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 
{
"resourceType" : "Bundle",
"id" : "bundle-bser-referral-message-bundle-eve-everywoman",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralMessageBundle"
]
},
"type" : "message",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/MessageHeader/messageheader-bser-referral-messageheader",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "messageheader-bser-referral-messageheader",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralMessageHeader"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MessageHeader</b><a name=\"messageheader-bser-referral-messageheader\"> </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 MessageHeader "messageheader-bser-referral-messageheader" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-ReferralMessageHeader.html\">BSeR Referral Message Header</a></p></div><p><b>event</b>: REF/RRI - Patient referral (Details: http://terminology.hl7.org/CodeSystem/v2-0003 code I12 = 'REF/RRI - Patient referral', stated as 'REF/RRI - Patient referral')</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"http://www.saintlukeshealthsystem.org/fhir/endpoint\">http://www.saintlukeshealthsystem.org/fhir/endpoint</a></td><td><a href=\"#PractitionerRole_practitionerrole-us-core-practitionerrole-referral-recipient\">See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient)</a></td></tr></table><p><b>sender</b>: <a href=\"#PractitionerRole_practitionerrole-us-core-practitionerrole-referral-initiator\">See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator)</a></p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Software</b></td><td><b>Version</b></td><td><b>Contact</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>Acme Central Patient Registry</td><td>FooBar Patient Manager</td><td>3.1.45.AABB</td><td><a href=\"tel:+1(555)1234567\">+1 (555) 123 4567</a></td><td><a href=\"http://www.saintlukeshealthsystem.org/fhir\">http://www.saintlukeshealthsystem.org/fhir</a></td></tr></table><p><b>reason</b>: REF/RRI - Patient referral <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v2-0003.html\">eventType</a>#I12)</span></p><p><b>focus</b>: <a href=\"#Task_task-bser-referral-task\">See above (Task/task-bser-referral-task)</a></p></div>"
},
"eventCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
"code" : "I12",
"display" : "REF/RRI - Patient referral"
},
"destination" : [
{
"endpoint" : "http://www.saintlukeshealthsystem.org/fhir/endpoint",
"receiver" : {
"reference" : "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"
}
}
],
"sender" : {
"reference" : "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"
},
"source" : {
"name" : "Acme Central Patient Registry",
"software" : "FooBar Patient Manager",
"version" : "3.1.45.AABB",
"contact" : {
"system" : "phone",
"value" : "+1 (555) 123 4567"
},
"endpoint" : "http://www.saintlukeshealthsystem.org/fhir"
},
"reason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
"code" : "I12",
"display" : "REF/RRI - Patient referral"
}
]
},
"focus" : [
{
"reference" : "Task/task-bser-referral-task"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "servicerequest-bser-referral-servicerequest-arthritis",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralServiceRequest"
]
},
"text" : {
"status" : "generated",
"div" : "<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\">See above (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\">See above (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\">See above (Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman)</a></li><li><a href=\"#Consent_consent-bser-patientconsent-eve-everywoman\">See above (Consent/consent-bser-patientconsent-eve-everywoman)</a></li></ul></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC"
}
]
},
"value" : "88888888",
"assigner" : {
"reference" : "Organization/organization-us-core-organization-saint-luke"
}
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "FILL"
}
]
},
"value" : "99999999",
"assigner" : {
"reference" : "Organization/organization-us-core-organization-saint-luke"
}
}
],
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "313204009",
"display" : "Lifestyle education (procedure)"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3457005",
"display" : "Patient referral"
}
]
},
"subject" : {
"reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"occurrenceDateTime" : "2020-01-09",
"authoredOn" : "2020-02-14",
"requester" : {
"reference" : "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator",
"display" : "Henry Seven, MD"
},
"performer" : [
{
"reference" : "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient",
"display" : "Hailey Eight, MD"
}
],
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3723001",
"display" : "Arthritis (disorder)"
}
]
}
],
"insurance" : [
{
"reference" : "Coverage/coverage-bser-coverage-eve-everywoman"
}
],
"supportingInfo" : [
{
"reference" : "Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman"
},
{
"reference" : "Consent/consent-bser-patientconsent-eve-everywoman"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Patient/patient-us-core-patient-eve-everywoman",
"resource" : {
"resourceType" : "Patient",
