ESMD FHIR Implementation Guide
1.0.0 - esmd

ESMD FHIR Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: TC001-BundleSubmission - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "TC001-BundleSubmission",
  "meta" : {
    "profile" : [
      🔗 "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-BundleSubmission"
    ],
    "security" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code" : "V"
      }
    ]
  },
  "type" : "transaction",
  "timestamp" : "2024-10-05T11:25:40-04:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:6348f211-25e6-46ae-8193-440e40aa04c3",
      "resource" : {
        "resourceType" : "List",
        "id" : "6348f211-25e6-46ae-8193-440e40aa04c3",
        "meta" : {
          "profile" : [
            🔗 "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-ListSubmissionSet"
          ],
          "security" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "code" : "V"
            }
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_6348f211-25e6-46ae-8193-440e40aa04c3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List 6348f211-25e6-46ae-8193-440e40aa04c3</b></p><a name=\"6348f211-25e6-46ae-8193-440e40aa04c3\"> </a><a name=\"hc6348f211-25e6-46ae-8193-440e40aa04c3\"> </a><a name=\"6348f211-25e6-46ae-8193-440e40aa04c3-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=\"StructureDefinition-Esmd-ListSubmissionSet.html\">Esmd List SubmissionSet Profile</a></p><p style=\"margin-bottom: 0px\">Security Label: very restricted (Details: Confidentiality code V = 'very restricted')</p></div><h2>Submission Set Title</h2><table class=\"clstu\"><tr><td>Date: 2024-10-05 11:25:40-0400 </td><td>Mode: Working List </td><td>Status: Current </td></tr><tr><td/></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"Bundle-TC001-BundleSubmission.html#urn-uuid-6348f210-25e6-46ae-8193-440e40aa04c4\">Bundle: type = transaction; timestamp = 2024-10-05 11:25:40-0400</a></td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-OrganizationId",
            "valueString" : "urn:oid:123.456.657.126"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-IntendedRecipient",
            "valueCode" : "urn:oid:2.16.840.1.113883.13.34.110.1.999.1"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-LinesOfBusinessId",
            "valueCode" : "1"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ClaimId",
            "valueString" : "SriniE ClaimID 8071330"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-CaseId",
            "valueString" : "LoadTest Case ID 123"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-UniqueId",
            "valueString" : "AWSAUTO8T-6348f210-25e6-46ae-8193-440e40aa04c3"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-NPI",
            "valueString" : "1234567893"
          },
          {
            "url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ResponseTypeCategory",
            "valueString" : "ResponseTypeCategory Value"
          }
        ],
        "status" : "current",
        "mode" : "working",
        "title" : "Submission Set Title",
        "date" : "2024-10-05T11:25:40-04:00",
        "entry" : [
          {
            "item" : {
              "reference" : "urn:uuid:6348f210-25e6-46ae-8193-440e40aa04c4"
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "List"
      }
    },
    {
      "fullUrl" : "urn:uuid:6348f210-25e6-46ae-8193-440e40aa04c4",
      "resource" : {
        "resourceType" : "DocumentReference",
        "id" : "6348f210-25e6-46ae-8193-440e40aa04c4",
        "meta" : {
          "profile" : [
            🔗 "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-DocumentReference"
          ],
          "security" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "code" : "V"
            }
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_6348f210-25e6-46ae-8193-440e40aa04c4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference 6348f210-25e6-46ae-8193-440e40aa04c4</b></p><a name=\"6348f210-25e6-46ae-8193-440e40aa04c4\"> </a><a name=\"hc6348f210-25e6-46ae-8193-440e40aa04c4\"> </a><a name=\"6348f210-25e6-46ae-8193-440e40aa04c4-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=\"StructureDefinition-Esmd-DocumentReference.html\">Esmd Document Reference Profile</a></p><p style=\"margin-bottom: 0px\">Security Label: very restricted (Details: Confidentiality code V = 'very restricted')</p></div><p><b>identifier</b>: <code>https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Idn-UniqueId</code>/AWSAUTO8T-6348f210-25e6-46ae-8193-440e40aa04c3</p><p><b>status</b>: Current</p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 47039-3}\">Hospital Admission history and physical note</span></p><p><b>date</b>: 2024-10-05 11:25:40-0400</p><p><b>securityLabel</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-Confidentiality V}\">very restricted</span></p><blockquote><p><b>content</b></p><blockquote><p><b>attachment</b></p><blockquote><p><b>id</b></p>Document1</blockquote><p><b>contentType</b>: application/xml</p><p><b>url</b>: s3://val-esmd-qurantine/AWSAUTO8T-6348f210-25e6-46ae-8193-440e40aa04c3/AWSAUTO8T-6348f210-25e6-46ae-8193-440e40aa04c3_1.xml</p><p><b>size</b>: 105255200</p><p><b>hash</b>: <code>9445022295f0880d2a17f679e58fb64613029dab05a840e211068e8244d9a7b2</code></p><p><b>title</b>: pkpadmin.pdf</p><p><b>creation</b>: 2024-10-05 11:25:40-0400</p></blockquote><p><b>format</b>: unknown urn:ihe: urn:ihe</p></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>FacilityType</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://terminology.esmduat.cms.gov:8099/fhir/CodeSystem/Esmd-CS-FacilityTypeCodes hih}\">Health Information Handler (HIH)</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Idn-UniqueId",
            "value" : "AWSAUTO8T-6348f210-25e6-46ae-8193-440e40aa04c3"
          }
        ],
        "status" : "current",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "47039-3",
                "display" : "Hospital Admission history and physical note"
              }
            ]
          }
        ],
        "date" : "2024-10-05T11:25:40.111-04:00",
        "securityLabel" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
                "code" : "V",
                "display" : "very restricted"
              }
            ]
          }
        ],
        "content" : [
          {
            "attachment" : {
              "id" : "Document1",
              "contentType" : "application/xml",
              "url" : "s3://val-esmd-qurantine/AWSAUTO8T-6348f210-25e6-46ae-8193-440e40aa04c3/AWSAUTO8T-6348f210-25e6-46ae-8193-440e40aa04c3_1.xml",
              "size" : 105255200,
              "hash" : "9445022295f0880d2a17f679e58fb64613029dab05a840e211068e8244d9a7b2",
              "title" : "pkpadmin.pdf",
              "creation" : "2024-10-05T11:25:40-04:00"
            },
            "format" : {
              "system" : "urn:oid:1.3.6.1.4.1.19376.1.2.3",
              "code" : "urn:ihe"
            }
          }
        ],
        "context" : {
          "facilityType" : {
            "coding" : [
              {
                "system" : "https://terminology.esmduat.cms.gov:8099/fhir/CodeSystem/Esmd-CS-FacilityTypeCodes",
                "code" : "hih",
                "display" : "Health Information Handler (HIH)"
              }
            ]
          }
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "DocumentReference"
      }
    }
  ]
}