FHIR IG analytics| Package | hl7.fhir.us.davinci-pcde |
| Resource Type | Bundle |
| Id | Bundle-pcde-document.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "Bundle",
"id": "pcde-document",
"meta": {
"lastUpdated": "2019-07-21T11:01:00+05:00"
},
"identifier": {
"system": "http://originalinsuranceinc.com/documentIDs",
"value": "A12345"
},
"type": "document",
"timestamp": "2019-07-21T11:01:00+05:00",
"entry": [
{
"fullUrl": "http://originalinsuranceinc.com/fhir/Composition/1",
"resource": {
"resourceType": "Composition",
"id": "1",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-pcde/StructureDefinition/profile-composition"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b></p><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\">Resource Composition \"1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-composition.html\">PCDE Coverage Transition Composition Profile</a></p></div><p><b>status</b>: final</p><p><b>type</b>: Coverage Transition Document <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-PCDEtempCodes.html\">PCDE Temporary Codes</a>#pcde)</span></p><p><b>date</b>: 2019-07-21 11:09:00+0700</p><p><b>author</b>: <a href=\"#Practitioner_1\">See above (Practitioner/1)</a></p><p><b>title</b>: Coverage Decision Exchange Document (Joe Smith, 2019-07-21)</p><h3>Events</h3><table class=\"grid\"><tr><td>-</td><td><b>Detail</b></td></tr><tr><td>*</td><td><a href=\"#Coverage_1\">See above (Coverage/1)</a></td></tr></table></div>"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes",
"code": "pcde"
}
]
},
"subject": {
"reference": "Patient/1"
},
"date": "2019-07-21T23:09:00+07:00",
"author": [
{
"reference": "Practitioner/1"
}
],
"title": "Coverage Decision Exchange Document (Joe Smith, 2019-07-21)",
"event": [
{
"detail": [
{
"reference": "Coverage/1"
}
]
}
],
"section": [
{
"title": "Active Treatments",
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes",
"code": "activeTreatment"
}
]
},
"section": [
{
"title": "Consulation re: MCI",
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes",
"code": "treatment"
}
]
},
"entry": [
{
"reference": "CarePlan/1"
}
]
},
{
"title": "Prior coverage",
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes",
"code": "priorCoverage"
}
]
},
"entry": [
{
"reference": "Claim/1"
},
{
"reference": "ClaimResponse/1"
}
]
},
{
"title": "Supporting information",
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes",
"code": "supportingInfo"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n Joe Smith is a subscriber to Maryland Capital Insurance Company. During a regular physical, Dr. James Gardener, Joe’s primary care physician, diagnosed a potential heart problem, acute myocardial infarction; unspecified site. \n Dr. Gardener had referred Joe to Dr. Susan Watson, a cardiologist for a consultation.\n During the consultation examination, Dr. Watson determined that Joe’s diagnosis requires hospitalization and a surgical procedure, a triple bypass venous graft. \n The operation and recovery was at Montgomery Hospital.\n </div>"
},
"entry": [
{
"reference": "DocumentReference/1"
}
]
}
]
}
]
}
},
{
"fullUrl": "http://originalinsuranceinc.com/fhir/Patient/1",
"resource": {
"resourceType": "Patient",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b></p><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\">Resource Patient \"1\" </p></div><p><b>identifier</b>: id: 444222222</p><p><b>name</b>: JOE SMITH </p><p><b>gender</b>: male</p></div>"
},
"identifier": [
{
"system": "http://originalinsuranceinc.com/fhir/NamingSystem/client-ids",
"value": "444222222"
}
],
"name": [
{
"family": "SMITH",
"given": [
"JOE"
]
}
],
"gender": "male"
}
},
{
"fullUrl": "http://originalinsuranceinc.com/fhir/Coverage/1",
"resource": {
"resourceType": "Coverage",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Coverage</b></p><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\">Resource Coverage \"1\" </p></div><p><b>status</b>: active</p><p><b>subscriberId</b>: 12345678</p><p><b>beneficiary</b>: <a href=\"#Patient_1\">See above (Patient/1)</a></p><p><b>payor</b>: <a href=\"#Organization_1\">See above (Organization/1)</a></p></div>"
},
"status": "active",
"subscriberId": "12345678",
"beneficiary": {
"reference": "Patient/1"
},
"payor": [
{
"reference": "Organization/1"
}
]
}
},
{
