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<?xml version="1.0" encoding="UTF-8"?>
<Bundle xmlns="http://hl7.org/fhir">
    <id value="b7fbc1a0-c84a-4bfb-a0ad-f55d6cb67182"/>
    <meta>
        <lastUpdated value="2016-09-28T01:45:33.226-04:00"/>
		<!--   
		This is the "Header Mark Security Label for this FHIR Bundle’s meta element. 
		A FHIR Bundle is the enveloping container for a set of Resources, which may, 
		depending on the security environment in which it is transmitted, be subject to 
		less restrictive access controls.  Therefore, the  Security Labels in the Bundle 
		should be limited to Header Security Label Privacy Tags, which includes the (1..1) 
		most restrictive “High Water Mark” Confidentiality Code, and one of each of the 
		Purpose of Use, Obligation and Refrain security codes types within this content 
		to ensure that the entire package is handled appropriately. 
		
		The Bundle itself will be removed upon receipt. At that point, each Resource 
		included in the Bundle will be persisted with its own Consent Security Label 
		at the meta level. Each Resource that has a mix of information governed under 
		the 32 CFR Part 2002, Title 38 Section 7332, and 42 CFR Part 2 will have the 
		full set of Privacy Tags in its meta Security Label. Each Resource that 
		contains only Title 38 Section 7332 or 42 CFR Part 2 governed information will 
		have a statute-specific subset of all of the Privacy Tags representing 
		either the veteran confidentiality law or a Part 2 consent directive Document
		in the Security Label at the meta level. All Resources sourced from a
		Federal Agency or a federal contractor will have a CUI Security Label. 
		-->
        <security>
            <system value="http://hl7.org/fhir/v3/Confidentiality"/>
            <code value="R"/>
            <display value="Restricted"/>
        </security> 
        <security>
            <system value="http://hl7.org/fhir/v3/ActReason"/>
            <code value="TREAT"/>
            <display value="treatment"/>
        </security>
        <security>
            <system value="http://hl7.org/fhir/v3/ActReason"/>
            <code value="HPAYMT"/>
            <display value="healthcare payment"/>
        </security>
        <security>
            <system value="http://hl7.org/fhir/v3/ActReason"/>
            <code value="HOPERAT"/>
            <display value="healthcare operations"/>
        </security>
        <security>
            <system value="http://hl7.org/fhir/v3/ActCode"/>
            <code value="PERSISTLABEL"/>
            <display value="persist security label"/>
        </security>
        <security>
            <system value="http://hl7.org/fhir/v3/ActCode"/>
            <code value="PRIVMARK"/>
            <display value="privacy mark"/>
        </security>
		<!-- 
		The following Refrain Policy tag may be considered privacy-leaking 
		and depending on policy should not be included in the header
		-->
        <security>
            <system value="http://hl7.org/fhir/v3/ActCode"/>
            <code value="NORDSCLCD"/>
            <display value="no redisclosure without consent directive"/>
		</security> 
		<!--
		Because this Bundle includes CUI, the full CUI banner is included. 
		The proposed default CUI for health information exchange 
		is CUI//SP-HLTH/HLTH/PRVCY, which must be displayed in alphabetized 
		order starting with any "SP" or specified CUI code. 
		-->
		 <security>
            <system value="http://hl7.org/fhir/v3/ActCode"/>
            <code value="CUISP-HLTH"/>
            <display value="CUI//SP-HLTH"/>
		</security> 
		 <security>
            <system value="http://hl7.org/fhir/v3/ActCode"/>
            <code value="CUIHLTH"/>
            <display value="CUI//HLTH"/>
		</security> 
		<security>
            <system value="http://hl7.org/fhir/v3/ActCode"/>
            <code value="CUIPRVCY"/>
            <display value="CUI//PRVCY"/>
		</security>
		<!-- 
		This is the "must display" extension indicating that the CUI 
		tags must be displayed to end users as shown in text element.
