{
"resourceType": "Bundle",
"type": "transaction",
"entry": [ {
"fullUrl": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"resource": {
"resourceType": "Patient",
"id": "2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" ]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated by <a href=\"https://github.com/synthetichealth/synthea\">Synthea</a>.Version identifier: 3c23908\n . Person seed: -1278909425286058693 Population seed: 1693908535569</div>"
},
"extension": [ {
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
"extension": [ {
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2106-3",
"display": "White"
}
}, {
"url": "text",
"valueString": "White"
} ]
}, {
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension": [ {
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2186-5",
"display": "Not Hispanic or Latino"
}
}, {
"url": "text",
"valueString": "Not Hispanic or Latino"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
"valueString": "Lura184 Hodkiewicz467"
}, {
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode": "F"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress": {
"city": "Somerville",
"state": "Massachusetts",
"country": "US"
}
}, {
"url": "http://synthetichealth.github.io/synthea/disability-adjusted-life-years",
"valueDecimal": 0.7319525124695775
}, {
"url": "http://synthetichealth.github.io/synthea/quality-adjusted-life-years",
"valueDecimal": 9.268047487530422
} ],
"identifier": [ {
"system": "https://github.com/synthetichealth/synthea",
"value": "2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
}, {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical Record Number"
} ],
"text": "Medical Record Number"
},
"system": "http://hospital.smarthealthit.org",
"value": "2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
}, {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "SS",
"display": "Social Security Number"
} ],
"text": "Social Security Number"
},
"system": "http://hl7.org/fhir/sid/us-ssn",
"value": "999-31-9621"
} ],
"name": [ {
"use": "official",
"family": "Anderson154",
"given": [ "Niesha86", "Dorotha379" ]
} ],
"telecom": [ {
"system": "phone",
"value": "555-792-6934",
"use": "home"
} ],
"gender": "female",
"birthDate": "2012-04-19",
"address": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/geolocation",
"extension": [ {
"url": "latitude",
"valueDecimal": 42.31505275349201
}, {
"url": "longitude",
"valueDecimal": -71.53052115999975
} ]
} ],
"line": [ "866 Abshire Promenade Unit 39" ],
"city": "Southborough",
"state": "MA",
"postalCode": "00000",
"country": "US"
} ],
"maritalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code": "S",
"display": "Never Married"
} ],
"text": "Never Married"
},
"multipleBirthInteger": 2,
"communication": [ {
"language": {
"coding": [ {
"system": "urn:ietf:bcp:47",
"code": "en-US",
"display": "English (United States)"
} ],
"text": "English (United States)"
}
} ]
},
"request": {
"method": "POST",
"url": "Patient"
}
}, {
"fullUrl": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0",
"resource": {
"resourceType": "Encounter",
"id": "751a31c1-3f7d-3c81-68fb-b64dc94664b0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "751a31c1-3f7d-3c81-68fb-b64dc94664b0"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2013-09-26T18:51:00+02:00",
"end": "2013-09-26T19:06:00+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
}
} ],
"period": {
"start": "2013-09-26T18:51:00+02:00",
"end": "2013-09-26T19:06:00+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:01fcc8ad-1cab-269d-07ce-55515fd9b525",
"resource": {
"resourceType": "Condition",
"id": "01fcc8ad-1cab-269d-07ce-55515fd9b525",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
},
"onsetDateTime": "2013-09-26T18:51:00+02:00",
"abatementDateTime": "2013-09-26T18:51:00+02:00",
"recordedDate": "2013-09-26T18:51:00+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:b969caa1-ba83-5749-09dd-5ea8c0fe7cb9",
"resource": {
"resourceType": "Observation",
"id": "b969caa1-ba83-5749-09dd-5ea8c0fe7cb9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
},
"effectiveDateTime": "2013-09-26T18:51:00+02:00",
"issued": "2013-09-26T18:51:00.931+02:00",
"valueQuantity": {
"value": 83.7,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:33322ccd-9c3d-7f97-fda3-ec768db65c82",
"resource": {
"resourceType": "Observation",
"id": "33322ccd-9c3d-7f97-fda3-ec768db65c82",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
},
"effectiveDateTime": "2013-09-26T18:51:00+02:00",
"issued": "2013-09-26T18:51:00.931+02:00",
"valueQuantity": {
"value": 4,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9b9e33d9-fd4e-f38d-c56e-e75d45eec42f",
"resource": {
"resourceType": "Observation",
"id": "9b9e33d9-fd4e-f38d-c56e-e75d45eec42f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
},
"effectiveDateTime": "2013-09-26T18:51:00+02:00",
"issued": "2013-09-26T18:51:00.931+02:00",
"valueQuantity": {
"value": 11.8,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:acbbdb51-bb73-2f69-8067-182dbd07f047",
"resource": {
"resourceType": "Observation",
"id": "acbbdb51-bb73-2f69-8067-182dbd07f047",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "77606-2",
"display": "Weight-for-length Per age and sex"
} ],
"text": "Weight-for-length Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
},
"effectiveDateTime": "2013-09-26T18:51:00+02:00",
"issued": "2013-09-26T18:51:00.931+02:00",
"valueQuantity": {
"value": 59.655,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f584d2c0-2261-b88b-9b7c-6c718582e8d7",
"resource": {
"resourceType": "Observation",
"id": "f584d2c0-2261-b88b-9b7c-6c718582e8d7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8289-1",
"display": "Head Occipital-frontal circumference Percentile"
} ],
"text": "Head Occipital-frontal circumference Percentile"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
},
"effectiveDateTime": "2013-09-26T18:51:00+02:00",
"issued": "2013-09-26T18:51:00.931+02:00",
"valueQuantity": {
"value": 91.64,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5c0042eb-0d98-ee0f-de19-db7b89c949d2",
"resource": {
"resourceType": "Observation",
"id": "5c0042eb-0d98-ee0f-de19-db7b89c949d2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9843-4",
"display": "Head Occipital-frontal circumference"
} ],
"text": "Head Occipital-frontal circumference"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
},
"effectiveDateTime": "2013-09-26T18:51:00+02:00",
"issued": "2013-09-26T18:51:00.931+02:00",
"valueQuantity": {
"value": 48.24,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:12806e4f-925b-0ae6-b788-3d67127a4539",
"resource": {
"resourceType": "Observation",
"id": "12806e4f-925b-0ae6-b788-3d67127a4539",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
},
"effectiveDateTime": "2013-09-26T18:51:00+02:00",
"issued": "2013-09-26T18:51:00.931+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 62,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 105,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9da211e7-902d-1f88-328a-e84d5a07b0ff",
"resource": {
"resourceType": "Observation",
"id": "9da211e7-902d-1f88-328a-e84d5a07b0ff",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
},
"effectiveDateTime": "2013-09-26T18:51:00+02:00",
"issued": "2013-09-26T18:51:00.931+02:00",
"valueQuantity": {
"value": 73,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:6401fe95-ce75-220a-13fe-b95c5a75906b",
"resource": {
"resourceType": "Observation",
"id": "6401fe95-ce75-220a-13fe-b95c5a75906b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
},
"effectiveDateTime": "2013-09-26T18:51:00+02:00",
"issued": "2013-09-26T18:51:00.931+02:00",
"valueQuantity": {
"value": 14,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:4cce932f-fe7b-797b-67de-f2aae3e40011",
"resource": {
"resourceType": "Observation",
"id": "4cce932f-fe7b-797b-67de-f2aae3e40011",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
},
"effectiveDateTime": "2013-09-26T18:51:00+02:00",
"issued": "2013-09-26T18:51:00.931+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3642aef5-a711-0672-49e0-63fc27adc1db",
"resource": {
"resourceType": "Procedure",
"id": "3642aef5-a711-0672-49e0-63fc27adc1db",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
},
"performedPeriod": {
"start": "2013-09-26T18:51:00+02:00",
"end": "2013-09-26T19:06:00+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:90fc3a2a-e3e2-afc0-4f29-b162bd09c29f",
"resource": {
"resourceType": "Immunization",
"id": "90fc3a2a-e3e2-afc0-4f29-b162bd09c29f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "20",
"display": "DTaP"
} ],
"text": "DTaP"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
},
"occurrenceDateTime": "2013-09-26T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:0dd41339-5c9f-88ff-8d06-c48d82c51322",
"resource": {
"resourceType": "DiagnosticReport",
"id": "0dd41339-5c9f-88ff-8d06-c48d82c51322",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
},
"effectiveDateTime": "2013-09-26T18:51:00+02:00",
"issued": "2013-09-26T18:51:00.931+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:e2f1d438-c2b7-791a-0f42-f03258421a4c",
"resource": {
"resourceType": "DocumentReference",
"id": "e2f1d438-c2b7-791a-0f42-f03258421a4c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:0dd41339-5c9f-88ff-8d06-c48d82c51322"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2013-09-26T18:51:00.931+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
} ],
"period": {
"start": "2013-09-26T18:51:00+02:00",
"end": "2013-09-26T19:06:00+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:785d4a57-1cc9-0240-10b6-af7c1a1464f6",
"resource": {
"resourceType": "Claim",
"id": "785d4a57-1cc9-0240-10b6-af7c1a1464f6",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2013-09-26T18:51:00+02:00",
"end": "2013-09-26T19:06:00+02:00"
},
"created": "2013-09-26T19:06:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:90fc3a2a-e3e2-afc0-4f29-b162bd09c29f"
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:01fcc8ad-1cab-269d-07ce-55515fd9b525"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:3642aef5-a711-0672-49e0-63fc27adc1db"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "20",
"display": "DTaP"
} ],
"text": "DTaP"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
}, {
"sequence": 4,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 820.56,
"currency": "USD"
}
} ],
"total": {
"value": 1093.36,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:f14a5dc7-5adc-7dfb-0309-f861601dd583",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "f14a5dc7-5adc-7dfb-0309-f861601dd583",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "785d4a57-1cc9-0240-10b6-af7c1a1464f6"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2013-09-26T19:06:00+02:00",
"end": "2014-09-26T19:06:00+02:00"
},
"created": "2013-09-26T19:06:00+02:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"claim": {
"reference": "urn:uuid:785d4a57-1cc9-0240-10b6-af7c1a1464f6"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:01fcc8ad-1cab-269d-07ce-55515fd9b525"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2013-09-26T18:51:00+02:00",
"end": "2013-09-26T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "20",
"display": "DTaP"
} ],
"text": "DTaP"
},
"servicedPeriod": {
"start": "2013-09-26T18:51:00+02:00",
"end": "2013-09-26T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2013-09-26T18:51:00+02:00",
"end": "2013-09-26T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2013-09-26T18:51:00+02:00",
"end": "2013-09-26T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 820.56,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 164.112,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 656.448,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 820.56,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 820.56,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1093.36,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 765.248,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905",
"resource": {
"resourceType": "Encounter",
"id": "bc74583b-aaf1-ebeb-79f9-66585a6df905",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "bc74583b-aaf1-ebeb-79f9-66585a6df905"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-03-27T17:51:00+01:00",
"end": "2014-03-27T18:06:00+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
}
} ],
"period": {
"start": "2014-03-27T17:51:00+01:00",
"end": "2014-03-27T18:06:00+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:107518f7-f416-2ee7-612d-fcee8cc8b5c2",
"resource": {
"resourceType": "Condition",
"id": "107518f7-f416-2ee7-612d-fcee8cc8b5c2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
},
"onsetDateTime": "2014-03-27T17:51:00+01:00",
"abatementDateTime": "2014-09-25T18:51:00+02:00",
"recordedDate": "2014-03-27T17:51:00+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:b860f33a-4510-d2ee-692f-30152c31c1c7",
"resource": {
"resourceType": "Observation",
"id": "b860f33a-4510-d2ee-692f-30152c31c1c7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
},
"effectiveDateTime": "2014-03-27T17:51:00+01:00",
"issued": "2014-03-27T17:51:00.931+01:00",
"valueQuantity": {
"value": 89.6,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:892a3701-01af-bda0-da01-750540c93262",
"resource": {
"resourceType": "Observation",
"id": "892a3701-01af-bda0-da01-750540c93262",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
},
"effectiveDateTime": "2014-03-27T17:51:00+01:00",
"issued": "2014-03-27T17:51:00.931+01:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9c5cd328-5a0f-d7d7-ae65-f5417db4d3fc",
"resource": {
"resourceType": "Observation",
"id": "9c5cd328-5a0f-d7d7-ae65-f5417db4d3fc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
},
"effectiveDateTime": "2014-03-27T17:51:00+01:00",
"issued": "2014-03-27T17:51:00.931+01:00",
"valueQuantity": {
"value": 13,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d1b4e5bb-f485-6244-6281-183407918e52",
"resource": {
"resourceType": "Observation",
"id": "d1b4e5bb-f485-6244-6281-183407918e52",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "77606-2",
"display": "Weight-for-length Per age and sex"
} ],
"text": "Weight-for-length Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
},
"effectiveDateTime": "2014-03-27T17:51:00+01:00",
"issued": "2014-03-27T17:51:00.931+01:00",
"valueQuantity": {
"value": 53.352,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:ae91704a-d3e6-2460-940f-912c772067a0",
"resource": {
"resourceType": "Observation",
"id": "ae91704a-d3e6-2460-940f-912c772067a0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8289-1",
"display": "Head Occipital-frontal circumference Percentile"
} ],
"text": "Head Occipital-frontal circumference Percentile"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
},
"effectiveDateTime": "2014-03-27T17:51:00+01:00",
"issued": "2014-03-27T17:51:00.931+01:00",
"valueQuantity": {
"value": 91.64,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:90ca9463-aeef-8c18-fb94-4ae6189e40bc",
"resource": {
"resourceType": "Observation",
"id": "90ca9463-aeef-8c18-fb94-4ae6189e40bc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9843-4",
"display": "Head Occipital-frontal circumference"
} ],
"text": "Head Occipital-frontal circumference"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
},
"effectiveDateTime": "2014-03-27T17:51:00+01:00",
"issued": "2014-03-27T17:51:00.931+01:00",
"valueQuantity": {
"value": 49.3,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:329e912e-87f9-d576-2c00-bdd57cb83705",
"resource": {
"resourceType": "Observation",
"id": "329e912e-87f9-d576-2c00-bdd57cb83705",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
},
"effectiveDateTime": "2014-03-27T17:51:00+01:00",
"issued": "2014-03-27T17:51:00.931+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 62,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 100,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:454c52a5-441d-7143-0abf-a7ffff319435",
"resource": {
"resourceType": "Observation",
"id": "454c52a5-441d-7143-0abf-a7ffff319435",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
},
"effectiveDateTime": "2014-03-27T17:51:00+01:00",
"issued": "2014-03-27T17:51:00.931+01:00",
"valueQuantity": {
"value": 66,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:34871314-1b84-7425-8acb-6bc2755b05af",
"resource": {
"resourceType": "Observation",
"id": "34871314-1b84-7425-8acb-6bc2755b05af",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
},
"effectiveDateTime": "2014-03-27T17:51:00+01:00",
"issued": "2014-03-27T17:51:00.931+01:00",
"valueQuantity": {
"value": 13,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5a386a92-5727-7f07-6cdc-0e0a549b37dd",
"resource": {
"resourceType": "Observation",
"id": "5a386a92-5727-7f07-6cdc-0e0a549b37dd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
},
"effectiveDateTime": "2014-03-27T17:51:00+01:00",
"issued": "2014-03-27T17:51:00.931+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:c8c237db-08e3-286d-60de-bd2ffe744e13",
"resource": {
"resourceType": "Immunization",
"id": "c8c237db-08e3-286d-60de-bd2ffe744e13",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
},
"occurrenceDateTime": "2014-03-27T17:51:00+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:b6586d3d-ae33-7d03-dee6-6a0873841599",
"resource": {
"resourceType": "DiagnosticReport",
"id": "b6586d3d-ae33-7d03-dee6-6a0873841599",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
},
"effectiveDateTime": "2014-03-27T17:51:00+01:00",
"issued": "2014-03-27T17:51:00.931+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:54bfb854-f233-5e68-d984-69996219b492",
"resource": {
"resourceType": "DocumentReference",
"id": "54bfb854-f233-5e68-d984-69996219b492",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:b6586d3d-ae33-7d03-dee6-6a0873841599"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2014-03-27T17:51:00.931+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
} ],
"period": {
"start": "2014-03-27T17:51:00+01:00",
"end": "2014-03-27T18:06:00+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:496e5fba-a24a-2476-389d-14447938cca7",
"resource": {
"resourceType": "Claim",
"id": "496e5fba-a24a-2476-389d-14447938cca7",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2014-03-27T17:51:00+01:00",
"end": "2014-03-27T18:06:00+01:00"
},
"created": "2014-03-27T18:06:00+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:c8c237db-08e3-286d-60de-bd2ffe744e13"
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:107518f7-f416-2ee7-612d-fcee8cc8b5c2"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 272.80,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:7e5e3f4c-c39d-f5f5-0c5b-143a37d3f236",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "7e5e3f4c-c39d-f5f5-0c5b-143a37d3f236",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "496e5fba-a24a-2476-389d-14447938cca7"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2014-03-27T18:06:00+01:00",
"end": "2015-03-27T18:06:00+01:00"
},
"created": "2014-03-27T18:06:00+01:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"claim": {
"reference": "urn:uuid:496e5fba-a24a-2476-389d-14447938cca7"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:107518f7-f416-2ee7-612d-fcee8cc8b5c2"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2014-03-27T17:51:00+01:00",
"end": "2014-03-27T18:06:00+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2014-03-27T17:51:00+01:00",
"end": "2014-03-27T18:06:00+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2014-03-27T17:51:00+01:00",
"end": "2014-03-27T18:06:00+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 272.80,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f",
"resource": {
"resourceType": "Encounter",
"id": "df7c2f50-ca20-ba9d-aa1c-f5acf504da5f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-09-25T18:51:00+02:00",
"end": "2014-09-25T19:06:00+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
}
} ],
"period": {
"start": "2014-09-25T18:51:00+02:00",
"end": "2014-09-25T19:06:00+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:21359142-8efc-a165-9f6d-be3df215acfb",
"resource": {
"resourceType": "Observation",
"id": "21359142-8efc-a165-9f6d-be3df215acfb",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"effectiveDateTime": "2014-09-25T18:51:00+02:00",
"issued": "2014-09-25T18:51:00.931+02:00",
"valueQuantity": {
"value": 94.2,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:71209972-0b81-40e0-0d7a-83ab11377fb2",
"resource": {
"resourceType": "Observation",
"id": "71209972-0b81-40e0-0d7a-83ab11377fb2",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"effectiveDateTime": "2014-09-25T18:51:00+02:00",
"issued": "2014-09-25T18:51:00.931+02:00",
"valueQuantity": {
"value": 4,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:6d3c32e5-accc-beae-73b4-2b613b0e19a4",
"resource": {
"resourceType": "Observation",
"id": "6d3c32e5-accc-beae-73b4-2b613b0e19a4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"effectiveDateTime": "2014-09-25T18:51:00+02:00",