"fullUrl": "http://originalinsuranceinc.com/fhir/Organization/1",
"resource": {
"resourceType": "Organization",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b></p><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\">Resource Organization \"1\" </p></div><p><b>identifier</b>: id: 789312</p><p><b>active</b>: true</p><p><b>name</b>: MARYLAND CAPITAL INSURANCE COMPANY</p></div>"
},
"identifier": [
{
"system": "http://originalinsuranceinc.com/fhir/NamingSystem/ETIN",
"value": "789312"
}
],
"active": true,
"name": "MARYLAND CAPITAL INSURANCE COMPANY"
}
},
{
"fullUrl": "http://originalinsuranceinc.com/fhir/CarePlan/1",
"resource": {
"resourceType": "CarePlan",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CarePlan</b></p><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\">Resource CarePlan \"1\" </p></div><p><b>instantiatesUri</b>: <a href=\"http://originalinsuranceinc.com/consultReviewURI\">http://originalinsuranceinc.com/consultReviewURI</a></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>category</b>: Assessment and Plan of Treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-careplan-category.html\">US Core CarePlan Category Extension Codes</a>#assess-plan)</span></p><p><b>subject</b>: <a href=\"#Patient_1\">See above (Patient/1)</a></p><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>ReasonReference</b></td><td><b>Status</b></td></tr><tr><td>*</td><td>Consultation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (SERVICE_TYPE_CODE#3)</span></td><td><a href=\"#Condition_1\">See above (Condition/1)</a></td><td>in-progress</td></tr></table></blockquote></div>"
},
"instantiatesUri": [
"http://originalinsuranceinc.com/consultReviewURI"
],
"status": "active",
"intent": "plan",
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
"code": "assess-plan"
}
]
}
],
"subject": {
"reference": "Patient/1"
},
"activity": [
{
"detail": {
"code": {
"coding": [
{
"system": "http://example.org/SERVICE_TYPE_CODE",
"code": "3",
"display": "Consultation"
}
]
},
"reasonReference": [
{
"reference": "Condition/1"
}
],
"status": "in-progress"
}
}
]
}
},
{
"fullUrl": "http://originalinsuranceinc.com/fhir/Claim/1",
"resource": {
"resourceType": "Claim",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Claim</b></p><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\">Resource Claim \"1\" </p></div><p><b>identifier</b>: id: 111099</p><p><b>status</b>: active</p><p><b>type</b>: Professional <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-claim-type.html\">Claim Type Codes</a>#professional)</span></p><p><b>use</b>: preauthorization</p><p><b>patient</b>: <a href=\"#Patient_1\">See above (Patient/1)</a></p><p><b>created</b>: 2019-07-20</p><p><b>insurer</b>: <a href=\"#Organization_1\">See above (Organization/1)</a></p><p><b>provider</b>: <a href=\"http://example.org/fhir/Organization/provider\">http://example.org/fhir/Organization/provider</a></p><p><b>priority</b>: Normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-processpriority.html\">Process Priority Codes</a>#normal)</span></p><h3>CareTeams</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Provider</b></td></tr><tr><td>*</td><td>1</td><td><a href=\"http://example.org/fhir/Organization/provider\">http://example.org/fhir/Organization/provider</a></td></tr></table><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td>*</td><td>1</td><td>Chronic pain syndrome <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#G89.4)</span></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td>*</td><td>1</td><td>true</td><td><a href=\"#Coverage_1\">See above (Coverage/1)</a></td></tr></table><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>CareTeamSequence</b></td><td><b>DiagnosisSequence</b></td><td><b>ProductOrService</b></td><td><b>Location[x]</b></td></tr><tr><td>*</td><td>, , </td><td>1</td><td>1</td><td>1</td><td>Consultation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (1365#3)</span></td><td>11 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CMSPlaceofServiceCodes.html\">CMS Place of Service Codes (POS)</a>#11)</span></td></tr></table></div>"
},
"identifier": [
{
"system": "http://example.org/PATIENT_EVENT_TRACE_NUMBER",
"value": "111099",
"assigner": {
"identifier": {
"system": "http://example.org/USER_ASSIGNED",
"value": "9012345678"
}
}
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