"id" : "patient-us-core-patient-eve-everywoman",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"text" : {
"status" : "extensions",
"div" : "<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\u00a0(use:\u00a0USUAL)</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>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "text",
"valueString" : "White"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2186-5",
"display" : "Not Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
]
},
"system" : "http://hospital.smarthealthit.org",
"value" : "1032702"
}
],
"active" : true,
"name" : [
{
"family" : "Everywoman",
"given" : [
"Eve",
"L"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "1-(404)555-1212",
"use" : "home"
},
{
"system" : "email",
"value" : "eve.everywoman@example.com"
}
],
"gender" : "female",
"birthDate" : "1974-11-24",
"address" : [
{
"line" : [
"5101 Peachtree St NE"
],
"city" : "Atlanta",
"state" : "GA",
"postalCode" : "30302",
"country" : "US"
}
],
"link" : [
{
"other" : {
"reference" : "RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman"
},
"type" : "seealso"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Task/task-bser-referral-task",
"resource" : {
"resourceType" : "Task",
"id" : "task-bser-referral-task",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralTask"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Task</b><a name=\"task-bser-referral-task\"> </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 Task "task-bser-referral-task" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-ReferralTask.html\">BSeR Referral Task</a></p></div><p><b>identifier</b>: Placer Identifier: 66666666, Filler Identifier: 77777777</p><p><b>status</b>: requested</p><p><b>businessStatus</b>: Service Request Fulfillment Completed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-TaskBusinessStatusCS.html\">Task Business Status Code System</a>#7.0)</span></p><p><b>intent</b>: order</p><p><b>code</b>: Fulfill the focal request <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-task-code.html\">Task Codes</a>#fulfill)</span></p><p><b>focus</b>: <a href=\"#ServiceRequest_servicerequest-bser-referral-servicerequest-arthritis\">See above (ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis)</a></p><p><b>for</b>: <a href=\"#Patient_patient-us-core-patient-eve-everywoman\">See above (Patient/patient-us-core-patient-eve-everywoman)</a></p><p><b>authoredOn</b>: 2020-01-15 14:43:32-0400</p><p><b>requester</b>: <a href=\"#PractitionerRole_practitionerrole-us-core-practitionerrole-referral-initiator\">See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator)</a></p><p><b>owner</b>: <a href=\"#PractitionerRole_practitionerrole-us-core-practitionerrole-referral-recipient\">See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient)</a></p><h3>Outputs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Arthritis referral feedback <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td><td><a href=\"Bundle-bundle-bser-referral-feedback-document-bundle-eve-everywoman.html\">Bundle/bundle-bser-referral-feedback-document-bundle-eve-everywoman</a></td></tr></table></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC"
}
]
},
"value" : "66666666",
"assigner" : {
"reference" : "Organization/organization-us-core-organization-saint-luke"
}
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "FILL"
}
]
},
"value" : "77777777",
"assigner" : {
"reference" : "Organization/organization-us-core-organization-saint-luke"
}
}
],
"status" : "requested",
"businessStatus" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/bser/CodeSystem/TaskBusinessStatusCS",
"code" : "7.0",
"display" : "Service Request Fulfillment Completed"
}
]
},
"intent" : "order",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/CodeSystem/task-code",
"code" : "fulfill"
}
]
},
"focus" : {
"reference" : "ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis"
},
"for" : {
"reference" : "Patient/patient-us-core-patient-eve-everywoman"
},
"authoredOn" : "2020-01-15T14:43:32-04:00",
"requester" : {
"reference" : "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"
},
"owner" : {
"reference" : "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"
},
"output" : [
{
"type" : {
"text" : "Arthritis referral feedback"
},
"valueReference" : {
"reference" : "Bundle/bundle-bser-referral-feedback-document-bundle-eve-everywoman"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "practitionerrole-us-core-practitionerrole-referral-initiator",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b><a name=\"practitionerrole-us-core-practitionerrole-referral-initiator\"> </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-initiator" </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:\u00a01111111111</p><p><b>practitioner</b>: <a href=\"Practitioner-practitioner-us-core-practitioner-henry-seven.html\">Practitioner/practitioner-us-core-practitioner-henry-seven: Henry Seven, MD</a> " HENRY"</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:henry.seven@example.com\">henry.seven@example.com</a></p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1111111111"
}
],
"practitioner" : {
"reference" : "Practitioner/practitioner-us-core-practitioner-henry-seven",
