MediRecords FHIR Implementation Guide
1.4.1 - release


: Webhook Bundle for document-reference.created event for DocumentReference Out - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="ff9fd804-a465-4241-ba48-15345115dd0b"/>
  <meta>
    <lastUpdated value="2022-05-09T01:35:30Z"/>
  </meta>
  <type value="collection"/>
  <entry>
    <fullUrl value="urn:uuid:573d5f35-a5e0-44f1-bd0b-56d2b8b3396a"/>
    <resource>
      <DocumentReference>
        <id value="573d5f35-a5e0-44f1-bd0b-56d2b8b3396a"/>
        <meta>
          <profile
                   value="https://fhir.medirecords.com/StructureDefinition/mr-documentreference-out"/>
          <security>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
            <code value="U"/>
            <display value="Unrestricted"/>
          </security>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DocumentReference_573d5f35-a5e0-44f1-bd0b-56d2b8b3396a"> </a><p class="res-header-id"><b>Generated Narrative: DocumentReference 573d5f35-a5e0-44f1-bd0b-56d2b8b3396a</b></p><a name="573d5f35-a5e0-44f1-bd0b-56d2b8b3396a"> </a><a name="hc573d5f35-a5e0-44f1-bd0b-56d2b8b3396a"> </a><a name="573d5f35-a5e0-44f1-bd0b-56d2b8b3396a-en-US"> </a><p><b>MR DocumentReference Recipient Extension</b>: <a href="Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40054.html">Dr John Smith</a></p><p><b>MR DocumentReference Title Extension</b>: Greetings, Test Message</p><p><b>status</b>: Current</p><p><b>docStatus</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 57133-1}">Referral note</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 51852-2}">Letter</span></p><p><b>subject</b>: <a href="Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html">Mila Female, DoB: 1990-11-29 ( Medicare Number: 32788511952 (, period: (?) --&gt; 2025-02))</a></p><p><b>date</b>: 2021-11-17 14:56:18+0000</p><p><b>author</b>: <a href="PractitionerRole-6d6d7ce8-65c2-11e6-a20e-7b5deed40051.html">Dr John Smith</a></p><p><b>authenticator</b>: <a href="Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40054.html">Dr John Smith</a></p><p><b>custodian</b>: <a href="Organization-ade47c8c-9eed-11ea-a6fa-3f7e286deed9.html">Healthy Live Clinic</a></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Size</b></td></tr><tr><td style="display: none">*</td><td>0</td></tr></table></blockquote><h3>Contexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Encounter</b></td></tr><tr><td style="display: none">*</td><td><a href="Encounter-1e5cae20-85bf-11e8-b401-ffccd711ad9g.html">Encounter: status = finished; class = ambulatory (ActCode#AMB); period = 2021-10-25 01:43:30+0000 --&gt; 2021-10-25 02:21:30+0000; reasonCode = </a></td></tr></table></div>
        </text>
        <extension
                   url="https://fhir.medirecords.com/StructureDefinition/mr-document-ref-recipient-extn">
          <valueReference>🔗 
            <reference
                       value="Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054"/>
            <display value="Dr John Smith"/>
          </valueReference>
        </extension>
        <extension
                   url="https://fhir.medirecords.com/StructureDefinition/mr-document-ref-title-extn">
          <valueString value="Greetings, Test Message"/>
        </extension>
        <status value="current"/>
        <docStatus value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="57133-1"/>
            <display value="Referral note"/>
          </coding>
        </type>
        <category>
          <coding>
            <system value="http://loinc.org"/>
            <code value="51852-2"/>
            <display value="Letter"/>
          </coding>
        </category>
        <subject>🔗 
          <reference value="Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"/>
        </subject>
        <date value="2021-11-17T14:56:18Z"/>
        <author>🔗 
          <reference
                     value="PractitionerRole/6d6d7ce8-65c2-11e6-a20e-7b5deed40051"/>
          <display value="Dr John Smith"/>
        </author>
        <authenticator>🔗 
          <reference
                     value="Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054"/>
          <display value="Dr John Smith"/>
        </authenticator>
        <custodian>🔗 
          <reference
                     value="Organization/ade47c8c-9eed-11ea-a6fa-3f7e286deed9"/>
          <display value="Healthy Live Clinic"/>
        </custodian>
        <content>
          <attachment>
            <size value="0"/>
          </attachment>
        </content>
        <context>
          <encounter>🔗 
            <reference
                       value="Encounter/1e5cae20-85bf-11e8-b401-ffccd711ad9g"/>
          </encounter>
        </context>
      </DocumentReference>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:6d6d7ce8-65c2-11e6-a20e-7b5deed40054"/>
    <resource>
      <Practitioner>
        <id value="6d6d7ce8-65c2-11e6-a20e-7b5deed40054"/>
        <meta>
          <profile