}
]
},
"use": "preauthorization",
"patient": {
"reference": "Patient/1"
},
"created": "2019-07-20",
"insurer": {
"reference": "Organization/1"
},
"provider": {
"reference": "http://example.org/fhir/Organization/provider"
},
"priority": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal",
"display": "Normal"
}
]
},
"careTeam": [
{
"sequence": 1,
"provider": {
"reference": "http://example.org/fhir/Organization/provider"
}
}
],
"diagnosis": [
{
"sequence": 1,
"diagnosisCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10-cm",
"code": "G89.4"
}
]
}
}
],
"insurance": [
{
"sequence": 1,
"focal": true,
"coverage": {
"reference": "Coverage/1"
}
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType",
"valueCodeableConcept": {
"coding": [
{
"system": "http://codesystem.x12.org/005010/1525",
"code": "SC",
"display": "Specialty Care Review"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType",
"valueCodeableConcept": {
"coding": [
{
"system": "http://codesystem.x12.org/005010/1322",
"code": "I",
"display": "Initial"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService",
"valueReference": {
"reference": "ServiceRequest/1"
}
}
],
"sequence": 1,
"careTeamSequence": [
1
],
"diagnosisSequence": [
1
],
"productOrService": {
"coding": [
{
"system": "http://codesystem.x12.org/005010/1365",
"code": "3",
"display": "Consultation"
}
]
},
"locationCodeableConcept": {
"coding": [
{
"system": "https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set",
"code": "11"
}
]
}
}
]
}
},
{
"fullUrl": "http://originalinsuranceinc.com/fhir/ClaimResponse/1",
"resource": {
"resourceType": "ClaimResponse",
"id": "1",
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ClaimResponse</b></p><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\">Resource ClaimResponse \"1\" </p></div><p><b>identifier</b>: id: 111099</p><p><b>status</b>: active</p><p><b>type</b>: Professional <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-claim-type.html\">Claim Type Codes</a>#professional)</span></p><p><b>use</b>: preauthorization</p><p><b>patient</b>: <a href=\"#Patient_1\">See above (Patient/1)</a></p><p><b>created</b>: 2019-07-20</p><p><b>insurer</b>: <a href=\"#Organization_1\">See above (Organization/1)</a></p><p><b>requestor</b>: <a href=\"http://example.org/fhir/Organization/provider\">http://example.org/fhir/Organization/provider</a></p><p><b>outcome</b>: complete</p><blockquote><p><b>item</b></p><blockquote><p><b>ReviewAction</b></p><p><b>value</b>: AUTH0001</p><p><b>value</b>: Certified in total <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (306#A1)</span></p></blockquote><p><b>AuthorizedDate</b>: 2005-05-02 --> 2005-06-02</p><p><b>itemSequence</b>: 1</p><h3>Adjudications</h3><table class=\"grid\"><tr><td>-</td><td><b>Category</b></td></tr><tr><td>*</td><td>Submitted Amount <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-adjudication.html\">Adjudication Value Codes</a>#submitted)</span></td></tr></table></blockquote></div>"
},
"identifier": [
{
"system": "http://example.org/PATIENT_EVENT_TRACE_NUMBER",
"value": "111099",
"assigner": {
"identifier": {
"system": "http://example.org/USER_ASSIGNED",
"value": "9012345678"
}
}
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
}
]
},
"use": "preauthorization",
"patient": {
"reference": "Patient/1"
},
"created": "2019-07-20",
"insurer": {
"reference": "Organization/1"
},
"requestor": {
"reference": "http://example.org/fhir/Organization/provider"
},
"outcome": "complete",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction",
"extension": [
{
"url": "number",
"valueString": "AUTH0001"
},
{
"url": "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionCode",
"valueCodeableConcept": {
"coding": [
{
"system": "http://codesystem.x12.org/005010/306",
"code": "A1",
"display": "Certified in total"
}
]
}
}
]
},
{
"url": "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDate",
"valuePeriod": {
"start": "2005-05-02",
"end": "2005-06-02"
}
}
],
"itemSequence": 1,
"adjudication": [
{
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted"
}
]
}
}
]
}
]
}
},
{
"fullUrl": "http://originalinsuranceinc.com/fhir/Practitioner/1",
"resource": {
"resourceType": "Practitioner",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></p><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\">Resource Practitioner \"1\" </p></div><p><b>identifier</b>: id: 8189991234</p><p><b>name</b>: JAMES GARDENER </p></div>"