"issued": "2014-09-25T18:51:00.931+02:00",
"valueQuantity": {
"value": 14.1,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:20867ac2-c662-daf9-f460-3da7e5e8968d",
"resource": {
"resourceType": "Observation",
"id": "20867ac2-c662-daf9-f460-3da7e5e8968d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "77606-2",
"display": "Weight-for-length Per age and sex"
} ],
"text": "Weight-for-length Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"effectiveDateTime": "2014-09-25T18:51:00+02:00",
"issued": "2014-09-25T18:51:00.931+02:00",
"valueQuantity": {
"value": 58.899,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:658cbaeb-7813-6dd9-844a-7514a4fef978",
"resource": {
"resourceType": "Observation",
"id": "658cbaeb-7813-6dd9-844a-7514a4fef978",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8289-1",
"display": "Head Occipital-frontal circumference Percentile"
} ],
"text": "Head Occipital-frontal circumference Percentile"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"effectiveDateTime": "2014-09-25T18:51:00+02:00",
"issued": "2014-09-25T18:51:00.931+02:00",
"valueQuantity": {
"value": 91.64,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d7d9cca6-7e89-a1b9-01b0-3209c3ad5ee7",
"resource": {
"resourceType": "Observation",
"id": "d7d9cca6-7e89-a1b9-01b0-3209c3ad5ee7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9843-4",
"display": "Head Occipital-frontal circumference"
} ],
"text": "Head Occipital-frontal circumference"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"effectiveDateTime": "2014-09-25T18:51:00+02:00",
"issued": "2014-09-25T18:51:00.931+02:00",
"valueQuantity": {
"value": 50.08,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:0ca7847e-ebf5-bb6e-28bc-a336bc67d507",
"resource": {
"resourceType": "Observation",
"id": "0ca7847e-ebf5-bb6e-28bc-a336bc67d507",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"effectiveDateTime": "2014-09-25T18:51:00+02:00",
"issued": "2014-09-25T18:51:00.931+02:00",
"valueQuantity": {
"value": 15.91,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:b4e07870-1c02-cf8b-3580-7263f1170324",
"resource": {
"resourceType": "Observation",
"id": "b4e07870-1c02-cf8b-3580-7263f1170324",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"effectiveDateTime": "2014-09-25T18:51:00+02:00",
"issued": "2014-09-25T18:51:00.931+02:00",
"valueQuantity": {
"value": 45.17,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:17c55d9c-9462-c700-9857-5edcaaff56c2",
"resource": {
"resourceType": "Observation",
"id": "17c55d9c-9462-c700-9857-5edcaaff56c2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"effectiveDateTime": "2014-09-25T18:51:00+02:00",
"issued": "2014-09-25T18:51:00.931+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 59,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 120,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1a94db83-0daa-63c4-c140-cab6b8112527",
"resource": {
"resourceType": "Observation",
"id": "1a94db83-0daa-63c4-c140-cab6b8112527",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"effectiveDateTime": "2014-09-25T18:51:00+02:00",
"issued": "2014-09-25T18:51:00.931+02:00",
"valueQuantity": {
"value": 74,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:cf0b2936-5b41-da0d-8d0c-96fa4721a168",
"resource": {
"resourceType": "Observation",
"id": "cf0b2936-5b41-da0d-8d0c-96fa4721a168",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"effectiveDateTime": "2014-09-25T18:51:00+02:00",
"issued": "2014-09-25T18:51:00.931+02:00",
"valueQuantity": {
"value": 16,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:4de0f8af-8dc9-4981-8707-c0aa952d74b9",
"resource": {
"resourceType": "Observation",
"id": "4de0f8af-8dc9-4981-8707-c0aa952d74b9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"effectiveDateTime": "2014-09-25T18:51:00+02:00",
"issued": "2014-09-25T18:51:00.931+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1af79ca0-80c1-d9e2-758d-4d415edb41f5",
"resource": {
"resourceType": "Procedure",
"id": "1af79ca0-80c1-d9e2-758d-4d415edb41f5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"performedPeriod": {
"start": "2014-09-25T18:51:00+02:00",
"end": "2014-09-25T19:06:00+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:280d1699-6669-cc01-e6aa-699cdbcaa95b",
"resource": {
"resourceType": "Immunization",
"id": "280d1699-6669-cc01-e6aa-699cdbcaa95b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "83",
"display": "Hep A, ped/adol, 2 dose"
} ],
"text": "Hep A, ped/adol, 2 dose"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"occurrenceDateTime": "2014-09-25T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:aeb58ba6-06d3-00e8-8e82-37fb105c6371",
"resource": {
"resourceType": "DiagnosticReport",
"id": "aeb58ba6-06d3-00e8-8e82-37fb105c6371",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
},
"effectiveDateTime": "2014-09-25T18:51:00+02:00",
"issued": "2014-09-25T18:51:00.931+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:11b0eca2-1ccc-9bc4-5cc5-33a0822f4410",
"resource": {
"resourceType": "DocumentReference",
"id": "11b0eca2-1ccc-9bc4-5cc5-33a0822f4410",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:aeb58ba6-06d3-00e8-8e82-37fb105c6371"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2014-09-25T18:51:00.931+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
} ],
"period": {
"start": "2014-09-25T18:51:00+02:00",
"end": "2014-09-25T19:06:00+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:9c7b95ce-fffa-86a0-cd87-f5907006da65",
"resource": {
"resourceType": "Claim",
"id": "9c7b95ce-fffa-86a0-cd87-f5907006da65",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2014-09-25T18:51:00+02:00",
"end": "2014-09-25T19:06:00+02:00"
},
"created": "2014-09-25T19:06:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:280d1699-6669-cc01-e6aa-699cdbcaa95b"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:1af79ca0-80c1-d9e2-758d-4d415edb41f5"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "83",
"display": "Hep A, ped/adol, 2 dose"
} ],
"text": "Hep A, ped/adol, 2 dose"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 457.30,
"currency": "USD"
}
} ],
"total": {
"value": 730.10,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:73b4f0d3-b826-7338-11d5-37d222abd269",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "73b4f0d3-b826-7338-11d5-37d222abd269",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "9c7b95ce-fffa-86a0-cd87-f5907006da65"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2014-09-25T19:06:00+02:00",
"end": "2015-09-25T19:06:00+02:00"
},
"created": "2014-09-25T19:06:00+02:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"claim": {
"reference": "urn:uuid:9c7b95ce-fffa-86a0-cd87-f5907006da65"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2014-09-25T18:51:00+02:00",
"end": "2014-09-25T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "83",
"display": "Hep A, ped/adol, 2 dose"
} ],
"text": "Hep A, ped/adol, 2 dose"
},
"servicedPeriod": {
"start": "2014-09-25T18:51:00+02:00",
"end": "2014-09-25T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2014-09-25T18:51:00+02:00",
"end": "2014-09-25T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 457.30,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 91.46000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 365.84000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 457.30,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 457.30,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 730.10,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 474.64000000000004,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a",
"resource": {
"resourceType": "Encounter",
"id": "0b34cdcc-9059-dcfb-c7d4-798d2d0f797a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2015-03-26T17:51:00+01:00",
"end": "2015-03-26T18:06:00+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
}
} ],
"period": {
"start": "2015-03-26T17:51:00+01:00",
"end": "2015-03-26T18:06:00+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:648b548e-f216-d386-a1c6-d3be101be7a3",
"resource": {
"resourceType": "Condition",
"id": "648b548e-f216-d386-a1c6-d3be101be7a3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"onsetDateTime": "2015-03-26T17:51:00+01:00",
"abatementDateTime": "2015-03-26T17:51:00+01:00",
"recordedDate": "2015-03-26T17:51:00+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:0d103200-acf4-1585-3721-de9e25791348",
"resource": {
"resourceType": "Observation",
"id": "0d103200-acf4-1585-3721-de9e25791348",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"effectiveDateTime": "2015-03-26T17:51:00+01:00",
"issued": "2015-03-26T17:51:00.931+01:00",
"valueQuantity": {
"value": 98.5,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:420affde-cf4c-27eb-bf14-6898df953305",
"resource": {
"resourceType": "Observation",
"id": "420affde-cf4c-27eb-bf14-6898df953305",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"effectiveDateTime": "2015-03-26T17:51:00+01:00",
"issued": "2015-03-26T17:51:00.931+01:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:256c057c-06a3-b338-ffd7-843dbbd2c30e",
"resource": {
"resourceType": "Observation",
"id": "256c057c-06a3-b338-ffd7-843dbbd2c30e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"effectiveDateTime": "2015-03-26T17:51:00+01:00",
"issued": "2015-03-26T17:51:00.931+01:00",
"valueQuantity": {
"value": 15.2,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5b2a6ca2-a27c-07d2-684e-c449cda93aac",
"resource": {
"resourceType": "Observation",
"id": "5b2a6ca2-a27c-07d2-684e-c449cda93aac",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "77606-2",
"display": "Weight-for-length Per age and sex"
} ],
"text": "Weight-for-length Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"effectiveDateTime": "2015-03-26T17:51:00+01:00",
"issued": "2015-03-26T17:51:00.931+01:00",
"valueQuantity": {
"value": 53.368,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:efa2410f-c43c-4525-2973-c88cd5dc410b",
"resource": {
"resourceType": "Observation",
"id": "efa2410f-c43c-4525-2973-c88cd5dc410b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8289-1",
"display": "Head Occipital-frontal circumference Percentile"
} ],
"text": "Head Occipital-frontal circumference Percentile"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"effectiveDateTime": "2015-03-26T17:51:00+01:00",
"issued": "2015-03-26T17:51:00.931+01:00",
"valueQuantity": {
"value": 91.64,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:a2a3b27d-16e5-31ce-9102-ed0a3c14ddcf",
"resource": {
"resourceType": "Observation",
"id": "a2a3b27d-16e5-31ce-9102-ed0a3c14ddcf",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9843-4",
"display": "Head Occipital-frontal circumference"
} ],
"text": "Head Occipital-frontal circumference"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"effectiveDateTime": "2015-03-26T17:51:00+01:00",
"issued": "2015-03-26T17:51:00.931+01:00",
"valueQuantity": {
"value": 50.68,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:ceb00d58-6968-d839-16b4-53c5d66f2058",
"resource": {
"resourceType": "Observation",
"id": "ceb00d58-6968-d839-16b4-53c5d66f2058",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"effectiveDateTime": "2015-03-26T17:51:00+01:00",
"issued": "2015-03-26T17:51:00.931+01:00",
"valueQuantity": {
"value": 15.64,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:cf410ab5-99cc-c98b-a41b-37e216a47747",
"resource": {
"resourceType": "Observation",
"id": "cf410ab5-99cc-c98b-a41b-37e216a47747",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"effectiveDateTime": "2015-03-26T17:51:00+01:00",
"issued": "2015-03-26T17:51:00.931+01:00",
"valueQuantity": {
"value": 46.569,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:fe171483-c139-eab4-5fa0-7fd5d20c2255",
"resource": {
"resourceType": "Observation",
"id": "fe171483-c139-eab4-5fa0-7fd5d20c2255",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"effectiveDateTime": "2015-03-26T17:51:00+01:00",
"issued": "2015-03-26T17:51:00.931+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 63,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 114,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:ec29682d-4e61-8c71-af5c-9067483d6331",
"resource": {
"resourceType": "Observation",
"id": "ec29682d-4e61-8c71-af5c-9067483d6331",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"effectiveDateTime": "2015-03-26T17:51:00+01:00",
"issued": "2015-03-26T17:51:00.931+01:00",
"valueQuantity": {
"value": 96,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:77881040-75cd-a3e5-07e7-bc0b19689b69",
"resource": {
"resourceType": "Observation",
"id": "77881040-75cd-a3e5-07e7-bc0b19689b69",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"effectiveDateTime": "2015-03-26T17:51:00+01:00",
"issued": "2015-03-26T17:51:00.931+01:00",
"valueQuantity": {
"value": 14,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:46542006-516e-8bc8-6a1b-497a5a46298c",
"resource": {
"resourceType": "Observation",
"id": "46542006-516e-8bc8-6a1b-497a5a46298c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"effectiveDateTime": "2015-03-26T17:51:00+01:00",
"issued": "2015-03-26T17:51:00.931+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3531f32a-eede-54d0-d383-5d6f81564e2c",
"resource": {
"resourceType": "Procedure",
"id": "3531f32a-eede-54d0-d383-5d6f81564e2c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"performedPeriod": {
"start": "2015-03-26T17:51:00+01:00",
"end": "2015-03-26T18:06:00+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:85310873-641a-71fe-9d5a-3570c51e32ab",
"resource": {
"resourceType": "Immunization",
"id": "85310873-641a-71fe-9d5a-3570c51e32ab",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"occurrenceDateTime": "2015-03-26T17:51:00+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:b00a1962-fe53-cecd-74bb-5dd2e4a9f952",
"resource": {
"resourceType": "DiagnosticReport",
"id": "b00a1962-fe53-cecd-74bb-5dd2e4a9f952",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
},
"effectiveDateTime": "2015-03-26T17:51:00+01:00",
"issued": "2015-03-26T17:51:00.931+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:562c343d-2711-9a35-0780-5a62b1351968",
"resource": {
"resourceType": "DocumentReference",
"id": "562c343d-2711-9a35-0780-5a62b1351968",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:b00a1962-fe53-cecd-74bb-5dd2e4a9f952"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2015-03-26T17:51:00.931+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
} ],
"period": {
"start": "2015-03-26T17:51:00+01:00",
"end": "2015-03-26T18:06:00+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:e8f70f4c-9b9d-aaef-b6c4-780a9db5b68a",
"resource": {
"resourceType": "Claim",
"id": "e8f70f4c-9b9d-aaef-b6c4-780a9db5b68a",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2015-03-26T17:51:00+01:00",
"end": "2015-03-26T18:06:00+01:00"
},
"created": "2015-03-26T18:06:00+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:85310873-641a-71fe-9d5a-3570c51e32ab"
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:648b548e-f216-d386-a1c6-d3be101be7a3"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:3531f32a-eede-54d0-d383-5d6f81564e2c"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
}, {
"sequence": 4,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 713.78,
"currency": "USD"
}
} ],
"total": {
"value": 986.58,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:386f143a-6a7b-10ff-36d9-a83eb0b93146",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "386f143a-6a7b-10ff-36d9-a83eb0b93146",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "e8f70f4c-9b9d-aaef-b6c4-780a9db5b68a"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2015-03-26T18:06:00+01:00",
"end": "2016-03-26T18:06:00+01:00"
},
"created": "2015-03-26T18:06:00+01:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"claim": {
"reference": "urn:uuid:e8f70f4c-9b9d-aaef-b6c4-780a9db5b68a"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:648b548e-f216-d386-a1c6-d3be101be7a3"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2015-03-26T17:51:00+01:00",
"end": "2015-03-26T18:06:00+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2015-03-26T17:51:00+01:00",
"end": "2015-03-26T18:06:00+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2015-03-26T17:51:00+01:00",
"end": "2015-03-26T18:06:00+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2015-03-26T17:51:00+01:00",
"end": "2015-03-26T18:06:00+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 713.78,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 142.756,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 571.024,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 713.78,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 713.78,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 986.58,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 679.8240000000001,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:72cde949-f60a-911d-f808-f20cf9ff5665",
"resource": {
"resourceType": "Encounter",
"id": "72cde949-f60a-911d-f808-f20cf9ff5665",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "72cde949-f60a-911d-f808-f20cf9ff5665"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2015-04-21T14:51:00+02:00",
"end": "2015-04-21T15:06:00+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392",
"display": "Dr. Gregg522 Willms744"
}
} ],
"period": {
"start": "2015-04-21T14:51:00+02:00",
"end": "2015-04-21T15:06:00+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "195662009",
"display": "Acute viral pharyngitis (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|fde1651a-f8c8-3368-9965-bdafb0249d73",
"display": "MARLBOROUGH HOSPITAL CORP"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|352f2e3b-0708-3eb4-9f7e-e73a685bf379",
"display": "MARLBOROUGH HOSPITAL CORP"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:2ad7cd91-6da2-a596-4f13-116fc06abe12",
"resource": {
"resourceType": "Condition",
"id": "2ad7cd91-6da2-a596-4f13-116fc06abe12",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "195662009",
"display": "Acute viral pharyngitis (disorder)"
} ],
"text": "Acute viral pharyngitis (disorder)"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:72cde949-f60a-911d-f808-f20cf9ff5665"
},
"onsetDateTime": "2015-04-21T14:51:00+02:00",
"abatementDateTime": "2015-04-30T02:51:00+02:00",
"recordedDate": "2015-04-21T14:51:00+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:f178a4e6-0875-db98-fef3-e9a3baa90a51",
"resource": {
"resourceType": "Observation",
"id": "f178a4e6-0875-db98-fef3-e9a3baa90a51",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8310-5",
"display": "Body temperature"
}, {
"system": "http://loinc.org",
"code": "8331-1",
"display": "Oral temperature"
} ],
"text": "Body temperature"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:72cde949-f60a-911d-f808-f20cf9ff5665"
},
"effectiveDateTime": "2015-04-21T14:51:00+02:00",
"issued": "2015-04-21T14:51:00.931+02:00",
"valueQuantity": {
"value": 37.143,
"unit": "Cel",
"system": "http://unitsofmeasure.org",
"code": "Cel"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5b629ae6-4764-9c2c-b852-b458bef1157e",
"resource": {
"resourceType": "MedicationRequest",
"id": "5b629ae6-4764-9c2c-b852-b458bef1157e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "834061",
"display": "Penicillin V Potassium 250 MG Oral Tablet"
} ],
"text": "Penicillin V Potassium 250 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:72cde949-f60a-911d-f808-f20cf9ff5665"
},
"authoredOn": "2015-04-21T14:51:00+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392",
"display": "Dr. Gregg522 Willms744"
},
"reasonReference": [ {
"reference": "urn:uuid:2ad7cd91-6da2-a596-4f13-116fc06abe12",
"display": "Acute viral pharyngitis (disorder)"
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:806e68cd-7591-7210-d735-5651f4a3cd23",
"resource": {
"resourceType": "Claim",
"id": "806e68cd-7591-7210-d735-5651f4a3cd23",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2015-04-21T14:51:00+02:00",
"end": "2015-04-21T15:06:00+02:00"
},
"created": "2015-04-21T15:06:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|352f2e3b-0708-3eb4-9f7e-e73a685bf379",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:5b629ae6-4764-9c2c-b852-b458bef1157e"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "834061",
"display": "Penicillin V Potassium 250 MG Oral Tablet"
} ],
"text": "Penicillin V Potassium 250 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:72cde949-f60a-911d-f808-f20cf9ff5665"
} ]
} ],
"total": {
"value": 102.46,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:06dd08b1-d83a-17e1-22d6-b30a39ecf062",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "06dd08b1-d83a-17e1-22d6-b30a39ecf062",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "806e68cd-7591-7210-d735-5651f4a3cd23"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2015-04-21T15:06:00+02:00",
