{
  "type": "smart-health-checkin-request",
  "version": "1",
  "id": "replace-with-a-unique-id",
  "purpose": "Pre-visit check-in",
  "fhirVersions": [
    "4.0.1"
  ],
  "items": [
    {
      "id": "patient",
      "title": "Demographics",
      "content": {
        "kind": "selection.fhir",
        "profiles": [
          "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
        ]
      },
      "accept": [
        "application/fhir+json"
      ]
    },
    {
      "id": "problems",
      "title": "Problems and health concerns",
      "content": {
        "kind": "selection.fhir",
        "profiles": [
          "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns"
        ]
      },
      "accept": [
        "application/fhir+json"
      ]
    },
    {
      "id": "allergies",
      "title": "Allergies",
      "content": {
        "kind": "selection.fhir",
        "profiles": [
          "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"
        ]
      },
      "accept": [
        "application/fhir+json"
      ]
    },
    {
      "id": "medications",
      "title": "Medications",
      "content": {
        "kind": "selection.fhir",
        "profiles": [
          "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
        ]
      },
      "accept": [
        "application/fhir+json"
      ]
    },
    {
      "id": "immunizations",
      "title": "Immunizations",
      "content": {
        "kind": "selection.fhir",
        "profiles": [
          "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"
        ]
      },
      "accept": [
        "application/fhir+json"
      ]
    },
    {
      "id": "coverage",
      "title": "Insurance card",
      "summary": "Your insurance card, as a CARIN digital insurance card or US Core coverage record.",
      "content": {
        "kind": "selection.fhir",
        "profiles": [
          "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Coverage",
          "http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage"
        ]
      },
      "accept": [
        "application/fhir+json",
        "application/smart-health-card"
      ]
    }
  ]
}