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-message-bundle-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralMessageBundle"/>
</meta>
<type value="message"/>
<entry>
<fullUrl
value="http://example.org/fhir/MessageHeader/messageheader-bser-referral-messageheader"/>
<resource>
<MessageHeader>
<id value="messageheader-bser-referral-messageheader"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralMessageHeader"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<eventCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="I12"/>
<display value="REF/RRI - Patient referral"/>
</eventCoding>
<destination>
<endpoint
value="http://www.saintlukeshealthsystem.org/fhir/endpoint"/>
<receiver>
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"/>
</receiver>
</destination>
<sender>
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"/>
</sender>
<source>
<name value="Acme Central Patient Registry"/>
<software value="FooBar Patient Manager"/>
<version value="3.1.45.AABB"/>
<contact>
<system value="phone"/>
<value value="+1 (555) 123 4567"/>
</contact>
<endpoint value="http://www.saintlukeshealthsystem.org/fhir"/>
</source>
<reason>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="I12"/>
<display value="REF/RRI - Patient referral"/>
</coding>
</reason>
<focus>
<reference value="Task/task-bser-referral-task"/>
</focus>
</MessageHeader>
</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">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>
</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>
<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/Task/task-bser-referral-task"/>
<resource>
<Task>
<id value="task-bser-referral-task"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralTask"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="66666666"/>
<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="77777777"/>
<assigner>
<reference
value="Organization/organization-us-core-organization-saint-luke"/>
</assigner>
</identifier>
<status value="requested"/>
<businessStatus>
<coding>
<system
value="http://hl7.org/fhir/us/bser/CodeSystem/TaskBusinessStatusCS"/>
<code value="7.0"/>
<display value="Service Request Fulfillment Completed"/>
</coding>
</businessStatus>
<intent value="order"/>
<code>
<coding>
<system value="http://hl7.org/fhir/CodeSystem/task-code"/>
<code value="fulfill"/>
</coding>
</code>
<focus>
<reference
value="ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis"/>
</focus>
<for>
<reference value="Patient/patient-us-core-patient-eve-everywoman"/>
</for>
<authoredOn value="2020-01-15T14:43:32-04:00"/>
<requester>
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"/>
</requester>
<owner>
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"/>
</owner>
<output>
<type>
<text value="Arthritis referral feedback"/>
</type>
<valueReference>
<reference
value="Bundle/bundle-bser-referral-feedback-document-bundle-eve-everywoman"/>
</valueReference>
</output>
</Task>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"/>
<resource>
<PractitionerRole>
<id
value="practitionerrole-us-core-practitionerrole-referral-initiator"/>
<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-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: 1111111111</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>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1111111111"/>
</identifier>
<practitioner>
<reference
value="Practitioner/practitioner-us-core-practitioner-henry-seven"/>
<display value="Henry Seven, 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="henry.seven@example.com"/>
</telecom>
</PractitionerRole>
</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.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>
</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/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/Coverage/coverage-bser-coverage-eve-everywoman"/>
<resource>
<Coverage>
<id value="coverage-bser-coverage-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Coverage"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MB"/>
<display value="Member Number"/>
</coding>
</type>
<system value="http://benefitsinc.com/certificate"/>
<value value="12345"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="EHCPOL"/>
<display value="extended healthcare"/>
</coding>
</type>
<subscriber>
<reference
value="RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subscriber>
<beneficiary>
<reference value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</beneficiary>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="ONESELF"/>
<display value="self"/>
</coding>
<text value="self"/>
</relationship>
<period>
<start value="2019-05-23"/>
<end value="2020-05-23"/>
</period>
<payor>
<reference
value="Organization/organization-us-core-organization-saint-luke"/>
</payor>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="group"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="subgroup"/>
</coding>
</type>
<value value="123"/>
<name
value="Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="plan"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="subplan"/>
</coding>
</type>
<value value="P7"/>
<name value="Includes afterlife benefits"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="class"/>
</coding>
</type>
<value value="SILVER"/>
<name value="Silver: Family Plan spouse only"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="subclass"/>
