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 bundle-bser-referral-message-bundle-eve-everywoman of type message
Entry 1 - fullUrl = http://example.org/fhir/MessageHeader/messageheader-bser-referral-messageheader
Resource MessageHeader:
Generated Narrative: MessageHeader
Resource MessageHeader "messageheader-bser-referral-messageheader"
Profile: BSeR Referral Message Header
event: REF/RRI - Patient referral (Details: http://terminology.hl7.org/CodeSystem/v2-0003 code I12 = 'REF/RRI - Patient referral', stated as 'REF/RRI - Patient referral')
Destinations
Endpoint Receiver http://www.saintlukeshealthsystem.org/fhir/endpoint See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient) sender: See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator)
Sources
Name Software Version Contact Endpoint Acme Central Patient Registry FooBar Patient Manager 3.1.45.AABB +1 (555) 123 4567 http://www.saintlukeshealthsystem.org/fhir reason: REF/RRI - Patient referral (eventType#I12)
Entry 2 - fullUrl = http://example.org/fhir/ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis
Resource ServiceRequest:
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
insurance: See above (Coverage/coverage-bser-coverage-eve-everywoman)
supportingInfo:
- Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman
- Consent/consent-bser-patientconsent-eve-everywoman
Entry 3 - fullUrl = http://example.org/fhir/Patient/patient-us-core-patient-eve-everywoman
Resource Patient:
Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: USUAL))
Entry 4 - fullUrl = http://example.org/fhir/Task/task-bser-referral-task
Resource Task:
Resource Task "task-bser-referral-task"
Profile: BSeR Referral Task
identifier: Placer Identifier: 66666666, Filler Identifier: 77777777
status: REQUESTED
businessStatus: Service Request Fulfillment Completed (Task Business Status Code System#7.0)
intent: ORDER
code: Fulfill the focal request (Task Codes#fulfill)
focus: See above (ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis)
for: See above (Patient/patient-us-core-patient-eve-everywoman)
authoredOn: 2020-01-15 14:43:32-0400
requester: See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator)
owner: See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient)
Outputs
Type Value[x] Arthritis referral feedback () Bundle/bundle-bser-referral-feedback-document-bundle-eve-everywoman
Entry 5 - fullUrl = http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator
Resource PractitionerRole:
Generated Narrative: PractitionerRole
Resource PractitionerRole "practitionerrole-us-core-practitionerrole-referral-initiator"
Profile: US Core PractitionerRole Profile
identifier: id: 1111111111
practitioner: Practitioner/practitioner-us-core-practitioner-henry-seven: Henry Seven, MD " HENRY"
organization: See above (Organization/organization-us-core-organization-saint-luke)
code: Primary Care Clinic/Center (provider-taxonomy#261QP2300X)
specialty: Family Practice (SNOMED CT#419772000)
Entry 6 - fullUrl = http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient
Resource PractitionerRole:
Generated Narrative: PractitionerRole
Resource PractitionerRole "practitionerrole-us-core-practitionerrole-referral-recipient"
Profile: US Core PractitionerRole Profile
identifier: id: 2222222222
practitioner: Practitioner/practitioner-us-core-practitioner-hailey-eight: Hailey Eight, MD " HAILEY"
organization: See above (Organization/organization-us-core-organization-saint-luke)
code: Primary Care Clinic/Center (provider-taxonomy#261QP2300X)
specialty: Family Practice (SNOMED CT#419772000)
Entry 7 - fullUrl = http://example.org/fhir/Organization/organization-us-core-organization-saint-luke
Resource Organization:
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
Telecom Address ph: (816)932-2000(WORK), http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city(WORK) 4401 Wornall Rd, Amherst MA 64111
Entry 8 - fullUrl = http://example.org/fhir/Coverage/coverage-bser-coverage-eve-everywoman
Resource Coverage:
Resource Coverage "coverage-bser-coverage-eve-everywoman"
Profile: BSeR Coverage
identifier: Member Number: 12345
