< Bundle xmlns = " http://hl7.org/fhir " >
< id value = " a3e5fe1d-4de9-4efa-b266-ee2b6c52ca55 " />
< profile value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Bundle " />
</ meta >
< system value = " http://ex-erec-identifier-system.org " />
< value value = " a3e5fe1d-4de9-4efa-b266-ee2b6c52ca55 " />
</ identifier >
< timestamp value = " 2024-10-26T12:00:00.0000+00:00 " />
< fullUrl value = " urn:uuid:39c91da6-2495-49e4-b465-6647b78395eb " />
< MessageHeader >
< id value = " 39c91da6-2495-49e4-b465-6647b78395eb " />
< profile value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-MessageHeader " />
</ meta >
< system value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/message-event-code " />
< code value = " send-communication-from-requester " />
</ eventCoding >
< name value = " RMS Target " />
< endpoint value = " http://rmstarget.org/fhir/$process-message " />
</ destination >
< reference value = " urn:uuid:4db13666-e169-4c36-a7d4-f6b351077219 " />
< system value = " http://first-provider-system-uri.ca " />
< value value = " practitioner-role-id " />
</ identifier >
</ author >
< endpoint value = " http://rmssource.org/fhir/$process-message " />
</ source >
< reference value = " urn:uuid:90ad1e9a-e9c0-441d-b6c8-4c75341d2973 " />
</ focus >
</ MessageHeader >
</ resource >
</ entry >
< fullUrl value = " urn:uuid:90ad1e9a-e9c0-441d-b6c8-4c75341d2973 " />
< Communication >
< id value = " 90ad1e9a-e9c0-441d-b6c8-4c75341d2973 " />
< profile value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Communication " />
</ meta >
< reference value = " urn:uuid:210ee385-d398-4209-8dfc-958a3a204bcd " />
< system value = " http://example-identifier-system-uri.ca " />
< value value = " serviceRequest-id " />
</ identifier >
</ basedOn >
< reference value = " urn:uuid:065ce9b1-4809-41a9-b6d1-e5b4a22a41db " />
</ inResponseTo >
< system value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-category " />
< display value = " General Communication " />
</ coding >
< text value = " General Communication " />
</ category >
< reference value = " urn:uuid:133ad6bf-e865-4761-a21f-79d020b07acf " />
< system value = " http://first-patient-system-uri.ca " />
< value value = " 9999999 " />
</ identifier >
</ subject >
< sent value = " 2024-10-26T12:00:00Z " />
< reference value = " urn:uuid:4db13666-e169-4c36-a7d4-f6b351077219 " />
</ sender >
< contentString value = " An updated ServiceRequest that includes the requested clinical information will be sent shortly. " />
</ payload >
</ Communication >
</ resource >
</ entry >
< fullUrl value = " urn:uuid:210ee385-d398-4209-8dfc-958a3a204bcd " />
< ServiceRequest >
< id value = " 210ee385-d398-4209-8dfc-958a3a204bcd " />
< profile value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ServiceRequest " />
</ meta >
< system value = " http://example-identifier-system-uri.ca " />
< value value = " serviceRequest-id " />
</ identifier >
< system value = " http://snomed.info/sct " />
< code value = " 408879002 " />
< display value = " Gastric care management " />
</ coding >
< text value = " Gastic care management " />
</ category >
< system value = " http://snomed.info/sct " />
< code value = " 118155006 " />
< display value = " Gastrointestinal tract endoscopy (procedure) " />
</ coding >
< text value = " Gastrointestinal tract endoscopy (procedure) " />
</ code >
< reference value = " urn:uuid:133ad6bf-e865-4761-a21f-79d020b07acf " />
< system value = " http://first-patient-system-uri.ca " />
< value value = " 9999999 " />
</ identifier >
</ subject >
< reference value = " urn:uuid:4db13666-e169-4c36-a7d4-f6b351077219 " />
< system value = " http://first-provider-system-uri.ca " />
< value value = " practitioner-role-id " />
</ identifier >
</ requester >
< reference value = " urn:uuid:5c8926df-537c-4a71-b183-e30d15b05312 " />
< system value = " http://healthcareservice-system-uri.ca " />
< value value = " service-id " />
</ identifier >
</ performer >
< system value = " http://snomed.info/sct " />
< code value = " 84642008 " />
< display value = " Chronic regurgitation (finding) " />
</ coding >
< text value = " Chronic regurgitation (finding) " />
</ reasonCode >
< reference value = " urn:uuid:79b2cbd2-7d38-42d2-8b99-f3004ce7e04f " />
</ supportingInfo >