</coding>
</type>
<value value="Tier2"/>
<name value="Low deductable, max $20 copay"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="sequence"/>
</coding>
</type>
<value value="9"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="rxid"/>
</coding>
</type>
<value value="MDF12345"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="rxbin"/>
</coding>
</type>
<value value="987654"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="rxgroup"/>
</coding>
</type>
<value value="M35PT"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="rxpcn"/>
</coding>
</type>
<value value="234516"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="sequence"/>
</coding>
</type>
<value value="9"/>
</class>
</Coverage>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman"/>
<resource>
<Bundle>
<id
value="bundle-bser-referral-request-document-bundle-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralRequestDocumentBundle"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda54c"/>
</identifier>
<type value="document"/>
<timestamp value="2020-01-06T22:13:23Z"/>
<entry>
<fullUrl
value="http://example.org/fhir/Composition/composition-bser-referral-request-arthritis-everywoman"/>
<resource>
<Composition>
<id
value="composition-bser-referral-request-arthritis-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralRequestComposition"/>
</meta>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="57133-1"/>
<display value="Referral note"/>
</coding>
</type>
<subject>
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<date value="2020-01-02T22:13:23Z"/>
<author>
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"/>
<display value="Henry Seven, MD"/>
</author>
<title value="Referral request"/>
<section>
<title value="Other Supporting Information"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/bser/CodeSystem/bser"/>
<code value="OSI"/>
<display value="Other Supporting Information"/>
</coding>
</code>
<entry>
<reference
value="Observation/observation-us-core-social-history-education-eve-everywoman"/>
</entry>
</section>
<section>
<title
value="Arthritis Referral Request Supporting Information"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/bser/CodeSystem/bser"/>
<code value="ARSI"/>
<display
value="Arthritis Referral Supporting Information"/>
</coding>
</code>
<entry>
<reference
value="AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman"/>
</entry>
<entry>
<reference
value="MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman"/>
</entry>
<entry>
<reference
value="Observation/observation-us-core-blood-pressure-eve-everywoman"/>
</entry>
<entry>
<reference
value="Observation/observation-us-core-body-height-eve-everywoman"/>
</entry>
<entry>
<reference
value="Observation/observation-us-core-body-weight-eve-everywoman"/>
</entry>
<entry>
<reference
value="Observation/observation-us-core-bmi-eve-everywoman"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-us-core-blood-pressure-eve-everywoman"/>
<resource>
<Observation>
<id value="observation-us-core-blood-pressure-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
<text value="Vital Signs"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85354-9"/>
<display
value="Blood pressure panel with all children optional"/>
</coding>
<text value="Blood pressure systolic & diastolic"/>
</code>
<subject>
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<effectiveDateTime value="2019-01-17"/>
<performer>
<reference
value="Practitioner/practitioner-us-core-practitioner-henry-seven"/>
</performer>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8480-6"/>
<display value="Systolic blood pressure"/>
</coding>
</code>
<valueQuantity>
<value value="107"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8462-4"/>
<display value="Diastolic blood pressure"/>
</coding>
</code>
<valueQuantity>
<value value="60"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-us-core-body-height-eve-everywoman"/>
<resource>
<Observation>
<id value="observation-us-core-body-height-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
<text value="Vital Signs"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8302-2"/>
<display value="Body height"/>
</coding>
<text value="Body height"/>
</code>
<subject>
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<effectiveDateTime value="2019-01-17"/>
<performer>
<reference
value="Practitioner/practitioner-us-core-practitioner-henry-seven"/>
</performer>
<valueQuantity>
<value value="68"/>
<unit value="in"/>
<system value="http://unitsofmeasure.org"/>
<code value="[in_i]"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"/>
<resource>
<PractitionerRole>
<id
value="practitionerrole-us-core-practitionerrole-referral-initiator"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"/>
</meta>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1111111111"/>
</identifier>
<practitioner>
<reference
value="Practitioner/practitioner-us-core-practitioner-henry-seven"/>
<display value="Henry Seven, 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="henry.seven@example.com"/>
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-us-core-bmi-eve-everywoman"/>
<resource>
<Observation>
<id value="observation-us-core-bmi-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
<text value="Vital Signs"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="39156-5"/>
