</b>: 2013-05-02 16:16:00-0700</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-9-cm V17.3}\">Fam hx-ischem heart dis</span></p><p><b>supportingInfo</b>: <a href=\"#hcnhsn-iip-sr-sde/fasting\">Fasting status</a></p><p><b>specimen</b>: <a href=\"#hcnhsn-iip-sr-sde/serum\">Serum specimen</a></p><p><b>note</b>: patient is afraid of needles</p><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #fasting</b></p><a name=\"nhsn-iip-sr-sde/fasting\"> </a><a name=\"hcnhsn-iip-sr-sde/fasting\"> </a><a name=\"nhsn-iip-sr-sde/fasting-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 49541-6}\">Fasting status - Reported</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Yes</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Specimen #serum</b></p><a name=\"nhsn-iip-sr-sde/serum\"> </a><a name=\"hcnhsn-iip-sr-sde/serum\"> </a><a name=\"nhsn-iip-sr-sde/serum-en-US\"> </a><p><b>identifier</b>: <code>http://acme.org/specimens</code>/20150107-0012</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 119364003}\">Serum sample</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2015-08-16 06:40:17+0000</td></tr></table></blockquote></div>"
        },
        "contained": [
          {
            "resourceType": "Observation",
            "id": "fasting",
            "status": "final",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "49541-6",
                  "display": "Fasting status - Reported"
                }
              ]
            },
            "subject": {
              "reference": "Patient/nhsn-iip-ip101"
            },
            "effectivePeriod": {
              "start": "2022-01-01T09:30:10+01:00"
            },
            "performer": [
              {
                "reference": "Organization/organization01"
              }
            ],
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
                  "code": "Y",
                  "display": "Yes"
                }
              ]
            }
          },
          {
            "resourceType": "Specimen",
            "id": "serum",
            "identifier": [
              {
                "system": "http://acme.org/specimens",
                "value": "20150107-0012"
              }
            ],
            "type": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "119364003",
                  "display": "Serum sample"
                }
              ]
            },
            "subject": {
              "reference": "Patient/nhsn-iip-ip101"
            },
            "collection": {
              "collectedDateTime": "2015-08-16T06:40:17Z"
            }
          }
        ],
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PLAC"
                }
              ],
              "text": "Placer"
            },
            "system": "urn:oid:1.3.4.5.6.7",
            "value": "2345234234234"
          }
        ],
        "status": "active",
        "intent": "original-order",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "57698-3"
            }
          ],
          "text": "Lipid Panel"
        },
        "subject": {
          "reference": "Patient/nhsn-iip-ip101"
        },
        "encounter": {
          "reference": "Encounter/nhsn-iip-en101"
        },
        "occurrenceDateTime": "2013-05-02T16:16:00-07:00",
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/icd-9-cm",
                "code": "V17.3",
                "display": "Fam hx-ischem heart dis"
              }
            ]
          }
        ],
        "supportingInfo": [
          {
            "reference": "#fasting",
            "display": "Fasting status"
          }
        ],
        "specimen": [
          {
            "reference": "#serum",
            "display": "Serum specimen"
          }
        ],
        "note": [
          {
            "text": "patient is afraid of needles"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "ServiceRequest/nhsn-iip-sr-sde"
      }
    },
    {
      "fullUrl": "urn:uuid:b7075a17-98a5-429b-a464-3da906001492",
      "resource": {
        "resourceType": "Location",
        "id": "nhsn-iip-loc101",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_nhsn-iip-loc101\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location nhsn-iip-loc101</b></p><a name=\"nhsn-iip-loc101\"> </a><a name=\"hcnhsn-iip-loc101\"> </a><a name=\"nhsn-iip-loc101-en-US\"> </a><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode RADO}\">Radiation oncology unit</span></p></div>"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code": "RADO",
                "display": "Radiation oncology unit"
              }
            ]
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Location/nhsn-iip-loc101"
      }
    },
    {
      "fullUrl": "urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69",
      "resource": {
        "resourceType": "Condition",
        "id": "condition04",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_condition04\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition04</b></p><a name=\"condition04\"> </a><a name=\"hccondition04\"> </a><a name=\"condition04-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}, {http://snomed.info/sct 439401001}\">Encounter Diagnosis</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>onset</b>: 2022-01-08</p></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed"
            }
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "encounter-diagnosis",
                "display": "Encounter Diagnosis"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "439401001",
                "display": "Diagnosis"
              }
            ]
          }
        ],
        "subject": {
          "reference": "Patient/nhsn-iip-ip101"
        },
        "onsetDateTime": "2022-01-08"
      },
      "request": {
        "method": "PUT",
        "url": "Condition/condition04"
      }
    }
  ]
}