< text value = " Patient has a transportation risk factor that should be considered with booking. " />
</ note >
</ ServiceRequest >
</ resource >
</ entry >
< fullUrl value = " urn:uuid:065ce9b1-4809-41a9-b6d1-e5b4a22a41db " />
< Communication >
< id value = " 065ce9b1-4809-41a9-b6d1-e5b4a22a41db " />
< profile value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Communication " />
</ meta >
< system value = " http://example-identifier-system-uri.ca " />
< value value = " serviceRequest-id " />
</ identifier >
</ basedOn >
< system value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-category " />
< display value = " Request for Information " />
</ coding >
< text value = " Request for Information " />
</ category >
< system value = " http://first-patient-system-uri.ca " />
< value value = " 9999999 " />
</ identifier >
</ subject >
< sent value = " 2024-10-26T00:00:00Z " />
< received value = " 2024-10-26T00:01:00Z " />
< reference value = " urn:uuid:7aaefa90-f5c9-45fd-8358-327b16c005d0 " />
</ sender >
< contentString value = " Please share a copy of the referral form or patient summary to fully assist in the clinical triage of this case. " />
</ payload >
</ Communication >
</ resource >
</ entry >
< fullUrl value = " urn:uuid:7aaefa90-f5c9-45fd-8358-327b16c005d0 " />
< PractitionerRole >
< id value = " 7aaefa90-f5c9-45fd-8358-327b16c005d0 " />
< profile value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-PractitionerRole " />
</ meta >
< reference value = " urn:uuid:3d10be50-522b-4dd2-b741-8c7396888cf5 " />
</ practitioner >
< reference value = " urn:uuid:b8d7d68b-3f0e-4ba3-938b-67cc019ab589 " />
</ organization >
< system value = " http://terminology.hl7.org/CodeSystem/practitioner-role " />
</ coding >
</ code >
< system value = " http://snomed.info/sct " />
< code value = " 394584008 " />
< display value = " Gastroenterology " />
</ coding >
< text value = " Gastroenterology " />
</ specialty >
< reference value = " urn:uuid:31294119-fcbc-48b2-9d8d-eb5fa27e6caf " />
</ location >
< value value = " 555-555-1212 " />
</ telecom >
</ PractitionerRole >
</ resource >
</ entry >
< fullUrl value = " urn:uuid:3d10be50-522b-4dd2-b741-8c7396888cf5 " />
< Practitioner >
< id value = " 3d10be50-522b-4dd2-b741-8c7396888cf5 " />
< profile value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Practitioner " />
</ meta >
< system value = " http://performer-system-uri.ca " />
< value value = " performer-id " />
</ identifier >
< text value = " Elizabeth Jones " />
< given value = " Elizabeth " />
</ name >
</ Practitioner >
</ resource >
</ entry >
< fullUrl value = " urn:uuid:b8d7d68b-3f0e-4ba3-938b-67cc019ab589 " />
< Organization >
< id value = " b8d7d68b-3f0e-4ba3-938b-67cc019ab589 " />
< profile value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Organization " />
</ meta >
< system value = " http://terminology.hl7.org/CodeSystem/organization-type " />
< display value = " Healthcare Provider " />
</ coding >
< text value = " Healthcare Provider " />
</ type >
< name value = " Fictional Provider Organization " />
</ Organization >
</ resource >
</ entry >
< fullUrl value = " urn:uuid:31294119-fcbc-48b2-9d8d-eb5fa27e6caf " />
< Location >
< id value = " 31294119-fcbc-48b2-9d8d-eb5fa27e6caf " />
< profile value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Location " />
</ meta >
< system value = " http://performer-system-uri.ca " />
</ identifier >
< name value = " Fictional Gastroenterology Clinic " />
< system value = " http://terminology.hl7.org/CodeSystem/v3-RoleCode " />
< display value = " Gastroenterology Clinic " />
</ coding >
< text value = " Gastroenterology Clinic " />
</ type >
< value value = " 555-555-1212 " />
</ telecom >
< text value = " 1000 Paisley St, Guelph, ON N1H 2P3, Canada " />
</ address >
</ Location >
</ resource >
</ entry >
< fullUrl value = " urn:uuid:133ad6bf-e865-4761-a21f-79d020b07acf " />
< Patient >
< id value = " 133ad6bf-e865-4761-a21f-79d020b07acf " />
< profile value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Patient " />
</ meta >
< system value = " http://terminology.hl7.org/CodeSystem/v2-0203 " />
</ coding >
</ type >
< system value = " http://first-patient-system-uri.ca " />
< value value = " 9999999 " />
</ identifier >
</ name >
< value value = " 555-555-5555 " />
