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FHIR® notifications
PatientAdmin
Patient Discharged

Patient Discharged Detailed

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Patient administration notifications contain details about a patient's record or movements within a specific hospital or provider's office.

You can receive notifications when:

  • A patient record is created, merged, or updated.
  • A patient checks in, transfers to another unit, or leaves the hospital.

discharged

Indicates that a patient has checked out from an inpatient visit or outpatient encounter.

You can opt in for lightweight or detailed notifications.

  • A lightweight notification provides the Patient reference, encounter identifier, and timestamp.
  • A detailed notification contains everything in the lightweight plus extended patient/encounter info, provider info, and related references.

Learn about listening for hospital admission notifications.

Select payload example

PatientAdminPatientDischargedFullBundleExample
json
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{
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  "resourceType": "Bundle",
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  "id": "PatientAdminPatientDischargedFullBundleExample",
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  "type": "message",
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  "entry": [
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    {
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      "resource": {
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        "eventUri": "https://fhir.redoxengine.com/EventDefinition/PatientAdminPatientDischarged",
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        "resourceType": "MessageHeader",
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        "id": "PatientDischargedMessageHeader",
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        "source": {
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          "name": "Good Health Clinics",
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          "endpoint": "05107c08-fe2f-4740-8c1d-c7107d18ebe5"
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        },
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        "focus": [
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          {
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            "reference": "Patient/RedoxPatientExampleTimothy"
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          },
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          {
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            "reference": "Encounter/RedoxEncounterExample"
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          }
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        ],
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        "definition": "https://fhir.redoxengine.com/MessageDefinition/PatientAdminPatientDischargedFull"
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      }
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    },
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    {
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      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/Patient?identifier=M23462346|urn:redox:MRN",
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      "resource": {
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        "resourceType": "Patient",
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        "id": "RedoxPatientExampleTimothy",
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        "meta": {
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          "extension": [
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            {
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              "url": "https://fhir.redoxengine.com/StructureDefinition/example-sort-order",
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              "valueInteger": 1
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            }
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          ]
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        },
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        "extension": [
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          {
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            "extension": [
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              {
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                "url": "text",
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                "valueString": "White"
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              }
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            ],
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            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
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          },
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          {
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            "extension": [
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              {
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                "url": "ombCategory",
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                "valueCoding": {
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                  "code": "2135-2",
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                  "system": "urn:oid:2.16.840.1.113883.6.238",
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                  "display": "Hispanic or Latino"
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                }
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              },
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              {
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                "url": "text",
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                "valueString": "Hispanic"
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              }
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            ],
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            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
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          }
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        ],
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        "identifier": [
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          {
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            "value": "0000000001",
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            "system": "urn:redox:health-one:MR"
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          },
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          {
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            "value": "101-01-0001",
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            "system": "http://hl7.org/fhir/sid/us-ssn"
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          }
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        ],
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        "name": [
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          {
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            "given": [
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              "Timothy",
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              "Paul"
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            ],
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            "family": "Bixby",
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            "use": "official"
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          },
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          {
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            "text": "Billy",
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            "use": "usual"
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          }
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        ],
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        "gender": "male",
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        "birthDate": "2008-01-06",
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        "telecom": [
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          {
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            "value": "+18088675301",
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            "system": "phone",
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            "use": "home"
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          },
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          {
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            "value": "+18008675309",
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            "system": "phone",
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            "use": "work"
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          },
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          {
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            "value": "timothy.bixby@redoxengine.com",
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            "system": "email"
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          }
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        ],
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        "address": [
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          {
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            "line": [
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              "4762 Hickory Street"
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            ],
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            "city": "Monroe",
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            "district": "Greene",
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            "state": "WI",
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            "postalCode": "53566",
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            "country": "US",
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            "use": "home"
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          }
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        ],
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        "maritalStatus": {
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          "coding": [
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            {
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              "code": "M",
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              "system": "http://hl7.org/fhir/v3/MaritalStatus",
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              "display": "Married"
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            }
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          ],
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          "text": "Married"
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        },
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        "communication": [
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          {
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            "language": {
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              "coding": [
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                {
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                  "code": "en",
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                  "system": "urn:ietf:bcp:47"
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                }
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              ],
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              "text": "English"
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            }
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          }
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        ],
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        "contact": [
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          {
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            "name": {
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              "given": [
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                "Barbara"
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              ],
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              "family": "Bixby"
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            },
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            "telecom": [
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              {
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                "value": "+18088675303",
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                "system": "phone",
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                "use": "home"
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              },
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              {
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                "value": "barbara.bixby@redoxengine.com",
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                "system": "email"
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              }
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            ],
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            "address": {
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              "line": [
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                "4762 Hickory St."
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              ],
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              "city": "Monroe",
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              "district": "Green",
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              "state": "WI",
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              "postalCode": "53566",
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              "country": "USA"
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            },
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            "relationship": [
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              {
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                "coding": [
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                  {
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                    "code": "MTH",
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                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
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                    "display": "mother"
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                  }
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                ],
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                "text": "Mother"
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              },
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              {
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                "coding": [
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                  {
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                    "code": "C",
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                    "system": "http://terminology.hl7.org/CodeSystem/v2-0131",
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                    "display": "Emergency Contact"
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                  }
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                ],
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                "text": "Emergency Contact"
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              }
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            ]
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          }
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        ],
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        "generalPractitioner": [
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          {
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            "reference": "Practitioner/RedoxPractitionerExamplePat"
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          }
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        ],
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        "managingOrganization": {
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          "reference": "Organization/RedoxOrganizationManagingExample"
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        }
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      }
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    },
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    {
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      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/Practitioner/RedoxPractitionerExamplePat",
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      "resource": {
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        "resourceType": "Practitioner",
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        "id": "RedoxPractitionerExamplePat",
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        "identifier": [
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          {
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            "system": "http://hl7.org/fhir/sid/us-npi",
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            "value": "4356789876"
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          }
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        ],
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        "name": [
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          {
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            "given": [
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              "Pat"
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            ],
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            "family": "Granite"
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          }
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        ],
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        "address": [
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          {
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            "line": [
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              "123 Main St."
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            ],
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            "city": "Madison",
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            "district": "Dane",
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            "state": "WI",
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            "postalCode": "53703",
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            "country": "USA"
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          }
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        ],
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        "telecom": [
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          {
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            "value": "+16085551234"
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          }
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        ]
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      }
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    },
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    {
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      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/Organization/RedoxOrganizationManagingExample",
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      "resource": {
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        "resourceType": "Organization",
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        "id": "RedoxOrganizationManagingExample",
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        "identifier": [
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          {
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            "value": "1234",
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            "system": "urn:oid:1.2.3.4"
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          }
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        ],
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        "active": true,
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        "name": "Custodial Org",
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        "address": [
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          {
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            "line": [
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              "123 Main St"
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            ],
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            "city": "Madison",
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            "state": "WI"
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          }
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        ],
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        "telecom": [
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          {
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            "value": "1-800-123-4567",
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            "system": "phone"
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          }
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        ],
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        "type": [
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          {
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            "text": "Test Type"
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          }
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        ]
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      }
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    },
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    {
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      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/Encounter?identifier=zzz123Encounter|urn:redox:encounterId",
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      "resource": {
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        "resourceType": "Encounter",
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        "id": "RedoxEncounterExample",
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        "identifier": [
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          {
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            "system": "urn:oid:1.2.840.114350.1.13.12345.1.7.2.698084.11",
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            "value": "9601346482"
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          }
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        ],
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        "status": "finished",
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        "class": {
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          "code": "IMP",
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          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
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          "display": "inpatient encounter"
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        },
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        "type": [
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          {
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            "coding": [
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              {
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                "code": "99222",
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                "system": "http://www.ama-assn.org/go/cpt",
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                "display": "InPatient Admission"
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              }
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            ]
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          }
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        ],
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        "diagnosis": [
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          {
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            "condition": {
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              "reference": "Condition/RedoxConditionExampleEncounterDx"
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            }
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          }
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        ],
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        "participant": [
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          {
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            "individual": {
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              "reference": "Practitioner/RedoxPractitionerExampleEncounter"
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            }
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          }
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        ],
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        "location": [
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          {
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            "location": {
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              "reference": "Location/RedoxLocationExampleEncounter"
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            }
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          }
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        ],
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        "subject": {
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          "reference": "Patient/RedoxPatientExampleTimothy"
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        },
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        "period": {
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          "start": "2022-02-06T04:00:00.000Z",
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          "end": "2022-02-06T04:15:00.000Z"
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        },
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        "length": {
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          "value": 16,
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          "code": "m",
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          "system": "http://unitsofmeasure.org"
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        },
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        "reasonCode": [
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          {
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            "coding": [
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              {
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                "code": "23360407",
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                "system": "http://snomed.info/sct"
348
              }
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            ],
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            "text": "Pneumonia"
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          }
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        ]
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      }
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    }
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  ],
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  "timestamp": "2021-06-17T20:33:22.422Z"
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}

