Bidirectional Services eReferral (BSeR)
2.0.0-ballot - STU2 United States of America flag

This page is part of the Bidirectional Services eReferrals (BSeR) (v2.0.0-ballot: STU 2) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

Example Bundle: Document Bundle - Eve Everywoman


Generated Narrative: Composition

Resource Composition "composition-bser-referral-feedback-arthritis-everywoman"

Profile: BSeR Referral Feedback Composition

status: FINAL

type: Consult note (LOINC#11488-4)

date: 2020-01-03 11:15:23+0000

author: See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient: Hailey Eight, MD)

title: Referral feedback


Referral Service Request Feedback Summary

Arthritis Referral Feedback Supporting Information


Additional Document Content


2. http://example.org/fhir/Observation/observation-bser-referral-observation-pain-mgmt-eve-everywoman (Observation/observation-bser-referral-observation-pain-mgmt-eve-everywoman)

Generated Narrative: Observation

Resource Observation "observation-bser-referral-observation-pain-mgmt-eve-everywoman"

Profile: BSeR Referral Observation

status: FINAL

category: Therapy (Observation Category Codes#therapy)

code: Pain management (procedure) (SNOMED CT#278414003)

subject: See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)

effective: 2019-01-18 22:33:22+0000

performer: See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient)

value: true


3. http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient)

Generated Narrative: PractitionerRole

Resource PractitionerRole "practitionerrole-us-core-practitionerrole-referral-recipient"

Profile: US Core PractitionerRole Profile

identifier: id: 2222222222

practitioner: See above (Practitioner/practitioner-us-core-practitioner-hailey-eight: Hailey Eight, MD)

organization: See above (Organization/organization-us-core-organization-saint-luke)

code: Primary Care Clinic/Center (provider-taxonomy#261QP2300X)

specialty: Family Practice (SNOMED CT#419772000)


4. http://example.org/fhir/Observation/observation-bser-referralactivitystatus-eve-everywoman (Observation/observation-bser-referralactivitystatus-eve-everywoman)

Generated Narrative: Observation

Resource Observation "observation-bser-referralactivitystatus-eve-everywoman"

Profile: BSeR Referral Activity Status

status: FINAL

code: Action status (SNOMED CT#385641008)

subject: See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)

effective: 2019-01-17

performer: See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient)

value: Referral completed


5. http://example.org/fhir/Patient/patient-us-core-patient-eve-everywoman (Patient/patient-us-core-patient-eve-everywoman)

Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: USUAL))


6. http://example.org/fhir/Organization/organization-us-core-organization-saint-luke (Organization/organization-us-core-organization-saint-luke)

Generated Narrative: Organization

Resource Organization "organization-us-core-organization-saint-luke"

Profile: US Core Organization Profile

identifier: id: 1063494177

active: true

type: Healthcare Provider (Organization type#prov)

name: Saint Luke's Hospital of Kansas City

Contacts

-TelecomAddress
*ph: (816)932-2000(WORK), http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city(WORK)4401 Wornall Rd, Amherst MA 64111


7. http://example.org/fhir/Practitioner/practitioner-us-core-practitioner-hailey-eight (Practitioner/practitioner-us-core-practitioner-hailey-eight)

Generated Narrative: Practitioner

Resource Practitioner "practitioner-us-core-practitioner-hailey-eight"

Profile: US Core Practitioner Profile

identifier: id: 9941339888

name: Eight Hailey

telecom: hailey.eight@example.com

address: BMass Doctors 2100 North Ave Burlington MA 02368 US


8. http://example.org/fhir/ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis (ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis)

Generated Narrative: ServiceRequest

Resource ServiceRequest "servicerequest-bser-referral-servicerequest-arthritis"

Profile: BSeR Referral Service Request

identifier: Placer Identifier: 88888888, Filler Identifier: 99999999

status: ACTIVE

intent: ORDER

category: Lifestyle education (procedure) (SNOMED CT#313204009)

code: Patient referral (SNOMED CT#3457005)

subject: See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)

occurrence: 2020-01-09

authoredOn: 2020-02-14

requester: PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator: Henry Seven, MD

performer: See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient: Hailey Eight, MD)

insurance: Coverage/coverage-bser-coverage-eve-everywoman

supportingInfo:

  • Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman
  • Consent/consent-bser-patientconsent-eve-everywoman