                   value="https://fhir.medirecords.com/StructureDefinition/mr-practitioner-core"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_6d6d7ce8-65c2-11e6-a20e-7b5deed40054"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 6d6d7ce8-65c2-11e6-a20e-7b5deed40054</b></p><a name="6d6d7ce8-65c2-11e6-a20e-7b5deed40054"> </a><a name="hc6d6d7ce8-65c2-11e6-a20e-7b5deed40054"> </a><a name="6d6d7ce8-65c2-11e6-a20e-7b5deed40054-en-US"> </a><p><b>identifier</b>: HPI-I/8003610833334085</p><p><b>active</b>: true</p><p><b>name</b>: John Smith </p><p><b>telecom</b>: ph: 0410999888(Mobile), <a href="mailto:john.smith@gpexample.com">john.smith@gpexample.com</a>, ph: 0212450987(Work)</p><p><b>gender</b>: Male</p><p><b>birthDate</b>: 1978-04-08</p><blockquote><p><b>qualification</b></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0360 MD}">Doctor of Medicine</span></p></blockquote><blockquote><p><b>qualification</b></p><p><b>code</b>: <span title="Codes:">MB chB(Hons)</span></p></blockquote></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="NPI"/>
            </coding>
            <text value="HPI-I"/>
          </type>
          <system value="http://ns.electronichealth.net.au/id/hi/hpii/1.0"/>
          <value value="8003610833334085"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="usual"/>
          <family value="Smith"/>
          <given value="John"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="0410999888"/>
          <use value="mobile"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="john.smith@gpexample.com"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="phone"/>
          <value value="0212450987"/>
          <use value="work"/>
        </telecom>
        <gender value="male"/>
        <birthDate value="1978-04-08"/>
        <qualification>
          <code>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0360"/>
              <code value="MD"/>
              <display value="Doctor of Medicine"/>
            </coding>
          </code>
        </qualification>
        <qualification>
          <code>
            <text value="MB chB(Hons)"/>
          </code>
        </qualification>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:1e5cae20-85bf-11e8-b401-ffccd711ad9c"/>
    <resource>
      <Patient>
        <id value="1e5cae20-85bf-11e8-b401-ffccd711ad9c"/>
        <meta>
          <lastUpdated value="2021-10-11T01:43:30Z"/>
          <profile
                   value="https://fhir.medirecords.com/StructureDefinition/mr-patient-core"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_1e5cae20-85bf-11e8-b401-ffccd711ad9c"> </a><p class="res-header-id"><b>Generated Narrative: Patient 1e5cae20-85bf-11e8-b401-ffccd711ad9c</b></p><a name="1e5cae20-85bf-11e8-b401-ffccd711ad9c"> </a><a name="hc1e5cae20-85bf-11e8-b401-ffccd711ad9c"> </a><a name="1e5cae20-85bf-11e8-b401-ffccd711ad9c-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">Last updated: 2021-10-11 01:43:30+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-mr-patient-core.html">MR Patient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Mila Female, DoB: 1990-11-29 ( Medicare Number: 32788511952 (, period: (?) --&gt; 2025-02))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Other Id (see the one above)">Other Id:</td><td colspan="3">Patient external identifier/12345678H</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 0410999999(Mobile)</li><li><a href="mailto:mila.grey@xyz.com">mila.grey@xyz.com</a></li><li>abc lane Sydney NSW 2000 AU (home)</li><li>12 MLK BLVD Tampa FL 33131 US (work)</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Patient Links">Links:</td><td colspan="3"><ul><li>General Practitioner: <a href="Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40054.html">Practitioner John Smith </a></li><li>Managing Organization: <a href="Organization-ade47c8c-9eed-11ea-a6fa-3f7e286deed9.html">Organization Healthy Live Clinic</a></li></ul></td></tr><tr><td style="background-color: #f3f5da" title="This extension applies to the Patient resource and is used to represent ethnic identity. This extension is to support the provision of healthcare services to patients with specific cultural identities. This extension provides further information about a person’s cultural values and practices which can be significant in determining service type, support required and possible needs."><a href="http://hl7.org.au/fhir/4.0.0/StructureDefinition-ethnicity.html">Ethnicity</a></td><td colspan="3"><span title="Codes:{https://fhir.medirecords.com/CodeSystem/mr-patient-ethnicity-code 155}">Scottish</span></td></tr><tr><td style="background-color: #f3f5da" title="Extension to record if the patient in context uses English as the second language"><a href="StructureDefinition-mr-eng-secondlang-ind-extn.html">English As Second Language Indicator Extension</a></td><td colspan="3">false</td></tr></table></div>
        </text>
        <extension
                   url="https://fhir.medirecords.com/StructureDefinition/mr-eng-secondlang-ind-extn">
          <valueBoolean value="false"/>
        </extension>