"end": "2016-04-21T15:06:00+02:00"
},
"created": "2015-04-21T15:06:00+02:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|fde1651a-f8c8-3368-9965-bdafb0249d73",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"claim": {
"reference": "urn:uuid:806e68cd-7591-7210-d735-5651f4a3cd23"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "834061",
"display": "Penicillin V Potassium 250 MG Oral Tablet"
} ],
"text": "Penicillin V Potassium 250 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2015-04-21T14:51:00+02:00",
"end": "2015-04-21T15:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:72cde949-f60a-911d-f808-f20cf9ff5665"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 102.46,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:bb6dd490-14d9-2e33-5196-628cdf9e7ecc",
"resource": {
"resourceType": "DiagnosticReport",
"id": "bb6dd490-14d9-2e33-5196-628cdf9e7ecc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:72cde949-f60a-911d-f808-f20cf9ff5665"
},
"effectiveDateTime": "2015-04-21T14:51:00+02:00",
"issued": "2015-04-21T14:51:00.931+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392",
"display": "Dr. Gregg522 Willms744"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:402a7576-19d5-e8ff-6aaf-3a275e45cf55",
"resource": {
"resourceType": "DocumentReference",
"id": "402a7576-19d5-e8ff-6aaf-3a275e45cf55",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:bb6dd490-14d9-2e33-5196-628cdf9e7ecc"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2015-04-21T14:51:00.931+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392",
"display": "Dr. Gregg522 Willms744"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|352f2e3b-0708-3eb4-9f7e-e73a685bf379",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:72cde949-f60a-911d-f808-f20cf9ff5665"
} ],
"period": {
"start": "2015-04-21T14:51:00+02:00",
"end": "2015-04-21T15:06:00+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:5a51ed3a-5be3-384e-2226-db1feb868bee",
"resource": {
"resourceType": "Claim",
"id": "5a51ed3a-5be3-384e-2226-db1feb868bee",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2015-04-21T14:51:00+02:00",
"end": "2015-04-21T15:06:00+02:00"
},
"created": "2015-04-21T15:06:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|352f2e3b-0708-3eb4-9f7e-e73a685bf379",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|fde1651a-f8c8-3368-9965-bdafb0249d73",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:2ad7cd91-6da2-a596-4f13-116fc06abe12"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"encounter": [ {
"reference": "urn:uuid:72cde949-f60a-911d-f808-f20cf9ff5665"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "195662009",
"display": "Acute viral pharyngitis (disorder)"
} ],
"text": "Acute viral pharyngitis (disorder)"
}
} ],
"total": {
"value": 85.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:e82bfd9f-76dd-c1f5-15b3-0f5f11834811",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "e82bfd9f-76dd-c1f5-15b3-0f5f11834811",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "5a51ed3a-5be3-384e-2226-db1feb868bee"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2015-04-21T15:06:00+02:00",
"end": "2016-04-21T15:06:00+02:00"
},
"created": "2015-04-21T15:06:00+02:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|fde1651a-f8c8-3368-9965-bdafb0249d73",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"claim": {
"reference": "urn:uuid:5a51ed3a-5be3-384e-2226-db1feb868bee"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:2ad7cd91-6da2-a596-4f13-116fc06abe12"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"servicedPeriod": {
"start": "2015-04-21T14:51:00+02:00",
"end": "2015-04-21T15:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:72cde949-f60a-911d-f808-f20cf9ff5665"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "195662009",
"display": "Acute viral pharyngitis (disorder)"
} ],
"text": "Acute viral pharyngitis (disorder)"
},
"servicedPeriod": {
"start": "2015-04-21T14:51:00+02:00",
"end": "2015-04-21T15:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 85.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312",
"resource": {
"resourceType": "Encounter",
"id": "a3640c86-5033-018d-80fd-9e34ecef8312",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "a3640c86-5033-018d-80fd-9e34ecef8312"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2015-09-24T18:51:00+02:00",
"end": "2015-09-24T19:06:00+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
}
} ],
"period": {
"start": "2015-09-24T18:51:00+02:00",
"end": "2015-09-24T19:06:00+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:9a653c4e-5bee-a010-6065-2bb64cd4e824",
"resource": {
"resourceType": "Condition",
"id": "9a653c4e-5bee-a010-6065-2bb64cd4e824",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
},
"onsetDateTime": "2015-09-24T18:51:00+02:00",
"abatementDateTime": "2016-03-24T17:51:00+01:00",
"recordedDate": "2015-09-24T18:51:00+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:1eb3bc7b-138f-55ef-fe17-32d5706b0714",
"resource": {
"resourceType": "Observation",
"id": "1eb3bc7b-138f-55ef-fe17-32d5706b0714",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
},
"effectiveDateTime": "2015-09-24T18:51:00+02:00",
"issued": "2015-09-24T18:51:00.931+02:00",
"valueQuantity": {
"value": 102.2,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:bb1791de-6674-2a1b-68d1-b0874dd406c3",
"resource": {
"resourceType": "Observation",
"id": "bb1791de-6674-2a1b-68d1-b0874dd406c3",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
},
"effectiveDateTime": "2015-09-24T18:51:00+02:00",
"issued": "2015-09-24T18:51:00.931+02:00",
"valueQuantity": {
"value": 0,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:25018cbb-843c-dada-5f3a-0957d7d1c58a",
"resource": {
"resourceType": "Observation",
"id": "25018cbb-843c-dada-5f3a-0957d7d1c58a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
},
"effectiveDateTime": "2015-09-24T18:51:00+02:00",
"issued": "2015-09-24T18:51:00.931+02:00",
"valueQuantity": {
"value": 16.6,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:4b52cb4a-d4d7-60cd-a8a5-2da0091535ce",
"resource": {
"resourceType": "Observation",
"id": "4b52cb4a-d4d7-60cd-a8a5-2da0091535ce",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "77606-2",
"display": "Weight-for-length Per age and sex"
} ],
"text": "Weight-for-length Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
},
"effectiveDateTime": "2015-09-24T18:51:00+02:00",
"issued": "2015-09-24T18:51:00.931+02:00",
"valueQuantity": {
"value": 59.317,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5df0f82c-9e86-827f-6909-e0f7509eb949",
"resource": {
"resourceType": "Observation",
"id": "5df0f82c-9e86-827f-6909-e0f7509eb949",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8289-1",
"display": "Head Occipital-frontal circumference Percentile"
} ],
"text": "Head Occipital-frontal circumference Percentile"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
},
"effectiveDateTime": "2015-09-24T18:51:00+02:00",
"issued": "2015-09-24T18:51:00.931+02:00",
"valueQuantity": {
"value": 91.64,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:c02bc0c9-c24b-1f3f-d70d-dd9794967a49",
"resource": {
"resourceType": "Observation",
"id": "c02bc0c9-c24b-1f3f-d70d-dd9794967a49",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9843-4",
"display": "Head Occipital-frontal circumference"
} ],
"text": "Head Occipital-frontal circumference"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
},
"effectiveDateTime": "2015-09-24T18:51:00+02:00",
"issued": "2015-09-24T18:51:00.931+02:00",
"valueQuantity": {
"value": 50.72,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:e6905196-b745-3013-e41e-7443029f57ca",
"resource": {
"resourceType": "Observation",
"id": "e6905196-b745-3013-e41e-7443029f57ca",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
},
"effectiveDateTime": "2015-09-24T18:51:00+02:00",
"issued": "2015-09-24T18:51:00.931+02:00",
"valueQuantity": {
"value": 15.93,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:84c1d29a-d16f-63ed-0098-c6638a63fec0",
"resource": {
"resourceType": "Observation",
"id": "84c1d29a-d16f-63ed-0098-c6638a63fec0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
},
"effectiveDateTime": "2015-09-24T18:51:00+02:00",
"issued": "2015-09-24T18:51:00.931+02:00",
"valueQuantity": {
"value": 63.305,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:8bf1526a-5de0-ab12-bc06-9da64c9496bf",
"resource": {
"resourceType": "Observation",
"id": "8bf1526a-5de0-ab12-bc06-9da64c9496bf",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
},
"effectiveDateTime": "2015-09-24T18:51:00+02:00",
"issued": "2015-09-24T18:51:00.931+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 66,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 107,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:2d141285-1d18-21e1-c77c-4b59644ea63a",
"resource": {
"resourceType": "Observation",
"id": "2d141285-1d18-21e1-c77c-4b59644ea63a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
},
"effectiveDateTime": "2015-09-24T18:51:00+02:00",
"issued": "2015-09-24T18:51:00.931+02:00",
"valueQuantity": {
"value": 71,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:c51844c7-780c-d9b1-3ee3-d1fbc28fdfe6",
"resource": {
"resourceType": "Observation",
"id": "c51844c7-780c-d9b1-3ee3-d1fbc28fdfe6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
},
"effectiveDateTime": "2015-09-24T18:51:00+02:00",
"issued": "2015-09-24T18:51:00.931+02:00",
"valueQuantity": {
"value": 13,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:83994afc-cbc5-d66a-8389-64f1e8da2b87",
"resource": {
"resourceType": "Observation",
"id": "83994afc-cbc5-d66a-8389-64f1e8da2b87",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
},
"effectiveDateTime": "2015-09-24T18:51:00+02:00",
"issued": "2015-09-24T18:51:00.931+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:b2eefe38-eb93-70ce-0715-23c30f12a380",
"resource": {
"resourceType": "DiagnosticReport",
"id": "b2eefe38-eb93-70ce-0715-23c30f12a380",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
},
"effectiveDateTime": "2015-09-24T18:51:00+02:00",
"issued": "2015-09-24T18:51:00.931+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:01d23345-add8-6205-fb67-bde6df04b320",
"resource": {
"resourceType": "DocumentReference",
"id": "01d23345-add8-6205-fb67-bde6df04b320",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:b2eefe38-eb93-70ce-0715-23c30f12a380"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2015-09-24T18:51:00.931+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
} ],
"period": {
"start": "2015-09-24T18:51:00+02:00",
"end": "2015-09-24T19:06:00+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:de3eafe8-a696-b9fe-90d4-01bea988dc52",
"resource": {
"resourceType": "Claim",
"id": "de3eafe8-a696-b9fe-90d4-01bea988dc52",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2015-09-24T18:51:00+02:00",
"end": "2015-09-24T19:06:00+02:00"
},
"created": "2015-09-24T19:06:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:9a653c4e-5bee-a010-6065-2bb64cd4e824"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 136.80,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:e6f2725c-1e76-758e-566a-f37818210034",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "e6f2725c-1e76-758e-566a-f37818210034",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "de3eafe8-a696-b9fe-90d4-01bea988dc52"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2015-09-24T19:06:00+02:00",
"end": "2016-09-24T19:06:00+02:00"
},
"created": "2015-09-24T19:06:00+02:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"claim": {
"reference": "urn:uuid:de3eafe8-a696-b9fe-90d4-01bea988dc52"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:9a653c4e-5bee-a010-6065-2bb64cd4e824"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2015-09-24T18:51:00+02:00",
"end": "2015-09-24T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2015-09-24T18:51:00+02:00",
"end": "2015-09-24T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 136.80,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab",
"resource": {
"resourceType": "Encounter",
"id": "3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2016-03-24T17:51:00+01:00",
"end": "2016-03-24T18:06:00+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
}
} ],
"period": {
"start": "2016-03-24T17:51:00+01:00",
"end": "2016-03-24T18:06:00+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:445aff7f-820b-395c-ab3c-4584bfc5c343",
"resource": {
"resourceType": "Observation",
"id": "445aff7f-820b-395c-ab3c-4584bfc5c343",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"effectiveDateTime": "2016-03-24T17:51:00+01:00",
"issued": "2016-03-24T17:51:00.931+01:00",
"valueQuantity": {
"value": 105.9,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d6e39fda-d6a7-d5f0-cd99-996dca8faab5",
"resource": {
"resourceType": "Observation",
"id": "d6e39fda-d6a7-d5f0-cd99-996dca8faab5",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"effectiveDateTime": "2016-03-24T17:51:00+01:00",
"issued": "2016-03-24T17:51:00.931+01:00",
"valueQuantity": {
"value": 4,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f29252c6-acb0-fffc-893b-c3493173269d",
"resource": {
"resourceType": "Observation",
"id": "f29252c6-acb0-fffc-893b-c3493173269d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"effectiveDateTime": "2016-03-24T17:51:00+01:00",
"issued": "2016-03-24T17:51:00.931+01:00",
"valueQuantity": {
"value": 18.2,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:b27c82cb-8f0d-3139-c7bc-f8721ebbdfaf",
"resource": {
"resourceType": "Observation",
"id": "b27c82cb-8f0d-3139-c7bc-f8721ebbdfaf",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "77606-2",
"display": "Weight-for-length Per age and sex"
} ],
"text": "Weight-for-length Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"effectiveDateTime": "2016-03-24T17:51:00+01:00",
"issued": "2016-03-24T17:51:00.931+01:00",
"valueQuantity": {
"value": 59.317,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:77ebe34b-ef0e-2855-b9fd-0d66b10158be",
"resource": {
"resourceType": "Observation",
"id": "77ebe34b-ef0e-2855-b9fd-0d66b10158be",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8289-1",
"display": "Head Occipital-frontal circumference Percentile"
} ],
"text": "Head Occipital-frontal circumference Percentile"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"effectiveDateTime": "2016-03-24T17:51:00+01:00",
"issued": "2016-03-24T17:51:00.931+01:00",
"valueQuantity": {
"value": 91.64,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5b0b00f5-6d8e-5e3f-924a-10a7798de6a7",
"resource": {
"resourceType": "Observation",
"id": "5b0b00f5-6d8e-5e3f-924a-10a7798de6a7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9843-4",
"display": "Head Occipital-frontal circumference"
} ],
"text": "Head Occipital-frontal circumference"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"effectiveDateTime": "2016-03-24T17:51:00+01:00",
"issued": "2016-03-24T17:51:00.931+01:00",
"valueQuantity": {
"value": 50.72,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f9f63f7b-430c-c3c3-cfc1-6185b2a7e095",
"resource": {
"resourceType": "Observation",
"id": "f9f63f7b-430c-c3c3-cfc1-6185b2a7e095",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"effectiveDateTime": "2016-03-24T17:51:00+01:00",
"issued": "2016-03-24T17:51:00.931+01:00",
"valueQuantity": {
"value": 16.19,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:cdf27e87-4914-3577-bfaa-e040eb07107f",
"resource": {
"resourceType": "Observation",
"id": "cdf27e87-4914-3577-bfaa-e040eb07107f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"effectiveDateTime": "2016-03-24T17:51:00+01:00",
"issued": "2016-03-24T17:51:00.931+01:00",
"valueQuantity": {
"value": 74.122,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:7cb7a1f5-68a2-02d4-d5d1-84483b7693f7",
"resource": {
"resourceType": "Observation",
"id": "7cb7a1f5-68a2-02d4-d5d1-84483b7693f7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"effectiveDateTime": "2016-03-24T17:51:00+01:00",
"issued": "2016-03-24T17:51:00.931+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 69,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 117,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:4c2d826a-6bf2-34c1-1a8e-37c8a55b37e7",
"resource": {
"resourceType": "Observation",
"id": "4c2d826a-6bf2-34c1-1a8e-37c8a55b37e7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"effectiveDateTime": "2016-03-24T17:51:00+01:00",
"issued": "2016-03-24T17:51:00.931+01:00",
"valueQuantity": {
"value": 63,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1362ca60-983b-47b0-f831-a1002dcb244d",
"resource": {
"resourceType": "Observation",
"id": "1362ca60-983b-47b0-f831-a1002dcb244d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"effectiveDateTime": "2016-03-24T17:51:00+01:00",
"issued": "2016-03-24T17:51:00.931+01:00",
"valueQuantity": {
"value": 16,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5e180678-e9fb-7491-7ea9-65dc144e418d",
"resource": {
"resourceType": "Observation",
"id": "5e180678-e9fb-7491-7ea9-65dc144e418d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"effectiveDateTime": "2016-03-24T17:51:00+01:00",
"issued": "2016-03-24T17:51:00.931+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:6298cc82-dec9-9988-e66f-62e49b6de9d6",
"resource": {
"resourceType": "Procedure",
"id": "6298cc82-dec9-9988-e66f-62e49b6de9d6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"performedPeriod": {
"start": "2016-03-24T17:51:00+01:00",
"end": "2016-03-24T18:06:00+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:8c69641c-1b17-c87e-90b6-f8ed3b8704dd",
"resource": {
"resourceType": "Immunization",
"id": "8c69641c-1b17-c87e-90b6-f8ed3b8704dd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"occurrenceDateTime": "2016-03-24T17:51:00+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:307a18db-0f1f-d066-f52b-5d4af575faea",
"resource": {
"resourceType": "DiagnosticReport",
"id": "307a18db-0f1f-d066-f52b-5d4af575faea",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
},
"effectiveDateTime": "2016-03-24T17:51:00+01:00",
"issued": "2016-03-24T17:51:00.931+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:1638f840-a70e-1ab0-c78d-1e66313199e2",
"resource": {
"resourceType": "DocumentReference",
"id": "1638f840-a70e-1ab0-c78d-1e66313199e2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:307a18db-0f1f-d066-f52b-5d4af575faea"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2016-03-24T17:51:00.931+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
} ],
"period": {
"start": "2016-03-24T17:51:00+01:00",
"end": "2016-03-24T18:06:00+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:425763cc-6c2e-dad4-518e-c7ce7dd14bd1",
"resource": {
"resourceType": "Claim",
"id": "425763cc-6c2e-dad4-518e-c7ce7dd14bd1",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2016-03-24T17:51:00+01:00",
"end": "2016-03-24T18:06:00+01:00"
},
"created": "2016-03-24T18:06:00+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:8c69641c-1b17-c87e-90b6-f8ed3b8704dd"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:6298cc82-dec9-9988-e66f-62e49b6de9d6"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 522.68,
"currency": "USD"
}
} ],
"total": {
"value": 795.48,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:f3889fdb-9308-b7b3-9fdc-3c3b1b1a774e",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "f3889fdb-9308-b7b3-9fdc-3c3b1b1a774e",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "425763cc-6c2e-dad4-518e-c7ce7dd14bd1"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2016-03-24T18:06:00+01:00",
"end": "2017-03-24T18:06:00+01:00"
},
"created": "2016-03-24T18:06:00+01:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"claim": {
"reference": "urn:uuid:425763cc-6c2e-dad4-518e-c7ce7dd14bd1"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2016-03-24T17:51:00+01:00",
"end": "2016-03-24T18:06:00+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2016-03-24T17:51:00+01:00",
"end": "2016-03-24T18:06:00+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2016-03-24T17:51:00+01:00",
"end": "2016-03-24T18:06:00+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 522.68,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 104.536,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 418.144,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 522.68,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 522.68,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 795.48,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 526.944,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a",
"resource": {
"resourceType": "Encounter",
"id": "eecbcd8e-1456-04bd-5a38-8be4de65469a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "eecbcd8e-1456-04bd-5a38-8be4de65469a"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2017-03-30T18:51:00+02:00",
"end": "2017-03-30T19:06:00+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
}
} ],