"display" : "Henry Seven, MD"
},
"organization" : {
"reference" : "Organization/organization-us-core-organization-saint-luke"
},
"code" : [
{
"coding" : [
{
"system" : "http://nucc.org/provider-taxonomy",
"code" : "261QP2300X",
"display" : "Primary Care Clinic/Center"
}
]
}
],
"specialty" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "419772000",
"display" : "Family Practice"
}
]
}
],
"telecom" : [
{
"system" : "email",
"value" : "henry.seven@example.com"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "practitionerrole-us-core-practitionerrole-referral-recipient",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"
]
},
"text" : {
"status" : "generated",
"div" : "<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:\u00a02222222222</p><p><b>practitioner</b>: <a href=\"Practitioner-practitioner-us-core-practitioner-hailey-eight.html\">Practitioner/practitioner-us-core-practitioner-hailey-eight: Hailey Eight, MD</a> " HAILEY"</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>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "2222222222"
}
],
"practitioner" : {
"reference" : "Practitioner/practitioner-us-core-practitioner-hailey-eight",
"display" : "Hailey Eight, MD"
},
"organization" : {
"reference" : "Organization/organization-us-core-organization-saint-luke"
},
"code" : [
{
"coding" : [
{
"system" : "http://nucc.org/provider-taxonomy",
"code" : "261QP2300X",
"display" : "Primary Care Clinic/Center"
}
]
}
],
"specialty" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "419772000",
"display" : "Family Practice"
}
]
}
],
"telecom" : [
{
"system" : "email",
"value" : "hailey.eight@example.com"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Organization/organization-us-core-organization-saint-luke",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-us-core-organization-saint-luke",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<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:\u00a01063494177</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>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1063494177"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "Saint Luke's Hospital of Kansas City",
"telecom" : [
{
"system" : "phone",
"value" : "(816)932-2000",
"use" : "work"
},
{
"system" : "other",
"value" : "http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city",
"use" : "work"
}
],
"address" : [
{
"line" : [
"4401 Wornall Rd,"
],
"city" : "Amherst",
"state" : "MA",
"postalCode" : "64111"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Coverage/coverage-bser-coverage-eve-everywoman",
"resource" : {
"resourceType" : "Coverage",
"id" : "coverage-bser-coverage-eve-everywoman",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Coverage"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Coverage</b><a name=\"coverage-bser-coverage-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 Coverage "coverage-bser-coverage-eve-everywoman" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-Coverage.html\">BSeR Coverage</a></p></div><p><b>identifier</b>: Member Number: 12345</p><p><b>status</b>: active</p><p><b>type</b>: extended healthcare <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#EHCPOL)</span></p><p><b>subscriber</b>: <a href=\"RelatedPerson-relatedperson-us-core-relatedperson-self-eve-everywoman.html\">RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman: Eve Everywoman</a> " EVERYWOMAN"</p><p><b>beneficiary</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>relationship</b>: self <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#ONESELF)</span></p><p><b>period</b>: 2019-05-23 --> 2020-05-23</p><p><b>payor</b>: <a href=\"#Organization_organization-us-core-organization-saint-luke\">See above (Organization/organization-us-core-organization-saint-luke)</a></p><blockquote><p><b>class</b></p><p><b>type</b>: Group <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#group; <a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#subgroup)</span></p><p><b>value</b>: 123</p><p><b>name</b>: Full Coverage: Medical, Dental, Pharmacy, Vision, EHC</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: Plan <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#plan; <a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#subplan)</span></p><p><b>value</b>: P7</p><p><b>name</b>: Includes afterlife benefits</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: Class <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#class)</span></p><p><b>value</b>: SILVER</p><p><b>name</b>: Silver: Family Plan spouse only</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: SubClass <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#subclass)</span></p><p><b>value</b>: Tier2</p><p><b>name</b>: Low deductable, max $20 copay</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: Sequence <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#sequence)</span></p><p><b>value</b>: 9</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: RX Id <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#rxid)</span></p><p><b>value</b>: MDF12345</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: RX BIN <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#rxbin)</span></p><p><b>value</b>: 987654</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: RX Group <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#rxgroup)</span></p><p><b>value</b>: M35PT</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: RX PCN <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#rxpcn)</span></p><p><b>value</b>: 234516</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: Sequence <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#sequence)</span></p><p><b>value</b>: 9</p></blockquote></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MB",