</ telecom >
< text value = " 1171 King St S, Waterloo, ON N2J 1P9, Canada " />
</ address >
</ Patient >
</ resource >
</ entry >
< fullUrl value = " urn:uuid:4db13666-e169-4c36-a7d4-f6b351077219 " />
< PractitionerRole >
< id value = " 4db13666-e169-4c36-a7d4-f6b351077219 " />
< profile value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-PractitionerRole " />
</ meta >
< reference value = " urn:uuid:1505ac3a-9774-49cd-890b-ed12dbb0d4d6 " />
</ practitioner >
< reference value = " urn:uuid:cd6741d1-8f6e-47ac-b73b-dfc7b1d4ed9b " />
</ organization >
< system value = " http://terminology.hl7.org/CodeSystem/practitioner-role " />
</ coding >
</ code >
< system value = " http://snomed.info/sct " />
< code value = " 394814009 " />
< display value = " General practice (specialty) " />
</ coding >
< text value = " General Practice " />
</ specialty >
< reference value = " urn:uuid:8d32678f-ef77-4247-89e3-4fdf4bd16e10 " />
</ location >
< value value = " 555-555-3447 " />
</ telecom >
</ PractitionerRole >
</ resource >
</ entry >
< fullUrl value = " urn:uuid:1505ac3a-9774-49cd-890b-ed12dbb0d4d6 " />
< Practitioner >
< id value = " 1505ac3a-9774-49cd-890b-ed12dbb0d4d6 " />
< profile value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Practitioner " />
</ meta >
< system value = " http://first-provider-system-uri.ca " />
< value value = " practitioner-id " />
</ identifier >
< text value = " Howard Allan " />
</ name >
</ Practitioner >
</ resource >
</ entry >
< fullUrl value = " urn:uuid:cd6741d1-8f6e-47ac-b73b-dfc7b1d4ed9b " />
< Organization >
< id value = " cd6741d1-8f6e-47ac-b73b-dfc7b1d4ed9b " />
< profile value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Organization " />
</ meta >
< system value = " http://terminology.hl7.org/CodeSystem/organization-type " />
< display value = " Healthcare Provider " />
</ coding >
< text value = " Healthcare Provider " />
</ type >
< name value = " Fictional Custodian Organization " />
</ Organization >
</ resource >
</ entry >
< fullUrl value = " urn:uuid:8d32678f-ef77-4247-89e3-4fdf4bd16e10 " />
< Location >
< id value = " 8d32678f-ef77-4247-89e3-4fdf4bd16e10 " />
< profile value = " http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Location " />
</ meta >
< system value = " http://third-system-uri.ca " />
< value value = " location-id " />
</ identifier >
< name value = " Fictional Custodian Organization " />
< system value = " http://terminology.hl7.org/CodeSystem/v3-RoleCode " />
< display value = " Primary care clinic " />
</ coding >
< text value = " Primary care clinic " />
</ type >
< value value = " 555-555-3448 " />
</ telecom >
< text value = " 375 University Ave E, Waterloo, ON N2K 3M7, Canada " />
< city value = " Waterloo " />
</ address >
</ Location >
</ resource >
</ entry >
< fullUrl value = " urn:uuid:79b2cbd2-7d38-42d2-8b99-f3004ce7e04f " />
< Condition >
< id value = " 79b2cbd2-7d38-42d2-8b99-f3004ce7e04f " />
< profile value = " http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/condition-ca-ps " />
</ meta >
< system value = " http://terminology.hl7.org/CodeSystem/condition-clinical " />
</ coding >
</ clinicalStatus >
< system value = " http://loinc.org " />
</ coding >
< system value = " http://terminology.hl7.org/CodeSystem/condition-category " />
< code value = " problem-list-item " />
< display value = " Problem List Item " />
</ coding >
</ category >
< system value = " http://snomed.info/sct " />
< display value = " Moderate (severity modifier) " />
</ coding >
</ severity >
< system value = " http://snomed.info/sct " />
< code value = " 84642008 " />
< display value = " Chronic regurgitation (finding) " />
</ coding >
< text value = " Chronic regurgitation (finding) " />
</ code >
< reference value = " urn:uuid:133ad6bf-e865-4761-a21f-79d020b07acf " />
</ subject >
</ Condition >
</ resource >
</ entry >
< fullUrl value = " urn:uuid:5c8926df-537c-4a71-b183-e30d15b05312 " />
< HealthcareService >
< id value = " 5c8926df-537c-4a71-b183-e30d15b05312 " />
< system value = " http://healthcareservice-system-uri.ca " />
< value value = " service-id " />
</ identifier >
< text value = " Gastroenterology " />
</ type >
< name value = " Gastroenterology Specialty Clinic " />
</ HealthcareService >
</ resource >
</ entry >
</ Bundle >