"period": {
"start": "2017-03-30T18:51:00+02:00",
"end": "2017-03-30T19:06:00+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:a8c8fe8b-89a3-b2a6-29a9-965c721fa219",
"resource": {
"resourceType": "Condition",
"id": "a8c8fe8b-89a3-b2a6-29a9-965c721fa219",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"onsetDateTime": "2017-03-30T18:51:00+02:00",
"abatementDateTime": "2017-03-30T18:51:00+02:00",
"recordedDate": "2017-03-30T18:51:00+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:70a163f6-9bc3-b979-3c4d-d27dc618df67",
"resource": {
"resourceType": "Observation",
"id": "70a163f6-9bc3-b979-3c4d-d27dc618df67",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"effectiveDateTime": "2017-03-30T18:51:00+02:00",
"issued": "2017-03-30T18:51:00.931+02:00",
"valueQuantity": {
"value": 113.4,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:a0bd60ab-cd9f-05b9-e93e-225796edf4b3",
"resource": {
"resourceType": "Observation",
"id": "a0bd60ab-cd9f-05b9-e93e-225796edf4b3",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"effectiveDateTime": "2017-03-30T18:51:00+02:00",
"issued": "2017-03-30T18:51:00.931+02:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1c06527f-d632-840a-a345-37f785482331",
"resource": {
"resourceType": "Observation",
"id": "1c06527f-d632-840a-a345-37f785482331",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"effectiveDateTime": "2017-03-30T18:51:00+02:00",
"issued": "2017-03-30T18:51:00.931+02:00",
"valueQuantity": {
"value": 20.9,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:4c6a3d5d-dff9-7985-d865-0852bd03b5d0",
"resource": {
"resourceType": "Observation",
"id": "4c6a3d5d-dff9-7985-d865-0852bd03b5d0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"effectiveDateTime": "2017-03-30T18:51:00+02:00",
"issued": "2017-03-30T18:51:00.931+02:00",
"valueQuantity": {
"value": 16.29,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:4c82fcb0-43c9-59ee-6ff6-3fce413839fd",
"resource": {
"resourceType": "Observation",
"id": "4c82fcb0-43c9-59ee-6ff6-3fce413839fd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"effectiveDateTime": "2017-03-30T18:51:00+02:00",
"issued": "2017-03-30T18:51:00.931+02:00",
"valueQuantity": {
"value": 77.816,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:439099fe-2767-e8c7-da5a-c4bc5e1092e7",
"resource": {
"resourceType": "Observation",
"id": "439099fe-2767-e8c7-da5a-c4bc5e1092e7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"effectiveDateTime": "2017-03-30T18:51:00+02:00",
"issued": "2017-03-30T18:51:00.931+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 68,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 113,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:dfdd9a4d-bb07-ed25-dc65-0f8cbce868a3",
"resource": {
"resourceType": "Observation",
"id": "dfdd9a4d-bb07-ed25-dc65-0f8cbce868a3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"effectiveDateTime": "2017-03-30T18:51:00+02:00",
"issued": "2017-03-30T18:51:00.931+02:00",
"valueQuantity": {
"value": 80,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:a5df0ecd-bb1b-9e17-7ba8-3386a29a653f",
"resource": {
"resourceType": "Observation",
"id": "a5df0ecd-bb1b-9e17-7ba8-3386a29a653f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"effectiveDateTime": "2017-03-30T18:51:00+02:00",
"issued": "2017-03-30T18:51:00.931+02:00",
"valueQuantity": {
"value": 15,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:036e1f0a-28ca-0802-8cdf-c7beec65d0c7",
"resource": {
"resourceType": "Observation",
"id": "036e1f0a-28ca-0802-8cdf-c7beec65d0c7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"effectiveDateTime": "2017-03-30T18:51:00+02:00",
"issued": "2017-03-30T18:51:00.931+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:cf6a22f0-ee44-aef2-a6c9-b4186c760e91",
"resource": {
"resourceType": "Procedure",
"id": "cf6a22f0-ee44-aef2-a6c9-b4186c760e91",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"performedPeriod": {
"start": "2017-03-30T18:51:00+02:00",
"end": "2017-03-30T19:06:00+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:15c4cd40-ce70-2032-5c66-6747250039b9",
"resource": {
"resourceType": "Immunization",
"id": "15c4cd40-ce70-2032-5c66-6747250039b9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "21",
"display": "varicella"
} ],
"text": "varicella"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"occurrenceDateTime": "2017-03-30T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:9adaee80-d49c-6517-95ab-9e25c04e031d",
"resource": {
"resourceType": "Immunization",
"id": "9adaee80-d49c-6517-95ab-9e25c04e031d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "10",
"display": "IPV"
} ],
"text": "IPV"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"occurrenceDateTime": "2017-03-30T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:b9f17fd1-f733-dc22-8690-e8d5e1c8f7a1",
"resource": {
"resourceType": "Immunization",
"id": "b9f17fd1-f733-dc22-8690-e8d5e1c8f7a1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"occurrenceDateTime": "2017-03-30T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:51509932-df3b-1f4c-d837-9324d74170c2",
"resource": {
"resourceType": "Immunization",
"id": "51509932-df3b-1f4c-d837-9324d74170c2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "20",
"display": "DTaP"
} ],
"text": "DTaP"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"occurrenceDateTime": "2017-03-30T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:1501d339-c56b-394d-699c-a43a61098955",
"resource": {
"resourceType": "Immunization",
"id": "1501d339-c56b-394d-699c-a43a61098955",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "03",
"display": "MMR"
} ],
"text": "MMR"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"occurrenceDateTime": "2017-03-30T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:15874018-b9c8-d19f-b7bf-3343cf0b33f7",
"resource": {
"resourceType": "DiagnosticReport",
"id": "15874018-b9c8-d19f-b7bf-3343cf0b33f7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
},
"effectiveDateTime": "2017-03-30T18:51:00+02:00",
"issued": "2017-03-30T18:51:00.931+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:29eb6302-bfa3-71a9-3cfe-28147f3cca53",
"resource": {
"resourceType": "DocumentReference",
"id": "29eb6302-bfa3-71a9-3cfe-28147f3cca53",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:15874018-b9c8-d19f-b7bf-3343cf0b33f7"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2017-03-30T18:51:00.931+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
} ],
"period": {
"start": "2017-03-30T18:51:00+02:00",
"end": "2017-03-30T19:06:00+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:0d12748e-53f9-b998-688e-74b7cadba094",
"resource": {
"resourceType": "Claim",
"id": "0d12748e-53f9-b998-688e-74b7cadba094",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2017-03-30T18:51:00+02:00",
"end": "2017-03-30T19:06:00+02:00"
},
"created": "2017-03-30T19:06:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:15c4cd40-ce70-2032-5c66-6747250039b9"
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:9adaee80-d49c-6517-95ab-9e25c04e031d"
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:b9f17fd1-f733-dc22-8690-e8d5e1c8f7a1"
}
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:51509932-df3b-1f4c-d837-9324d74170c2"
}
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:1501d339-c56b-394d-699c-a43a61098955"
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:a8c8fe8b-89a3-b2a6-29a9-965c721fa219"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:cf6a22f0-ee44-aef2-a6c9-b4186c760e91"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "21",
"display": "varicella"
} ],
"text": "varicella"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "10",
"display": "IPV"
} ],
"text": "IPV"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 4,
"informationSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 5,
"informationSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "20",
"display": "DTaP"
} ],
"text": "DTaP"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 6,
"informationSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "03",
"display": "MMR"
} ],
"text": "MMR"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 7,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
}, {
"sequence": 8,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 676.19,
"currency": "USD"
}
} ],
"total": {
"value": 1492.99,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:e9180a67-e711-4021-f93b-899d4ea5a788",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "e9180a67-e711-4021-f93b-899d4ea5a788",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "0d12748e-53f9-b998-688e-74b7cadba094"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2017-03-30T19:06:00+02:00",
"end": "2018-03-30T19:06:00+02:00"
},
"created": "2017-03-30T19:06:00+02:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"claim": {
"reference": "urn:uuid:0d12748e-53f9-b998-688e-74b7cadba094"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:a8c8fe8b-89a3-b2a6-29a9-965c721fa219"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2017-03-30T18:51:00+02:00",
"end": "2017-03-30T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "21",
"display": "varicella"
} ],
"text": "varicella"
},
"servicedPeriod": {
"start": "2017-03-30T18:51:00+02:00",
"end": "2017-03-30T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "10",
"display": "IPV"
} ],
"text": "IPV"
},
"servicedPeriod": {
"start": "2017-03-30T18:51:00+02:00",
"end": "2017-03-30T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 4,
"informationSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2017-03-30T18:51:00+02:00",
"end": "2017-03-30T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"informationSequence": [ 4 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "20",
"display": "DTaP"
} ],
"text": "DTaP"
},
"servicedPeriod": {
"start": "2017-03-30T18:51:00+02:00",
"end": "2017-03-30T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"informationSequence": [ 5 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "03",
"display": "MMR"
} ],
"text": "MMR"
},
"servicedPeriod": {
"start": "2017-03-30T18:51:00+02:00",
"end": "2017-03-30T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 7,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2017-03-30T18:51:00+02:00",
"end": "2017-03-30T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2017-03-30T18:51:00+02:00",
"end": "2017-03-30T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 676.19,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 135.23800000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 540.9520000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 676.19,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 676.19,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1492.99,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1084.9520000000002,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88",
"resource": {
"resourceType": "Encounter",
"id": "6319f196-03ea-45e8-33e6-654bf4a30e88",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "6319f196-03ea-45e8-33e6-654bf4a30e88"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2018-04-05T18:51:00+02:00",
"end": "2018-04-05T19:06:00+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
}
} ],
"period": {
"start": "2018-04-05T18:51:00+02:00",
"end": "2018-04-05T19:06:00+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:6aa3ee20-40ba-a6b6-40d8-b9d09d677e35",
"resource": {
"resourceType": "Condition",
"id": "6aa3ee20-40ba-a6b6-40d8-b9d09d677e35",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"onsetDateTime": "2018-04-05T18:51:00+02:00",
"abatementDateTime": "2023-05-11T18:51:00+02:00",
"recordedDate": "2018-04-05T18:51:00+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:d1cd21c0-d10b-2da3-95c2-c20d98eadc01",
"resource": {
"resourceType": "Observation",
"id": "d1cd21c0-d10b-2da3-95c2-c20d98eadc01",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 120.9,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:96b3036f-047a-9e45-a01a-1aef78390443",
"resource": {
"resourceType": "Observation",
"id": "96b3036f-047a-9e45-a01a-1aef78390443",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:4502c904-a571-2371-75c2-4fa3a9567987",
"resource": {
"resourceType": "Observation",
"id": "4502c904-a571-2371-75c2-4fa3a9567987",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 22,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:74196c68-f2b6-4009-d32e-be64585728d1",
"resource": {
"resourceType": "Observation",
"id": "74196c68-f2b6-4009-d32e-be64585728d1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 15.06,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:6a684c01-c757-0854-aeea-aa2710588e18",
"resource": {
"resourceType": "Observation",
"id": "6a684c01-c757-0854-aeea-aa2710588e18",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 45.814,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:df61fabe-d4c0-d464-c150-bbd4dbd7f1b6",
"resource": {
"resourceType": "Observation",
"id": "df61fabe-d4c0-d464-c150-bbd4dbd7f1b6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 64,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 116,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:91151744-70b6-35ab-cf90-bc9869464fb0",
"resource": {
"resourceType": "Observation",
"id": "91151744-70b6-35ab-cf90-bc9869464fb0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 95,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1d872e46-a31e-8c32-0fa8-a4a552638d86",
"resource": {
"resourceType": "Observation",
"id": "1d872e46-a31e-8c32-0fa8-a4a552638d86",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 14,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:99edf9c0-8290-32fb-ed0b-a3c9832afd56",
"resource": {
"resourceType": "Observation",
"id": "99edf9c0-8290-32fb-ed0b-a3c9832afd56",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "6690-2",
"display": "Leukocytes [#/volume] in Blood by Automated count"
} ],
"text": "Leukocytes [#/volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 10.27,
"unit": "10*3/uL",
"system": "http://unitsofmeasure.org",
"code": "10*3/uL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:ef324810-e9e6-92a2-5de9-8c0a8cfb4f1f",
"resource": {
"resourceType": "Observation",
"id": "ef324810-e9e6-92a2-5de9-8c0a8cfb4f1f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "789-8",
"display": "Erythrocytes [#/volume] in Blood by Automated count"
} ],
"text": "Erythrocytes [#/volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 5.3424,
"unit": "10*6/uL",
"system": "http://unitsofmeasure.org",
"code": "10*6/uL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:a25ab2cd-e520-e2a5-da07-e3f8aa1a72bb",
"resource": {
"resourceType": "Observation",
"id": "a25ab2cd-e520-e2a5-da07-e3f8aa1a72bb",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "718-7",
"display": "Hemoglobin [Mass/volume] in Blood"
} ],
"text": "Hemoglobin [Mass/volume] in Blood"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 16.789,
"unit": "g/dL",
"system": "http://unitsofmeasure.org",
"code": "g/dL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:923258c6-9364-eee8-15f6-76004a82c055",
"resource": {
"resourceType": "Observation",
"id": "923258c6-9364-eee8-15f6-76004a82c055",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "4544-3",
"display": "Hematocrit [Volume Fraction] of Blood by Automated count"
} ],
"text": "Hematocrit [Volume Fraction] of Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 42.126,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3c038470-6325-d21b-1a41-ce9f16615c8a",
"resource": {
"resourceType": "Observation",
"id": "3c038470-6325-d21b-1a41-ce9f16615c8a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "787-2",
"display": "MCV [Entitic volume] by Automated count"
} ],
"text": "MCV [Entitic volume] by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 93.442,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:b53b9de5-ca4a-eff9-6a29-dfff548d4686",
"resource": {
"resourceType": "Observation",
"id": "b53b9de5-ca4a-eff9-6a29-dfff548d4686",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "785-6",
"display": "MCH [Entitic mass] by Automated count"
} ],
"text": "MCH [Entitic mass] by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 31.99,
"unit": "pg",
"system": "http://unitsofmeasure.org",
"code": "pg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:171213b0-981c-9894-d312-e7c4760b681f",
"resource": {
"resourceType": "Observation",
"id": "171213b0-981c-9894-d312-e7c4760b681f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "786-4",
"display": "MCHC [Mass/volume] by Automated count"
} ],
"text": "MCHC [Mass/volume] by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 35.987,
"unit": "g/dL",
"system": "http://unitsofmeasure.org",
"code": "g/dL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:fa9e4c90-a695-3432-d8bb-8d3f36840021",
"resource": {
"resourceType": "Observation",
"id": "fa9e4c90-a695-3432-d8bb-8d3f36840021",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "21000-5",
"display": "Erythrocyte distribution width [Entitic volume] by Automated count"
} ],
"text": "Erythrocyte distribution width [Entitic volume] by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 44.794,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:bf89e1ea-479d-9b5f-9843-3d3f4c47bd43",
"resource": {
"resourceType": "Observation",
"id": "bf89e1ea-479d-9b5f-9843-3d3f4c47bd43",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "777-3",
"display": "Platelets [#/volume] in Blood by Automated count"
} ],
"text": "Platelets [#/volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 179.72,
"unit": "10*3/uL",
"system": "http://unitsofmeasure.org",
"code": "10*3/uL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:023625b5-796e-e146-d54d-5e322686ec78",
"resource": {
"resourceType": "Observation",
"id": "023625b5-796e-e146-d54d-5e322686ec78",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32207-3",
"display": "Platelet distribution width [Entitic volume] in Blood by Automated count"
} ],
"text": "Platelet distribution width [Entitic volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 205.95,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d0e9a002-0d24-666f-4cf4-e259828ac7a0",
"resource": {
"resourceType": "Observation",
"id": "d0e9a002-0d24-666f-4cf4-e259828ac7a0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32623-1",
"display": "Platelet mean volume [Entitic volume] in Blood by Automated count"
} ],
"text": "Platelet mean volume [Entitic volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 9.8438,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:ef154f3d-dd7b-49c7-2061-f2fd5489fe75",
"resource": {
"resourceType": "Observation",
"id": "ef154f3d-dd7b-49c7-2061-f2fd5489fe75",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:52c7e526-4db0-8291-abd5-ab72cc82a98b",
"resource": {
"resourceType": "Immunization",
"id": "52c7e526-4db0-8291-abd5-ab72cc82a98b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"occurrenceDateTime": "2018-04-05T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:d05b7784-7177-8dbc-7ebc-8f63ccbf186d",
"resource": {
"resourceType": "DiagnosticReport",
"id": "d05b7784-7177-8dbc-7ebc-8f63ccbf186d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "LAB",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "58410-2",
"display": "CBC panel - Blood by Automated count"
} ],
"text": "CBC panel - Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"performer": [ {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
} ],
"result": [ {
"reference": "urn:uuid:99edf9c0-8290-32fb-ed0b-a3c9832afd56",
"display": "Leukocytes [#/volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:ef324810-e9e6-92a2-5de9-8c0a8cfb4f1f",
"display": "Erythrocytes [#/volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:a25ab2cd-e520-e2a5-da07-e3f8aa1a72bb",
"display": "Hemoglobin [Mass/volume] in Blood"
}, {
"reference": "urn:uuid:923258c6-9364-eee8-15f6-76004a82c055",
"display": "Hematocrit [Volume Fraction] of Blood by Automated count"
}, {
"reference": "urn:uuid:3c038470-6325-d21b-1a41-ce9f16615c8a",
"display": "MCV [Entitic volume] by Automated count"
}, {
"reference": "urn:uuid:b53b9de5-ca4a-eff9-6a29-dfff548d4686",
"display": "MCH [Entitic mass] by Automated count"
}, {
"reference": "urn:uuid:171213b0-981c-9894-d312-e7c4760b681f",
"display": "MCHC [Mass/volume] by Automated count"
}, {
"reference": "urn:uuid:fa9e4c90-a695-3432-d8bb-8d3f36840021",
"display": "Erythrocyte distribution width [Entitic volume] by Automated count"
}, {
"reference": "urn:uuid:bf89e1ea-479d-9b5f-9843-3d3f4c47bd43",
"display": "Platelets [#/volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:023625b5-796e-e146-d54d-5e322686ec78",
"display": "Platelet distribution width [Entitic volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:d0e9a002-0d24-666f-4cf4-e259828ac7a0",