Request Body Schema

  • resourceType
    required, string

    Identifies the type of the resource

    Value: Bundle
  • type
    required, string

    Indicates the purpose of this bundle - how it is intended to be used.

    Value: message
  • entry
    required, Array of messageHeader, patient, practitioner, organization

    An entry in the bundle containing a FHIR resource

    • fullUrl
      string

      The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

      • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
      • Results from operations might involve resources that are not identified.
    • resource
      object

      The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

      • resourceType
        required, string

        Identifies the type of the resource

        Value: MessageHeader
      • source
        required, object

        The source application from which this message originated.

        • endpoint
          required, string

          Identifies the routing target to send acknowledgements to.

      • focus
        required, Array of object

        The actual data of the message - a reference to the root/focus class of the event.

        Must be a resource of type Resource.

        • reference
          string

          A reference to another resource. This is typically either a relative reference which includes the resource type and ID, or an internal reference which starts with # and refers to a contained resource.

      • definition
        required, string

        Permanent link to the MessageDefinition for this message.

      • eventUri
        required, string

        Code that identifies the event this message represents and connects it with its definition. Events defined as part of the FHIR specification have the system value "http://terminology.hl7.org/CodeSystem/message-events". Alternatively uri to the EventDefinition.

        Value: https://fhir.redoxengine.com/EventDefinition/PatientAdminPatientDischarged
  • timestamp
    string

    The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.