Bidirectional Services eReferral (BSeR)
2.0.0-ballot - STU2
Bidirectional Services eReferral (BSeR)
2.0.0-ballot - STU2
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 
<Bundle xmlns="http://hl7.org/fhir">
<id value="bundle-bser-referral-feedback-document-bundle-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackDocumentBundle"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda54e"/>
</identifier>
<type value="document"/>
<timestamp value="2020-01-07T09:25:00Z"/>
<entry>
<fullUrl
value="http://example.org/fhir/Composition/composition-bser-referral-feedback-arthritis-everywoman"/>
<resource>
<Composition>
<id value="composition-bser-referral-feedback-arthritis-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackComposition"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Composition</b><a name="composition-bser-referral-feedback-arthritis-everywoman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Composition "composition-bser-referral-feedback-arthritis-everywoman" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-BSeR-ReferralFeedbackComposition.html">BSeR Referral Feedback Composition</a></p></div><p><b>status</b>: final</p><p><b>type</b>: Consult note <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#11488-4)</span></p><p><b>date</b>: 2020-01-03 11:15:23+0000</p><p><b>author</b>: <a href="#PractitionerRole_practitionerrole-us-core-practitionerrole-referral-recipient">See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient: Hailey Eight, MD)</a></p><p><b>title</b>: Referral feedback</p></div>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="11488-4"/>
<display value="Consult note"/>
</coding>
</type>
<subject>
<reference value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<date value="2020-01-03T11:15:23Z"/>
<author>
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"/>
<display value="Hailey Eight, MD"/>
</author>
<title value="Referral feedback"/>
<section>
<title value="Referral Service Request Feedback Summary"/>
<code>
<coding>
<system value="http://hl7.org/fhir/us/bser/CodeSystem/bser"/>
<code value="RSRFS"/>
<display
value="CompositionSectionReferralServiceRequestFeedbackSummary"/>
</coding>
</code>
<focus>
<reference
value="ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis"/>
</focus>
<entry>
<reference
value="Observation/observation-bser-referralactivitystatus-eve-everywoman"/>
</entry>
</section>
<section>
<title value="Arthritis Referral Feedback Supporting Information"/>
<code>
<coding>
<system value="http://hl7.org/fhir/us/bser/CodeSystem/bser"/>
<code value="ARFSI"/>
<display
value="Arthritis Referral Feedback Supporting Information"/>
</coding>
</code>
<entry>
<reference
value="Observation/observation-bser-referral-observation-pain-mgmt-eve-everywoman"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-bser-referral-observation-pain-mgmt-eve-everywoman"/>
<resource>
<Observation>
<id
value="observation-bser-referral-observation-pain-mgmt-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/bser-referral-observation"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b><a name="observation-bser-referral-observation-pain-mgmt-eve-everywoman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "observation-bser-referral-observation-pain-mgmt-eve-everywoman" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-bser-referral-observation.html">BSeR Referral Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Therapy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#therapy)</span></p><p><b>code</b>: Pain management (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#278414003)</span></p><p><b>subject</b>: <a href="#Patient_patient-us-core-patient-eve-everywoman">See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)</a></p><p><b>effective</b>: 2019-01-18 22:33:22+0000</p><p><b>performer</b>: <a href="#PractitionerRole_practitionerrole-us-core-practitionerrole-referral-recipient">See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient)</a></p><p><b>value</b>: true</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="therapy"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="278414003"/>
<display value="Pain management (procedure)"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<effectiveDateTime value="2019-01-18T22:33:22Z"/>
<performer>
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"/>
</performer>
<valueBoolean value="true"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"/>
<resource>
<PractitionerRole>
<id
value="practitionerrole-us-core-practitionerrole-referral-recipient"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: PractitionerRole</b><a name="practitionerrole-us-core-practitionerrole-referral-recipient"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource PractitionerRole "practitionerrole-us-core-practitionerrole-referral-recipient" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-practitionerrole.html">US Core PractitionerRole Profile</a></p></div><p><b>identifier</b>: id: 2222222222</p><p><b>practitioner</b>: <a href="#Practitioner_practitioner-us-core-practitioner-hailey-eight">See above (Practitioner/practitioner-us-core-practitioner-hailey-eight: Hailey Eight, MD)</a></p><p><b>organization</b>: <a href="#Organization_organization-us-core-organization-saint-luke">See above (Organization/organization-us-core-organization-saint-luke)</a></p><p><b>code</b>: Primary Care Clinic/Center <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (provider-taxonomy#261QP2300X)</span></p><p><b>specialty</b>: Family Practice <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#419772000)</span></p><p><b>telecom</b>: <a href="mailto:hailey.eight@example.com">hailey.eight@example.com</a></p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="2222222222"/>
