<Bundle xmlns="http://hl7.org/fhir">
  <id value="DiabetesPreventionReferralRequestMessageBundle-A" />
  <meta>
    <versionId value="3" />
    <lastUpdated value="2019-01-12T17:49:02.000+00:00" />
    <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/DiabetesPreventionReferralRequestMessageBundle" />
  </meta>
  <type value="message" />
  <entry>
    <fullUrl value="urn:uuid:fc5857a1-98cb-4d3d-b6a0-fa0c18b3057d" />
    <resource>
      <MessageHeader xmlns="http://hl7.org/fhir">
        <!--MessageHeaderInitiator-->
        <id value="fc5857a1-98cb-4d3d-b6a0-fa0c18b3057d" />
        <event>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0003" />
          <code value="I12" />
          <display value="Referral Request" />
        </event>
        <receiver>
          <!--PractitionerRole/ReferralRecipient goes directluy tp Practioner-->
          <extension url="https://eip-fhir.experimental.aimsplatform.com/hapi-fhir/baseDstu3/StructureDefinition/Practioner-Role">
            <valueReference>
              <reference value="urn:uuid:ffa2bf53-ee09-43a1-b11a-73ed0f1cd73b" />
            </valueReference>
          </extension>
          <reference value="urn:uuid:421269ad-abef-49bc-8cac-d3a5d4b00299" />
        </receiver>
        <sender>
          <!--PractitionerRole/ReferralInitiator-->
          <extension url="https://eip-fhir.experimental.aimsplatform.com/hapi-fhir/baseDstu3/StructureDefinition/Practioner-Role">
            <valueReference>
              <reference value="urn:uuid:538791da-3555-460e-9e7f-76d25988a546" />
            </valueReference>
          </extension>
          <reference value="urn:uuid:598af951-66e4-4910-a964-7e41533b183c" />
        </sender>
        <timestamp value="2018-12-11T05:05:11Z" />
        <source>
          <name value="Centricity" />
          <endpoint value="https://apisandbox.gehealthcare.com:9443/demoAPIServer" />
        </source>
        <reason>
          <coding>
            <system value="https://www.hl7.org/fhir/valueset-message-reason-encounter.html" />
            <code value="class-enroll" />
            <display value="Enroll in Class" />
          </coding>
        </reason>
        <focus>
          <!-- ReferralRequest1 -->
          <reference value="urn:uuid:1b82e7bd-27bb-49bd-a404-0e5a7d2fa98c" />
        </focus>
      </MessageHeader>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:1b82e7bd-27bb-49bd-a404-0e5a7d2fa98c" />
    <resource>
      <ReferralRequest xmlns="http://hl7.org/fhir">
        <!-- ReferralRequest1 -->
        <id value="1b82e7bd-27bb-49bd-a404-0e5a7d2fa98c" />
        <meta>
          <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeRReferralRequest" />
        </meta>
        <identifier>
          <value value="71949668" />
        </identifier>
        <status value="active" />
        <intent value="order" />
        <serviceRequested>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="385804009" />
            <display value="Diabetes care" />
          </coding>
        </serviceRequested>
        <subject>
          <reference value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8" />
        </subject>
        <authoredOn value="2018-12-11" />
        <requester>
          <agent>
            <extension url="https://eip-fhir.experimental.aimsplatform.com/hapi-fhir/baseDstu3/StructureDefinition/Practioner-Role">
              <valueReference>
                <reference value="urn:uuid:538791da-3555-460e-9e7f-76d25988a546" />
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            </extension>
            <reference value="urn:uuid:598af951-66e4-4910-a964-7e41533b183c" />
          </agent>
        </requester>
        <recipient>
          <extension url="https://eip-fhir.experimental.aimsplatform.com/hapi-fhir/baseDstu3/StructureDefinition/Practioner-Role">
            <valueReference>
              <reference value="urn:uuid:ffa2bf53-ee09-43a1-b11a-73ed0f1cd73b" />
            </valueReference>
          </extension>
          <reference value="urn:uuid:421269ad-abef-49bc-8cac-d3a5d4b00299" />
        </recipient>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="15777000" />
            <display value="Prediabetes" />
          </coding>
        </reasonCode>
        <supportingInfo>
          <!-- ReferralRequestSupportingBundle -->
          <reference value="urn:uuid:0bdbb1e5-5016-4291-8249-d16d8d07181f" />
        </supportingInfo>
        <supportingInfo>
          <!-- ReferralRequestSupportingBundle -->
          <reference value="urn:uuid:29be9d88-0027-4f02-9b2c-f7a27aaaf10b" />
        </supportingInfo>
        <supportingInfo>
          <!-- ReferralRequestSupportingBundle -->
          <reference value="urn:uuid:22449d51-3d71-49bd-a79a-c1f7557e09ef" />
        </supportingInfo>
      </ReferralRequest>
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  </entry>
  <entry>
    <fullUrl value="urn:uuid:ffa2bf53-ee09-43a1-b11a-73ed0f1cd73b" />
    <resource>
      <PractitionerRole xmlns="http://hl7.org/fhir">
        <!--ReferralRecipient-->
        <id value="ffa2bf53-ee09-43a1-b11a-73ed0f1cd73b" />
        <practitioner>
          <!-- Practitioner2 -->
          <reference value="urn:uuid:421269ad-abef-49bc-8cac-d3a5d4b00299" />
        </practitioner>
        <organization>
          <reference value="urn:uuid:f5db0002-3a69-472b-9263-be8d977fdaff" />
        </organization>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/practitioner-role" />
            <code value="doctor" />
            <display value="Doctor" />
          </coding>
        </code>
        <location>