status: ACTIVE
type: extended healthcare (ActCode#EHCPOL)
subscriber: RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman: Eve Everywoman " EVERYWOMAN"
beneficiary: See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)
relationship: self (RoleCode#ONESELF)
period: 2019-05-23 --> 2020-05-23
class
type: Group (Coverage Class Codes#group; Coverage Class Codes#subgroup)
value: id: 123
name: Full Coverage: Medical, Dental, Pharmacy, Vision, EHC
class
type: Plan (Coverage Class Codes#plan; Coverage Class Codes#subplan)
value: id: P7
name: Includes afterlife benefits
class
type: Class (Coverage Class Codes#class)
value: id: SILVER
name: Silver: Family Plan spouse only
class
type: SubClass (Coverage Class Codes#subclass)
value: id: Tier2
name: Low deductable, max $20 copay
class
type: Sequence (Coverage Class Codes#sequence)
value: id: 9
class
type: RX Id (Coverage Class Codes#rxid)
value: id: MDF12345
class
type: RX BIN (Coverage Class Codes#rxbin)
value: id: 987654
class
type: RX Group (Coverage Class Codes#rxgroup)
value: id: M35PT
class
type: RX PCN (Coverage Class Codes#rxpcn)
value: id: 234516
class
type: Sequence (Coverage Class Codes#sequence)
value: id: 9
Entry 9 - fullUrl = http://example.org/fhir/Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman
Resource Bundle:
Generated Narrative: Composition
Resource Composition "composition-bser-referral-request-arthritis-everywoman"
Profile: BSeR Referral Request Composition
status: FINAL
type: Referral note (LOINC#57133-1)
date: 2020-01-02 22:13:23+0000
title: Referral request
Other Supporting Information
Arthritis Referral Request Supporting Information
- See above (AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman)
- See above (MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman)
- See above (Observation/observation-us-core-blood-pressure-eve-everywoman)
- See above (Observation/observation-us-core-body-height-eve-everywoman)
- See above (Observation/observation-us-core-body-weight-eve-everywoman)
- See above (Observation/observation-us-core-bmi-eve-everywoman)
Additional Document Content
2. http://example.org/fhir/Observation/observation-us-core-blood-pressure-eve-everywoman (Observation/observation-us-core-blood-pressure-eve-everywoman)
Generated Narrative: Observation
Resource Observation "observation-us-core-blood-pressure-eve-everywoman"
Profile: US Core Blood Pressure Profile
status: FINAL
category: Vital Signs (Observation Category Codes#vital-signs)
code: Blood pressure systolic & diastolic (LOINC#85354-9 "Blood pressure panel with all children optional")
subject: See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)
effective: 2019-01-17
performer: See above (Practitioner/practitioner-us-core-practitioner-henry-seven)
component
code: Systolic blood pressure (LOINC#8480-6)
value: 107 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')
component
code: Diastolic blood pressure (LOINC#8462-4)
value: 60 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')
3. http://example.org/fhir/Observation/observation-us-core-body-height-eve-everywoman (Observation/observation-us-core-body-height-eve-everywoman)
Generated Narrative: Observation
Resource Observation "observation-us-core-body-height-eve-everywoman"
Profile: US Core Body Height Profile
status: FINAL
category: Vital Signs (Observation Category Codes#vital-signs)
code: Body height (LOINC#8302-2)
subject: See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)
effective: 2019-01-17
performer: See above (Practitioner/practitioner-us-core-practitioner-henry-seven)
value: 68 in (Details: UCUM code [in_i] = '[in_i]')
4. http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator)
Generated Narrative: PractitionerRole
Resource PractitionerRole "practitionerrole-us-core-practitionerrole-referral-initiator"
Profile: US Core PractitionerRole Profile
identifier: id: 1111111111
practitioner: See above (Practitioner/practitioner-us-core-practitioner-henry-seven: Henry Seven, 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)
5. http://example.org/fhir/Observation/observation-us-core-bmi-eve-everywoman (Observation/observation-us-core-bmi-eve-everywoman)