<display value="Body mass index (BMI) [Ratio]"/>
</coding>
<text value="BMI"/>
</code>
<subject>
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<effectiveDateTime value="2019-01-17"/>
<performer>
<reference
value="Practitioner/practitioner-us-core-practitioner-henry-seven"/>
</performer>
<valueQuantity>
<value value="29"/>
<unit value="kg/m2"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg/m2"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-us-core-social-history-education-eve-everywoman"/>
<resource>
<Observation>
<id
value="observation-us-core-social-history-education-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="social-history"/>
<display value="Social History"/>
</coding>
<text value="Social History"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="82589-3"/>
<display value="Highest level of education"/>
</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-initiator"/>
</performer>
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"/>
<code value="ELEM"/>
<display value="Elementary School"/>
</coding>
<text value="Elementary School"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman"/>
<resource>
<MedicationRequest>
<id
value="medicationrequest-us-core-medicationrequest-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/>
</meta>
<status value="active"/>
<intent value="instance-order"/>
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="27658006"/>
<display value="Amoxicillin-containing product"/>
</coding>
</medicationCodeableConcept>
<subject>
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<authoredOn value="2019-01-17"/>
<requester>
<reference
value="Practitioner/practitioner-us-core-practitioner-hailey-eight"/>
</requester>
<dosageInstruction>
<text value="bid"/>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-us-core-body-weight-eve-everywoman"/>
<resource>
<Observation>
<id value="observation-us-core-body-weight-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
<text value="Vital Signs"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29463-7"/>
<display value="Body weight"/>
</coding>
<text value="Body weight"/>
</code>
<subject>
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<effectiveDateTime value="2019-01-17"/>
<performer>
<reference
value="Practitioner/practitioner-us-core-practitioner-henry-seven"/>
</performer>
<valueQuantity>
<value value="65"/>
<unit value="kg"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg"/>
</valueQuantity>
</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>
<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/AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman"/>
<resource>
<AllergyIntolerance>
<id
value="allergyintolerance-us-core-allergyint-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"/>
</meta>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category value="medication"/>
<criticality value="high"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="387406002"/>
<display value="Sulfonamide (substance)"/>
</coding>
<text value="sulfonamide antibacterial"/>
</code>
<patient>
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</patient>
<reaction>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="271807003"/>
<display value="skin rash"/>
</coding>
<text value="skin rash"/>
</manifestation>
<severity value="mild"/>
</reaction>
</AllergyIntolerance>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Practitioner/practitioner-us-core-practitioner-henry-seven"/>
<resource>
<Practitioner>
<id value="practitioner-us-core-practitioner-henry-seven"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339108"/>
</identifier>
<name>
<family value="Henry"/>
<given value="Seven"/>
<suffix value="M.D."/>
</name>
<telecom>
<system value="email"/>
<value value="henry.seven@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/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>
<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>
</Bundle>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Consent/consent-bser-patientconsent-eve-everywoman"/>
<resource>
<Consent>
<id value="consent-bser-patientconsent-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-PatientConsent"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="active"/>
<scope>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/consentscope"/>
<code value="patient-privacy"/>
</coding>
</scope>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="INFA"/>
<display value="information access"/>
</coding>
</category>
<patient>
<reference value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</patient>
<dateTime value="2019-05-23"/>
<performer>
<reference value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</performer>
<policyRule>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="OPTIN"/>
</coding>
</policyRule>
<provision>
<type value="permit"/>
<actor>
<role>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="CST"/>
</coding>
</role>
<reference>
<reference
value="Organization/organization-us-core-organization-saint-luke"/>
</reference>
</actor>
<action>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/consentaction"/>
<code value="access"/>
</coding>
</action>
</provision>
</Consent>
</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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