"display": "Platelet mean volume [Entitic volume] in Blood by Automated count"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:129ae3b5-6345-706e-df47-38beeca7f94d",
"resource": {
"resourceType": "DiagnosticReport",
"id": "129ae3b5-6345-706e-df47-38beeca7f94d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
},
"effectiveDateTime": "2018-04-05T18:51:00+02:00",
"issued": "2018-04-05T18:51:00.931+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:d530b3b3-6689-3893-e977-b218c93184de",
"resource": {
"resourceType": "DocumentReference",
"id": "d530b3b3-6689-3893-e977-b218c93184de",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:129ae3b5-6345-706e-df47-38beeca7f94d"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2018-04-05T18:51:00.931+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
} ],
"period": {
"start": "2018-04-05T18:51:00+02:00",
"end": "2018-04-05T19:06:00+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:5ea807fb-32f0-ed81-2cc6-b5033a3cd968",
"resource": {
"resourceType": "Claim",
"id": "5ea807fb-32f0-ed81-2cc6-b5033a3cd968",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2018-04-05T18:51:00+02:00",
"end": "2018-04-05T19:06:00+02:00"
},
"created": "2018-04-05T19:06:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:52c7e526-4db0-8291-abd5-ab72cc82a98b"
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:6aa3ee20-40ba-a6b6-40d8-b9d09d677e35"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
}, {
"sequence": 4,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "58410-2",
"display": "CBC panel - Blood by Automated count"
} ],
"text": "CBC panel - Blood by Automated count"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 347.38,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:d472625d-a695-0eb2-84ea-e379a040c2bf",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "d472625d-a695-0eb2-84ea-e379a040c2bf",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "5ea807fb-32f0-ed81-2cc6-b5033a3cd968"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2018-04-05T19:06:00+02:00",
"end": "2019-04-05T19:06:00+02:00"
},
"created": "2018-04-05T19:06:00+02:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"claim": {
"reference": "urn:uuid:5ea807fb-32f0-ed81-2cc6-b5033a3cd968"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:6aa3ee20-40ba-a6b6-40d8-b9d09d677e35"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2018-04-05T18:51:00+02:00",
"end": "2018-04-05T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2018-04-05T18:51:00+02:00",
"end": "2018-04-05T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2018-04-05T18:51:00+02:00",
"end": "2018-04-05T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 4,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "58410-2",
"display": "CBC panel - Blood by Automated count"
} ],
"text": "CBC panel - Blood by Automated count"
},
"servicedPeriod": {
"start": "2018-04-05T18:51:00+02:00",
"end": "2018-04-05T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 347.38,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 168.464,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c",
"resource": {
"resourceType": "Encounter",
"id": "33e49a9e-0ff1-6bc9-13d2-81d985b31f9c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2019-04-11T18:51:00+02:00",
"end": "2019-04-11T19:06:00+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
}
} ],
"period": {
"start": "2019-04-11T18:51:00+02:00",
"end": "2019-04-11T19:06:00+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:989aab96-7a77-3d12-cdae-29533eda60bc",
"resource": {
"resourceType": "Observation",
"id": "989aab96-7a77-3d12-cdae-29533eda60bc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
},
"effectiveDateTime": "2019-04-11T18:51:00+02:00",
"issued": "2019-04-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 128.2,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:202bd6c2-7768-bfdb-f3a6-f06c6926cf41",
"resource": {
"resourceType": "Observation",
"id": "202bd6c2-7768-bfdb-f3a6-f06c6926cf41",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
},
"effectiveDateTime": "2019-04-11T18:51:00+02:00",
"issued": "2019-04-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 4,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:38eea049-98c7-1e2e-e20b-6400443a997e",
"resource": {
"resourceType": "Observation",
"id": "38eea049-98c7-1e2e-e20b-6400443a997e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
},
"effectiveDateTime": "2019-04-11T18:51:00+02:00",
"issued": "2019-04-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 26.6,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:7d21d3de-63bd-ecec-460f-c12ee4e54e3f",
"resource": {
"resourceType": "Observation",
"id": "7d21d3de-63bd-ecec-460f-c12ee4e54e3f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
},
"effectiveDateTime": "2019-04-11T18:51:00+02:00",
"issued": "2019-04-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 16.19,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:66189caf-cc7e-7197-6588-397ea744f997",
"resource": {
"resourceType": "Observation",
"id": "66189caf-cc7e-7197-6588-397ea744f997",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
},
"effectiveDateTime": "2019-04-11T18:51:00+02:00",
"issued": "2019-04-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 66.57,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:82a2c58a-0c05-59c0-1943-0b31b3670b5c",
"resource": {
"resourceType": "Observation",
"id": "82a2c58a-0c05-59c0-1943-0b31b3670b5c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
},
"effectiveDateTime": "2019-04-11T18:51:00+02:00",
"issued": "2019-04-11T18:51:00.931+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 67,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 120,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:6f375c86-645d-1cad-3391-52ef07c4bc4f",
"resource": {
"resourceType": "Observation",
"id": "6f375c86-645d-1cad-3391-52ef07c4bc4f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
},
"effectiveDateTime": "2019-04-11T18:51:00+02:00",
"issued": "2019-04-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 71,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:81c2680f-f9c9-7140-e2be-ae64613fd1f0",
"resource": {
"resourceType": "Observation",
"id": "81c2680f-f9c9-7140-e2be-ae64613fd1f0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
},
"effectiveDateTime": "2019-04-11T18:51:00+02:00",
"issued": "2019-04-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 13,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:dd333d6d-c09c-d7ff-f9ca-0894508fa0ba",
"resource": {
"resourceType": "Observation",
"id": "dd333d6d-c09c-d7ff-f9ca-0894508fa0ba",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
},
"effectiveDateTime": "2019-04-11T18:51:00+02:00",
"issued": "2019-04-11T18:51:00.931+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9077de02-c503-7bd8-b02e-048ed72fae5d",
"resource": {
"resourceType": "Immunization",
"id": "9077de02-c503-7bd8-b02e-048ed72fae5d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
},
"occurrenceDateTime": "2019-04-11T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:242b8d4b-287c-3604-20f6-529bc1125e92",
"resource": {
"resourceType": "DiagnosticReport",
"id": "242b8d4b-287c-3604-20f6-529bc1125e92",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
},
"effectiveDateTime": "2019-04-11T18:51:00+02:00",
"issued": "2019-04-11T18:51:00.931+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:7c56d090-46e1-121b-2d9b-40769d0b96e0",
"resource": {
"resourceType": "DocumentReference",
"id": "7c56d090-46e1-121b-2d9b-40769d0b96e0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:242b8d4b-287c-3604-20f6-529bc1125e92"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2019-04-11T18:51:00.931+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "CjIwMTktMDQtMTEKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCk5pZXNoYTg2CiBpcyBhIDYgeWVhci1vbGQgbm9uaGlzcGFuaWMgd2hpdGUgZmVtYWxlLiBQYXRpZW50IGhhcyBhIGhpc3Rvcnkgb2YgbWVkaWNhdGlvbiByZXZpZXcgZHVlIChzaXR1YXRpb24pLCBhY3V0ZSB2aXJhbCBwaGFyeW5naXRpcyAoZGlzb3JkZXIpLgoKIyBTb2NpYWwgSGlzdG9yeQogUGF0aWVudCBoYXMgbmV2ZXIgc21va2VkLgoKClBhdGllbnQgY29tZXMgZnJvbSBhIG1pZGRsZSBzb2Npb2Vjb25vbWljIGJhY2tncm91bmQuCgpQYXRpZW50IGN1cnJlbnRseSBoYXMgSHVtYW5hLgoKIyBBbGxlcmdpZXMKTm8gS25vd24gQWxsZXJnaWVzLgoKIyBNZWRpY2F0aW9ucwpwZW5pY2lsbGluIHYgcG90YXNzaXVtIDI1MCBtZyBvcmFsIHRhYmxldAoKIyBBc3Nlc3NtZW50IGFuZCBQbGFuCgoKIyMgUGxhbgpQYXRpZW50IHdhcyBnaXZlbiB0aGUgZm9sbG93aW5nIGltbXVuaXphdGlvbnM6IGluZmx1ZW56YSwgc2Vhc29uYWwsIGluamVjdGFibGUsIHByZXNlcnZhdGl2ZSBmcmVlLiAK"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
} ],
"period": {
"start": "2019-04-11T18:51:00+02:00",
"end": "2019-04-11T19:06:00+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:af1017f9-54e8-a559-ca85-bed974aca25f",
"resource": {
"resourceType": "Claim",
"id": "af1017f9-54e8-a559-ca85-bed974aca25f",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2019-04-11T18:51:00+02:00",
"end": "2019-04-11T19:06:00+02:00"
},
"created": "2019-04-11T19:06:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:9077de02-c503-7bd8-b02e-048ed72fae5d"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
} ],
"total": {
"value": 272.80,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:668ee934-05d8-f3f8-59e7-40205149f630",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "668ee934-05d8-f3f8-59e7-40205149f630",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "af1017f9-54e8-a559-ca85-bed974aca25f"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2019-04-11T19:06:00+02:00",
"end": "2020-04-11T19:06:00+02:00"
},
"created": "2019-04-11T19:06:00+02:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"claim": {
"reference": "urn:uuid:af1017f9-54e8-a559-ca85-bed974aca25f"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2019-04-11T18:51:00+02:00",
"end": "2019-04-11T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2019-04-11T18:51:00+02:00",
"end": "2019-04-11T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 272.80,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:73083659-18d5-59bf-7a77-423f158336af",
"resource": {
"resourceType": "Encounter",
"id": "73083659-18d5-59bf-7a77-423f158336af",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "73083659-18d5-59bf-7a77-423f158336af"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EMER"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "50849002",
"display": "Emergency room admission (procedure)"
} ],
"text": "Emergency room admission (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2020-04-07T21:51:00+02:00",
"end": "2020-04-07T22:51:00+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999883298",
"display": "Dr. Kathe603 Davis923"
}
} ],
"period": {
"start": "2020-04-07T21:51:00+02:00",
"end": "2020-04-07T22:51:00+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "74400008",
"display": "Appendicitis"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|cd203a42-1d05-3d1f-b35b-884843f6d8d5",
"display": "RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|4956f573-3dc2-3a67-9692-2f57451744e6",
"display": "RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:6845959a-8548-e083-9000-b56f489f21a1",
"resource": {
"resourceType": "Condition",
"id": "6845959a-8548-e083-9000-b56f489f21a1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "74400008",
"display": "Appendicitis"
} ],
"text": "Appendicitis"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:73083659-18d5-59bf-7a77-423f158336af"
},
"onsetDateTime": "2020-04-07T21:51:00+02:00",
"recordedDate": "2020-04-07T21:51:00+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:dd20ee65-1e40-47f1-1514-197a60a2a094",
"resource": {
"resourceType": "DiagnosticReport",
"id": "dd20ee65-1e40-47f1-1514-197a60a2a094",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:73083659-18d5-59bf-7a77-423f158336af"
},
"effectiveDateTime": "2020-04-07T21:51:00+02:00",
"issued": "2020-04-07T21:51:00.931+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999883298",
"display": "Dr. Kathe603 Davis923"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:60aafd0e-7e5d-03d5-736f-0ece17b5ade8",
"resource": {
"resourceType": "DocumentReference",
"id": "60aafd0e-7e5d-03d5-736f-0ece17b5ade8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:dd20ee65-1e40-47f1-1514-197a60a2a094"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2020-04-07T21:51:00.931+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999883298",
"display": "Dr. Kathe603 Davis923"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|4956f573-3dc2-3a67-9692-2f57451744e6",
"display": "RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:73083659-18d5-59bf-7a77-423f158336af"
} ],
"period": {
"start": "2020-04-07T21:51:00+02:00",
"end": "2020-04-07T22:51:00+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:5e617c73-5764-c2da-5033-8caac7b3ce90",
"resource": {
"resourceType": "Claim",
"id": "5e617c73-5764-c2da-5033-8caac7b3ce90",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2020-04-07T21:51:00+02:00",
"end": "2020-04-07T22:51:00+02:00"
},
"created": "2020-04-07T22:51:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|4956f573-3dc2-3a67-9692-2f57451744e6",
"display": "RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|cd203a42-1d05-3d1f-b35b-884843f6d8d5",
"display": "RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:6845959a-8548-e083-9000-b56f489f21a1"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "50849002",
"display": "Emergency room admission (procedure)"
} ],
"text": "Emergency room admission (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:73083659-18d5-59bf-7a77-423f158336af"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "74400008",
"display": "Appendicitis"
} ],
"text": "Appendicitis"
}
} ],
"total": {
"value": 146.18,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:cba63053-a90e-fa76-5fa6-bad1b93279ac",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "cba63053-a90e-fa76-5fa6-bad1b93279ac",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999883298"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999883298"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "5e617c73-5764-c2da-5033-8caac7b3ce90"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2020-04-07T22:51:00+02:00",
"end": "2021-04-07T22:51:00+02:00"
},
"created": "2020-04-07T22:51:00+02:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999883298"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|cd203a42-1d05-3d1f-b35b-884843f6d8d5",
"display": "RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE"
},
"claim": {
"reference": "urn:uuid:5e617c73-5764-c2da-5033-8caac7b3ce90"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999883298"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:6845959a-8548-e083-9000-b56f489f21a1"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "50849002",
"display": "Emergency room admission (procedure)"
} ],
"text": "Emergency room admission (procedure)"
},
"servicedPeriod": {
"start": "2020-04-07T21:51:00+02:00",
"end": "2020-04-07T22:51:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"encounter": [ {
"reference": "urn:uuid:73083659-18d5-59bf-7a77-423f158336af"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "74400008",
"display": "Appendicitis"
} ],
"text": "Appendicitis"
},
"servicedPeriod": {
"start": "2020-04-07T21:51:00+02:00",
"end": "2020-04-07T22:51:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 146.18,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:12a8f353-20ff-953c-2bdd-33525de7a1af",
"resource": {
"resourceType": "Encounter",
"id": "12a8f353-20ff-953c-2bdd-33525de7a1af",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "12a8f353-20ff-953c-2bdd-33525de7a1af"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMP"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185347001",
"display": "Encounter for problem (procedure)"
} ],
"text": "Encounter for problem (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2020-04-07T21:51:00+02:00",
"end": "2020-04-10T07:32:05+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392",
"display": "Dr. Gregg522 Willms744"
}
} ],
"period": {
"start": "2020-04-07T21:51:00+02:00",
"end": "2020-04-10T07:32:05+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "74400008",
"display": "Appendicitis"
} ]
} ],
"hospitalization": {
"dischargeDisposition": {
"coding": [ {
"system": "http://www.nubc.org/patient-discharge",
"code": "01",
"display": "Discharged to home care or self care (routine discharge)"
} ],
"text": "Discharged to home care or self care (routine discharge)"
}
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|fde1651a-f8c8-3368-9965-bdafb0249d73",
"display": "MARLBOROUGH HOSPITAL CORP"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|352f2e3b-0708-3eb4-9f7e-e73a685bf379",
"display": "MARLBOROUGH HOSPITAL CORP"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:e53719ba-18c0-fd49-b2d0-fb35b23d1a82",
"resource": {
"resourceType": "Condition",
"id": "e53719ba-18c0-fd49-b2d0-fb35b23d1a82",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428251008",
"display": "History of appendectomy"
} ],
"text": "History of appendectomy"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:12a8f353-20ff-953c-2bdd-33525de7a1af"
},
"onsetDateTime": "2020-04-07T21:51:00+02:00",
"recordedDate": "2020-04-07T21:51:00+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:e9fabd89-d70b-8811-b32e-43529cf3a5d6",
"resource": {
"resourceType": "Procedure",
"id": "e9fabd89-d70b-8811-b32e-43529cf3a5d6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "80146002",
"display": "Appendectomy"
} ],
"text": "Appendectomy"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:12a8f353-20ff-953c-2bdd-33525de7a1af"
},
"performedPeriod": {
"start": "2020-04-07T21:51:00+02:00",
"end": "2020-04-07T22:32:05+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|fde1651a-f8c8-3368-9965-bdafb0249d73",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"reasonReference": [ {
"reference": "urn:uuid:6845959a-8548-e083-9000-b56f489f21a1",
"display": "Appendicitis"
} ]
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:646afb2e-77a8-d675-772f-0cee11018088",
"resource": {
"resourceType": "DiagnosticReport",
"id": "646afb2e-77a8-d675-772f-0cee11018088",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:12a8f353-20ff-953c-2bdd-33525de7a1af"
},
"effectiveDateTime": "2020-04-07T21:51:00+02:00",
"issued": "2020-04-07T21:51:00.931+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392",
"display": "Dr. Gregg522 Willms744"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:0d8ac616-b63f-61ec-d2db-5eacdecd5eb6",
"resource": {
"resourceType": "DocumentReference",
"id": "0d8ac616-b63f-61ec-d2db-5eacdecd5eb6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:646afb2e-77a8-d675-772f-0cee11018088"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2020-04-07T21:51:00.931+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392",
"display": "Dr. Gregg522 Willms744"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|352f2e3b-0708-3eb4-9f7e-e73a685bf379",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:12a8f353-20ff-953c-2bdd-33525de7a1af"
} ],
"period": {
"start": "2020-04-07T21:51:00+02:00",
"end": "2020-04-10T07:32:05+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:3d7321fa-6e5d-addb-191d-362ae7b83063",
"resource": {
"resourceType": "Claim",
"id": "3d7321fa-6e5d-addb-191d-362ae7b83063",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2020-04-07T21:51:00+02:00",
"end": "2020-04-10T07:32:05+02:00"
},
"created": "2020-04-10T07:32:05+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|352f2e3b-0708-3eb4-9f7e-e73a685bf379",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|fde1651a-f8c8-3368-9965-bdafb0249d73",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:e53719ba-18c0-fd49-b2d0-fb35b23d1a82"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:e9fabd89-d70b-8811-b32e-43529cf3a5d6"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185347001",
"display": "Encounter for problem (procedure)"
} ],
"text": "Encounter for problem (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:12a8f353-20ff-953c-2bdd-33525de7a1af"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428251008",
"display": "History of appendectomy"
} ],
"text": "History of appendectomy"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "80146002",
"display": "Appendectomy"
} ],
"text": "Appendectomy"
},
"net": {
"value": 11351.34,
"currency": "USD"
}
} ],
"total": {
"value": 11439.05,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:f46c7117-5504-f0be-c1d1-7139f488f99e",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "f46c7117-5504-f0be-c1d1-7139f488f99e",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "3d7321fa-6e5d-addb-191d-362ae7b83063"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2020-04-10T07:32:05+02:00",
"end": "2021-04-10T07:32:05+02:00"
},
"created": "2020-04-10T07:32:05+02:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|fde1651a-f8c8-3368-9965-bdafb0249d73",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"claim": {