</identifier>
<practitioner>
<reference
value="Practitioner/practitioner-us-core-practitioner-hailey-eight"/>
<display value="Hailey Eight, MD"/>
</practitioner>
<organization>
<reference
value="Organization/organization-us-core-organization-saint-luke"/>
</organization>
<code>
<coding>
<system value="http://nucc.org/provider-taxonomy"/>
<code value="261QP2300X"/>
<display value="Primary Care Clinic/Center"/>
</coding>
</code>
<specialty>
<coding>
<system value="http://snomed.info/sct"/>
<code value="419772000"/>
<display value="Family Practice"/>
</coding>
</specialty>
<telecom>
<system value="email"/>
<value value="hailey.eight@example.com"/>
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-bser-referralactivitystatus-eve-everywoman"/>
<resource>
<Observation>
<id value="observation-bser-referralactivitystatus-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralActivityStatus"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b><a name="observation-bser-referralactivitystatus-eve-everywoman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Observation "observation-bser-referralactivitystatus-eve-everywoman" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-BSeR-ReferralActivityStatus.html">BSeR Referral Activity Status</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Action status <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#385641008)</span></p><p><b>subject</b>: <a href="#Patient_patient-us-core-patient-eve-everywoman">See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)</a></p><p><b>effective</b>: 2019-01-17</p><p><b>performer</b>: <a href="#PractitionerRole_practitionerrole-us-core-practitionerrole-referral-recipient">See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient)</a></p><p><b>value</b>: Referral completed</p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385641008"/>
<display value="Action status"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<effectiveDateTime value="2019-01-17"/>
<performer>
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"/>
</performer>
<valueString value="Referral completed"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Patient/patient-us-core-patient-eve-everywoman"/>
<resource>
<Patient>
<id value="patient-us-core-patient-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b><a name="patient-us-core-patient-eve-everywoman"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Patient "patient-us-core-patient-eve-everywoman" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-patient.html">US Core Patient Profile</a></p></div><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = '2106-3', stated as 'White')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = '2186-5', stated as 'Not Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>US Core Birth Sex Extension</b>: F</p><p><b>identifier</b>: Medical Record Number: 1032702 (use: USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Eve L Everywoman </p><p><b>telecom</b>: ph: 1-(404)555-1212(HOME), <a href="mailto:eve.everywoman@example.com">eve.everywoman@example.com</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1974-11-24</p><p><b>address</b>: 5101 Peachtree St NE Atlanta GA 30302 US </p><h3>Links</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Other</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td><a href="RelatedPerson-relatedperson-us-core-relatedperson-self-eve-everywoman.html">RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman</a> " EVERYWOMAN"</td><td>seealso</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2106-3"/>
<display value="White"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="White"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="ombCategory">
<valueCoding>
<system value="urn:oid:2.16.840.1.113883.6.238"/>
<code value="2186-5"/>
<display value="Not Hispanic or Latino"/>
</valueCoding>
</extension>
<extension url="text">
<valueString value="Not Hispanic or Latino"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical Record Number"/>
</coding>
</type>
<system value="http://hospital.smarthealthit.org"/>
<value value="1032702"/>
</identifier>
<active value="true"/>
<name>
<family value="Everywoman"/>
<given value="Eve"/>
<given value="L"/>
</name>
<telecom>
<system value="phone"/>
<value value="1-(404)555-1212"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="eve.everywoman@example.com"/>
</telecom>
<gender value="female"/>
<birthDate value="1974-11-24"/>
<address>
<line value="5101 Peachtree St NE"/>
<city value="Atlanta"/>
<state value="GA"/>
<postalCode value="30302"/>
<country value="US"/>
</address>
<link>
<other>
<reference
value="RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman"/>
</other>
<type value="seealso"/>
</link>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Organization/organization-us-core-organization-saint-luke"/>
<resource>
<Organization>
<id value="organization-us-core-organization-saint-luke"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b><a name="organization-us-core-organization-saint-luke"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization "organization-us-core-organization-saint-luke" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-organization.html">US Core Organization Profile</a></p></div><p><b>identifier</b>: id: 1063494177</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-organization-type.html">Organization type</a>#prov)</span></p><p><b>name</b>: Saint Luke's Hospital of Kansas City</p><p><b>telecom</b>: ph: (816)932-2000(WORK), http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city(WORK)</p><p><b>address</b>: 4401 Wornall Rd, Amherst MA 64111 </p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1063494177"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="Saint Luke's Hospital of Kansas City"/>
