<Bundle xmlns="http://hl7.org/fhir">
    <id value="1F32C748-30B0-49CC-92BD-BC6C5C96BB14" />
    <meta>
        <profile value="http://ehealthontario.ca/fhir/StructureDefinition/eReferralBundle|1.0.0" />
    </meta>
    <type value="message" />
    <timestamp value="2020-10-09T15:21:51.2112Z" />
    <entry>
        <fullUrl value="urn:uuid:926fdf98-962a-44ac-a56b-0ef20f00eba8" />
        <resource>
            <MessageHeader>
                <id value="6bc30c59-c35a-4379-a55d-377e37737b5a" />
                <meta>
                    <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-MessageHeader|1.0.1" />
                </meta>
                <eventCoding>
                    <system value="https://ehealthontario.ca/fhir/CodeSystem/message-event-code" />
                    <code value="notify-data-correction" />
                </eventCoding>
                <destination>
                    <name value="RMS Source" />
                    <endpoint value="http://rmssource.org/fhir/$process-message" />
                </destination>
                <author>
                    <reference value="urn:uuid:86fa8373-34c8-440d-9e8f-832c1a571da8" />
                    <display value="April May" />
                </author>
                <source>
                    <name value="RMS Target" />
                    <software value="Software" />
                    <version value="1.1.0" />
                    <contact>
                        <system value="email" />
                        <value value="tech.support@rmstarget.org" />
                        <rank value="1" />
                    </contact>
                    <endpoint value="http://rmstarget.org/fhir/$process-message" />
                </source>
                <reason>
                    <text value="Corrected patient HCN" />
                </reason>
                <focus>
                    <reference value="urn:uuid:78e70abc-08af-4297-ad24-538ecdf68806" />
                </focus>
                <focus>
                    <reference value="urn:uuid:f94c09a6-9e1c-40ad-9173-b7f020a070cc" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:78e70abc-08af-4297-ad24-538ecdf68806" />
        <resource>
            <ServiceRequest>
                <id value="example-request-for-assessment" />
                <meta>
                    <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-ServiceRequest|1.0.1" />
                </meta>
                <extension url="http://ehealthontario.ca/fhir/StructureDefinition/ext-routing-options">
                    <valueCodeableConcept>
                        <coding>
                            <system value="http://ehealthontario.ca/fhir/CodeSystem/ereferral-source-types" />
                            <code value="DR" />
                            <display value="Referral Source Type - Primary Care Provider" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <identifier>
                    <system value="http://www.rmssource.org/identifiers/ServiceRequest" />
                    <value value="request-for-assessment" />
                </identifier>
                <status value="active" />
                <intent value="proposal" />
                <category>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="424008009" />
                        <display value="Nursing care surveillance" />
                    </coding>
                </category>
                <priority value="routine" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="105385000" />
                        <display value="Full-time nursing care at home by private nurse" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:7f7ad826-f47b-4c18-9d4a-bd3d0988ad3b" />
                </subject>
                <authoredOn value="2020-10-09" />
                <requester>
                    <reference value="urn:uuid:86fa8373-34c8-440d-9e8f-832c1a571da8" />
                    <display value="Dr Jack Jones" />
                </requester>
                <performer>
                    <reference value="http://rmstarget.org/fhir/HealthcareService/16770" />
                </performer>
                <supportingInfo>
                    <reference value="urn:uuid:9cea3cb8-d24f-4be2-acbf-dbc6c3801493" />
                    <display value="Referral Form" />
                </supportingInfo>
            </ServiceRequest>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:f94c09a6-9e1c-40ad-9173-b7f020a070cc" />
        <resource>
            <Patient>
                <id value="7f7ad826-f47b-4c18-9d4a-bd3d0988ad3b" />
                <meta>
                    <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Patient|1.0.1" />
                </meta>
                <identifier>
                    <extension url="http://ehealthontario.ca/fhir/StructureDefinition/ext-id-health-card-version-code">
                        <valueString value="EX" />
                    </extension>
                    <use value="official" />
                    <type>
                        <coding>
                            <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
                            <code value="JHN" />
                        </coding>
                        <text value="Ontario, Canada Personal Health Number" />
                    </type>
                    <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn" />
                    <value value="CHANGED VALUE" />
                </identifier>
                <identifier>
                    <type>
                        <coding>
                            <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
                            <code value="MR" />
                        </coding>
                        <text value="The Hospital" />
                    </type>
                    <system value="http://ehealthontario.ca/fhir/NamingSystem/id-example1-uri" />
                    <value value="ABC12345" />
                </identifier>
                <active value="true" />
                <name>
                    <family value="Doe" />
                    <given value="Jane" />
                </name>
                <telecom>
                    <system value="phone" />
                    <value value="1 (555) 867 5309" />
                    <rank value="1" />
                </telecom>
                <telecom>
                    <system value="email" />
                    <value value="janedoe@example.com" />
                    <rank value="2" />
                </telecom>
                <gender value="female" />
                <birthDate value="1951-02-19" />