        <extension
                   url="http://hl7.org.au/fhir/StructureDefinition/ethnicity">
          <valueCodeableConcept>
            <coding>
              <system
                      value="https://fhir.medirecords.com/CodeSystem/mr-patient-ethnicity-code"/>
              <code value="155"/>
              <display value="Scottish"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MC"/>
              <display value="Patient's Medicare Number"/>
            </coding>
            <text value="Medicare Number"/>
          </type>
          <system
                  value="http://ns.electronichealth.net.au/id/medicare-number"/>
          <value value="32788511952"/>
          <period>
            <end value="2025-02"/>
          </period>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PT"/>
              <display value="Patient external identifier"/>
            </coding>
          </type>
          <system value="urn:uuid:88229aa3-20e8-491f-8e5a-3c5918850b93"/>
          <value value="12345678H"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Grey"/>
          <given value="Mila"/>
          <prefix value="Mrs"/>
        </name>
        <name>
          <use value="usual"/>
          <text value="Mila"/>
        </name>
        <name>
          <use value="old"/>
          <text value="Don Mila"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="0410999999"/>
          <use value="mobile"/>
          <rank value="1"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="mila.grey@xyz.com"/>
          <use value="home"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1990-11-29">
          <extension
                     url="http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator">
            <valueCoding>
              <system
                      value="https://healthterminologies.gov.au/fhir/CodeSystem/date-accuracy-indicator-1"/>
              <code value="AAA"/>
              <display value="Day, month and year are accurate"/>
            </valueCoding>
          </extension>
        </birthDate>
        <address>
          <extension
                     url="https://fhir.medirecords.com/StructureDefinition/mr-address-isprimary-extn">
            <valueBoolean value="true"/>
          </extension>
          <use value="home"/>
          <type value="physical"/>
          <line value="abc lane"/>
          <city value="Sydney"/>
          <state value="NSW"/>
          <postalCode value="2000"/>
          <country value="AU"/>
        </address>
        <address>
          <extension
                     url="https://fhir.medirecords.com/StructureDefinition/mr-address-isprimary-extn">
            <valueBoolean value="false"/>
          </extension>
          <use value="work"/>
          <type value="physical"/>
          <line value="12 MLK BLVD"/>
          <city value="Tampa"/>
          <state value="FL"/>
          <postalCode value="33131"/>
          <country value="US"/>
        </address>
        <generalPractitioner>🔗 
          <reference
                     value="Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054"/>
        </generalPractitioner>
        <managingOrganization>🔗 
          <reference
                     value="Organization/ade47c8c-9eed-11ea-a6fa-3f7e286deed9"/>
        </managingOrganization>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:6d6d7ce8-65c2-11e6-a20e-7b5deed40051"/>
    <resource>
      <PractitionerRole>
        <id value="6d6d7ce8-65c2-11e6-a20e-7b5deed40051"/>
        <meta>
          <profile
                   value="https://fhir.medirecords.com/StructureDefinition/mr-practitioner-role-core"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_6d6d7ce8-65c2-11e6-a20e-7b5deed40051"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole 6d6d7ce8-65c2-11e6-a20e-7b5deed40051</b></p><a name="6d6d7ce8-65c2-11e6-a20e-7b5deed40051"> </a><a name="hc6d6d7ce8-65c2-11e6-a20e-7b5deed40051"> </a><a name="6d6d7ce8-65c2-11e6-a20e-7b5deed40051-en-US"> </a><p><b>active</b>: true</p><p><b>practitioner</b>: <a href="Practitioner-6d6d7ce8-65c2-11e6-a20e-7b5deed40054.html">Practitioner John Smith </a></p><p><b>organization</b>: <a href="Organization-ade47c8c-9eed-11ea-a6fa-3f7e286deed9.html">Organization Healthy Live Clinic</a></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 62247001}">General practitioner</span></p><p><b>specialty</b>: <span title="Codes:{http://snomed.info/sct 408443003}">General medical practice</span></p><p><b>location</b>: <a href="Location-6d6d7ce8-65c2-11e6-a20e-7b5deed40053.html">Location Downunder Hospital Blacktown</a></p><h3>AvailableTimes</h3><table class="grid"><tr><td style="display: none">-</td><td><b>AvailableStartTime</b></td></tr><tr><td style="display: none">*</td><td><code>Australian Time Zone: </code><span title="Codes:{https://www.iana.org/time-zones Australia/Sydney}">Australia/Sydney</span></td></tr></table></div>
        </text>
        <active value="true"/>
        <practitioner>🔗 
          <reference