          <reference value="urn:uuid:17d9e3c9-a6a8-4550-b4db-d6f5a453d983" />
        </location>
      </PractitionerRole>
    </resource>
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  <entry>
    <fullUrl value="urn:uuid:538791da-3555-460e-9e7f-76d25988a546" />
    <resource>
      <PractitionerRole xmlns="http://hl7.org/fhir">
        <!-- ReferralInitiator -->
        <id value="538791da-3555-460e-9e7f-76d25988a546" />
        <meta>
          <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/ReferralInitiatorPractitionerRole" />
        </meta>
        <practitioner>
          <reference value="urn:uuid:598af951-66e4-4910-a964-7e41533b183c" />
        </practitioner>
        <organization>
          <reference value="urn:uuid:e6d1abc8-595f-41ab-a6dc-13a034d3fac7" />
        </organization>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/practitioner-role" />
            <code value="doctor" />
            <display value="Doctor" />
          </coding>
        </code>
        <location>
          <!-- urn:uuid:ServiceDeliveryLocationInitiator-->
          <reference value="urn:uuid:25fa3dbc-dc9e-42c2-b681-0352765645af" />
        </location>
      </PractitionerRole>
    </resource>
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  <entry>
    <fullUrl value="urn:uuid:421269ad-abef-49bc-8cac-d3a5d4b00299" />
    <resource>
      <Practitioner xmlns="http://hl7.org/fhir">
        <!-- Practitioner2 -->
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        <meta>
          <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/PractitionerPerson" />
        </meta>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.4.6" />
          <value value="1972548287" />
        </identifier>
        <name>
          <family value="Liyanage" />
          <given value="Udaya" />
          <prefix value="Dr." />
        </name>
        <telecom>
          <system value="phone" />
          <value value="(618) 942-2002" />
          <use value="work" />
        </telecom>
        <address>
          <line value="220 S PARK AVE " />
          <city value="HERRIN" />
          <state value="IL" />
          <postalCode value="62948" />
        </address>
      </Practitioner>
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  <entry>
    <fullUrl value="urn:uuid:25fa3dbc-dc9e-42c2-b681-0352765645af" />
    <resource>
      <Location xmlns="http://hl7.org/fhir">
        <!-- ServiceDeliveryLocationInitiator -->
        <id value="25fa3dbc-dc9e-42c2-b681-0352765645af" />
        <meta>
          <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/ServiceDeliveryLocation" />
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        <identifier>
          <system value="urn:oid:2.16.840.1.113883.4.6" />
          <value value="1659603009" />
        </identifier>
        <name value="Alliance Of Chicago Therapeutic Services and Supplies" />
        <type>
          <coding>
            <system value="http://hl7.org/CodeSystem/organization-type" />
            <code value="prov" />
            <display value="Healthcare Provider" />
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        <telecom>
          <system value="phone" />
          <value value="(909) 427-5000" />
          <use value="work" />
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        <address>
          <use value="work" />
          <line value="2800 W PETERSON AVE" />
          <city value="Chicago" />
          <state value="IL" />
          <postalCode value="60659" />
          <country value="USA" />
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    <fullUrl value="urn:uuid:17d9e3c9-a6a8-4550-b4db-d6f5a453d983" />
    <resource>
      <Location xmlns="http://hl7.org/fhir">
        <!-- ServiceDeliveryLocationRecipient-->
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        <meta>
          <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/ServiceDeliveryLocation" />
        </meta>
        <identifier>
          <system value="urn:oid:2.16.840.1.113883.4.6" />
          <value value="1215372123" />
        </identifier>
        <name value="YMCA of Metropolitan Chicago" />
        <type>
          <coding>
            <system value="http://hl7.org/CodeSystem/organization-type" />
            <code value="prov" />
            <display value="Healthcare Provider" />
          </coding>
        </type>
        <telecom>
          <system value="phone" />
          <value value="(909) 427-5000" />
          <use value="work" />
        </telecom>
        <address>
          <use value="work" />
          <line value="1030 W Van Buren St" />
          <city value="Chicago" />
          <state value="IL" />
          <postalCode value="60607" />
          <country value="USA" />
        </address>
      </Location>
    </resource>
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  <entry>
    <fullUrl value="urn:uuid:598af951-66e4-4910-a964-7e41533b183c" />
    <resource>
      <Practitioner xmlns="http://hl7.org/fhir">
        <!-- Practitioner1 -->
        <id value="598af951-66e4-4910-a964-7e41533b183c" />
        <meta>
          <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/PractitionerPerson" />
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        <identifier>
          <system value="urn:oid:2.16.840.1.113883.4.6" />
          <value value="1063784882" />
        </identifier>
        <name>
          <family value="Heard" />
          <given value="Elisa" />
          <prefix value="Dr." />
        </name>
        <telecom>
          <system value="phone" />
          <value value="(847) 548-6000" />
