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

• Narrative Content
• JSON

: Sample Esmd List Submission Set - JSON Representation

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{
  "resourceType" : "List",
  "id" : "Example-ListSubmissionSet",
  "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\"><p class=\"res-header-id\"><b>Generated Narrative: List Example-ListSubmissionSet</b></p><a name=\"Example-ListSubmissionSet\"> </a><a name=\"hcExample-ListSubmissionSet\"> </a><a name=\"Example-ListSubmissionSet-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=\"DocumentReference-ExampleEsmdDocumentReferenceValid.html\">DocumentReference: identifier = https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Idn-UniqueId#UNIQUE1234569; status = current; date = 2024-09-18 00:00:00+0000; securityLabel = very restricted</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" : "2024-09-14T12:00:00Z",
  "entry" : [
    {
      "item" : {
        🔗 "reference" : "DocumentReference/ExampleEsmdDocumentReferenceValid"
      }
    }
  ]
}