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
{
"resourceType" : "Bundle",
"id" : "TC009-BundleSubmission-SplitRequest2",
"meta" : {
"profile" : [
🔗 "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-BundleSubmission"
],
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "HTEST"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "V"
}
]
},
"type" : "transaction",
"timestamp" : "2004-10-25T23:50:50-05:00",
"entry" : [
{
"fullUrl" : "urn:uuid:eaf61fc9-8f01-4f22-9bd4-4cf9927c27f2",
"resource" : {
"resourceType" : "List",
"id" : "eaf61fc9-8f01-4f22-9bd4-4cf9927c27f2",
"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_eaf61fc9-8f01-4f22-9bd4-4cf9927c27f2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List eaf61fc9-8f01-4f22-9bd4-4cf9927c27f2</b></p><a name=\"eaf61fc9-8f01-4f22-9bd4-4cf9927c27f2\"> </a><a name=\"hceaf61fc9-8f01-4f22-9bd4-4cf9927c27f2\"> </a><a name=\"eaf61fc9-8f01-4f22-9bd4-4cf9927c27f2-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: 2024-09-14 12:00:00+0000 </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-TC009-BundleSubmission-SplitRequest2.html#urn-uuid-eaf62fc9-8f01-4f22-9bd4-4cf9927c27f2\">Bundle: type = transaction; timestamp = 2004-10-25 23:50:50-0500</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" : "Requestid9-1"
},
{
"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-ParentUniqueId",
"valueString" : "Requestid9"
},
{
"url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-SplitNumber",
"valueString" : "2-3"
},
{
"url" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ResponseTypeCategory",
"valueString" : "ResponseTypeCategory Value"
}
],
"status" : "current",
"mode" : "working",
"title" : "Submission Set Title",
"date" : "2024-09-14T12:00:00Z",
"entry" : [
{
"item" : {
"reference" : "urn:uuid:eaf62fc9-8f01-4f22-9bd4-4cf9927c27f2"
}
}
]
},
"request" : {
"method" : "POST",
"url" : "List"
}
},
{
"fullUrl" : "urn:uuid:eaf62fc9-8f01-4f22-9bd4-4cf9927c27f2",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "eaf62fc9-8f01-4f22-9bd4-4cf9927c27f2",
"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_eaf62fc9-8f01-4f22-9bd4-4cf9927c27f2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference eaf62fc9-8f01-4f22-9bd4-4cf9927c27f2</b></p><a name=\"eaf62fc9-8f01-4f22-9bd4-4cf9927c27f2\"> </a><a name=\"hceaf62fc9-8f01-4f22-9bd4-4cf9927c27f2\"> </a><a name=\"eaf62fc9-8f01-4f22-9bd4-4cf9927c27f2-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>/Requestid9-1</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>: 2024-09-18 00:00:00-0400</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/Requestid9-1/Requestid9-1_1.xml</p><p><b>size</b>: 105255200</p><p><b>hash</b>: <code>dRmxABV1RSkhCZENJhNUIQ==</code></p><p><b>title</b>: pkpadmin.pdf</p><p><b>creation</b>: 2024-09-18 12:00:00-0400</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" : "Requestid9-1"
}
],
"status" : "current",
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "47039-3",
"display" : "Hospital Admission history and physical note"
}
]
}
],
"date" : "2024-09-18T00:00:00.111-04:00",
"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/Requestid9-1/Requestid9-1_1.xml",
"size" : 105255200,
"hash" : "dRmxABV1RSkhCZENJhNUIQ==",
"title" : "pkpadmin.pdf",
"creation" : "2024-09-18T12:00:00-04:00"
},
"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"
}
}
]
}