                <deceasedBoolean value="false" />
                <address>
                    <use value="home" />
                    <type value="physical" />
                    <line value="123 Any Street" />
                    <city value="Waterloo" />
                    <state value="ON" />
                    <postalCode value="N2L 3G1" />
                </address>
                <contact>
                    <relationship>
                        <coding>
                            <system value="http://ehealthontario.ca/fhir/CodeSystem/patient-contact-relationship" />
                            <code value="EC" />
                            <display value="Emergency Contact" />
                        </coding>
                        <text value="Emergency Contact" />
                    </relationship>
                    <name>
                        <family value="McContact" />
                        <given value="David" />
                    </name>
                    <telecom>
                        <system value="phone" />
                        <value value="(555) 555 1212" />
                        <rank value="1" />
                    </telecom>
                    <address>
                        <line value="50 Another St." />
                        <line value="Unit 2" />
                        <city value="Waterloo" />
                        <state value="ON" />
                        <postalCode value="N2L 3G2" />
                    </address>
                </contact>
                <communication>
                    <language>
                        <coding>
                            <system value="urn:ietf:bcp:47" />
                            <code value="en" />
                            <display value="English" />
                        </coding>
                        <text value="english" />
                    </language>
                </communication>
                <generalPractitioner>
                    <reference value="urn:uuid:86fa8373-34c8-440d-9e8f-832c1a571da8" />
                </generalPractitioner>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:82137e80-5a8c-4234-bce3-9a974b8d0ff5" />
        <resource>
            <PractitionerRole>
                <id value="86fa8373-34c8-440d-9e8f-832c1a571da8" />
                <meta>
                    <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-PractitionerRole|1.0.0" />
                </meta>
                <identifier>
                    <use value="official" />
                    <type>
                        <coding>
                            <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
                            <code value="RRI" />
                        </coding>
                    </type>
                    <system value="http://ehealthontario.ca/fhir/NamingSystem/id-ppr-epid" />
                    <value value="56442" />
                </identifier>
                <active value="true" />
                <practitioner>
                    <reference value="urn:uuid:8b9f61af-55ce-4ade-9987-f40fe54cc79e" />
                    <display value="Dr Jack Jones" />
                </practitioner>
                <organization>
                    <reference value="urn:uuid:334ec4c8-7932-4620-86fe-d6b33b3fc7e4" />
                    <display value="Primary Care Medical Clinics" />
                </organization>
                <code>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/practitioner-role" />
                        <code value="doctor" />
                        <display value="Doctor" />
                    </coding>
                </code>
                <specialty>
                    <coding>
                        <system value="https://fhir.infoway-inforoute.ca/CodeSystem/snomedctcaextension" />
                        <code value="394802001" />
                        <display value="General medicine" />
                    </coding>
                </specialty>
                <location>
                    <reference value="urn:uuid:25470f9e-0092-4997-af53-aa3ef0f50879" />
                    <display value="279 Yonge St, Barrie, ON L4N 7T9" />
                </location>
                <telecom>
                    <system value="phone" />
                    <value value="(555) 987-1234" />
                    <use value="work" />
                    <rank value="1" />
                </telecom>
                <telecom>
                    <system value="fax" />
                    <value value="(555) 987-1234" />
                    <use value="work" />
                    <rank value="3" />
                </telecom>
                <telecom>
                    <system value="email" />
                    <value value="jack.jones@example.org" />
                    <use value="work" />
                    <rank value="2" />
                </telecom>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:68c5a736-8080-4258-8583-14be60d6a80d" />
        <resource>
            <Practitioner>
                <id value="8b9f61af-55ce-4ade-9987-f40fe54cc79e" />
                <meta>
                    <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Practitioner|1.0.0" />
                </meta>
                <identifier>
                    <type>
                        <coding>
                            <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
                            <code value="LN" />
                        </coding>
                        <text value="Ontario Medical License Number" />
                    </type>
                    <system value="http://infoway-inforoute.ca/fhir/NamingSystem/ca-on-license-physician" />
                    <value value="111789" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="Jones" />
                    <given value="Jack" />
                </name>
                <telecom>
                    <system value="phone" />
                    <value value="(555) 987-1234" />
                    <use value="work" />
                    <rank value="1" />
                </telecom>
                <telecom>
                    <system value="fax" />
                    <value value="(555) 987-1234" />
                    <use value="work" />
                    <rank value="1" />
                </telecom>
                <address>
                    <use value="work" />
                    <type value="physical" />
                    <line value="279 Yonge St" />
                    <city value="Barrie" />
                    <state value="ON" />