		-->
		<extension url="http://hl7.org/fhir/StructureDefinition/extension-must-display">
			<valueAnnotation>
			  <authorReference>
				<reference value="http://example.fhir.org/Organization/vha"/>
			  </authorReference>
			<text value="**CUI//SP-HLTH/HLTH/PRVCY**\r\n\r\n ([Veterans Health Administration, Washington, DC 20420](http://example.fhir.org/Organization/vha))"/>
			</valueAnnotation>
			</extension>
	</meta>
    <type value="transaction"/>
    <entry>
        <fullUrl value="http://example.com/fhirBase/Patient/Patient-1119"/>
        <resource>
            <Patient xmlns="http://hl7.org/fhir">
                <id value="Patient-1119"/>
				<!-- 
				This Patient Resource is 42 CFR Part 2 information.  
				This is the proposed default Part 2 label for substance use disorder 
				information diagnosed or treated by a Part 2 facility.
				-->
                <meta>
                    <versionId value="1"/>
                    <lastUpdated value="2016-08-23T14:32:34.892-04:00"/>
                    <security>
                        <system value="http://hl7.org/fhir/v3/Confidentiality"/>
                        <code value="R"/>
                        <display value="Restricted"/>
                    </security> 
                    <security>
                        <system value="http://hl7.org/fhir/v3/ActCode"/>
                        <code value="SUD"/>
                        <display value="substance use disorder information sensitivity"/>
                    </security>
                    <security>
                            <system value="http://hl7.org/fhir/v3/ActCode"/>
                            <code value="42CFRPart2"/>
                            <display value="42 CFR Part 2"/>
                    </security>
                    <security>
                            <system value="http://hl7.org/fhir/v3/ActReason"/>
                            <code value="TREAT"/>
                            <display value="treatment"/>
                    </security>
                    <security>
                            <system value="http://hl7.org/fhir/v3/ActReason"/>
                            <code value="HPAYMT"/>
                            <display value="healthcare payment"/>
                    </security>
                     <security>
                            <system value="http://hl7.org/fhir/v3/ActReason"/>
                            <code value="HOPERAT"/>
                            <display value="healthcare operations"/>
                    </security>
                    <security>
                            <system value="http://hl7.org/fhir/v3/ActCode"/>
                            <code value="PERSISTLABEL"/>
                            <display value="persist security label"/>
                    </security>
                    <security>
                            <system value="http://hl7.org/fhir/v3/ActCode"/>
                            <code value="PRIVMARK"/>
                            <display value="privacy mark"/>
                    </security>
                    <security>
                            <system value="http://hl7.org/fhir/v3/ActCode"/>
                            <code value="NORDSCLCD"/>
                            <display value="no redisclosure without consent directive"/>
                    </security>
                </meta>
                <identifier>
                    <use value="official"/>
                    <type>
                        <coding>
                            <system value="http://hl7.org/fhir/identifier-type"/>
                            <code value="SB"/>
                            <display value="Social Beneficiary Identifier"/>
                        </coding>
                        <text value="US Social Security Number"/>
                    </type>
                    <system value="http://hl7.org/fhir/sid/us-ssn"/>
                    <value value="000001119"/>
                </identifier>
                <identifier>
                    <use value="official"/>
                    <type>
                        <coding>
                            <system value="http://hl7.org/fhir/identifier-type"/>
                            <code value="SB"/>
                            <display value="Social Beneficiary Identifier"/>
                        </coding>
                        <text value="Michigan Common Key Service Identifier"/>
                    </type>
                    <system value="http://mihin.org/fhir/cks"/>
                    <value value="ah7xct5hfl4bdznumnupokdyn67ruuxusrdj4qgc"/>
                </identifier>
                <active value="false"/>
                <name>
                    <family value="Franklin"/>
                    <given value="Tricia"/>
                    <given value="Lynn"/>
                </name>
                <telecom>