Generated Narrative: Observation
Resource Observation "observation-us-core-bmi-eve-everywoman"
Profile: US Core BMI Profile
status: FINAL
category: Vital Signs (Observation Category Codes#vital-signs)
code: BMI (LOINC#39156-5 "Body mass index (BMI) [Ratio]")
subject: See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)
effective: 2019-01-17
performer: See above (Practitioner/practitioner-us-core-practitioner-henry-seven)
value: 29 kg/m2 (Details: UCUM code kg/m2 = 'kg/m2')
6. http://example.org/fhir/Observation/observation-us-core-social-history-education-eve-everywoman (Observation/observation-us-core-social-history-education-eve-everywoman)
Generated Narrative: Observation
Resource Observation "observation-us-core-social-history-education-eve-everywoman"
status: FINAL
category: Social History (Observation Category Codes#social-history)
code: Highest level of education (LOINC#82589-3)
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-initiator)
value: Elementary School (Education Level#ELEM)
7. http://example.org/fhir/MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman (MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman)
Generated Narrative: MedicationRequest
Resource MedicationRequest "medicationrequest-us-core-medicationrequest-eve-everywoman"
Profile: US Core MedicationRequest Profile
status: ACTIVE
intent: INSTANCEORDER
subject: See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)
authoredOn: 2019-01-17
requester: Practitioner/practitioner-us-core-practitioner-hailey-eight " HAILEY"
DosageInstructions
Text bid 8. http://example.org/fhir/Observation/observation-us-core-body-weight-eve-everywoman (Observation/observation-us-core-body-weight-eve-everywoman)
Generated Narrative: Observation
Resource Observation "observation-us-core-body-weight-eve-everywoman"
Profile: US Core Body Weight Profile
status: FINAL
category: Vital Signs (Observation Category Codes#vital-signs)
code: Body weight (LOINC#29463-7)
subject: See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)
effective: 2019-01-17
performer: See above (Practitioner/practitioner-us-core-practitioner-henry-seven)
value: 65 kg (Details: UCUM code kg = 'kg')
9. 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))
10. http://example.org/fhir/AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman (AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman)
Generated Narrative: AllergyIntolerance
Resource AllergyIntolerance "allergyintolerance-us-core-allergyint-eve-everywoman"
Profile: US Core AllergyIntolerance Profile
clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)
verificationStatus: Confirmed (AllergyIntolerance Verification Status#confirmed)
category: MEDICATION
criticality: HIGH
code: sulfonamide antibacterial (SNOMED CT#387406002 "Sulfonamide (substance)")
patient: See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)
Reactions
Manifestation Severity skin rash (SNOMED CT#271807003) MILD 11. http://example.org/fhir/Practitioner/practitioner-us-core-practitioner-henry-seven (Practitioner/practitioner-us-core-practitioner-henry-seven)
Generated Narrative: Practitioner
Resource Practitioner "practitioner-us-core-practitioner-henry-seven"
Profile: US Core Practitioner Profile
identifier: id: 9941339108
name: Seven Henry
telecom: henry.seven@example.com
address: BMass Doctors 2100 North Ave Burlington MA 02368 US
12. 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
Telecom Address ph: (816)932-2000(WORK), http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city(WORK) 4401 Wornall Rd, Amherst MA 64111
Entry 10 - fullUrl = http://example.org/fhir/Consent/consent-bser-patientconsent-eve-everywoman
Resource Consent:
Resource Consent "consent-bser-patientconsent-eve-everywoman"
Profile: BSeR Patient Consent
status: ACTIVE
category: information access (ActCode#INFA)
provision
Actors
Role Reference custodian (ParticipationType#CST) See above (Organization/organization-us-core-organization-saint-luke) action: Access (Consent Action Codes#access)
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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