"reference": "urn:uuid:3d7321fa-6e5d-addb-191d-362ae7b83063"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:e53719ba-18c0-fd49-b2d0-fb35b23d1a82"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185347001",
"display": "Encounter for problem (procedure)"
} ],
"text": "Encounter for problem (procedure)"
},
"servicedPeriod": {
"start": "2020-04-07T21:51:00+02:00",
"end": "2020-04-10T07:32:05+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:12a8f353-20ff-953c-2bdd-33525de7a1af"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428251008",
"display": "History of appendectomy"
} ],
"text": "History of appendectomy"
},
"servicedPeriod": {
"start": "2020-04-07T21:51:00+02:00",
"end": "2020-04-10T07:32:05+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "80146002",
"display": "Appendectomy"
} ],
"text": "Appendectomy"
},
"servicedPeriod": {
"start": "2020-04-07T21:51:00+02:00",
"end": "2020-04-10T07:32:05+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 11351.34,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 2270.268,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 9081.072,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 11351.34,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 11351.34,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 11439.05,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 9081.072,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584",
"resource": {
"resourceType": "Encounter",
"id": "795b8b2d-9d7a-faab-9459-9c6c7980c584",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "795b8b2d-9d7a-faab-9459-9c6c7980c584"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2020-04-23T18:51:00+02:00",
"end": "2020-04-23T19:06:00+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
}
} ],
"period": {
"start": "2020-04-23T18:51:00+02:00",
"end": "2020-04-23T19:06:00+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:4f0e7f91-f294-c178-5ce5-72a49cb128e9",
"resource": {
"resourceType": "Observation",
"id": "4f0e7f91-f294-c178-5ce5-72a49cb128e9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
},
"effectiveDateTime": "2020-04-23T18:51:00+02:00",
"issued": "2020-04-23T18:51:00.931+02:00",
"valueQuantity": {
"value": 135.3,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5394a97b-4fcb-824f-87d9-1e9aff7fac98",
"resource": {
"resourceType": "Observation",
"id": "5394a97b-4fcb-824f-87d9-1e9aff7fac98",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
},
"effectiveDateTime": "2020-04-23T18:51:00+02:00",
"issued": "2020-04-23T18:51:00.931+02:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:a36b7863-25ae-6868-ced1-6ae508dddae0",
"resource": {
"resourceType": "Observation",
"id": "a36b7863-25ae-6868-ced1-6ae508dddae0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
},
"effectiveDateTime": "2020-04-23T18:51:00+02:00",
"issued": "2020-04-23T18:51:00.931+02:00",
"valueQuantity": {
"value": 30,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:0312fee2-865e-4ed9-e2c9-4b274e620c31",
"resource": {
"resourceType": "Observation",
"id": "0312fee2-865e-4ed9-e2c9-4b274e620c31",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
},
"effectiveDateTime": "2020-04-23T18:51:00+02:00",
"issued": "2020-04-23T18:51:00.931+02:00",
"valueQuantity": {
"value": 16.38,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:8ee204f1-c6fa-0769-6355-f05d4e41a433",
"resource": {
"resourceType": "Observation",
"id": "8ee204f1-c6fa-0769-6355-f05d4e41a433",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
},
"effectiveDateTime": "2020-04-23T18:51:00+02:00",
"issued": "2020-04-23T18:51:00.931+02:00",
"valueQuantity": {
"value": 61.08,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:e0137d50-28a5-6f45-89d9-b1712450678d",
"resource": {
"resourceType": "Observation",
"id": "e0137d50-28a5-6f45-89d9-b1712450678d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
},
"effectiveDateTime": "2020-04-23T18:51:00+02:00",
"issued": "2020-04-23T18:51:00.931+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 61,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 122,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f03f90a3-49f4-9113-7bd3-c9ba5f316cc1",
"resource": {
"resourceType": "Observation",
"id": "f03f90a3-49f4-9113-7bd3-c9ba5f316cc1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
},
"effectiveDateTime": "2020-04-23T18:51:00+02:00",
"issued": "2020-04-23T18:51:00.931+02:00",
"valueQuantity": {
"value": 72,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:680cbf6c-e011-efdf-f12b-3c20d2cc6ef2",
"resource": {
"resourceType": "Observation",
"id": "680cbf6c-e011-efdf-f12b-3c20d2cc6ef2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
},
"effectiveDateTime": "2020-04-23T18:51:00+02:00",
"issued": "2020-04-23T18:51:00.931+02:00",
"valueQuantity": {
"value": 13,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d4e25903-d978-7ae8-cfd0-96e79be1d110",
"resource": {
"resourceType": "Observation",
"id": "d4e25903-d978-7ae8-cfd0-96e79be1d110",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
},
"effectiveDateTime": "2020-04-23T18:51:00+02:00",
"issued": "2020-04-23T18:51:00.931+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:c04b9e72-3571-7d0f-8fc8-7c904d2acfc5",
"resource": {
"resourceType": "Immunization",
"id": "c04b9e72-3571-7d0f-8fc8-7c904d2acfc5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
},
"occurrenceDateTime": "2020-04-23T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:8c7a58d8-bae7-dd43-512b-9d48a13e07c8",
"resource": {
"resourceType": "DiagnosticReport",
"id": "8c7a58d8-bae7-dd43-512b-9d48a13e07c8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
},
"effectiveDateTime": "2020-04-23T18:51:00+02:00",
"issued": "2020-04-23T18:51:00.931+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "CjIwMjAtMDQtMjMKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCk5pZXNoYTg2CiBpcyBhIDggeWVhci1vbGQgbm9uaGlzcGFuaWMgd2hpdGUgZmVtYWxlLiBQYXRpZW50IGhhcyBhIGhpc3Rvcnkgb2YgbWVkaWNhdGlvbiByZXZpZXcgZHVlIChzaXR1YXRpb24pLCBhY3V0ZSB2aXJhbCBwaGFyeW5naXRpcyAoZGlzb3JkZXIpLgoKIyBTb2NpYWwgSGlzdG9yeQogUGF0aWVudCBoYXMgbmV2ZXIgc21va2VkLgoKClBhdGllbnQgY29tZXMgZnJvbSBhIG1pZGRsZSBzb2Npb2Vjb25vbWljIGJhY2tncm91bmQuCgpQYXRpZW50IGN1cnJlbnRseSBoYXMgSHVtYW5hLgoKIyBBbGxlcmdpZXMKTm8gS25vd24gQWxsZXJnaWVzLgoKIyBNZWRpY2F0aW9ucwpwZW5pY2lsbGluIHYgcG90YXNzaXVtIDI1MCBtZyBvcmFsIHRhYmxldAoKIyBBc3Nlc3NtZW50IGFuZCBQbGFuCgoKIyMgUGxhbgpQYXRpZW50IHdhcyBnaXZlbiB0aGUgZm9sbG93aW5nIGltbXVuaXphdGlvbnM6IGluZmx1ZW56YSwgc2Vhc29uYWwsIGluamVjdGFibGUsIHByZXNlcnZhdGl2ZSBmcmVlLiAK"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:0e9fe320-a70e-0b0e-bff4-094631318a40",
"resource": {
"resourceType": "DocumentReference",
"id": "0e9fe320-a70e-0b0e-bff4-094631318a40",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:8c7a58d8-bae7-dd43-512b-9d48a13e07c8"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2020-04-23T18:51:00.931+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
} ],
"period": {
"start": "2020-04-23T18:51:00+02:00",
"end": "2020-04-23T19:06:00+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:1ade46d6-e748-dcdc-ffb2-05d328eeeb21",
"resource": {
"resourceType": "Claim",
"id": "1ade46d6-e748-dcdc-ffb2-05d328eeeb21",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2020-04-23T18:51:00+02:00",
"end": "2020-04-23T19:06:00+02:00"
},
"created": "2020-04-23T19:06:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:c04b9e72-3571-7d0f-8fc8-7c904d2acfc5"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
} ],
"total": {
"value": 272.80,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:d8294dad-735b-0680-012c-67717c3ad3e6",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "d8294dad-735b-0680-012c-67717c3ad3e6",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "1ade46d6-e748-dcdc-ffb2-05d328eeeb21"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2020-04-23T19:06:00+02:00",
"end": "2021-04-23T19:06:00+02:00"
},
"created": "2020-04-23T19:06:00+02:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"claim": {
"reference": "urn:uuid:1ade46d6-e748-dcdc-ffb2-05d328eeeb21"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2020-04-23T18:51:00+02:00",
"end": "2020-04-23T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2020-04-23T18:51:00+02:00",
"end": "2020-04-23T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 272.80,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e",
"resource": {
"resourceType": "Encounter",
"id": "18ef69b9-e1e8-c21c-907f-726cfa822b7e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "18ef69b9-e1e8-c21c-907f-726cfa822b7e"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2021-04-29T18:51:00+02:00",
"end": "2021-04-29T19:06:00+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
}
} ],
"period": {
"start": "2021-04-29T18:51:00+02:00",
"end": "2021-04-29T19:06:00+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:e2615888-6469-29aa-ba13-57c4088f1591",
"resource": {
"resourceType": "Observation",
"id": "e2615888-6469-29aa-ba13-57c4088f1591",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
},
"effectiveDateTime": "2021-04-29T18:51:00+02:00",
"issued": "2021-04-29T18:51:00.931+02:00",
"valueQuantity": {
"value": 141,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5deb74a9-3a33-1407-14e9-5729a3a70907",
"resource": {
"resourceType": "Observation",
"id": "5deb74a9-3a33-1407-14e9-5729a3a70907",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
},
"effectiveDateTime": "2021-04-29T18:51:00+02:00",
"issued": "2021-04-29T18:51:00.931+02:00",
"valueQuantity": {
"value": 0,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:a243698e-8769-3c51-1b58-11286c347332",
"resource": {
"resourceType": "Observation",
"id": "a243698e-8769-3c51-1b58-11286c347332",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
},
"effectiveDateTime": "2021-04-29T18:51:00+02:00",
"issued": "2021-04-29T18:51:00.931+02:00",
"valueQuantity": {
"value": 34.3,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:20f2662c-aeee-4693-472d-7ddef600b5c3",
"resource": {
"resourceType": "Observation",
"id": "20f2662c-aeee-4693-472d-7ddef600b5c3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
},
"effectiveDateTime": "2021-04-29T18:51:00+02:00",
"issued": "2021-04-29T18:51:00.931+02:00",
"valueQuantity": {
"value": 17.23,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:e68f0355-2b1f-409f-3444-00e7f15028dd",
"resource": {
"resourceType": "Observation",
"id": "e68f0355-2b1f-409f-3444-00e7f15028dd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
},
"effectiveDateTime": "2021-04-29T18:51:00+02:00",
"issued": "2021-04-29T18:51:00.931+02:00",
"valueQuantity": {
"value": 65.717,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f25ca5bc-ecee-eab3-7d83-37f848e1d1ab",
"resource": {
"resourceType": "Observation",
"id": "f25ca5bc-ecee-eab3-7d83-37f848e1d1ab",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
},
"effectiveDateTime": "2021-04-29T18:51:00+02:00",
"issued": "2021-04-29T18:51:00.931+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 66,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 116,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:ca457f56-043b-c87e-5266-82630266cbff",
"resource": {
"resourceType": "Observation",
"id": "ca457f56-043b-c87e-5266-82630266cbff",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
},
"effectiveDateTime": "2021-04-29T18:51:00+02:00",
"issued": "2021-04-29T18:51:00.931+02:00",
"valueQuantity": {
"value": 63,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:931298fe-7aaa-f460-c478-0bebefd69f06",
"resource": {
"resourceType": "Observation",
"id": "931298fe-7aaa-f460-c478-0bebefd69f06",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
},
"effectiveDateTime": "2021-04-29T18:51:00+02:00",
"issued": "2021-04-29T18:51:00.931+02:00",
"valueQuantity": {
"value": 15,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:09a23abb-7438-89a6-0ff5-fba5009fbe11",
"resource": {
"resourceType": "Observation",
"id": "09a23abb-7438-89a6-0ff5-fba5009fbe11",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
},
"effectiveDateTime": "2021-04-29T18:51:00+02:00",
"issued": "2021-04-29T18:51:00.931+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:62504b2f-2d96-94c2-3311-22bf40f72b1b",
"resource": {
"resourceType": "Immunization",
"id": "62504b2f-2d96-94c2-3311-22bf40f72b1b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
},
"occurrenceDateTime": "2021-04-29T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:42719614-1a13-01c5-6d86-d87672b539b8",
"resource": {
"resourceType": "DiagnosticReport",
"id": "42719614-1a13-01c5-6d86-d87672b539b8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
},
"effectiveDateTime": "2021-04-29T18:51:00+02:00",
"issued": "2021-04-29T18:51:00.931+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:ee894c2f-6793-ff3b-0048-e58811a71200",
"resource": {
"resourceType": "DocumentReference",
"id": "ee894c2f-6793-ff3b-0048-e58811a71200",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:42719614-1a13-01c5-6d86-d87672b539b8"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2021-04-29T18:51:00.931+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
} ],
"period": {
"start": "2021-04-29T18:51:00+02:00",
"end": "2021-04-29T19:06:00+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:1329e6ae-5278-8856-4d15-ba22dc1a752a",
"resource": {
"resourceType": "Claim",
"id": "1329e6ae-5278-8856-4d15-ba22dc1a752a",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2021-04-29T18:51:00+02:00",
"end": "2021-04-29T19:06:00+02:00"
},
"created": "2021-04-29T19:06:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:62504b2f-2d96-94c2-3311-22bf40f72b1b"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
} ],
"total": {
"value": 272.80,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:ee1b20b3-04f1-702d-9b37-aa8b7d728c27",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "ee1b20b3-04f1-702d-9b37-aa8b7d728c27",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "1329e6ae-5278-8856-4d15-ba22dc1a752a"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2021-04-29T19:06:00+02:00",
"end": "2022-04-29T19:06:00+02:00"
},
"created": "2021-04-29T19:06:00+02:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"claim": {
"reference": "urn:uuid:1329e6ae-5278-8856-4d15-ba22dc1a752a"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2021-04-29T18:51:00+02:00",
"end": "2021-04-29T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2021-04-29T18:51:00+02:00",
"end": "2021-04-29T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 272.80,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641",
"resource": {
"resourceType": "Encounter",
"id": "a3b885aa-a470-43bd-ca9b-41af47c16641",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "a3b885aa-a470-43bd-ca9b-41af47c16641"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2022-05-05T18:51:00+02:00",
"end": "2022-05-05T19:06:00+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
}
} ],
"period": {
"start": "2022-05-05T18:51:00+02:00",
"end": "2022-05-05T19:06:00+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:4062b739-086e-ee5c-93e6-12a09cfed494",
"resource": {
"resourceType": "Observation",
"id": "4062b739-086e-ee5c-93e6-12a09cfed494",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
},
"effectiveDateTime": "2022-05-05T18:51:00+02:00",
"issued": "2022-05-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 146.6,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:4219fe29-b9ef-c3c9-9f0c-dda79f78e23a",
"resource": {
"resourceType": "Observation",
"id": "4219fe29-b9ef-c3c9-9f0c-dda79f78e23a",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
},
"effectiveDateTime": "2022-05-05T18:51:00+02:00",
"issued": "2022-05-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d3614eaa-bff8-642d-6b8e-e0c4eec5cb05",
"resource": {
"resourceType": "Observation",
"id": "d3614eaa-bff8-642d-6b8e-e0c4eec5cb05",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
},
"effectiveDateTime": "2022-05-05T18:51:00+02:00",
"issued": "2022-05-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 38.4,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3b750f8e-db1e-34c1-42b4-f8adf3f59d4b",
"resource": {
"resourceType": "Observation",
"id": "3b750f8e-db1e-34c1-42b4-f8adf3f59d4b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
},
"effectiveDateTime": "2022-05-05T18:51:00+02:00",
"issued": "2022-05-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 17.87,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:a4752790-5403-9582-f3e1-84080eacfa1b",
"resource": {
"resourceType": "Observation",
"id": "a4752790-5403-9582-f3e1-84080eacfa1b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
},
"effectiveDateTime": "2022-05-05T18:51:00+02:00",
"issued": "2022-05-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 65.471,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:a8628388-7da2-fa0a-89d0-7d7e69bd5f8e",
"resource": {
"resourceType": "Observation",
"id": "a8628388-7da2-fa0a-89d0-7d7e69bd5f8e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
},
"effectiveDateTime": "2022-05-05T18:51:00+02:00",
"issued": "2022-05-05T18:51:00.931+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 65,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 116,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:53ffb26b-02c3-992c-3804-c1e02f654313",
"resource": {
"resourceType": "Observation",
"id": "53ffb26b-02c3-992c-3804-c1e02f654313",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
},
"effectiveDateTime": "2022-05-05T18:51:00+02:00",
"issued": "2022-05-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 70,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:b3026372-4f5e-fb9f-85a1-59faf23c1d08",
"resource": {
"resourceType": "Observation",
"id": "b3026372-4f5e-fb9f-85a1-59faf23c1d08",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
},
"effectiveDateTime": "2022-05-05T18:51:00+02:00",
"issued": "2022-05-05T18:51:00.931+02:00",
"valueQuantity": {
"value": 12,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:2ba7f1cc-f44e-13ae-0d02-21091e04c373",
"resource": {
"resourceType": "Observation",
"id": "2ba7f1cc-f44e-13ae-0d02-21091e04c373",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
},
"effectiveDateTime": "2022-05-05T18:51:00+02:00",
"issued": "2022-05-05T18:51:00.931+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:067bd1c3-4c92-472a-d63d-3c62277c553e",
"resource": {
"resourceType": "Immunization",
"id": "067bd1c3-4c92-472a-d63d-3c62277c553e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
},
"occurrenceDateTime": "2022-05-05T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:f5f52d21-97de-417c-7ed4-f9cdece7cadf",
"resource": {
"resourceType": "DiagnosticReport",
"id": "f5f52d21-97de-417c-7ed4-f9cdece7cadf",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
},
"effectiveDateTime": "2022-05-05T18:51:00+02:00",
"issued": "2022-05-05T18:51:00.931+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:7f859109-becf-542a-cbd0-a550bd34b6d2",
"resource": {
"resourceType": "DocumentReference",
"id": "7f859109-becf-542a-cbd0-a550bd34b6d2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:f5f52d21-97de-417c-7ed4-f9cdece7cadf"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2022-05-05T18:51:00.931+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
} ],
"period": {
"start": "2022-05-05T18:51:00+02:00",
"end": "2022-05-05T19:06:00+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:e7c18b53-dccb-394c-8c6e-a29d87929307",
"resource": {
"resourceType": "Claim",
"id": "e7c18b53-dccb-394c-8c6e-a29d87929307",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2022-05-05T18:51:00+02:00",
"end": "2022-05-05T19:06:00+02:00"
},
"created": "2022-05-05T19:06:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:067bd1c3-4c92-472a-d63d-3c62277c553e"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
} ],
"total": {
"value": 272.80,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:68fa4855-87f5-2267-3631-2a59f7dbd8b7",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "68fa4855-87f5-2267-3631-2a59f7dbd8b7",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "e7c18b53-dccb-394c-8c6e-a29d87929307"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2022-05-05T19:06:00+02:00",
"end": "2023-05-05T19:06:00+02:00"
},
"created": "2022-05-05T19:06:00+02:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"claim": {
"reference": "urn:uuid:e7c18b53-dccb-394c-8c6e-a29d87929307"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2022-05-05T18:51:00+02:00",
"end": "2022-05-05T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2022-05-05T18:51:00+02:00",
"end": "2022-05-05T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 272.80,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:83912b77-4b0f-f26e-9408-9f8ae0ea5d37",
"resource": {
"resourceType": "Encounter",