                    <system value="phone"/>
                    <value value="248.555.7818"/>
                    <use value="home"/>
                </telecom>
                <telecom>
                    <system value="phone"/>
                    <value value="248.555.0530"/>
                    <use value="work"/>
                </telecom>
                <telecom>
                    <extension url="http://hl7.org/fhir/StructureDefinition/us-core-direct">
                        <valueBoolean value="true"/>
                    </extension>
                    <system value="email"/>
                    <value value="Tricia.L.Franklin@direct.mihintest.org"/>
                    <use value="home"/>
                </telecom>
                <gender value="female"/>
                <birthDate value="1987-01-15"/>
                <address>
                    <line value="770 SE Pecan Street"/>
                    <city value="Pontiac"/>
                    <state value="MI"/>
                    <postalCode value="48341"/>
                </address>
            </Patient>  
        </resource>  
        <request>
            <method value="POST"/>
            <url value="Patient"/>
            <ifNoneExist value="identifier=1119"/>
        </request>
    </entry>
    <entry>
        <fullUrl value="http://example.com/fhirBase/Practitioner/Practitioner-1081"/>
        <resource>
            <Practitioner xmlns="http://hl7.org/fhir">
                <id value="Practitioner-1081"/>
                <meta>
                    <versionId value="7"/>
                    <lastUpdated value="2016-07-20T08:38:10.989-04:00"/>
                </meta>                
                <extension url="http://gov.onc.fhir.extension.taxonomy">
                    <valueCodeableConcept>
                        <coding>
                            <system value="http://org.nucc.taxonomy"/>
                            <code value="2084P0802X"/>
                            <display value="Addiction Psychiatry"/>
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <extension url="http://org.mihin.fhir.extension.electronic-service">
                    <valueReference>
                        <reference value="ElectronicService/ElectronicService-70"/>
                        <display value="Katherine.E.Taylor@direct.mihintest.org"/>
                    </valueReference>
                </extension>
                <identifier>
                    <use value="official"/>
                    <type>
                        <coding>
                            <system value="http://hl7.org/fhir/identifier-type"/>
                            <code value="SB"/>
                            <display value="Social Beneficiary Identifier"/>
                        </coding>
                        <text value="US Social Security Number"/>
                    </type>
                    <system value="http://hl7.org/fhir/sid/us-ssn"/>
                    <value value="000001081"/>
                </identifier>
                <identifier>
                    <use value="official"/>
                    <type>
                        <coding>
                            <system value="http://hl7.org/fhir/v2/0203"/>
                            <code value="PRN"/>
                            <display value="Provider number"/>
                        </coding>
                        <text value="US National Provider Identifier"/>
                    </type>
                    <system value="http://hl7.org/fhir/sid/us-npi"/>
                    <value value="9999991081"/>
                </identifier>
                <identifier>
                    <use value="official"/>
                    <type>
                        <coding>
                            <system value="http://hl7.org/fhir/identifier-type"/>
                            <code value="SB"/>
                            <display value="Social Beneficiary Identifier"/>
                        </coding>
                        <text value="Michigan Common Key Service Identifier"/>
                    </type>
                    <system value="http://mihin.org/fhir/cks"/>
                    <value value="e74a2cedff924beba1851113c57a1573"/>
                </identifier>
                <name>
                    <family value="Taylor"/>
                    <given value="Katherine"/>
                    <given value="Elaine"/>
                    <suffix value="MD"/>
                </name>
                <telecom>
                    <system value="phone"/>
                    <value value="248.555.2330"/>
                    <use value="home"/>
                </telecom>
                <telecom>
                    <system value="phone"/>
                    <value value="248.555.9184"/>
                    <use value="work"/>
                </telecom>
                <address>
