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Track 3.0 ITI-65 Medication Transaction Example - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "Track30ITI65MedicationTransactionExample",
  "meta" : {
    "profile" : [
      🔗 "http://racsel.org/StructureDefinition/LACBundleTransactionMHDMeOw"
    ]
  },
  "type" : "transaction",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:9d81f109-b8c1-4e52-963b-a8135e33f030",
      "resource" : {
        "resourceType" : "List",
        "id" : "track30-submissionset",
        "meta" : {
          "profile" : [
            🔗 "http://racsel.org/StructureDefinition/LACList"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_track30-submissionset\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List track30-submissionset</b></p><a name=\"track30-submissionset\"> </a><a name=\"hctrack30-submissionset\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-LACList.html\">LACList</a></p></div><h2>Track 3.0 Submission Set - Medication Overview</h2><table class=\"clstu\"><tr><td>Date: 2025-06-17 18:36:18+0000 </td><td>Mode: Working List </td><td>Status: Current </td><td>Code: SubmissionSet as a FHIR List </td></tr><tr><td>Subject: <a href=\"Bundle-Track30ITI65MedicationTransactionExample.html#urn-uuid-68c15694-52f1-4171-bc01-e63d666d2a73\">John Doe  Male, DoB: 1970-01-01 ( Medical record number)</a></td></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"Bundle-Track30ITI65MedicationTransactionExample.html#urn-uuid-68c15694-52f1-4171-bc01-e63d666d2a80\">DocumentReference: masterIdentifier = UUID:68c15694-52f1-4171-bc01-e63d666d2a80; status = current; type = Medication summary Document; date = 2025-06-17 18:36:18+0000; description = Medication Overview - Patient Medication Summary</a></td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId",
            "valueIdentifier" : {
              "value" : "urn:oid:1.3.6.1.4.1.57284.1"
            }
          }
        ],
        "identifier" : [
          {
            "use" : "usual",
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:oid:1.3.6.1.4.1.57284.1.30"
          }
        ],
        "status" : "current",
        "mode" : "working",
        "title" : "Track 3.0 Submission Set - Medication Overview",
        "code" : {
          "coding" : [
            {
              "system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes",
              "code" : "submissionset"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
        },
        "date" : "2025-06-17T18:36:18+00:00",
        "entry" : [
          {
            "item" : {
              "reference" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a80"
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "List"
      }
    },
    {
      "fullUrl" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient-example",
        "meta" : {
          "profile" : [
            🔗 "http://racsel.org/StructureDefinition/LACPatient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-example</b></p><a name=\"patient-example\"> </a><a name=\"hcpatient-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-LACPatient.html\">LACPatient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">John Doe  Male, DoB: 1970-01-01 ( Medical record number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Passport number/12345\u00a0(use:\u00a0official,\u00a0)</td></tr></table></div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PPN"
                }
              ]
            },
            "system" : "urn:oid.2.16.840.1.113883.19.5",
            "value" : "12345"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "http://hospital.example.org",
            "value" : "12345"
          }
        ],
        "name" : [
          {
            "family" : "Doe",
            "given" : [
              "John"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1970-01-01"
      },
      "request" : {
        "method" : "POST",
        "url" : "Patient"
      }
    },
    {
      "fullUrl" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a80",
      "resource" : {
        "resourceType" : "DocumentReference",
        "id" : "track30-medication-documentreference",
        "meta" : {
          "profile" : [
            🔗 "http://racsel.org/StructureDefinition/LACDocReferenceMeOw"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_track30-medication-documentreference\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference track30-medication-documentreference</b></p><a name=\"track30-medication-documentreference\"> </a><a name=\"hctrack30-medication-documentreference\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-LACDocReferenceMeOw.html\">DocumentReference for Medication Overview (MeOw)</a></p></div><p><b>masterIdentifier</b>: <a href=\"http://terminology.hl7.org/6.3.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a80</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 56445-0}\">Medication Overview</span></p><p><b>subject</b>: <a href=\"Bundle-Track30ITI65MedicationTransactionExample.html#urn-uuid-68c15694-52f1-4171-bc01-e63d666d2a73\">John Doe  Male, DoB: 1970-01-01 ( Medical record number)</a></p><p><b>date</b>: 2025-06-17 18:36:18+0000</p><p><b>author</b>: Dra. Especialista</p><p><b>description</b>: Medication Overview - Patient Medication Summary</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>application/fhir+json</td><td><a href=\"Bundle-Track30ITI65MedicationTransactionExample.html#urn-uuid-68c15694-52f1-4171-bc01-e63d666d2a71\">Bundle: identifier = UUID:68c15694-52f1-4171-bc01-e63d666d2a71; type = document; timestamp = 2025-06-17 18:36:18+0000</a></td></tr></table></blockquote></div>"
        },
        "masterIdentifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a80"
        },
        "status" : "current",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "56445-0",
              "display" : "Medication summary Document"
            }
          ],
          "text" : "Medication Overview"
        },
        "subject" : {
          "reference" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
        },
        "date" : "2025-06-17T18:36:18+00:00",
        "author" : [
          {
            "display" : "Dra. Especialista"
          }
        ],
        "description" : "Medication Overview - Patient Medication Summary",
        "content" : [
          {
            "attachment" : {