},
"identifier": [
{
"system": "http://originalinsuranceinc.com/fhir/NamingSystem/ETIN",
"value": "8189991234"
}
],
"name": [
{
"family": "GARDENER",
"given": [
"JAMES"
]
}
]
}
},
{
"fullUrl": "http://originalinsuranceinc.com/fhir/ServiceRequest/1",
"resource": {
"resourceType": "ServiceRequest",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b></p><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\">Resource ServiceRequest \"1\" </p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>code</b>: Consultation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (1365#3)</span></p><p><b>quantity</b>: 1 VS</p><p><b>subject</b>: <a href=\"#Patient_1\">See above (Patient/1)</a></p><p><b>performer</b>: <a href=\"#PractitionerRole_1\">See above (PractitionerRole/1)</a></p></div>"
},
"status": "active",
"intent": "order",
"code": {
"coding": [
{
"system": "http://codesystem.x12.org/005010/1365",
"code": "3",
"display": "Consultation"
}
]
},
"quantityQuantity": {
"value": 1,
"unit": "VS"
},
"subject": {
"reference": "Patient/1"
},
"performer": [
{
"reference": "PractitionerRole/1"
}
]
}
},
{
"fullUrl": "http://originalinsuranceinc.com/fhir/Condition/1",
"resource": {
"resourceType": "Condition",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b></p><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\">Resource Condition \"1\" </p></div><p><b>category</b>: Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>code</b>: Acute myocardial infarction of unspecified site, episode of care unspecified <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (icd-9-cm#410.90)</span></p><p><b>subject</b>: <a href=\"#Patient_1\">See above (Patient/1)</a></p><p><b>recordedDate</b>: 2005-04-30</p></div>"
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-9-cm",
"code": "410.90"
}
]
},
"subject": {
"reference": "Patient/1"
},
"recordedDate": "2005-04-30"
}
},
{
"fullUrl": "http://originalinsuranceinc.com/fhir/PractitionerRole/1",
"resource": {
"resourceType": "PractitionerRole",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b></p><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\">Resource PractitionerRole \"1\" </p></div><p><b>practitioner</b>: <a href=\"#Practitioner_2\">See above (Practitioner/2)</a></p><p><b>code</b>: Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (ENTITY_IDENTIFIER_CODE#1P)</span></p></div>"
},
"practitioner": {
"reference": "Practitioner/2"
},
"code": [
{
"coding": [
{
"system": "http://example.org/fhir/NamingSystem/ENTITY_IDENTIFIER_CODE",
"code": "1P",
"display": "Provider"
}
]
}
]
}
},
{
"fullUrl": "http://originalinsuranceinc.com/fhir/Practitioner/2",
"resource": {
"resourceType": "Practitioner",
"id": "2",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></p><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\">Resource Practitioner \"2\" </p></div><p><b>identifier</b>: id: 987654321</p><p><b>name</b>: SUSAN WATSON </p><p><b>telecom</b>: ph: 4029993456</p></div>"
},
"identifier": [
{
"system": "http://originalinsuranceinc.com/fhir/NamingSystem/practitioner-id",
"value": "987654321"
}
],
"name": [
{
"family": "WATSON",
"given": [
"SUSAN"
]
}
],
"telecom": [
{
"system": "phone",
"value": "4029993456"
}
]
}
},
{
"fullUrl": "http://originalinsuranceinc.com/fhir/DocumentReference/1",
"resource": {
"resourceType": "DocumentReference",
"id": "1",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DocumentReference</b></p><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\">Resource DocumentReference \"1\" </p></div><p><b>status</b>: current</p><p><b>docStatus</b>: final</p><p><b>type</b>: Discharge summary <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#18842-5)</span></p><p><b>subject</b>: <a href=\"#Patient_1\">See above (Patient/1)</a></p><p><b>author</b>: <a href=\"#Practitioner_1\">See above (Practitioner/1)</a></p><blockquote><p><b>content</b></p></blockquote></div>"
},
"status": "current",
"docStatus": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "18842-5"
}
]
},
"subject": {
"reference": "Patient/1"
},
"author": [
{
"reference": "Practitioner/1"
}
],
"content": [
{
"attachment": {
"url": "http://originalinsuranceinc.com/fhir/Binary/DischargeSummaryDocument"
}
}
]
}
}
]
}