	               <line value="213 SE Hill Street"/>
	               <city value="Rochester Hills"/>
	               <state value="MI"/>
	               <postalCode value="48307"/>
            	</address>
                <gender value="female"/>
                <birthDate value="1966-02-07"/>
                <qualification>
                    <identifier>
                        <use value="official"/>
                        <type>
                            <coding>
                                <system value="http://hl7.org/fhir/v2/0203"/>
                                <code value="MD"/>
                                <display value="Medical License number"/>
                            </coding>
                            <text value="Michigan Medical License"/>
                        </type>
                        <system value="http://michigan.gov/fhir/medical-license"/>
                        <value value="LARA-1081"/>
                        <assigner>
                            <display value="State of Michigan"/>
                        </assigner>
                    </identifier>
                    <code>
                        <coding>
                            <system value="http://gov.michigan.lara.license-type"/>
                            <code value="4305"/>
                            <display value="Medical Doctor"/>
                        </coding>
                    </code>
                    <issuer>
                        <reference value="Organization/Organization-2000"/>
                        <display value="Michigan Department of Licensing and Regulatory Affairs"/>
                    </issuer>
                </qualification>
            </Practitioner>
        </resource>
        <request>
            <method value="POST"/>
            <url value="Practitioner"/>
            <ifNoneExist value="identifier=1081"/>
        </request>
    </entry>
    <entry>
        <fullUrl value="http://example.com/fhirBase/Encounter/Encounter-20620"/>
        <resource>
            <Encounter xmlns="http://hl7.org/fhir">
                <id value="Encounter-20620"/>
                <meta>
                    <versionId value="1"/>
                    <lastUpdated value="2016-07-19T17:32:44.814-04:00"/>
                    <security>
                        <system value="http://hl7.org/fhir/v3/Confidentiality"/>
                        <code value="R"/>
                        <display value="Restricted"/>
                    </security> 
                    <security>
                        <system value="http://hl7.org/fhir/v3/ActCode"/>
                        <code value="SUD"/>
                        <display value="substance use disorder information sensitivity"/>
                    </security> 
                    <security>
                            <system value="http://hl7.org/fhir/v3/ActCode"/>
                            <code value="PSY"/>
                            <display value="psychiatry information sensitivity"/>
                    </security>
                    <security>
                            <system value="http://hl7.org/fhir/v3/ActCode"/>
                            <code value="42CFRPart2"/>
                            <display value="42 CFR Part 2"/>
                    </security>
                    <security>
                            <system value="http://hl7.org/fhir/v3/ActReason"/>
                            <code value="TREAT"/>
                            <display value="treatment"/>
                    </security>
                    <security>
                            <system value="http://hl7.org/fhir/v3/ActReason"/>
                            <code value="HPAYMT"/>
                            <display value="healthcare payment"/>
                    </security>
                    <security>
                            <system value="http://hl7.org/fhir/v3/ActReason"/>
                            <code value="HOPERAT"/>
                            <display value="healthcare operations"/>
                    </security>
                    <security>
                            <system value="http://hl7.org/fhir/v3/ActCode"/>
                            <code value="PERSISTLABEL"/>
                            <display value="persist security label"/>
                    </security>
                    <security>
                            <system value="http://hl7.org/fhir/v3/ActCode"/>
                            <code value="PRIVMARK"/>
                            <display value="privacy mark"/>
                    </security>
                    <security>
                            <system value="http://hl7.org/fhir/v3/ActCode"/>
                            <code value="NORDSCLCD"/>
                            <display value="no redisclosure without consent directive"/>
                    </security>