          <use value="work" />
        </telecom>
        <address>
          <line value="18640 West Belvidere Road" />
          <city value="Grayslake" />
          <state value="IL" />
          <postalCode value="60030" />
        </address>
      </Practitioner>
    </resource>
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  <entry>
    <fullUrl value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8" />
    <resource>
      <Patient xmlns="http://hl7.org/fhir">
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        <meta>
          <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/PatientRole" />
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        <identifier>
          <type>
            <coding>
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              <code value="MR" />
              <display value="Medical Record Number" />
            </coding>
          </type>
          <system value="urn:oid:2.16.840.1.113883.4.3.17" />
          <value value="F255-9215-0094" />
        </identifier>
        <name>
          <use value="official" />
          <family value="Beal" />
          <given value="Bradley" />
        </name>
        <telecom>
          <system value="phone" />
          <value value="(999) 607-2500" />
        </telecom>
        <gender value="male" />
        <birthDate value="1950-03-22" />
        <address>
          <line value="609 Lizeth Streets" />
          <city value="Chicago" />
          <state value="IL" />
          <postalCode value="60609" />
        </address>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47" />
              <code value="en-US" />
              <display value="English (United States)" />
            </coding>
          </language>
          <preferred value="true" />
        </communication>
      </Patient>
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  <entry>
    <fullUrl value="urn:uuid:29be9d88-0027-4f02-9b2c-f7a27aaaf10b" />
    <resource>
      <Observation xmlns="http://hl7.org/fhir">
        <id value="29be9d88-0027-4f02-9b2c-f7a27aaaf10b" />
        <status value="final" />
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="80913-7" />
            <display value="Highest level of education" />
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8" />
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        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/v3/EducationLevel/vs.html" />
            <code value="BD" />
            <display value="College or baccalaureate degree complete" />
          </coding>
        </valueCodeableConcept>
      </Observation>
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  <entry>
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    <resource>
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        <id value="22449d51-3d71-49bd-a79a-c1f7557e09ef" />
        <status value="final" />
        <code>
          <coding>
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            <code value="74165-2" />
            <display value="History of employment status" />
          </coding>
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        <subject>
          <reference value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8" />
        </subject>
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/v2-0066" />
            <code value="1" />
            <display value="Full time employed" />
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  <entry>
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            <system value="http://hl7.org/CodeSystem/organization-type" />
            <code value="prov" />
            <display value="Healthcare Provider" />
          </coding>
        </type>
        <name value="Alliance Of Chicago Therapeutic Services and Supplies" />
        <telecom>
          <system value="phone" />
          <value value="(773)-661-4499" />
        </telecom>
        <address>
          <use value="work" />
          <line value="2800 W PETERSON AVE" />
          <city value="Chicago" />
          <state value="IL" />
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          <country value="USA" />
        </address>
      </Organization>
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  <entry>
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    <resource>
      <Organization xmlns="http://hl7.org/fhir">
        <!-- OrganizationEntity2 -->
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            <code value="prov" />
            <display value="Healthcare Provider" />
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        <telecom>
          <system value="phone" />
          <value value="(909) 427-5000" />
          <use value="work" />
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        <address>
          <use value="work" />
          <line value="1030 W Van Buren St" />
          <city value="Chicago" />
          <state value="IL" />
          <postalCode value="60607" />
          <country value="USA" />
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  <entry>
    <fullUrl value="urn:uuid:0bdbb1e5-5016-4291-8249-d16d8d07181f" />
    <resource>
      <!-- Support Bundle Starts Here -->
      <Bundle xmlns="http://hl7.org/fhir">
        <!-- DiabetesRequestSupportBundle -->
        <id value="0bdbb1e5-5016-4291-8249-d16d8d07181f" />
        <meta>
          <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/DiabetesRequestSupportBundle" />
        </meta>
        <type value="collection" />
        <entry>
          <fullUrl value="urn:uuid:f08e2abf-30c5-49b0-9ada-105d52204ca6" />