                    <postalCode value="M5B 1N8" />
                    <country value="CAN" />
                </address>
                <gender value="male" />
                <birthDate value="1979-02-26" />
                <qualification>
                    <code>
                        <coding>
                            <system value="https://fhir.infoway-inforoute.ca/CodeSystem/scptype" />
                            <code value="MD" />
                        </coding>
                    </code>
                </qualification>
                <communication>
                    <coding>
                        <system value="urn:ietf:bcp:47" />
                        <code value="en" />
                        <display value="English" />
                    </coding>
                    <text value="English" />
                </communication>
            </Practitioner>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:072ee6b1-18d2-4c8c-8c67-4b8cc713b382" />
        <resource>
            <Organization>
                <id value="334ec4c8-7932-4620-86fe-d6b33b3fc7e4" />
                <meta>
                    <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Organization|1.0.0" />
                </meta>
                <type>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/organization-type" />
                        <code value="prov" />
                        <display value="Healthcare Provider" />
                    </coding>
                </type>
                <name value="Primary Care Medical Clinics" />
                <telecom>
                    <system value="phone" />
                    <value value="(555) 987-1234" />
                    <use value="work" />
                    <rank value="1" />
                </telecom>
                <telecom>
                    <system value="fax" />
                    <value value="(555) 987-1234" />
                    <use value="work" />
                    <rank value="1" />
                </telecom>
                <address>
                    <use value="work" />
                    <type value="physical" />
                    <line value="279 Yonge St" />
                    <city value="Barrie" />
                    <state value="ON" />
                    <postalCode value="M5B 1N8" />
                    <country value="CAN" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:4f9cb777-64ab-47d2-9f0f-e9c16bf20754" />
        <resource>
            <Location>
                <id value="25470f9e-0092-4997-af53-aa3ef0f50879" />
                <meta>
                    <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Location|1.0.1" />
                </meta>
                <name value="Yonge Street Medical Office" />
                <address>
                    <type value="physical" />
                    <line value="279 Yonge St" />
                    <city value="Barrie" />
                    <state value="ON" />
                    <postalCode value="M5B 1N8" />
                    <country value="CAN" />
                </address>
                <position>
                    <longitude value="-79.38248" />
                    <latitude value="43.6556497" />
                </position>
            </Location>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:dde3c871-8b77-42c4-8bd3-798395d7fa5b" />
        <resource>
            <PractitionerRole>
                <id value="86fa8373-34c8-440d-9e8f-832c1a571da8" />
                <meta>
                    <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-PractitionerRole|1.0.0" />
                </meta>
                <active value="true" />
                <practitioner>
                    <reference value="urn:uuid:8b9f61af-55ce-4ade-9987-f40fe54cc79e" />
                    <display value="April May" />
                </practitioner>
                <organization>
                    <reference value="urn:uuid:334ec4c8-7932-4620-86fe-d6b33b3fc7e4" />
                    <display value="South East LHIN" />
                </organization>
                <telecom>
                    <system value="phone" />
                    <value value="(555) 987-1234" />
                    <use value="work" />
                    <rank value="1" />
                </telecom>
                <telecom>
                    <system value="email" />
                    <value value="april.may@example.org" />
                    <use value="work" />
                    <rank value="2" />
                </telecom>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:d6480c23-2b1c-49e4-8814-4ad6b95e8287" />
        <resource>
            <Practitioner>
                <id value="8b9f61af-55ce-4ade-9987-f40fe54cc79e" />
                <meta>
                    <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Practitioner|1.0.0" />
                </meta>
                <name>
                    <use value="official" />
                    <family value="May" />
                    <given value="April" />
                </name>
            </Practitioner>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:666eb717-f697-403a-b9cd-6e362720b856" />
        <resource>
            <Organization>
                <id value="334ec4c8-7932-4620-86fe-d6b33b3fc7e4" />
                <meta>
                    <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Organization|1.0.0" />
                </meta>
                <identifier>
                    <use value="official" />
                    <system value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-health-care-facility-id" />
                    <value value="4664" />
                </identifier>
                <active value="true" />
                <type>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/organization-type" />
                        <code value="prov" />
                        <display value="Healthcare Provider" />
                    </coding>
                </type>
                <name value="South East LHIN" />
                <telecom>
                    <system value="phone" />
                    <value value="(613) 544 7090" />
                    <use value="work" />
                    <rank value="1" />
                </telecom>
                <address>
                    <use value="work" />
                    <type value="postal" />
                    <line value="1471 John Counter Blvd" />
                    <line value="Suite 200" />
                    <city value="Kingston" />
                    <state value="ON" />