"display" : "Member Number"
}
]
},
"system" : "http://benefitsinc.com/certificate",
"value" : "12345"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "EHCPOL",
"display" : "extended healthcare"
}
]
},
"subscriber" : {
"reference" : "RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman",
"display" : "Eve Everywoman"
},
"beneficiary" : {
"reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "ONESELF",
"display" : "self"
}
],
"text" : "self"
},
"period" : {
"start" : "2019-05-23",
"end" : "2020-05-23"
},
"payor" : [
{
"reference" : "Organization/organization-us-core-organization-saint-luke"
}
],
"class" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "group"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "subgroup"
}
]
},
"value" : "123",
"name" : "Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "plan"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "subplan"
}
]
},
"value" : "P7",
"name" : "Includes afterlife benefits"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "class"
}
]
},
"value" : "SILVER",
"name" : "Silver: Family Plan spouse only"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "subclass"
}
]
},
"value" : "Tier2",
"name" : "Low deductable, max $20 copay"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "sequence"
}
]
},
"value" : "9"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "rxid"
}
]
},
"value" : "MDF12345"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "rxbin"
}
]
},
"value" : "987654"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "rxgroup"
}
]
},
"value" : "M35PT"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "rxpcn"
}
]
},
"value" : "234516"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "sequence"
}
]
},
"value" : "9"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman",
"resource" : {
"resourceType" : "Bundle",
"id" : "bundle-bser-referral-request-document-bundle-eve-everywoman",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralRequestDocumentBundle"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda54c"
},
"type" : "document",
"timestamp" : "2020-01-06T22:13:23Z",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/Composition/composition-bser-referral-request-arthritis-everywoman",
"resource" : {
"resourceType" : "Composition",
"id" : "composition-bser-referral-request-arthritis-everywoman",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralRequestComposition"
]
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "57133-1",
"display" : "Referral note"
}
]
},
"subject" : {
"reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"date" : "2020-01-02T22:13:23Z",
"author" : [
{
"reference" : "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator",
"display" : "Henry Seven, MD"
}
],
"title" : "Referral request",
"section" : [
{
"title" : "Other Supporting Information",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/bser/CodeSystem/bser",
"code" : "OSI",
"display" : "Other Supporting Information"
}
]
},
"entry" : [
{
"reference" : "Observation/observation-us-core-social-history-education-eve-everywoman"
}
]
},
{
"title" : "Arthritis Referral Request Supporting Information",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/bser/CodeSystem/bser",
"code" : "ARSI",
"display" : "Arthritis Referral Supporting Information"
}
]
},
"entry" : [
{
"reference" : "AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman"
},
{
"reference" : "MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman"
},
{
"reference" : "Observation/observation-us-core-blood-pressure-eve-everywoman"
},
{
"reference" : "Observation/observation-us-core-body-height-eve-everywoman"
},
{
"reference" : "Observation/observation-us-core-body-weight-eve-everywoman"
},
{
"reference" : "Observation/observation-us-core-bmi-eve-everywoman"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/observation-us-core-blood-pressure-eve-everywoman",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-us-core-blood-pressure-eve-everywoman",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure"
]
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
],
"text" : "Vital Signs"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85354-9",
"display" : "Blood pressure panel with all children optional"
}
],
"text" : "Blood pressure systolic & diastolic"
},
"subject" : {
"reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"effectiveDateTime" : "2019-01-17",
"performer" : [
{
"reference" : "Practitioner/practitioner-us-core-practitioner-henry-seven"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8480-6",
"display" : "Systolic blood pressure"
