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

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

Example Bundle: Document Bundle - Eve Everywoman - Arthritis


Generated Narrative: Composition

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

Profile: BSeR Referral Request Composition

status: FINAL

type: Referral note (LOINC#57133-1)

date: 2020-01-02 22:13:23+0000

author: See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator: Henry Seven, MD)

title: Referral request


Other Supporting Information

Arthritis Referral Request Supporting Information


Additional Document Content


2. http://example.org/fhir/Observation/observation-us-core-blood-pressure-eve-everywoman (Observation/observation-us-core-blood-pressure-eve-everywoman)

Generated Narrative: Observation

Resource Observation "observation-us-core-blood-pressure-eve-everywoman"

Profile: US Core Blood Pressure Profile

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: Blood pressure systolic & diastolic (LOINC#85354-9 "Blood pressure panel with all children optional")

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

effective: 2019-01-17

performer: See above (Practitioner/practitioner-us-core-practitioner-henry-seven)

component

code: Systolic blood pressure (LOINC#8480-6)

value: 107 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure (LOINC#8462-4)

value: 60 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')


3. http://example.org/fhir/Observation/observation-us-core-body-height-eve-everywoman (Observation/observation-us-core-body-height-eve-everywoman)

Generated Narrative: Observation

Resource Observation "observation-us-core-body-height-eve-everywoman"

Profile: US Core Body Height Profile

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: Body height (LOINC#8302-2)

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

effective: 2019-01-17

performer: See above (Practitioner/practitioner-us-core-practitioner-henry-seven)

value: 68 in (Details: UCUM code [in_i] = '[in_i]')


4. http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator)

Generated Narrative: PractitionerRole

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

Profile: US Core PractitionerRole Profile

identifier: id: 1111111111

practitioner: See above (Practitioner/practitioner-us-core-practitioner-henry-seven: Henry Seven, MD)

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

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

specialty: Family Practice (SNOMED CT#419772000)


5. http://example.org/fhir/Observation/observation-us-core-bmi-eve-everywoman (Observation/observation-us-core-bmi-eve-everywoman)

Generated Narrative: Observation

Resource Observation "observation-us-core-bmi-eve-everywoman"

Profile: US Core BMI Profile

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: BMI (LOINC#39156-5 "Body mass index (BMI) [Ratio]")

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

effective: 2019-01-17

performer: See above (Practitioner/practitioner-us-core-practitioner-henry-seven)

value: 29 kg/m2 (Details: UCUM code kg/m2 = 'kg/m2')


6. http://example.org/fhir/Observation/observation-us-core-social-history-education-eve-everywoman (Observation/observation-us-core-social-history-education-eve-everywoman)

Generated Narrative: Observation

Resource Observation "observation-us-core-social-history-education-eve-everywoman"

Profile: US Core Observation Social History Profile

status: FINAL

category: Social History (Observation Category Codes#social-history)

code: Highest level of education (LOINC#82589-3)

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

effective: 2019-01-17

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

value: Elementary School (Education Level#ELEM)


7. http://example.org/fhir/MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman (MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman)

Generated Narrative: MedicationRequest

Resource MedicationRequest "medicationrequest-us-core-medicationrequest-eve-everywoman"

Profile: US Core MedicationRequest Profile

status: ACTIVE

intent: INSTANCEORDER

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

authoredOn: 2019-01-17

requester: Practitioner/practitioner-us-core-practitioner-hailey-eight " HAILEY"

DosageInstructions

-Text
*bid


8. http://example.org/fhir/Observation/observation-us-core-body-weight-eve-everywoman (Observation/observation-us-core-body-weight-eve-everywoman)

Generated Narrative: Observation

Resource Observation "observation-us-core-body-weight-eve-everywoman"

Profile: US Core Body Weight Profile

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: Body weight (LOINC#29463-7)

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

effective: 2019-01-17

performer: See above (Practitioner/practitioner-us-core-practitioner-henry-seven)

value: 65 kg (Details: UCUM code kg = 'kg')


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

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


10. http://example.org/fhir/AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman (AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman)

Generated Narrative: AllergyIntolerance

Resource AllergyIntolerance "allergyintolerance-us-core-allergyint-eve-everywoman"

Profile: US Core AllergyIntolerance Profile

clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)

verificationStatus: Confirmed (AllergyIntolerance Verification Status#confirmed)

category: MEDICATION

criticality: HIGH

code: sulfonamide antibacterial (SNOMED CT#387406002 "Sulfonamide (substance)")

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

Reactions

-ManifestationSeverity
*skin rash (SNOMED CT#271807003)MILD


11. http://example.org/fhir/Practitioner/practitioner-us-core-practitioner-henry-seven (Practitioner/practitioner-us-core-practitioner-henry-seven)

Generated Narrative: Practitioner

Resource Practitioner "practitioner-us-core-practitioner-henry-seven"

Profile: US Core Practitioner Profile

identifier: id: 9941339108

name: Seven Henry

telecom: henry.seven@example.com

address: BMass Doctors 2100 North Ave Burlington MA 02368 US


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

Generated Narrative: Organization

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

Profile: US Core Organization Profile

identifier: id: 1063494177

active: true

type: Healthcare Provider (Organization type#prov)

name: Saint Luke's Hospital of Kansas City

Contacts

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