                     value="Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054"/>
        </practitioner>
        <organization>🔗 
          <reference
                     value="Organization/ade47c8c-9eed-11ea-a6fa-3f7e286deed9"/>
        </organization>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="62247001"/>
            <display value="General practitioner"/>
          </coding>
        </code>
        <specialty>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="408443003"/>
            <display value="General medical practice"/>
          </coding>
        </specialty>
        <location>🔗 
          <reference value="Location/6d6d7ce8-65c2-11e6-a20e-7b5deed40053"/>
        </location>
        <availableTime>
          <availableStartTime>
            <extension
                       url="http://hl7.org.au/fhir/StructureDefinition/au-timezone">
              <valueCodeableConcept>
                <coding>
                  <system value="https://www.iana.org/time-zones"/>
                  <code value="Australia/Sydney"/>
                  <display value="Australia/Sydney"/>
                </coding>
              </valueCodeableConcept>
            </extension>
          </availableStartTime>
        </availableTime>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ade47c8c-9eed-11ea-a6fa-3f7e286deed9"/>
    <resource>
      <Organization>
        <id value="ade47c8c-9eed-11ea-a6fa-3f7e286deed9"/>
        <meta>
          <source value="urn:uuid:736b6dd8-c989-11e5-a45e-9b49d42b14a9"/>
          <profile
                   value="https://fhir.medirecords.com/StructureDefinition/mr-organisation-core"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_ade47c8c-9eed-11ea-a6fa-3f7e286deed9"> </a><p class="res-header-id"><b>Generated Narrative: Organization ade47c8c-9eed-11ea-a6fa-3f7e286deed9</b></p><a name="ade47c8c-9eed-11ea-a6fa-3f7e286deed9"> </a><a name="hcade47c8c-9eed-11ea-a6fa-3f7e286deed9"> </a><a name="ade47c8c-9eed-11ea-a6fa-3f7e286deed9-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">Information Source: urn:uuid:736b6dd8-c989-11e5-a45e-9b49d42b14a9</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-mr-organisation-core.html">MR Organisation</a></p></div><p><b>identifier</b>: HPI-O/8003627500000328</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: Healthy Live Clinic</p><p><b>telecom</b>: ph: 1234567890(Work), <a href="mailto:sarahstone@c.com">sarahstone@c.com</a></p><p><b>address</b>: Johnson Street Sydney NSW 2000 </p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
              <code value="NOI"/>
              <display value="National Organisation Identifier"/>
            </coding>
            <text value="HPI-O"/>
          </type>
          <system value="http://ns.electronichealth.net.au/id/hi/hpio/1.0"/>
          <value value="8003627500000328"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="prov"/>
            <display value="Healthcare Provider"/>
          </coding>
        </type>
        <name value="Healthy Live Clinic"/>
        <telecom>
          <system value="phone"/>
          <value value="1234567890"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="sarahstone@c.com"/>
          <use value="work"/>
        </telecom>
        <address>
          <type value="physical"/>
          <line value="Johnson Street"/>
          <city value="Sydney"/>
          <state value="NSW"/>
          <postalCode value="2000"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:1e5cae20-85bf-11e8-b401-ffccd711ad9g"/>
    <resource>
      <Encounter>
        <id value="1e5cae20-85bf-11e8-b401-ffccd711ad9g"/>
        <meta>
          <lastUpdated value="2021-10-25T01:43:30Z"/>
          <profile
                   value="https://fhir.medirecords.com/StructureDefinition/mr-encounter-core"/>
        </meta>
        <text>
          <status value="generated"/>
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        <status value="finished"/>
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        <subject>🔗 
          <reference value="Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"/>
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        <participant>
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              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
              <code value="PPRF"/>
              <display value="primary performer"/>
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          <individual>🔗 
            <reference
                       value="Practitioner/6d6d7ce8-65c2-11e6-a20e-7b5deed40054"/>
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        <period>
          <start value="2021-10-25T01:43:30Z"/>
          <end value="2021-10-25T02:21:30Z"/>
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        <reasonCode>
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        <serviceProvider>🔗 
          <reference
                     value="Organization/ade47c8c-9eed-11ea-a6fa-3f7e286deed9"/>
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