                    <postalCode value="K7M 8S8" />
                    <country value="CAN" />
                </address>
                <contact>
                    <purpose>
                        <coding>
                            <system value="http://terminology.hl7.org/CodeSystem/contactentity-type" />
                            <code value="PATINF" />
                            <display value="Patient" />
                        </coding>
                    </purpose>
                    <name>
                        <use value="official" />
                        <family value="Person" />
                        <given value="Fake" />
                        <given value="Contact" />
                    </name>
                    <telecom>
                        <system value="phone" />
                        <value value="(613) 544 7090" />
                        <use value="work" />
                        <rank value="1" />
                    </telecom>
                    <address>
                        <use value="work" />
                        <type value="postal" />
                        <line value="120 Yonge St" />
                        <city value="Barrie" />
                        <district value="Rainbow" />
                        <state value="ON" />
                        <postalCode value="L2W 3R4" />
                        <country value="CAN" />
                    </address>
                </contact>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:9cea3cb8-d24f-4be2-acbf-dbc6c3801493" />
        <resource>
            <QuestionnaireResponse>
                <id value="9cea3cb8-d24f-4be2-acbf-dbc6c3801493" />
                <meta>
                    <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-QuestionnaireResponse|1.0.0" />
                </meta>
                <identifier>
                    <system value="http://www.rmssource.org/identifiers/questionnaire-ids" />
                    <value value="9cea3cb8-d24f-4be2-acbf-dbc6c3801493" />
                </identifier>
                <status value="completed" />
                <subject>
                    <reference value="urn:uuid:7f7ad826-f47b-4c18-9d4a-bd3d0988ad3b" />
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                <authored value="2020-10-09" />
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                    <linkId value="1" />
                    <text value="Section 1 Header" />
                    <item>
                        <linkId value="1.1" />
                        <text value="String Question in Section 1" />
                        <answer>
                            <valueString value="String Answer" />
                        </answer>
                    </item>
                    <item>
                        <linkId value="1.2" />
                        <text value="Boolean Question in Section 1" />
                        <answer>
                            <valueBoolean value="true" />
                        </answer>
                    </item>
                    <item>
                        <linkId value="1.3" />
                        <text value="Number Question in Section 1" />
                        <answer>
                            <valueInteger value="365" />
                        </answer>
                    </item>
                    <item>
                        <linkId value="1.4" />
                        <text value="Decimal question in Section 1" />
                        <answer>
                            <valueDecimal value="364.9" />
                        </answer>
                    </item>
                    <item>
                        <linkId value="1.5" />
                        <text value="DateTime Question in Section 2" />
                        <answer>
                            <valueDateTime value="2021-05-07T13:28:17Z" />
                        </answer>
                    </item>
                </item>
                <item>
                    <linkId value="2" />
                    <text value="Section 2 Header" />
                    <item>
                        <linkId value="2.1" />
                        <text value="Integer Question in Section 2" />
                        <answer>
                            <valueInteger value="365" />
                        </answer>
                    </item>
                    <item>
                        <linkId value="2.2" />
                        <text value="Multi-Select Question in Section 2" />
                        <answer>
                            <valueString value="tag1" />
                        </answer>
                        <answer>
                            <valueString value="tag2" />
                        </answer>
                        <answer>
                            <valueString value="tag3" />
                        </answer>
                    </item>
                    <item>
                        <linkId value="2.3" />
                        <text value="Date Question in Section 2" />
                        <answer>
                            <valueDate value="2019-09-05" />
                        </answer>
                    </item>
                    <item>
                        <linkId value="2.4" />
                        <text value="Time Question in Section 2" />
                        <answer>
                            <valueTime value="12:34:56" />
                        </answer>
                    </item>
                </item>
                <item>
                    <linkId value="3" />
                    <text value="CONDITIONAL Section 3 with Question" />
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                        <valueBoolean value="true" />
                        <item>
                            <linkId value="3.1" />
                            <text value="Conditional Question 1:" />
                            <answer>
                                <valueString value="ConditionalAnswer1" />
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                        <item>
                            <linkId value="3.2" />
                            <text value="Conditional Question 2:" />
                            <answer>
                                <valueString value="ConditionalAnswer2" />
                            </answer>
                        </item>
                    </answer>
                </item>
            </QuestionnaireResponse>
        </resource>
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</Bundle>