              "contentType" : "application/fhir+json",
              "url" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a71"
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "DocumentReference"
      }
    },
    {
      "fullUrl" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a71",
      "resource" : {
        "resourceType" : "Bundle",
        "id" : "track30-medication-overview-document",
        "meta" : {
          "profile" : [
            🔗 "http://racsel.org/StructureDefinition/LACBundleDocMeOw"
          ]
        },
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a71"
        },
        "type" : "document",
        "timestamp" : "2025-06-17T18:36:18+00:00",
        "entry" : [
          {
            "fullUrl" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a72",
            "resource" : {
              "resourceType" : "Composition",
              "id" : "composition-example",
              "meta" : {
                "profile" : [
                  🔗 "http://racsel.org/StructureDefinition/LACCompositionMeOw"
                ]
              },
              "status" : "final",
              "type" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "56445-0",
                    "display" : "Medication summary Document"
                  }
                ]
              },
              "subject" : {
                "reference" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
              },
              "date" : "2025-06-17T18:36:18+00:00",
              "author" : [
                {
                  "reference" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
                }
              ],
              "title" : "Medication Overview",
              "section" : [
                {
                  "title" : "Medications",
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://loinc.org",
                        "code" : "55112-7",
                        "display" : "Document summary"
                      }
                    ]
                  },
                  "text" : {
                    "status" : "generated",
                    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Resumen de medicamentos</p></div>"
                  },
                  "entry" : [
                    {
                      "reference" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a74"
                    },
                    {
                      "reference" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a75"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73",
            "resource" : {
              "resourceType" : "Patient",
              "id" : "patient-example",
              "meta" : {
                "profile" : [
                  🔗 "http://racsel.org/StructureDefinition/LACPatient"
                ]
              },
              "identifier" : [
                {
                  "use" : "official",
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code" : "PPN"
                      }
                    ]
                  },
                  "system" : "urn:oid.2.16.840.1.113883.19.5",
                  "value" : "12345"
                },
                {
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code" : "MR"
                      }
                    ]
                  },
                  "system" : "http://hospital.example.org",
                  "value" : "12345"
                }
              ],
              "name" : [
                {
                  "family" : "Doe",
                  "given" : [
                    "John"
                  ]
                }
              ],
              "gender" : "male",
              "birthDate" : "1970-01-01"
            }
          },
          {
            "fullUrl" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a74",
            "resource" : {
              "resourceType" : "MedicationStatement",
              "id" : "medication-statement-1",
              "meta" : {
                "profile" : [
                  🔗 "http://racsel.org/StructureDefinition/LACMedicationStatementMeOw"
                ]
              },
              "status" : "active",
              "medicationCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "1222004",
                    "display" : "Metronidazole-containing product"
                  }
                ],
                "text" : "Metronidazole-containing product"
              },
              "subject" : {
                "reference" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
              },
              "effectiveDateTime" : "2025-01-01",
              "dateAsserted" : "2025-06-17T18:36:18+00:00",
              "reasonCode" : [
                {
                  "text" : "Infection"
                }
              ],
              "dosage" : [
                {
                  "text" : "500 mg daily",
                  "route" : {
                    "text" : "Oral"
                  }
                }
              ]
            }
          },
          {
            "fullUrl" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a75",
            "resource" : {
              "resourceType" : "MedicationStatement",
              "id" : "medication-statement-2",
              "meta" : {
                "profile" : [
                  🔗 "http://racsel.org/StructureDefinition/LACMedicationStatementMeOw"
                ]
              },
              "status" : "active",
              "medicationCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "796001",
                    "display" : "Digoxin-containing product"
                  }
                ],
                "text" : "Digoxin-containing product"
              },
              "subject" : {
                "reference" : "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
              },
              "effectiveDateTime" : "2025-01-01",
              "dateAsserted" : "2025-06-17T18:36:18+00:00",
              "reasonCode" : [
                {
                  "text" : "Heart failure"
                }
              ],
              "dosage" : [
                {
                  "text" : "0.125 mg daily",
                  "route" : {
                    "text" : "Oral"
                  }
                }
              ]
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Bundle"
      }
    }
  ]
}