"id": "83912b77-4b0f-f26e-9408-9f8ae0ea5d37",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "83912b77-4b0f-f26e-9408-9f8ae0ea5d37"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2023-03-02T23:51:00+01:00",
"end": "2023-03-03T00:06:00+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392",
"display": "Dr. Gregg522 Willms744"
}
} ],
"period": {
"start": "2023-03-02T23:51:00+01:00",
"end": "2023-03-03T00:06:00+01:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "444814009",
"display": "Viral sinusitis (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|fde1651a-f8c8-3368-9965-bdafb0249d73",
"display": "MARLBOROUGH HOSPITAL CORP"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|352f2e3b-0708-3eb4-9f7e-e73a685bf379",
"display": "MARLBOROUGH HOSPITAL CORP"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:559b1c60-f18a-b233-9ec8-25e86914cfc5",
"resource": {
"resourceType": "Condition",
"id": "559b1c60-f18a-b233-9ec8-25e86914cfc5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "444814009",
"display": "Viral sinusitis (disorder)"
} ],
"text": "Viral sinusitis (disorder)"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:83912b77-4b0f-f26e-9408-9f8ae0ea5d37"
},
"onsetDateTime": "2023-03-02T23:51:00+01:00",
"abatementDateTime": "2023-03-15T23:51:00+01:00",
"recordedDate": "2023-03-02T23:51:00+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:8fc998fa-2100-57ed-1dc6-63bf7198ee16",
"resource": {
"resourceType": "DiagnosticReport",
"id": "8fc998fa-2100-57ed-1dc6-63bf7198ee16",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:83912b77-4b0f-f26e-9408-9f8ae0ea5d37"
},
"effectiveDateTime": "2023-03-02T23:51:00+01:00",
"issued": "2023-03-02T23:51:00.931+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392",
"display": "Dr. Gregg522 Willms744"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:da5a189f-b3ce-c7c0-9f0b-5d0f9a24f245",
"resource": {
"resourceType": "DocumentReference",
"id": "da5a189f-b3ce-c7c0-9f0b-5d0f9a24f245",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:8fc998fa-2100-57ed-1dc6-63bf7198ee16"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2023-03-02T23:51:00.931+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392",
"display": "Dr. Gregg522 Willms744"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|352f2e3b-0708-3eb4-9f7e-e73a685bf379",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:83912b77-4b0f-f26e-9408-9f8ae0ea5d37"
} ],
"period": {
"start": "2023-03-02T23:51:00+01:00",
"end": "2023-03-03T00:06:00+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:9e1ed66a-0287-4867-a3e7-169b1188ac95",
"resource": {
"resourceType": "Claim",
"id": "9e1ed66a-0287-4867-a3e7-169b1188ac95",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2023-03-02T23:51:00+01:00",
"end": "2023-03-03T00:06:00+01:00"
},
"created": "2023-03-03T00:06:00+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|352f2e3b-0708-3eb4-9f7e-e73a685bf379",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|fde1651a-f8c8-3368-9965-bdafb0249d73",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:559b1c60-f18a-b233-9ec8-25e86914cfc5"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"encounter": [ {
"reference": "urn:uuid:83912b77-4b0f-f26e-9408-9f8ae0ea5d37"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "444814009",
"display": "Viral sinusitis (disorder)"
} ],
"text": "Viral sinusitis (disorder)"
}
} ],
"total": {
"value": 85.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:207208ec-2a12-cdd8-7c5b-dbfffb1505cb",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "207208ec-2a12-cdd8-7c5b-dbfffb1505cb",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "9e1ed66a-0287-4867-a3e7-169b1188ac95"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2023-03-03T00:06:00+01:00",
"end": "2024-03-03T00:06:00+01:00"
},
"created": "2023-03-03T00:06:00+01:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|fde1651a-f8c8-3368-9965-bdafb0249d73",
"display": "MARLBOROUGH HOSPITAL CORP"
},
"claim": {
"reference": "urn:uuid:9e1ed66a-0287-4867-a3e7-169b1188ac95"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999994392"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:559b1c60-f18a-b233-9ec8-25e86914cfc5"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"servicedPeriod": {
"start": "2023-03-02T23:51:00+01:00",
"end": "2023-03-03T00:06:00+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:83912b77-4b0f-f26e-9408-9f8ae0ea5d37"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "444814009",
"display": "Viral sinusitis (disorder)"
} ],
"text": "Viral sinusitis (disorder)"
},
"servicedPeriod": {
"start": "2023-03-02T23:51:00+01:00",
"end": "2023-03-03T00:06:00+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 85.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f",
"resource": {
"resourceType": "Encounter",
"id": "e3e0a021-6513-0acd-d19f-63887281ec4f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "e3e0a021-6513-0acd-d19f-63887281ec4f"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Dorotha379 Anderson154"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2023-05-11T18:51:00+02:00",
"end": "2023-05-11T19:06:00+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
}
} ],
"period": {
"start": "2023-05-11T18:51:00+02:00",
"end": "2023-05-11T19:06:00+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:3c7a31e2-18c6-0e33-ae9c-8d91d80f05b2",
"resource": {
"resourceType": "Observation",
"id": "3c7a31e2-18c6-0e33-ae9c-8d91d80f05b2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 153.3,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:26c1c8dc-2057-8a67-43f0-f7a5061041ed",
"resource": {
"resourceType": "Observation",
"id": "26c1c8dc-2057-8a67-43f0-f7a5061041ed",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:2e23026f-2d2c-681d-0cd5-f671a3a6e90c",
"resource": {
"resourceType": "Observation",
"id": "2e23026f-2d2c-681d-0cd5-f671a3a6e90c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 41.1,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:520d9735-e6b3-c2df-d698-166317b1ac9f",
"resource": {
"resourceType": "Observation",
"id": "520d9735-e6b3-c2df-d698-166317b1ac9f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 17.49,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1a57a3cd-2847-698b-d2da-bd2ec6888df6",
"resource": {
"resourceType": "Observation",
"id": "1a57a3cd-2847-698b-d2da-bd2ec6888df6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 50.318,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f021b3e7-1923-d478-0155-648b29962654",
"resource": {
"resourceType": "Observation",
"id": "f021b3e7-1923-d478-0155-648b29962654",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 60,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 120,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:23050e87-929c-204d-ae11-524b8c76bee0",
"resource": {
"resourceType": "Observation",
"id": "23050e87-929c-204d-ae11-524b8c76bee0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 92,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:63e42ee6-fe3b-00aa-321a-dcad98c843c2",
"resource": {
"resourceType": "Observation",
"id": "63e42ee6-fe3b-00aa-321a-dcad98c843c2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 15,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:0a3de295-8d4d-b14c-4797-7ec8b609071a",
"resource": {
"resourceType": "Observation",
"id": "0a3de295-8d4d-b14c-4797-7ec8b609071a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "6690-2",
"display": "Leukocytes [#/volume] in Blood by Automated count"
} ],
"text": "Leukocytes [#/volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 8.8245,
"unit": "10*3/uL",
"system": "http://unitsofmeasure.org",
"code": "10*3/uL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:885c3ec6-5e67-5c54-6cc3-915bdf40a9e0",
"resource": {
"resourceType": "Observation",
"id": "885c3ec6-5e67-5c54-6cc3-915bdf40a9e0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "789-8",
"display": "Erythrocytes [#/volume] in Blood by Automated count"
} ],
"text": "Erythrocytes [#/volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 4.4252,
"unit": "10*6/uL",
"system": "http://unitsofmeasure.org",
"code": "10*6/uL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3792ed1a-bba8-c254-1735-9fc092423ac0",
"resource": {
"resourceType": "Observation",
"id": "3792ed1a-bba8-c254-1735-9fc092423ac0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "718-7",
"display": "Hemoglobin [Mass/volume] in Blood"
} ],
"text": "Hemoglobin [Mass/volume] in Blood"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 13.788,
"unit": "g/dL",
"system": "http://unitsofmeasure.org",
"code": "g/dL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:bf53f0d4-7b2f-8552-3fca-959ed5f525fe",
"resource": {
"resourceType": "Observation",
"id": "bf53f0d4-7b2f-8552-3fca-959ed5f525fe",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "4544-3",
"display": "Hematocrit [Volume Fraction] of Blood by Automated count"
} ],
"text": "Hematocrit [Volume Fraction] of Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 41.387,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f3670409-cb7b-ccdc-b263-439f78029142",
"resource": {
"resourceType": "Observation",
"id": "f3670409-cb7b-ccdc-b263-439f78029142",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "787-2",
"display": "MCV [Entitic volume] by Automated count"
} ],
"text": "MCV [Entitic volume] by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 83.513,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d5d9ba13-0224-4c51-d0fe-858aefde9429",
"resource": {
"resourceType": "Observation",
"id": "d5d9ba13-0224-4c51-d0fe-858aefde9429",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "785-6",
"display": "MCH [Entitic mass] by Automated count"
} ],
"text": "MCH [Entitic mass] by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 32.215,
"unit": "pg",
"system": "http://unitsofmeasure.org",
"code": "pg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:c51cc5b0-9781-8205-269c-c648e3d08f29",
"resource": {
"resourceType": "Observation",
"id": "c51cc5b0-9781-8205-269c-c648e3d08f29",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "786-4",
"display": "MCHC [Mass/volume] by Automated count"
} ],
"text": "MCHC [Mass/volume] by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 33.89,
"unit": "g/dL",
"system": "http://unitsofmeasure.org",
"code": "g/dL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9a8b8cd6-b413-103d-3ba5-7b2ffdb29673",
"resource": {
"resourceType": "Observation",
"id": "9a8b8cd6-b413-103d-3ba5-7b2ffdb29673",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "21000-5",
"display": "Erythrocyte distribution width [Entitic volume] by Automated count"
} ],
"text": "Erythrocyte distribution width [Entitic volume] by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 39.487,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d5bfa52d-e0a5-c93f-28e6-239da218f8c8",
"resource": {
"resourceType": "Observation",
"id": "d5bfa52d-e0a5-c93f-28e6-239da218f8c8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "777-3",
"display": "Platelets [#/volume] in Blood by Automated count"
} ],
"text": "Platelets [#/volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 389.9,
"unit": "10*3/uL",
"system": "http://unitsofmeasure.org",
"code": "10*3/uL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:7da4bb9a-ef90-fdeb-838b-b2e041fd6a87",
"resource": {
"resourceType": "Observation",
"id": "7da4bb9a-ef90-fdeb-838b-b2e041fd6a87",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32207-3",
"display": "Platelet distribution width [Entitic volume] in Blood by Automated count"
} ],
"text": "Platelet distribution width [Entitic volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 255.07,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:a13f1674-020b-e292-c547-d9ce2f89db60",
"resource": {
"resourceType": "Observation",
"id": "a13f1674-020b-e292-c547-d9ce2f89db60",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32623-1",
"display": "Platelet mean volume [Entitic volume] in Blood by Automated count"
} ],
"text": "Platelet mean volume [Entitic volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueQuantity": {
"value": 10.985,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:0d61baa2-9e35-896c-e6ad-8eaafef54fbd",
"resource": {
"resourceType": "Observation",
"id": "0d61baa2-9e35-896c-e6ad-8eaafef54fbd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:89d41288-5d2b-afd5-e0cd-8aa5fec05421",
"resource": {
"resourceType": "Procedure",
"id": "89d41288-5d2b-afd5-e0cd-8aa5fec05421",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"performedPeriod": {
"start": "2023-05-11T18:51:00+02:00",
"end": "2023-05-11T19:06:00+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:4ee878b7-3675-cf1e-2d0a-914d8bfbab24",
"resource": {
"resourceType": "Immunization",
"id": "4ee878b7-3675-cf1e-2d0a-914d8bfbab24",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "115",
"display": "Tdap"
} ],
"text": "Tdap"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"occurrenceDateTime": "2023-05-11T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:c6fb0757-73ea-c6b2-d878-77085f01d399",
"resource": {
"resourceType": "Immunization",
"id": "c6fb0757-73ea-c6b2-d878-77085f01d399",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"occurrenceDateTime": "2023-05-11T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:c579b49e-aaea-dded-bd0c-754631201032",
"resource": {
"resourceType": "Immunization",
"id": "c579b49e-aaea-dded-bd0c-754631201032",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "62",
"display": "HPV, quadrivalent"
} ],
"text": "HPV, quadrivalent"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"occurrenceDateTime": "2023-05-11T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:a3cd543d-7805-f252-9ac1-b59ee220df07",
"resource": {
"resourceType": "Immunization",
"id": "a3cd543d-7805-f252-9ac1-b59ee220df07",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "114",
"display": "meningococcal MCV4P"
} ],
"text": "meningococcal MCV4P"
},
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"occurrenceDateTime": "2023-05-11T18:51:00+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:0b238a28-0f60-e9fc-3c19-2525e6fe0008",
"resource": {
"resourceType": "DiagnosticReport",
"id": "0b238a28-0f60-e9fc-3c19-2525e6fe0008",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "LAB",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "58410-2",
"display": "CBC panel - Blood by Automated count"
} ],
"text": "CBC panel - Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"performer": [ {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
} ],
"result": [ {
"reference": "urn:uuid:0a3de295-8d4d-b14c-4797-7ec8b609071a",
"display": "Leukocytes [#/volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:885c3ec6-5e67-5c54-6cc3-915bdf40a9e0",
"display": "Erythrocytes [#/volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:3792ed1a-bba8-c254-1735-9fc092423ac0",
"display": "Hemoglobin [Mass/volume] in Blood"
}, {
"reference": "urn:uuid:bf53f0d4-7b2f-8552-3fca-959ed5f525fe",
"display": "Hematocrit [Volume Fraction] of Blood by Automated count"
}, {
"reference": "urn:uuid:f3670409-cb7b-ccdc-b263-439f78029142",
"display": "MCV [Entitic volume] by Automated count"
}, {
"reference": "urn:uuid:d5d9ba13-0224-4c51-d0fe-858aefde9429",
"display": "MCH [Entitic mass] by Automated count"
}, {
"reference": "urn:uuid:c51cc5b0-9781-8205-269c-c648e3d08f29",
"display": "MCHC [Mass/volume] by Automated count"
}, {
"reference": "urn:uuid:9a8b8cd6-b413-103d-3ba5-7b2ffdb29673",
"display": "Erythrocyte distribution width [Entitic volume] by Automated count"
}, {
"reference": "urn:uuid:d5bfa52d-e0a5-c93f-28e6-239da218f8c8",
"display": "Platelets [#/volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:7da4bb9a-ef90-fdeb-838b-b2e041fd6a87",
"display": "Platelet distribution width [Entitic volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:a13f1674-020b-e292-c547-d9ce2f89db60",
"display": "Platelet mean volume [Entitic volume] in Blood by Automated count"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:b66e558d-9c35-f9f9-defc-52586186928f",
"resource": {
"resourceType": "DiagnosticReport",
"id": "b66e558d-9c35-f9f9-defc-52586186928f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"encounter": {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
},
"effectiveDateTime": "2023-05-11T18:51:00+02:00",
"issued": "2023-05-11T18:51:00.931+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "CjIwMjMtMDUtMTEKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCk5pZXNoYTg2CiBpcyBhIDExIHllYXItb2xkIG5vbmhpc3BhbmljIHdoaXRlIGZlbWFsZS4gUGF0aWVudCBoYXMgYSBoaXN0b3J5IG9mIG1lZGljYXRpb24gcmV2aWV3IGR1ZSAoc2l0dWF0aW9uKSwgYWN1dGUgdmlyYWwgcGhhcnluZ2l0aXMgKGRpc29yZGVyKSwgdmlyYWwgc2ludXNpdGlzIChkaXNvcmRlcikuCgojIFNvY2lhbCBIaXN0b3J5CiBQYXRpZW50IGhhcyBuZXZlciBzbW9rZWQuCgoKUGF0aWVudCBjb21lcyBmcm9tIGEgbWlkZGxlIHNvY2lvZWNvbm9taWMgYmFja2dyb3VuZC4KClBhdGllbnQgY3VycmVudGx5IGhhcyBIdW1hbmEuCgojIEFsbGVyZ2llcwpObyBLbm93biBBbGxlcmdpZXMuCgojIE1lZGljYXRpb25zCnBlbmljaWxsaW4gdiBwb3Rhc3NpdW0gMjUwIG1nIG9yYWwgdGFibGV0CgojIEFzc2Vzc21lbnQgYW5kIFBsYW4KCgojIyBQbGFuClBhdGllbnQgd2FzIGdpdmVuIHRoZSBmb2xsb3dpbmcgaW1tdW5pemF0aW9uczogdGRhcCwgaW5mbHVlbnphLCBzZWFzb25hbCwgaW5qZWN0YWJsZSwgcHJlc2VydmF0aXZlIGZyZWUsIGhwdiwgcXVhZHJpdmFsZW50LCBtZW5pbmdvY29jY2FsIG1jdjRwLiAKVGhlIGZvbGxvd2luZyBwcm9jZWR1cmVzIHdlcmUgY29uZHVjdGVkOgotIG1lZGljYXRpb24gcmVjb25jaWxpYXRpb24gKHByb2NlZHVyZSkK"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:68a76855-1385-1dd8-ed6c-1999836b7402",
"resource": {
"resourceType": "DocumentReference",
"id": "68a76855-1385-1dd8-ed6c-1999836b7402",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:b66e558d-9c35-f9f9-defc-52586186928f"
} ],
"status": "current",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"date": "2023-05-11T18:51:00.931+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
} ],
"period": {
"start": "2023-05-11T18:51:00+02:00",
"end": "2023-05-11T19:06:00+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:01e8d3ce-8fe2-2919-3f13-511cc8740ecd",
"resource": {
"resourceType": "Claim",
"id": "01e8d3ce-8fe2-2919-3f13-511cc8740ecd",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2",
"display": "Niesha86 Anderson154"
},
"billablePeriod": {
"start": "2023-05-11T18:51:00+02:00",
"end": "2023-05-11T19:06:00+02:00"
},
"created": "2023-05-11T19:06:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:4ee878b7-3675-cf1e-2d0a-914d8bfbab24"
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:c6fb0757-73ea-c6b2-d878-77085f01d399"
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:c579b49e-aaea-dded-bd0c-754631201032"
}
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:a3cd543d-7805-f252-9ac1-b59ee220df07"
}
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:89d41288-5d2b-afd5-e0cd-8aa5fec05421"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "115",
"display": "Tdap"
} ],
"text": "Tdap"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 4,
"informationSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "62",
"display": "HPV, quadrivalent"
} ],
"text": "HPV, quadrivalent"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 5,
"informationSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "114",
"display": "meningococcal MCV4P"
} ],
"text": "meningococcal MCV4P"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 6,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 723.78,
"currency": "USD"
}
}, {
"sequence": 7,
"informationSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "58410-2",
"display": "CBC panel - Blood by Automated count"
} ],
"text": "CBC panel - Blood by Automated count"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 1479.16,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:e3bf36e0-9597-f053-53a5-ef0e08a3d258",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "e3bf36e0-9597-f053-53a5-ef0e08a3d258",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Humana"
},
"beneficiary": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"payor": [ {
"display": "Humana"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "01e8d3ce-8fe2-2919-3f13-511cc8740ecd"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
},
"billablePeriod": {
"start": "2023-05-11T19:06:00+02:00",
"end": "2024-05-11T19:06:00+02:00"
},
"created": "2023-05-11T19:06:00+02:00",
"insurer": {
"display": "Humana"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|41bc4a9c-a760-3e5c-907c-5048812794b7",
"display": "ASSABET FAMILY PODIATRY, INC"
},
"claim": {
"reference": "urn:uuid:01e8d3ce-8fe2-2919-3f13-511cc8740ecd"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Humana"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2023-05-11T18:51:00+02:00",
"end": "2023-05-11T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "115",
"display": "Tdap"
} ],
"text": "Tdap"
},
"servicedPeriod": {
"start": "2023-05-11T18:51:00+02:00",
"end": "2023-05-11T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2023-05-11T18:51:00+02:00",
"end": "2023-05-11T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 4,
"informationSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "62",
"display": "HPV, quadrivalent"
} ],
"text": "HPV, quadrivalent"
},
"servicedPeriod": {
"start": "2023-05-11T18:51:00+02:00",
"end": "2023-05-11T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"informationSequence": [ 4 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "114",
"display": "meningococcal MCV4P"
} ],
"text": "meningococcal MCV4P"
},
"servicedPeriod": {
"start": "2023-05-11T18:51:00+02:00",
"end": "2023-05-11T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2023-05-11T18:51:00+02:00",
"end": "2023-05-11T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 723.78,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 144.756,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 579.024,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 723.78,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 723.78,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 7,
"informationSequence": [ 5 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "58410-2",
"display": "CBC panel - Blood by Automated count"
} ],
"text": "CBC panel - Blood by Automated count"
},
"servicedPeriod": {
"start": "2023-05-11T18:51:00+02:00",
"end": "2023-05-11T19:06:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1479.16,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1073.8880000000001,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:e17853cb-a561-96f8-04f7-88ea908eee09",
"resource": {
"resourceType": "Provenance",
"id": "e17853cb-a561-96f8-04f7-88ea908eee09",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance" ]
},
"target": [ {
"reference": "urn:uuid:2e96848a-43c1-78ea-16f2-d9d471d0f9d2"
}, {
"reference": "urn:uuid:751a31c1-3f7d-3c81-68fb-b64dc94664b0"
}, {
"reference": "urn:uuid:01fcc8ad-1cab-269d-07ce-55515fd9b525"
}, {
"reference": "urn:uuid:b969caa1-ba83-5749-09dd-5ea8c0fe7cb9"
}, {
"reference": "urn:uuid:33322ccd-9c3d-7f97-fda3-ec768db65c82"
}, {
"reference": "urn:uuid:9b9e33d9-fd4e-f38d-c56e-e75d45eec42f"
}, {
"reference": "urn:uuid:acbbdb51-bb73-2f69-8067-182dbd07f047"
}, {
"reference": "urn:uuid:f584d2c0-2261-b88b-9b7c-6c718582e8d7"
}, {
"reference": "urn:uuid:5c0042eb-0d98-ee0f-de19-db7b89c949d2"
}, {
"reference": "urn:uuid:12806e4f-925b-0ae6-b788-3d67127a4539"
}, {
"reference": "urn:uuid:9da211e7-902d-1f88-328a-e84d5a07b0ff"
}, {
"reference": "urn:uuid:6401fe95-ce75-220a-13fe-b95c5a75906b"
}, {
"reference": "urn:uuid:4cce932f-fe7b-797b-67de-f2aae3e40011"
}, {
"reference": "urn:uuid:3642aef5-a711-0672-49e0-63fc27adc1db"
}, {
"reference": "urn:uuid:90fc3a2a-e3e2-afc0-4f29-b162bd09c29f"
}, {
"reference": "urn:uuid:0dd41339-5c9f-88ff-8d06-c48d82c51322"
}, {
"reference": "urn:uuid:e2f1d438-c2b7-791a-0f42-f03258421a4c"
}, {
"reference": "urn:uuid:785d4a57-1cc9-0240-10b6-af7c1a1464f6"
}, {
"reference": "urn:uuid:f14a5dc7-5adc-7dfb-0309-f861601dd583"
}, {
"reference": "urn:uuid:bc74583b-aaf1-ebeb-79f9-66585a6df905"
}, {
"reference": "urn:uuid:107518f7-f416-2ee7-612d-fcee8cc8b5c2"
}, {
"reference": "urn:uuid:b860f33a-4510-d2ee-692f-30152c31c1c7"
}, {
"reference": "urn:uuid:892a3701-01af-bda0-da01-750540c93262"
}, {
"reference": "urn:uuid:9c5cd328-5a0f-d7d7-ae65-f5417db4d3fc"
}, {
"reference": "urn:uuid:d1b4e5bb-f485-6244-6281-183407918e52"
}, {
"reference": "urn:uuid:ae91704a-d3e6-2460-940f-912c772067a0"
}, {
"reference": "urn:uuid:90ca9463-aeef-8c18-fb94-4ae6189e40bc"
}, {
"reference": "urn:uuid:329e912e-87f9-d576-2c00-bdd57cb83705"
}, {
"reference": "urn:uuid:454c52a5-441d-7143-0abf-a7ffff319435"
}, {
"reference": "urn:uuid:34871314-1b84-7425-8acb-6bc2755b05af"
}, {
"reference": "urn:uuid:5a386a92-5727-7f07-6cdc-0e0a549b37dd"
}, {
"reference": "urn:uuid:c8c237db-08e3-286d-60de-bd2ffe744e13"
}, {
"reference": "urn:uuid:b6586d3d-ae33-7d03-dee6-6a0873841599"
}, {
"reference": "urn:uuid:54bfb854-f233-5e68-d984-69996219b492"
}, {
"reference": "urn:uuid:496e5fba-a24a-2476-389d-14447938cca7"
}, {
"reference": "urn:uuid:7e5e3f4c-c39d-f5f5-0c5b-143a37d3f236"
}, {
"reference": "urn:uuid:df7c2f50-ca20-ba9d-aa1c-f5acf504da5f"
}, {
"reference": "urn:uuid:21359142-8efc-a165-9f6d-be3df215acfb"
}, {
"reference": "urn:uuid:71209972-0b81-40e0-0d7a-83ab11377fb2"
}, {
"reference": "urn:uuid:6d3c32e5-accc-beae-73b4-2b613b0e19a4"
}, {
"reference": "urn:uuid:20867ac2-c662-daf9-f460-3da7e5e8968d"
}, {
"reference": "urn:uuid:658cbaeb-7813-6dd9-844a-7514a4fef978"
}, {
"reference": "urn:uuid:d7d9cca6-7e89-a1b9-01b0-3209c3ad5ee7"
}, {
"reference": "urn:uuid:0ca7847e-ebf5-bb6e-28bc-a336bc67d507"
}, {
"reference": "urn:uuid:b4e07870-1c02-cf8b-3580-7263f1170324"
}, {
"reference": "urn:uuid:17c55d9c-9462-c700-9857-5edcaaff56c2"
}, {
"reference": "urn:uuid:1a94db83-0daa-63c4-c140-cab6b8112527"
}, {
"reference": "urn:uuid:cf0b2936-5b41-da0d-8d0c-96fa4721a168"
}, {
"reference": "urn:uuid:4de0f8af-8dc9-4981-8707-c0aa952d74b9"
}, {
"reference": "urn:uuid:1af79ca0-80c1-d9e2-758d-4d415edb41f5"
}, {
"reference": "urn:uuid:280d1699-6669-cc01-e6aa-699cdbcaa95b"
}, {
"reference": "urn:uuid:aeb58ba6-06d3-00e8-8e82-37fb105c6371"
}, {
"reference": "urn:uuid:11b0eca2-1ccc-9bc4-5cc5-33a0822f4410"
}, {
"reference": "urn:uuid:9c7b95ce-fffa-86a0-cd87-f5907006da65"
}, {
"reference": "urn:uuid:73b4f0d3-b826-7338-11d5-37d222abd269"
}, {
"reference": "urn:uuid:0b34cdcc-9059-dcfb-c7d4-798d2d0f797a"
}, {
"reference": "urn:uuid:648b548e-f216-d386-a1c6-d3be101be7a3"
}, {
"reference": "urn:uuid:0d103200-acf4-1585-3721-de9e25791348"
}, {
"reference": "urn:uuid:420affde-cf4c-27eb-bf14-6898df953305"
}, {
"reference": "urn:uuid:256c057c-06a3-b338-ffd7-843dbbd2c30e"
}, {
"reference": "urn:uuid:5b2a6ca2-a27c-07d2-684e-c449cda93aac"
}, {
"reference": "urn:uuid:efa2410f-c43c-4525-2973-c88cd5dc410b"
}, {
"reference": "urn:uuid:a2a3b27d-16e5-31ce-9102-ed0a3c14ddcf"
}, {
"reference": "urn:uuid:ceb00d58-6968-d839-16b4-53c5d66f2058"
}, {
"reference": "urn:uuid:cf410ab5-99cc-c98b-a41b-37e216a47747"
}, {
"reference": "urn:uuid:fe171483-c139-eab4-5fa0-7fd5d20c2255"
}, {
"reference": "urn:uuid:ec29682d-4e61-8c71-af5c-9067483d6331"
}, {
"reference": "urn:uuid:77881040-75cd-a3e5-07e7-bc0b19689b69"
}, {
"reference": "urn:uuid:46542006-516e-8bc8-6a1b-497a5a46298c"
}, {
"reference": "urn:uuid:3531f32a-eede-54d0-d383-5d6f81564e2c"
}, {
"reference": "urn:uuid:85310873-641a-71fe-9d5a-3570c51e32ab"
}, {
"reference": "urn:uuid:b00a1962-fe53-cecd-74bb-5dd2e4a9f952"
}, {
"reference": "urn:uuid:562c343d-2711-9a35-0780-5a62b1351968"
}, {
"reference": "urn:uuid:e8f70f4c-9b9d-aaef-b6c4-780a9db5b68a"
}, {
"reference": "urn:uuid:386f143a-6a7b-10ff-36d9-a83eb0b93146"
}, {
"reference": "urn:uuid:72cde949-f60a-911d-f808-f20cf9ff5665"
}, {
"reference": "urn:uuid:2ad7cd91-6da2-a596-4f13-116fc06abe12"
}, {
"reference": "urn:uuid:f178a4e6-0875-db98-fef3-e9a3baa90a51"
}, {
"reference": "urn:uuid:5b629ae6-4764-9c2c-b852-b458bef1157e"
}, {
"reference": "urn:uuid:806e68cd-7591-7210-d735-5651f4a3cd23"
}, {
"reference": "urn:uuid:06dd08b1-d83a-17e1-22d6-b30a39ecf062"
}, {
"reference": "urn:uuid:bb6dd490-14d9-2e33-5196-628cdf9e7ecc"
}, {
"reference": "urn:uuid:402a7576-19d5-e8ff-6aaf-3a275e45cf55"
}, {
"reference": "urn:uuid:5a51ed3a-5be3-384e-2226-db1feb868bee"
}, {
"reference": "urn:uuid:e82bfd9f-76dd-c1f5-15b3-0f5f11834811"
}, {
"reference": "urn:uuid:a3640c86-5033-018d-80fd-9e34ecef8312"
}, {
"reference": "urn:uuid:9a653c4e-5bee-a010-6065-2bb64cd4e824"
}, {
"reference": "urn:uuid:1eb3bc7b-138f-55ef-fe17-32d5706b0714"
}, {
"reference": "urn:uuid:bb1791de-6674-2a1b-68d1-b0874dd406c3"
}, {
"reference": "urn:uuid:25018cbb-843c-dada-5f3a-0957d7d1c58a"
}, {
"reference": "urn:uuid:4b52cb4a-d4d7-60cd-a8a5-2da0091535ce"
}, {
"reference": "urn:uuid:5df0f82c-9e86-827f-6909-e0f7509eb949"
}, {
"reference": "urn:uuid:c02bc0c9-c24b-1f3f-d70d-dd9794967a49"
}, {
"reference": "urn:uuid:e6905196-b745-3013-e41e-7443029f57ca"
}, {
"reference": "urn:uuid:84c1d29a-d16f-63ed-0098-c6638a63fec0"
}, {
"reference": "urn:uuid:8bf1526a-5de0-ab12-bc06-9da64c9496bf"
}, {
"reference": "urn:uuid:2d141285-1d18-21e1-c77c-4b59644ea63a"
}, {
"reference": "urn:uuid:c51844c7-780c-d9b1-3ee3-d1fbc28fdfe6"
}, {
"reference": "urn:uuid:83994afc-cbc5-d66a-8389-64f1e8da2b87"
}, {
"reference": "urn:uuid:b2eefe38-eb93-70ce-0715-23c30f12a380"
}, {
"reference": "urn:uuid:01d23345-add8-6205-fb67-bde6df04b320"
}, {
"reference": "urn:uuid:de3eafe8-a696-b9fe-90d4-01bea988dc52"
}, {
"reference": "urn:uuid:e6f2725c-1e76-758e-566a-f37818210034"
}, {
"reference": "urn:uuid:3f0da1b1-5de0-76d3-4c2a-d0146cbda8ab"
}, {
"reference": "urn:uuid:445aff7f-820b-395c-ab3c-4584bfc5c343"
}, {
"reference": "urn:uuid:d6e39fda-d6a7-d5f0-cd99-996dca8faab5"
}, {
"reference": "urn:uuid:f29252c6-acb0-fffc-893b-c3493173269d"
}, {
"reference": "urn:uuid:b27c82cb-8f0d-3139-c7bc-f8721ebbdfaf"
}, {
"reference": "urn:uuid:77ebe34b-ef0e-2855-b9fd-0d66b10158be"
}, {
"reference": "urn:uuid:5b0b00f5-6d8e-5e3f-924a-10a7798de6a7"
}, {
"reference": "urn:uuid:f9f63f7b-430c-c3c3-cfc1-6185b2a7e095"
}, {
"reference": "urn:uuid:cdf27e87-4914-3577-bfaa-e040eb07107f"
}, {
"reference": "urn:uuid:7cb7a1f5-68a2-02d4-d5d1-84483b7693f7"
}, {
"reference": "urn:uuid:4c2d826a-6bf2-34c1-1a8e-37c8a55b37e7"
}, {
"reference": "urn:uuid:1362ca60-983b-47b0-f831-a1002dcb244d"
}, {
"reference": "urn:uuid:5e180678-e9fb-7491-7ea9-65dc144e418d"
}, {
"reference": "urn:uuid:6298cc82-dec9-9988-e66f-62e49b6de9d6"
}, {
"reference": "urn:uuid:8c69641c-1b17-c87e-90b6-f8ed3b8704dd"
}, {
"reference": "urn:uuid:307a18db-0f1f-d066-f52b-5d4af575faea"
}, {
"reference": "urn:uuid:1638f840-a70e-1ab0-c78d-1e66313199e2"
}, {
"reference": "urn:uuid:425763cc-6c2e-dad4-518e-c7ce7dd14bd1"
}, {
"reference": "urn:uuid:f3889fdb-9308-b7b3-9fdc-3c3b1b1a774e"
}, {
"reference": "urn:uuid:eecbcd8e-1456-04bd-5a38-8be4de65469a"
}, {
"reference": "urn:uuid:a8c8fe8b-89a3-b2a6-29a9-965c721fa219"
}, {
"reference": "urn:uuid:70a163f6-9bc3-b979-3c4d-d27dc618df67"
}, {
"reference": "urn:uuid:a0bd60ab-cd9f-05b9-e93e-225796edf4b3"
}, {
"reference": "urn:uuid:1c06527f-d632-840a-a345-37f785482331"
}, {
"reference": "urn:uuid:4c6a3d5d-dff9-7985-d865-0852bd03b5d0"
}, {
"reference": "urn:uuid:4c82fcb0-43c9-59ee-6ff6-3fce413839fd"
}, {
"reference": "urn:uuid:439099fe-2767-e8c7-da5a-c4bc5e1092e7"
}, {
"reference": "urn:uuid:dfdd9a4d-bb07-ed25-dc65-0f8cbce868a3"
}, {
"reference": "urn:uuid:a5df0ecd-bb1b-9e17-7ba8-3386a29a653f"
}, {
"reference": "urn:uuid:036e1f0a-28ca-0802-8cdf-c7beec65d0c7"
}, {
"reference": "urn:uuid:cf6a22f0-ee44-aef2-a6c9-b4186c760e91"
}, {
"reference": "urn:uuid:15c4cd40-ce70-2032-5c66-6747250039b9"
}, {
"reference": "urn:uuid:9adaee80-d49c-6517-95ab-9e25c04e031d"
}, {
"reference": "urn:uuid:b9f17fd1-f733-dc22-8690-e8d5e1c8f7a1"
}, {
"reference": "urn:uuid:51509932-df3b-1f4c-d837-9324d74170c2"
}, {
"reference": "urn:uuid:1501d339-c56b-394d-699c-a43a61098955"
}, {
"reference": "urn:uuid:15874018-b9c8-d19f-b7bf-3343cf0b33f7"
}, {
"reference": "urn:uuid:29eb6302-bfa3-71a9-3cfe-28147f3cca53"
}, {
"reference": "urn:uuid:0d12748e-53f9-b998-688e-74b7cadba094"
}, {
"reference": "urn:uuid:e9180a67-e711-4021-f93b-899d4ea5a788"
}, {
"reference": "urn:uuid:6319f196-03ea-45e8-33e6-654bf4a30e88"
}, {
"reference": "urn:uuid:6aa3ee20-40ba-a6b6-40d8-b9d09d677e35"
}, {
"reference": "urn:uuid:d1cd21c0-d10b-2da3-95c2-c20d98eadc01"
}, {
"reference": "urn:uuid:96b3036f-047a-9e45-a01a-1aef78390443"
}, {
"reference": "urn:uuid:4502c904-a571-2371-75c2-4fa3a9567987"
}, {
"reference": "urn:uuid:74196c68-f2b6-4009-d32e-be64585728d1"
}, {
"reference": "urn:uuid:6a684c01-c757-0854-aeea-aa2710588e18"
}, {
"reference": "urn:uuid:df61fabe-d4c0-d464-c150-bbd4dbd7f1b6"
}, {
"reference": "urn:uuid:91151744-70b6-35ab-cf90-bc9869464fb0"
}, {
"reference": "urn:uuid:1d872e46-a31e-8c32-0fa8-a4a552638d86"
}, {
"reference": "urn:uuid:99edf9c0-8290-32fb-ed0b-a3c9832afd56"
}, {
"reference": "urn:uuid:ef324810-e9e6-92a2-5de9-8c0a8cfb4f1f"
}, {
"reference": "urn:uuid:a25ab2cd-e520-e2a5-da07-e3f8aa1a72bb"
}, {
"reference": "urn:uuid:923258c6-9364-eee8-15f6-76004a82c055"
}, {
"reference": "urn:uuid:3c038470-6325-d21b-1a41-ce9f16615c8a"
}, {
"reference": "urn:uuid:b53b9de5-ca4a-eff9-6a29-dfff548d4686"
}, {
"reference": "urn:uuid:171213b0-981c-9894-d312-e7c4760b681f"
}, {
"reference": "urn:uuid:fa9e4c90-a695-3432-d8bb-8d3f36840021"
}, {
"reference": "urn:uuid:bf89e1ea-479d-9b5f-9843-3d3f4c47bd43"
}, {
"reference": "urn:uuid:023625b5-796e-e146-d54d-5e322686ec78"
}, {
"reference": "urn:uuid:d0e9a002-0d24-666f-4cf4-e259828ac7a0"
}, {
"reference": "urn:uuid:ef154f3d-dd7b-49c7-2061-f2fd5489fe75"
}, {
"reference": "urn:uuid:52c7e526-4db0-8291-abd5-ab72cc82a98b"
}, {
"reference": "urn:uuid:d05b7784-7177-8dbc-7ebc-8f63ccbf186d"
}, {
"reference": "urn:uuid:129ae3b5-6345-706e-df47-38beeca7f94d"
}, {
"reference": "urn:uuid:d530b3b3-6689-3893-e977-b218c93184de"
}, {
"reference": "urn:uuid:5ea807fb-32f0-ed81-2cc6-b5033a3cd968"
}, {
"reference": "urn:uuid:d472625d-a695-0eb2-84ea-e379a040c2bf"
}, {
"reference": "urn:uuid:33e49a9e-0ff1-6bc9-13d2-81d985b31f9c"
}, {
"reference": "urn:uuid:989aab96-7a77-3d12-cdae-29533eda60bc"
}, {
"reference": "urn:uuid:202bd6c2-7768-bfdb-f3a6-f06c6926cf41"
}, {
"reference": "urn:uuid:38eea049-98c7-1e2e-e20b-6400443a997e"
}, {
"reference": "urn:uuid:7d21d3de-63bd-ecec-460f-c12ee4e54e3f"
}, {
"reference": "urn:uuid:66189caf-cc7e-7197-6588-397ea744f997"
}, {
"reference": "urn:uuid:82a2c58a-0c05-59c0-1943-0b31b3670b5c"
}, {
"reference": "urn:uuid:6f375c86-645d-1cad-3391-52ef07c4bc4f"
}, {
"reference": "urn:uuid:81c2680f-f9c9-7140-e2be-ae64613fd1f0"
}, {
"reference": "urn:uuid:dd333d6d-c09c-d7ff-f9ca-0894508fa0ba"
}, {
"reference": "urn:uuid:9077de02-c503-7bd8-b02e-048ed72fae5d"
}, {
"reference": "urn:uuid:242b8d4b-287c-3604-20f6-529bc1125e92"
}, {
"reference": "urn:uuid:7c56d090-46e1-121b-2d9b-40769d0b96e0"
}, {
"reference": "urn:uuid:af1017f9-54e8-a559-ca85-bed974aca25f"
}, {
"reference": "urn:uuid:668ee934-05d8-f3f8-59e7-40205149f630"
}, {
"reference": "urn:uuid:73083659-18d5-59bf-7a77-423f158336af"
}, {
"reference": "urn:uuid:6845959a-8548-e083-9000-b56f489f21a1"
}, {
"reference": "urn:uuid:dd20ee65-1e40-47f1-1514-197a60a2a094"
}, {
"reference": "urn:uuid:60aafd0e-7e5d-03d5-736f-0ece17b5ade8"
}, {
"reference": "urn:uuid:5e617c73-5764-c2da-5033-8caac7b3ce90"
}, {
"reference": "urn:uuid:cba63053-a90e-fa76-5fa6-bad1b93279ac"
}, {
"reference": "urn:uuid:12a8f353-20ff-953c-2bdd-33525de7a1af"
}, {
"reference": "urn:uuid:e53719ba-18c0-fd49-b2d0-fb35b23d1a82"
}, {
"reference": "urn:uuid:e9fabd89-d70b-8811-b32e-43529cf3a5d6"
}, {
"reference": "urn:uuid:646afb2e-77a8-d675-772f-0cee11018088"
}, {
"reference": "urn:uuid:0d8ac616-b63f-61ec-d2db-5eacdecd5eb6"
}, {
"reference": "urn:uuid:3d7321fa-6e5d-addb-191d-362ae7b83063"
}, {
"reference": "urn:uuid:f46c7117-5504-f0be-c1d1-7139f488f99e"
}, {
"reference": "urn:uuid:795b8b2d-9d7a-faab-9459-9c6c7980c584"
}, {
"reference": "urn:uuid:4f0e7f91-f294-c178-5ce5-72a49cb128e9"
}, {
"reference": "urn:uuid:5394a97b-4fcb-824f-87d9-1e9aff7fac98"
}, {
"reference": "urn:uuid:a36b7863-25ae-6868-ced1-6ae508dddae0"
}, {
"reference": "urn:uuid:0312fee2-865e-4ed9-e2c9-4b274e620c31"
}, {
"reference": "urn:uuid:8ee204f1-c6fa-0769-6355-f05d4e41a433"
}, {
"reference": "urn:uuid:e0137d50-28a5-6f45-89d9-b1712450678d"
}, {
"reference": "urn:uuid:f03f90a3-49f4-9113-7bd3-c9ba5f316cc1"
}, {
"reference": "urn:uuid:680cbf6c-e011-efdf-f12b-3c20d2cc6ef2"
}, {
"reference": "urn:uuid:d4e25903-d978-7ae8-cfd0-96e79be1d110"
}, {
"reference": "urn:uuid:c04b9e72-3571-7d0f-8fc8-7c904d2acfc5"
}, {
"reference": "urn:uuid:8c7a58d8-bae7-dd43-512b-9d48a13e07c8"
}, {
"reference": "urn:uuid:0e9fe320-a70e-0b0e-bff4-094631318a40"
}, {
"reference": "urn:uuid:1ade46d6-e748-dcdc-ffb2-05d328eeeb21"
}, {
"reference": "urn:uuid:d8294dad-735b-0680-012c-67717c3ad3e6"
}, {
"reference": "urn:uuid:18ef69b9-e1e8-c21c-907f-726cfa822b7e"
}, {
"reference": "urn:uuid:e2615888-6469-29aa-ba13-57c4088f1591"
}, {
"reference": "urn:uuid:5deb74a9-3a33-1407-14e9-5729a3a70907"
}, {
"reference": "urn:uuid:a243698e-8769-3c51-1b58-11286c347332"
}, {
"reference": "urn:uuid:20f2662c-aeee-4693-472d-7ddef600b5c3"
}, {
"reference": "urn:uuid:e68f0355-2b1f-409f-3444-00e7f15028dd"
}, {
"reference": "urn:uuid:f25ca5bc-ecee-eab3-7d83-37f848e1d1ab"
}, {
"reference": "urn:uuid:ca457f56-043b-c87e-5266-82630266cbff"
}, {
"reference": "urn:uuid:931298fe-7aaa-f460-c478-0bebefd69f06"
}, {
"reference": "urn:uuid:09a23abb-7438-89a6-0ff5-fba5009fbe11"
}, {
"reference": "urn:uuid:62504b2f-2d96-94c2-3311-22bf40f72b1b"
}, {
"reference": "urn:uuid:42719614-1a13-01c5-6d86-d87672b539b8"
}, {
"reference": "urn:uuid:ee894c2f-6793-ff3b-0048-e58811a71200"
}, {
"reference": "urn:uuid:1329e6ae-5278-8856-4d15-ba22dc1a752a"
}, {
"reference": "urn:uuid:ee1b20b3-04f1-702d-9b37-aa8b7d728c27"
}, {
"reference": "urn:uuid:a3b885aa-a470-43bd-ca9b-41af47c16641"
}, {
"reference": "urn:uuid:4062b739-086e-ee5c-93e6-12a09cfed494"
}, {
"reference": "urn:uuid:4219fe29-b9ef-c3c9-9f0c-dda79f78e23a"
}, {
"reference": "urn:uuid:d3614eaa-bff8-642d-6b8e-e0c4eec5cb05"
}, {
"reference": "urn:uuid:3b750f8e-db1e-34c1-42b4-f8adf3f59d4b"
}, {
"reference": "urn:uuid:a4752790-5403-9582-f3e1-84080eacfa1b"
}, {
"reference": "urn:uuid:a8628388-7da2-fa0a-89d0-7d7e69bd5f8e"
}, {
"reference": "urn:uuid:53ffb26b-02c3-992c-3804-c1e02f654313"
}, {
"reference": "urn:uuid:b3026372-4f5e-fb9f-85a1-59faf23c1d08"
}, {
"reference": "urn:uuid:2ba7f1cc-f44e-13ae-0d02-21091e04c373"
}, {
"reference": "urn:uuid:067bd1c3-4c92-472a-d63d-3c62277c553e"
}, {
"reference": "urn:uuid:f5f52d21-97de-417c-7ed4-f9cdece7cadf"
}, {
"reference": "urn:uuid:7f859109-becf-542a-cbd0-a550bd34b6d2"
}, {
"reference": "urn:uuid:e7c18b53-dccb-394c-8c6e-a29d87929307"
}, {
"reference": "urn:uuid:68fa4855-87f5-2267-3631-2a59f7dbd8b7"
}, {
"reference": "urn:uuid:83912b77-4b0f-f26e-9408-9f8ae0ea5d37"
}, {
"reference": "urn:uuid:559b1c60-f18a-b233-9ec8-25e86914cfc5"
}, {
"reference": "urn:uuid:8fc998fa-2100-57ed-1dc6-63bf7198ee16"
}, {
"reference": "urn:uuid:da5a189f-b3ce-c7c0-9f0b-5d0f9a24f245"
}, {
"reference": "urn:uuid:9e1ed66a-0287-4867-a3e7-169b1188ac95"
}, {
"reference": "urn:uuid:207208ec-2a12-cdd8-7c5b-dbfffb1505cb"
}, {
"reference": "urn:uuid:e3e0a021-6513-0acd-d19f-63887281ec4f"
}, {
"reference": "urn:uuid:3c7a31e2-18c6-0e33-ae9c-8d91d80f05b2"
}, {
"reference": "urn:uuid:26c1c8dc-2057-8a67-43f0-f7a5061041ed"
}, {
"reference": "urn:uuid:2e23026f-2d2c-681d-0cd5-f671a3a6e90c"
}, {
"reference": "urn:uuid:520d9735-e6b3-c2df-d698-166317b1ac9f"
}, {
"reference": "urn:uuid:1a57a3cd-2847-698b-d2da-bd2ec6888df6"
}, {
"reference": "urn:uuid:f021b3e7-1923-d478-0155-648b29962654"
}, {
"reference": "urn:uuid:23050e87-929c-204d-ae11-524b8c76bee0"
}, {
"reference": "urn:uuid:63e42ee6-fe3b-00aa-321a-dcad98c843c2"
}, {
"reference": "urn:uuid:0a3de295-8d4d-b14c-4797-7ec8b609071a"
}, {
"reference": "urn:uuid:885c3ec6-5e67-5c54-6cc3-915bdf40a9e0"
}, {
"reference": "urn:uuid:3792ed1a-bba8-c254-1735-9fc092423ac0"
}, {
"reference": "urn:uuid:bf53f0d4-7b2f-8552-3fca-959ed5f525fe"
}, {
"reference": "urn:uuid:f3670409-cb7b-ccdc-b263-439f78029142"
}, {
"reference": "urn:uuid:d5d9ba13-0224-4c51-d0fe-858aefde9429"
}, {
"reference": "urn:uuid:c51cc5b0-9781-8205-269c-c648e3d08f29"
}, {
"reference": "urn:uuid:9a8b8cd6-b413-103d-3ba5-7b2ffdb29673"
}, {
"reference": "urn:uuid:d5bfa52d-e0a5-c93f-28e6-239da218f8c8"
}, {
"reference": "urn:uuid:7da4bb9a-ef90-fdeb-838b-b2e041fd6a87"
}, {
"reference": "urn:uuid:a13f1674-020b-e292-c547-d9ce2f89db60"
}, {
"reference": "urn:uuid:0d61baa2-9e35-896c-e6ad-8eaafef54fbd"
}, {
"reference": "urn:uuid:89d41288-5d2b-afd5-e0cd-8aa5fec05421"
}, {
"reference": "urn:uuid:4ee878b7-3675-cf1e-2d0a-914d8bfbab24"
}, {
"reference": "urn:uuid:c6fb0757-73ea-c6b2-d878-77085f01d399"
}, {
"reference": "urn:uuid:c579b49e-aaea-dded-bd0c-754631201032"
}, {
"reference": "urn:uuid:a3cd543d-7805-f252-9ac1-b59ee220df07"
}, {
"reference": "urn:uuid:0b238a28-0f60-e9fc-3c19-2525e6fe0008"
}, {
"reference": "urn:uuid:b66e558d-9c35-f9f9-defc-52586186928f"
}, {
"reference": "urn:uuid:68a76855-1385-1dd8-ed6c-1999836b7402"
}, {
"reference": "urn:uuid:01e8d3ce-8fe2-2919-3f13-511cc8740ecd"
}, {
"reference": "urn:uuid:e3bf36e0-9597-f053-53a5-ef0e08a3d258"
} ],
"recorded": "2023-09-07T18:51:00.931+02:00",
"agent": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code": "author",
"display": "Author"
} ],
"text": "Author"
},
"who": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
},
"onBehalfOf": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
}, {
"type": {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
"code": "transmitter",
"display": "Transmitter"
} ],
"text": "Transmitter"
},
"who": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999957696",
"display": "Dr. Ellis535 Ernser583"
},
"onBehalfOf": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|907b1d2f-2bf8-31b5-abc2-14d6b75faa96",
"display": "ASSABET FAMILY PODIATRY, INC"
}
} ]
},
"request": {
"method": "POST",
"url": "Provenance"
}
} ]
}