                </meta>
                <status value="finished"/>
                <class value="outpatient"/>
                <patient>
                    <reference value="Patient/Patient-1119"/>
                    <display value="Tricia Lynn Franklin"/>
                </patient>
                <participant>
                    <period>
                        <start value="2026-07-08T21:24:41-04:00"/>
                        <end value="2026-07-08T21:54:41-04:00"/>
                    </period>
                    <individual>
                        <reference value="Practitioner/Practitioner-1081"/>
                        <display value="Katherine Elaine Taylor MD"/>
                    </individual>
                </participant>
                <period>
                    <start value="2026-07-08T21:24:41-04:00"/>
                    <end value="2026-07-08T21:54:41-04:00"/>
                </period>
                <indication>
                    <reference value="Condition/Condition-5208"/>
                    <display value="Rape Trauma"/>
                </indication>
                <indication>
                    <reference value="Condition/Condition-1696"/>
                    <display value="Dipsomania"/>
                </indication>
                <location>
                    <location>
                        <reference value="Location/Location-1302"/>
                        <display value="St. Clair Shores Urgent Care Clinic"/>
                    </location>
                </location>
                <serviceProvider>
                    <reference value="Organization/Organization-1302"/>
                    <display value="St. Clair Shores Urgent Care Clinic"/>
                </serviceProvider>
            </Encounter>                
        </resource>
        <request>
            <method value="POST"/>
            <url value="Encounter"/>
        </request>
    </entry>
    <entry>
        <fullUrl value="http://example.com/fhirBase/Condition/Condition-1696"/>
        <resource>
        <Condition xmlns="http://hl7.org/fhir">
            <id value="Condition-1696"/>
            <meta>
                <versionId value="2"/>
                <lastUpdated value="2016-07-20T08:05:16.776-04:00"/>
                <security>
                     <system value="http://hl7.org/fhir/v3/Confidentiality"/>
                     <code value="R"/>
                     <display value="Restricted"/>
                </security> 
                <security>
                    <system value="http://hl7.org/fhir/v3/ActCode"/>
                    <code value="SUD"/>
                    <display value="substance use disorder information sensitivity"/>
                </security> 
                <security>
                    <system value="http://hl7.org/fhir/v3/ActCode"/>
                    <code value="Title38Section7332"/>
                    <display value="Title 38 Section 7332"/>
                </security> 
                <security>
                    <system value="http://hl7.org/fhir/v3/ActReason"/>
                    <code value="TREAT"/>
                    <display value="treatment"/>
                </security>
                <security>
                    <system value="http://hl7.org/fhir/v3/ActReason"/>
                    <code value="HPAYMT"/>
                    <display value="healthcare payment"/>
                </security>   
                <security>
                    <system value="http://hl7.org/fhir/v3/ActCode"/>
                    <code value="PERSISTLABEL"/>
                    <display value="persist security label"/>
                </security>  
                <security>
                    <system value="http://hl7.org/fhir/v3/ActCode"/>
                    <code value="PRIVMARK"/>
                    <display value="privacy mark"/>
                </security>

			    <!--
				Because this Condition Resources was sourced from a VA Facility, 
				it is considered CUI, so the full CUI banner is included. 
				The proposed default CUI for health information exchange 
				is CUI//SP-HLTH/HLTH/PRVCY, which must be displayed in alphabetized 
				order starting with any "SP" or specified CUI code. 
				-->
		 	<security>
            	<system value="http://hl7.org/fhir/v3/ActCode"/>
            	<code value="CUISP-HLTH"/>
            	<display value="CUI//SP-HLTH"/>
			</security> 
		 	<security>
            	<system value="http://hl7.org/fhir/v3/ActCode"/>
            	<code value="CUIHLTH"/>
            	<display value="CUI//HLTH"/>
			</security> 
			<security>
            	<system value="http://hl7.org/fhir/v3/ActCode"/>
            	<code value="CUIPRVCY"/>
            	<display value="CUI//PRVCY"/>
			</security> 

			<!-- 
			This is the "must display" extension indicating that the CUI tags
			must be displayed to end users as shown in text element.