          <resource>
            <Observation xmlns="http://hl7.org/fhir">
              <!-- BodyMassIndexObservation1 -->
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              <meta>
                <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/BodyMassIndexObservation" />
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              <status value="final" />
              <category>
                <coding>
                  <system value="http://hl7.org/fhir/observation-category" />
                  <code value="vital-signs" />
                  <display value="Vital Signs" />
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              </category>
              <code>
                <coding>
                  <system value="http://loinc.org" />
                  <code value="39156-5" />
                  <display value="Body mass index (BMI) [Ratio]" />
                </coding>
              </code>
              <subject>
                <reference value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8" />
              </subject>
              <effectiveDateTime value="2018-12-11" />
              <valueQuantity>
                <value value="31.2" />
                <unit value="kg/m2" />
                <system value="http://unitsofmeasure.org" />
                <code value="kg/m2" />
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        <entry>
          <fullUrl value="urn:uuid:6f99e55a-66a7-453f-b78f-e6821dc5e556" />
          <resource>
            <Observation xmlns="http://hl7.org/fhir">
              <!-- BodyWeightObservation1 -->
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              <meta>
                <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/BodyWeightObservation" />
              </meta>
              <status value="final" />
              <category>
                <coding>
                  <system value="http://hl7.org/fhir/observation-category" />
                  <code value="vital-signs" />
                  <display value="Vital Signs" />
                </coding>
              </category>
              <code>
                <coding>
                  <system value="http://loinc.org" />
                  <code value="29463-7" />
                  <display value="Body Weight" />
                </coding>
              </code>
              <subject>
                <reference value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8" />
              </subject>
              <effectiveDateTime value="2018-12-11" />
              <valueQuantity>
                <value value="105" />
                <unit value="kg" />
                <system value="http://unitsofmeasure.org" />
                <code value="kg" />
              </valueQuantity>
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          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:cc841086-4f22-4b92-8ab4-4446fc506ebf" />
          <resource>
            <Observation xmlns="http://hl7.org/fhir">
              <!-- HemoglobinA1cObservation1 -->
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              <meta>
                <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/A1cObservation" />
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              <status value="final" />
              <category>
                <coding>
                  <system value="http://hl7.org/fhir/observation-category" />
                  <code value="vital-signs" />
                  <display value="Vital Signs" />
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              </category>
              <code>
                <coding>
                  <system value="http://loinc.org" />
                  <code value="4548-4" />
                  <display value="Hemoglobin A1c/​Hemoglobin.total in Blood" />
                </coding>
              </code>
              <subject>
                <reference value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8" />
              </subject>
              <effectiveDateTime value="2018-12-11" />
              <valueQuantity>
                <value value="128" />
                <unit value="mg/dL" />
                <system value="http://unitsofmeasure.org" />
                <code value="mg/dL" />
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            </Observation>
          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:f4faa626-d79e-4b5b-b898-57f25c9dca0b" />
          <resource>
            <Observation xmlns="http://hl7.org/fhir">
              <!--  BodyHeightObservation1 -->
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              <meta>
                <profile value="http://hl7.org/fhir/us/bser/StructureDefinition/BodyHeightObservation" />
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              <status value="final" />
              <category>
                <coding>
                  <system value="http://hl7.org/fhir/observation-category" />
                  <code value="vital-signs" />
                  <display value="Vital Signs" />
                </coding>
              </category>
              <code>
                <coding>
                  <system value="http://loinc.org" />
                  <code value="8302-2" />
                  <display value="Body height" />
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              </code>
              <subject>
                <reference value="urn:uuid:cec258d7-a76a-4a1d-bc4c-c656b0a5d6f8" />
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</Bundle>