<telecom>
<system value="phone"/>
<value value="(816)932-2000"/>
<use value="work"/>
</telecom>
<telecom>
<system value="other"/>
<value
value="http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city"/>
<use value="work"/>
</telecom>
<address>
<line value="4401 Wornall Rd,"/>
<city value="Amherst"/>
<state value="MA"/>
<postalCode value="64111"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Practitioner/practitioner-us-core-practitioner-hailey-eight"/>
<resource>
<Practitioner>
<id value="practitioner-us-core-practitioner-hailey-eight"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Practitioner</b><a name="practitioner-us-core-practitioner-hailey-eight"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Practitioner "practitioner-us-core-practitioner-hailey-eight" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-practitioner.html">US Core Practitioner Profile</a></p></div><p><b>identifier</b>: id: 9941339888</p><p><b>name</b>: Eight Hailey </p><p><b>telecom</b>: <a href="mailto:hailey.eight@example.com">hailey.eight@example.com</a></p><p><b>address</b>: BMass Doctors 2100 North Ave Burlington MA 02368 US </p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339888"/>
</identifier>
<name>
<family value="Hailey"/>
<given value="Eight"/>
<suffix value="M.D."/>
</name>
<telecom>
<system value="email"/>
<value value="hailey.eight@example.com"/>
</telecom>
<address>
<line value="BMass Doctors"/>
<line value="2100 North Ave"/>
<city value="Burlington"/>
<state value="MA"/>
<postalCode value="02368"/>
<country value="US"/>
</address>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis"/>
<resource>
<ServiceRequest>
<id value="servicerequest-bser-referral-servicerequest-arthritis"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralServiceRequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ServiceRequest</b><a name="servicerequest-bser-referral-servicerequest-arthritis"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource ServiceRequest "servicerequest-bser-referral-servicerequest-arthritis" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-BSeR-ReferralServiceRequest.html">BSeR Referral Service Request</a></p></div><p><b>identifier</b>: Placer Identifier: 88888888, Filler Identifier: 99999999</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Lifestyle education (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#313204009)</span></p><p><b>code</b>: Patient referral <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#3457005)</span></p><p><b>subject</b>: <a href="#Patient_patient-us-core-patient-eve-everywoman">See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)</a></p><p><b>occurrence</b>: 2020-01-09</p><p><b>authoredOn</b>: 2020-02-14</p><p><b>requester</b>: <a href="PractitionerRole-practitionerrole-us-core-practitionerrole-referral-initiator.html">PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator: Henry Seven, MD</a></p><p><b>performer</b>: <a href="#PractitionerRole_practitionerrole-us-core-practitionerrole-referral-recipient">See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient: Hailey Eight, MD)</a></p><p><b>reasonCode</b>: Arthritis (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#3723001)</span></p><p><b>insurance</b>: <a href="Coverage-coverage-bser-coverage-eve-everywoman.html">Coverage/coverage-bser-coverage-eve-everywoman</a></p><p><b>supportingInfo</b>: </p><ul><li><a href="Bundle-bundle-bser-referral-request-document-bundle-eve-everywoman.html">Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman</a></li><li><a href="Consent-consent-bser-patientconsent-eve-everywoman.html">Consent/consent-bser-patientconsent-eve-everywoman</a></li></ul></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="88888888"/>
<assigner>
<reference
value="Organization/organization-us-core-organization-saint-luke"/>
</assigner>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<value value="99999999"/>
<assigner>
<reference
value="Organization/organization-us-core-organization-saint-luke"/>
</assigner>
</identifier>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="313204009"/>
<display value="Lifestyle education (procedure)"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="3457005"/>
<display value="Patient referral"/>
</coding>
</code>
<subject>
<reference value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<occurrenceDateTime value="2020-01-09"/>
<authoredOn value="2020-02-14"/>
<requester>
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"/>
<display value="Henry Seven, MD"/>
</requester>
<performer>
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"/>
<display value="Hailey Eight, MD"/>
</performer>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="3723001"/>
<display value="Arthritis (disorder)"/>
</coding>
</reasonCode>
<insurance>
<reference value="Coverage/coverage-bser-coverage-eve-everywoman"/>
</insurance>
<supportingInfo>
<reference
value="Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman"/>
</supportingInfo>
<supportingInfo>
<reference
value="Consent/consent-bser-patientconsent-eve-everywoman"/>
</supportingInfo>
</ServiceRequest>
</resource>
</entry>
</Bundle>
IG © 2022+ HL7 Public Health Working Group. Package hl7.fhir.us.bser#2.0.0-ballot based on FHIR 4.0.1. Generated 2023-07-31
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