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  • A bundle can reference other objects in the bundle. This will then create the related object and then associate it with a new object. For example, if a service request contains a reference to a consent object, then the bundle can contain both the new consent object and the new service request object with the reference in the bundle. For example

    • The consent object can contain the JSON attribute full URL

      Code Block
              {
                  request: {
                      method: 'POST',
                      url: 'Consent',
                  },
                  fullUrl: 'urn:uuid:05efabf0-4be2-4561-91ce-51548425acb9',
                  resource: {
                      resourceType: 'Consent'
                  },
              },
      

    • The service object then can reference that id when it makes the reference

      Code Block
                  resource: {
                      resourceType: 'ServiceRequest',
                      reasonReference: {
                          reference: 'urn:uuid:05efabf0-4be2-4561-91ce-51548425acb9',
                      },
      
  • For this version of the CIE implementation of the FHIR spec we will not be able to process patient records in a bundle. This is because of the de duplication processing that needs to be done on the patient record before it goes into the database.

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The following are operations that can be performed and links to

Sample Procedure Object

Code Block
export const testBundle: Bundle = {
    resourceType: 'Bundle',
    type: 'transaction',
    entry: [
        {
            request: {
                method: 'POST',
                url: 'Observation',
            },
            resource: {
                resourceType: 'Observation',
                id: 'SDOHCC-ObservationAssessmentSocialIsolationExample',
                status: 'preliminary',
                category: [
                    {
                        coding: [
                            {
                                system: 'http://terminology.hl7.org/CodeSystem/observation-category',
                                code: 'social-history',
                                display: 'Social History',
                            },
                        ],
                    },
                    {
                        coding: [
                            {
                                system: 'http://example.org/CodeSystem/other-code-system',
                                code: 'social-connectedness',
                                display: 'Social Connectedness',
                            },
                        ],
                    },
                ],
                code: {
                    coding: [
                        {
                            system: 'http://snomed.info/sct',
                            code: '422650009',
                            display: 'Social isolation',
                        },
                    ],
                },
                subject: {
                    reference: 'Patient/pete',
                },
                effectiveDateTime: '2021-05-10T21:56:54.671Z',
                valueBoolean: true,
            },
        },
        {
            request: {
                method: 'POST',
                url: 'ServiceRequest',
            },
            resource: {
                resourceType: 'ServiceRequest',
                subject: {
                    reference: 'Patient/TestID',

                },
                status: 'active',
                intent: 'order',
                category: [
                    {
                        coding: [
                            {
                                system: 'http://terminology.hl7.org/CodeSystem/observation-category',
                                code: 'social-history',
                                display: 'Social History',
                            },
                        ],
                    },
                    {
                        coding: [
                            {
                                system: 'http://example.org/CodeSystem/other-code-system',
                                code: 'social-connectedness',
                                display: 'Social Connectedness',
                            },
                        ],
                    },
                ],
                code: {
                    coding: [
                        {
                            system: 'http://snomed.info/sct',
                            code: '422650009',
                            display: 'Social isolation',
                        },
                    ],
                },

            },
        },
        {
            request: {
                method: 'POST',
                url: 'Organization',
            },
            resource: {
                resourceType: 'Organization',
                id: 'nemi',
                name: 'Northeast Michigan 211',
                alias: [
                    'HL7 International',
                ],
                telecom: [
                    {
                        system: 'phone',
                        value: '(+1) 734-677-7777',
                    },
                    {
                        system: 'fax',
                        value: '(+1) 734-677-6622',
                    },
                    {
                        system: 'email',
                        value: 'hq@HL7.org',
                    },
                ],
                address: [
                    {
                        line: [
                            '3300 Washtenaw Avenue, Suite 227',
                        ],
                        city: 'Ann Arbor',
                        state: 'MI',
                        postalCode: '48104',
                        country: 'USA',
                    },
                ],
                meta: {
                    tag: [
                        {
                            system: 'http://terminology.hl7.org/CodeSystem/v3-ActReason',
                            code: 'HTEST',
                            display: 'test health data',
                        },
                    ],
                },
            },
        },
    ],
};
 

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The following are descriptions of the most important values that must be passed

Field

Description

References

 ResourceType

This needs to be Bundle.

 https://www.hl7.org/fhir/bundle-definitions.html

 type

This needs to

allows be

allow a transaction.

 https://www.hl7.org/fhir/bundle-definitions.html

entry

The entry block is

a

an array of resources to be added to the database. It has two high-level objects: a request and a resource. The request object defines the method and the object(

url

URL). The resource is the resource data that will be submitted.

Code Block
request: {
   method: 'POST',
   url: 'Observation',
   },