}
]
},
"valueQuantity" : {
"value" : 107,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8462-4",
"display" : "Diastolic blood pressure"
}
]
},
"valueQuantity" : {
"value" : 60,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/observation-us-core-body-height-eve-everywoman",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-us-core-body-height-eve-everywoman",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height"
]
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
],
"text" : "Vital Signs"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8302-2",
"display" : "Body height"
}
],
"text" : "Body height"
},
"subject" : {
"reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"effectiveDateTime" : "2019-01-17",
"performer" : [
{
"reference" : "Practitioner/practitioner-us-core-practitioner-henry-seven"
}
],
"valueQuantity" : {
"value" : 68,
"unit" : "in",
"system" : "http://unitsofmeasure.org",
"code" : "[in_i]"
}
}
},
{
"fullUrl" : "http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "practitionerrole-us-core-practitionerrole-referral-initiator",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"
]
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1111111111"
}
],
"practitioner" : {
"reference" : "Practitioner/practitioner-us-core-practitioner-henry-seven",
"display" : "Henry Seven, MD"
},
"organization" : {
"reference" : "Organization/organization-us-core-organization-saint-luke"
},
"code" : [
{
"coding" : [
{
"system" : "http://nucc.org/provider-taxonomy",
"code" : "261QP2300X",
"display" : "Primary Care Clinic/Center"
}
]
}
],
"specialty" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "419772000",
"display" : "Family Practice"
}
]
}
],
"telecom" : [
{
"system" : "email",
"value" : "henry.seven@example.com"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/observation-us-core-bmi-eve-everywoman",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-us-core-bmi-eve-everywoman",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi"
]
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
],
"text" : "Vital Signs"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "39156-5",
"display" : "Body mass index (BMI) [Ratio]"
}
],
"text" : "BMI"
},
"subject" : {
"reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"effectiveDateTime" : "2019-01-17",
"performer" : [
{
"reference" : "Practitioner/practitioner-us-core-practitioner-henry-seven"
}
],
"valueQuantity" : {
"value" : 29,
"unit" : "kg/m2",
"system" : "http://unitsofmeasure.org",
"code" : "kg/m2"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/observation-us-core-social-history-education-eve-everywoman",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-us-core-social-history-education-eve-everywoman",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history"
]
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "social-history",
"display" : "Social History"
}
],
"text" : "Social History"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "82589-3",
"display" : "Highest level of education"
}
]
},
"subject" : {
"reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"effectiveDateTime" : "2019-01-17",
"performer" : [
{
"reference" : "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-EducationLevel",
"code" : "ELEM",
"display" : "Elementary School"
}
],
"text" : "Elementary School"
}
}
},
{
"fullUrl" : "http://example.org/fhir/MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "medicationrequest-us-core-medicationrequest-eve-everywoman",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
]
},
"status" : "active",
"intent" : "instance-order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "27658006",
"display" : "Amoxicillin-containing product"
}
]
},
"subject" : {
"reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"authoredOn" : "2019-01-17",
"requester" : {
"reference" : "Practitioner/practitioner-us-core-practitioner-hailey-eight"
},
"dosageInstruction" : [
{
"text" : "bid"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/observation-us-core-body-weight-eve-everywoman",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-us-core-body-weight-eve-everywoman",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight"
]
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs",
"display" : "Vital Signs"
}
],
"text" : "Vital Signs"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29463-7",
"display" : "Body weight"
}
],
"text" : "Body weight"
},
"subject" : {
"reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"effectiveDateTime" : "2019-01-17",
"performer" : [
{
"reference" : "Practitioner/practitioner-us-core-practitioner-henry-seven"
}
],
"valueQuantity" : {
"value" : 65,
"unit" : "kg",
"system" : "http://unitsofmeasure.org",
"code" : "kg"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Patient/patient-us-core-patient-eve-everywoman",
"resource" : {
"resourceType" : "Patient",
"id" : "patient-us-core-patient-eve-everywoman",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "text",
"valueString" : "White"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2186-5",
"display" : "Not Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
]
},
"system" : "http://hospital.smarthealthit.org",