			-->

		     <extension url="http://hl7.org/fhir/StructureDefinition/extension-must-display">
			<valueAnnotation>
			  <authorReference>
				<reference value="http://example.fhir.org/Organization/vha"/>
			  </authorReference>
			<text value="**CUI//SP-HLTH/HLTH/PRVCY**\r\n\r\n ([Veterans Health Administration, Washington, DC 20420](http://example.fhir.org/Organization/vha))"/>
			</valueAnnotation>
			</extension>   				
		</meta>
            <patient>
                <reference value="Patient/Patient-1119"/>
                <display value="Tricia Lynn Franklin"/>
            </patient>
            <asserter>
                <reference value="Practitioner/Practitioner-1081"/>
                <display value="Katherine.E.Taylor MD"/>
            </asserter>
            <dateRecorded value="2018-09-02"/>
            <code>
                <coding>
                    <system value="urn:oid:2.16.840.1.113883.6.96"/>
                    <code value="7200002"/>
                    <display value="Dipsomania"/>
                </coding>
                <text value="Alcoholism (disorder)"/>
            </code>
            <clinicalStatus value="confirmed"/>
            <verificationStatus value="confirmed"/>
            <severity>
                <coding>
                    <system value="http://org.mihin.fhir.patientgen.severity"/>
                    <code value="3"/>
                    <display value="critical"/>
                </coding>
            </severity>
            <onsetDateTime value="2018-09-02T17:09:13-04:00"/>
        </Condition> 
        </resource>
        <request>
            <method value="POST"/>
            <url value="Condition"/>
        </request>
    </entry>
    <entry>
        <fullUrl value="http://example.com/fhirBase/Condition/Condition-5208"/>
        <resource>
            <Condition xmlns="http://hl7.org/fhir">
                <id value="Condition-5208"/>
				<!--
				Because this Condition Resources was not sourced from a VA 
				or Part 2 Facility, it is not considered CUI, Title 38 or Part 2 governed. 
				This security label represents the Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes consent directive form required by Michigan Mental Health Code confidentiality law. 
				-->
                <meta>
                    <versionId value="2"/>
                    <lastUpdated value="2016-07-20T08:05:16.776-04:00"/>
                    <security>
                        <system value="http://hl7.org/fhir/v3/Confidentiality"/>
                        <code value="R"/>
                        <display value="Restricted"/>
                    </security> 
                    <security>
                        <system value="http://hl7.org/fhir/v3/ActCode"/>
                        <code value="PSY"/>
                        <display value="psychiatry information sensitivity"/>
                    </security>
                    <security>
                        <system value="http://hl7.org/fhir/v3/ActCode"/>                  
                        <code value="MDHHS-5515"/>
                        <display value="Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes"/>
                    </security>  
                    <security>
                        <system value="http://hl7.org/fhir/v3/ActReason"/>
                        <code value="TREAT"/>
                        <display value="treatment"/>
                    </security> 
                    <security>
                        <system value="http://hl7.org/fhir/v3/ActReason"/>
                        <code value="HPAYMT"/>
                        <display value="healthcare payment"/>
                    </security> 
                    <security>
                        <system value="http://hl7.org/fhir/v3/ActCode"/>
                        <code value="PERSISTLABEL"/>
                        <display value="persist security label"/>
                    </security> 
                    <security>
                        <system value="http://hl7.org/fhir/v3/ActCode"/>
                        <code value="NORDSCLCD"/>
                        <display value="no redisclosure without consent directive"/>
                    </security> 
                </meta>
                <patient>
                    <reference value="Patient/Patient-1119"/>
                    <display value="Tricia Lynn Franklin"/>
                </patient>
                <asserter>
                    <reference value="Practitioner/Practitioner-1081"/>
                    <display value="Katherine.E.Taylor MD"/>
                </asserter>
                <dateRecorded value="2018-09-02"/>
                <code>
                    <coding>
                        <system value="urn:oid:2.16.840.1.113883.6.96"/>
                        <code value="25944005"/>
                        <display value="Rape trauma syndrome: silent reaction (finding)"/>
                    </coding>
                    <text value="Rape Trauma"/>
                </code>
                <clinicalStatus value="confirmed"/>
                <verificationStatus value="confirmed"/>
                <severity>
                    <coding>
                        <system value="http://org.mihin.fhir.patientgen.severity"/>
                        <code value="3"/>
                        <display value="critical"/>
                    </coding>
                </severity>
                <onsetDateTime value="2018-09-02T17:09:13-04:00"/>
            </Condition> 
        </resource> 
        <request>
            <method value="POST"/>
            <url value="Condition"/>
        </request>
    </entry>
</Bundle>
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