"value" : "1032702"
}
],
"active" : true,
"name" : [
{
"family" : "Everywoman",
"given" : [
"Eve",
"L"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "1-(404)555-1212",
"use" : "home"
},
{
"system" : "email",
"value" : "eve.everywoman@example.com"
}
],
"gender" : "female",
"birthDate" : "1974-11-24",
"address" : [
{
"line" : [
"5101 Peachtree St NE"
],
"city" : "Atlanta",
"state" : "GA",
"postalCode" : "30302",
"country" : "US"
}
],
"link" : [
{
"other" : {
"reference" : "RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman"
},
"type" : "seealso"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "allergyintolerance-us-core-allergyint-eve-everywoman",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"
]
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed"
}
]
},
"category" : [
"medication"
],
"criticality" : "high",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "387406002",
"display" : "Sulfonamide (substance)"
}
],
"text" : "sulfonamide antibacterial"
},
"patient" : {
"reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"reaction" : [
{
"manifestation" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "271807003",
"display" : "skin rash"
}
],
"text" : "skin rash"
}
],
"severity" : "mild"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Practitioner/practitioner-us-core-practitioner-henry-seven",
"resource" : {
"resourceType" : "Practitioner",
"id" : "practitioner-us-core-practitioner-henry-seven",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9941339108"
}
],
"name" : [
{
"family" : "Henry",
"given" : [
"Seven"
],
"suffix" : [
"M.D."
]
}
],
"telecom" : [
{
"system" : "email",
"value" : "henry.seven@example.com"
}
],
"address" : [
{
"line" : [
"BMass Doctors",
"2100 North Ave"
],
"city" : "Burlington",
"state" : "MA",
"postalCode" : "02368",
"country" : "US"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Organization/organization-us-core-organization-saint-luke",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-us-core-organization-saint-luke",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
]
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1063494177"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "Saint Luke's Hospital of Kansas City",
"telecom" : [
{
"system" : "phone",
"value" : "(816)932-2000",
"use" : "work"
},
{
"system" : "other",
"value" : "http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city",
"use" : "work"
}
],
"address" : [
{
"line" : [
"4401 Wornall Rd,"
],
"city" : "Amherst",
"state" : "MA",
"postalCode" : "64111"
}
]
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Consent/consent-bser-patientconsent-eve-everywoman",
"resource" : {
"resourceType" : "Consent",
"id" : "consent-bser-patientconsent-eve-everywoman",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-PatientConsent"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Consent</b><a name=\"consent-bser-patientconsent-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 Consent "consent-bser-patientconsent-eve-everywoman" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-PatientConsent.html\">BSeR Patient Consent</a></p></div><p><b>status</b>: active</p><p><b>scope</b>: Privacy Consent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-consentscope.html\">Consent Scope Codes</a>#patient-privacy)</span></p><p><b>category</b>: information access <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#INFA)</span></p><p><b>patient</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>dateTime</b>: 2019-05-23</p><p><b>performer</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>policyRule</b>: opt-in <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#OPTIN)</span></p><blockquote><p><b>provision</b></p><p><b>type</b>: permit</p><h3>Actors</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Role</b></td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td>custodian <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#CST)</span></td><td><a href=\"#Organization_organization-us-core-organization-saint-luke\">See above (Organization/organization-us-core-organization-saint-luke)</a></td></tr></table><p><b>action</b>: Access <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-consentaction.html\">Consent Action Codes</a>#access)</span></p></blockquote></div>"
},
"status" : "active",
"scope" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/consentscope",
"code" : "patient-privacy"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "INFA",
"display" : "information access"
}
]
}
],
"patient" : {
"reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"dateTime" : "2019-05-23",
"performer" : [
{
"reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
}
],
"policyRule" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "OPTIN"
}
]
},
"provision" : {
"type" : "permit",
"actor" : [
{
"role" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "CST"
}
]
},
"reference" : {
"reference" : "Organization/organization-us-core-organization-saint-luke"
}
}
],
"action" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/consentaction",
"code" : "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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