This page is part of the Bidirectional Services eReferrals (BSeR) (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
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{ "resourceType" : "Bundle", "id" : "bundle-bser-referral-feedback-document-bundle-eve-everywoman", "meta" : { "profile" : [ "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackDocumentBundle" ] }, "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda54e" }, "type" : "document", "timestamp" : "2020-01-07T09:25:00Z", "entry" : [ { "fullUrl" : "Composition/composition-bser-referral-feedback", "resource" : { "resourceType" : "Composition", "id" : "composition-bser-referral-feedback", "meta" : { "versionId" : "5", "lastUpdated" : "2020-01-06T00:48:15.000-05:00", "profile" : [ "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackComposition" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td style=\"font-weight: bold\">id</td>\n <td>\n <div title=\"id\">composition-bser-referral-feedback</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">meta</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">versionId</td>\n <td>\n <div title=\"versionId\">3</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">lastUpdated</td>\n <td>\n <div title=\"lastUpdated\">2020-01-22T00:31:00.000-05:00</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">profile</td>\n <td>\n <div title=\"profile\">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackComposition</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">status</td>\n <td>\n <div title=\"status\">final</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">type</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">Referral note</div> (\n <div title=\"code\">57133-1</div> ) \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://loinc.org\">http://loinc.org</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">subject</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li/>\n <li>\n <a href=\"Patient-patient-us-core-patient-eve-everywoman.html\">Eve Everywoman</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">date</td>\n <td>\n <div title=\"date\">2020-01-03T11:15:23Z</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">author</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li/>\n <li>\n <a href=\"PractitionerRole-practitionerrole-bser-referral-recipient.html\">Hailey Eight, MD</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">title</td>\n <td>\n <div title=\"title\">Referral feedback</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">section</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">title</td>\n <td>\n <div title=\"title\">Arthritis referral request feedback summary</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">code</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">CompositionSectionReferralServiceRequestFeedbackSummary</div> (\n <div title=\"code\">RSRFS</div> ) \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://hl7.org/fhir/us/bser/CodeSystem/bser\">http://hl7.org/fhir/us/bser/CodeSystem/bser</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">section</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">title</td>\n <td>\n <div title=\"title\">Arthritis referral feedback supporting information</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">code</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">CompositionSectionReferralServiceRequestFeedbackSupportingInformation</div> (\n <div title=\"code\">RSRFSI</div> ) \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://hl7.org/fhir/us/bser/CodeSystem/bser\">http://hl7.org/fhir/us/bser/CodeSystem/bser</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n </table>\n </div>" }, "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" : "2020-01-03T11:15:23Z", "author" : [ { "reference" : "PractitionerRole/practitionerrole-bser-referral-recipient", "display" : "Hailey Eight, MD" } ], "title" : "Referral feedback", "section" : [ { "title" : "Arthritis referral request feedback summary", "code" : { "coding" : [ { "system" : "http://hl7.org/fhir/us/bser/CodeSystem/bser", "code" : "RSRFS", "display" : "CompositionSectionReferralServiceRequestFeedbackSummary" } ] }, "focus" : { "reference" : "ServiceRequest/servicerequest-BSeR-ReferralServiceRequest" }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td style=\"font-weight: bold\">id</td>\n <td>\n <div title=\"id\">composition-bser-referral-feedback</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">meta</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">versionId</td>\n <td>\n <div title=\"versionId\">3</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">lastUpdated</td>\n <td>\n <div title=\"lastUpdated\">2020-01-22T00:31:00.000-05:00</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">profile</td>\n <td>\n <div title=\"profile\">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackComposition</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">status</td>\n <td>\n <div title=\"status\">final</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">type</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">Referral note</div> (\n <div title=\"code\">57133-1</div> ) \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://loinc.org\">http://loinc.org</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">subject</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li/>\n <li>\n <a href=\"Patient-patient-us-core-patient-eve-everywoman.html\">Eve Everywoman</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">date</td>\n <td>\n <div title=\"date\">2020-01-03T11:15:23Z</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">author</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li/>\n <li>\n <a href=\"PractitionerRole-practitionerrole-bser-referral-recipient.html\">Hailey Eight, MD</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">title</td>\n <td>\n <div title=\"title\">Referral feedback</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">section</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">title</td>\n <td>\n <div title=\"title\">Arthritis referral request feedback summary</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">code</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">CompositionSectionReferralServiceRequestFeedbackSummary</div> (\n <div title=\"code\">RSRFS</div> ) \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://hl7.org/fhir/us/bser/CodeSystem/bser\">http://hl7.org/fhir/us/bser/CodeSystem/bser</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">section</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">title</td>\n <td>\n <div title=\"title\">Arthritis referral feedback supporting information</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">code</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">CompositionSectionReferralServiceRequestFeedbackSupportingInformation</div> (\n <div title=\"code\">RSRFSI</div> ) \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://hl7.org/fhir/us/bser/CodeSystem/bser\">http://hl7.org/fhir/us/bser/CodeSystem/bser</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n </table>\n </div>" }, "entry" : [ { "reference" : "Observation/observation-BSeR-ReferralActivityStatus-eve-everywoman" } ] }, { "title" : "Arthritis referral feedback supporting information", "code" : { "coding" : [ { "system" : "http://hl7.org/fhir/us/bser/CodeSystem/bser", "code" : "RSRFSI", "display" : "CompositionSectionReferralServiceRequestFeedbackSupportingInformation" } ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td style=\"font-weight: bold\">id</td>\n <td>\n <div title=\"id\">composition-bser-referral-feedback</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">meta</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">versionId</td>\n <td>\n <div title=\"versionId\">3</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">lastUpdated</td>\n <td>\n <div title=\"lastUpdated\">2020-01-22T00:31:00.000-05:00</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">profile</td>\n <td>\n <div title=\"profile\">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackComposition</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">status</td>\n <td>\n <div title=\"status\">final</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">type</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">Referral note</div> (\n <div title=\"code\">57133-1</div> ) \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://loinc.org\">http://loinc.org</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">subject</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li/>\n <li>\n <a href=\"Patient-patient-us-core-patient-eve-everywoman.html\">Eve Everywoman</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">date</td>\n <td>\n <div title=\"date\">2020-01-03T11:15:23Z</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">author</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li/>\n <li>\n <a href=\"PractitionerRole-practitionerrole-bser-referral-recipient.html\">Hailey Eight, MD</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">title</td>\n <td>\n <div title=\"title\">Referral feedback</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">section</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">title</td>\n <td>\n <div title=\"title\">Arthritis referral request feedback summary</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">code</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">CompositionSectionReferralServiceRequestFeedbackSummary</div> (\n <div title=\"code\">RSRFS</div> ) \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://hl7.org/fhir/us/bser/CodeSystem/bser\">http://hl7.org/fhir/us/bser/CodeSystem/bser</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">section</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">title</td>\n <td>\n <div title=\"title\">Arthritis referral feedback supporting information</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">code</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">CompositionSectionReferralServiceRequestFeedbackSupportingInformation</div> (\n <div title=\"code\">RSRFSI</div> ) \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://hl7.org/fhir/us/bser/CodeSystem/bser\">http://hl7.org/fhir/us/bser/CodeSystem/bser</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n </table>\n </div>" }, "entry" : [ { "reference" : "Bundle/bundle-bser-arthritis-referral-feedback-eve-everywoman" } ] } ] } }, { "fullUrl" : "Observation/observation-BSeR-ReferralActivityStatus-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-BSeR-ReferralActivityStatus-eve-everywoman", "meta" : { "versionId" : "2", "lastUpdated" : "2020-01-20T18:21:50.000-05:00", "profile" : [ "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralActivityStatus" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td style=\"font-weight: bold\">id</td>\n <td>\n <div title=\"id\">observation-BSeR_ReferralActivityStatus-eve-everywoman</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">meta</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">profile</td>\n <td>\n <div title=\"profile\">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralActivityStatus</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">status</td>\n <td>\n <div title=\"status\">final</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">code</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">Action status</div> (\n <div title=\"code\">385641008</div> ) \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://snomed.info/sct\">http://snomed.info/sct</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">subject</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li/>\n <li>\n <a href=\"Patient-patient-us-core-patient-eve-everywoman.html\">Eve Everywoman</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">effectiveDateTime</td>\n <td>\n <div title=\"effectiveDateTime\">2019-01-17</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">performer</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <a href=\"PractitionerRole-practitionerrole-bser-referral-recipient.html\">PractitionerRole/practitionerrole-bser-referral-recipient</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">valueString</td>\n <td>\n <div title=\"valueString\">Referral accepted</div>\n </td>\n </tr>\n </table>\n </div>" }, "status" : "final", "code" : { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "385641008", "display" : "Action status" } ] }, "subject" : { "reference" : "Patient/patient-us-core-patient-eve-everywoman", "display" : "Eve Everywoman" }, "effectiveDateTime" : "2019-01-17", "performer" : [ { "reference" : "PractitionerRole/practitionerrole-bser-referral-recipient" } ], "valueString" : "Referral accepted" } }, { "fullUrl" : "Bundle/bundle-bser-arthritis-referral-feedback-eve-everywoman", "resource" : { "resourceType" : "Bundle", "id" : "bundle-bser-arthritis-referral-feedback-eve-everywoman", "meta" : { "versionId" : "10", "lastUpdated" : "2020-01-13T20:41:48.000-05:00", "profile" : [ "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ArthritisReferralFeedbackSupportingInformation" ] }, "type" : "collection", "entry" : [ { "fullUrl" : "Observation/observation-BSeR-ArthritisFeedbackObservation-1-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-BSeR-ArthritisFeedbackObservation-1-eve-everywoman", "meta" : { "profile" : [ "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ArthritisFeedbackObservation" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td style=\"font-weight: bold\">id</td>\n <td>\n <div title=\"id\">observation-BSeR-ArthritisFeedbackObservation-1-eve-everywoman</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">meta</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">versionId</td>\n <td>\n <div title=\"versionId\">3</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">lastUpdated</td>\n <td>\n <div title=\"lastUpdated\">2019-12-10T21:56:18.000-05:00</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">profile</td>\n <td>\n <div title=\"profile\">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ArthritisFeedbackObservation</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">status</td>\n <td>\n <div title=\"status\">final</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">code</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">Endurance (observable entity)</div> ( \n <div title=\"code\">406203001</div> ) \n </li>\n <li>\n <div 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style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">Patient's condition improved (finding)</div> ( \n <div title=\"code\">268910001</div> ) \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://snomed.info/sct\">http://snomed.info/sct</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n </table>\n </div>" }, "status" : "final", "code" : { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "406203001", "display" : "Endurance (observable entity)" } ] }, "subject" : { "reference" : "Patient/patient-us-core-patient-eve-everywoman", "display" : "Eve Everywoman" }, "effectiveDateTime" : "2019-01-18T22:33:22Z", "performer" : [ { "reference" : "PractitionerRole/practitionerrole-bser-referral-recipient" } ], "valueCodeableConcept" : { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "268910001", "display" : "Patient's condition improved (finding)" } ] } } } ] } }, { "fullUrl" : "Patient/patient-us-core-patient-eve-everywoman", "resource" : { "resourceType" : "Patient", "id" : "patient-us-core-patient-eve-everywoman", "meta" : { "versionId" : "3", "lastUpdated" : "2019-12-19T21:35:47.000-05:00", "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td style=\"font-weight: bold\">id</td>\n <td>\n <span title=\"id\">patient-us-core-patient-eve-everywoman</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">meta</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">profile</td>\n <td>\n <span title=\"profile\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient</span>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">us-core-race</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <span title=\"display\">White</span>\n </li>\n <li>\n <span title=\"system\">urn:oid:2.16.840.1.113883.6.238</span>\n </li>\n <li>\n <span title=\"code\">2106-3</span>\n </li>\n <li>\n <span title=\"valueString\">White</span>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">us-core-ethnicity</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <span title=\"display\">Not Hispanic or Latino</span>\n </li>\n <li>\n <span title=\"system\">urn:oid:2.16.840.1.113883.6.238</span>\n </li>\n <li>\n <span title=\"code\">2186-5</span>\n </li>\n <li>\n <span title=\"valueString\">Not Hispanic or Latino</span>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">us-core-birthsex</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <span title=\"valueCode\">F</span>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">identifier</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <span title=\"use\">usual</span>\n </li>\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <span title=\"display\">Medical Record Number</span> ( \n <span title=\"code\">MR</span> ) \n </li>\n <li>\n <span title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">http://terminology.hl7.org/CodeSystem/v2-0203</a>\n </span>\n </li>\n </ul>\n </li>\n <li>\n <span title=\"system\">\n <a href=\"http://hospital.smarthealthit.org\">http://hospital.smarthealthit.org</a>\n </span>\n </li>\n <li>\n <span title=\"value\">1032702</span>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">active</td>\n <td>\n <span title=\"active\">true</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">name</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">family</td>\n <td>\n <span title=\"family\">Everywoman</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">given</td>\n <td>\n <span title=\"given\">Eve</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">given</td>\n <td>\n <span title=\"given\">L</span>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">telecom</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">system</td>\n <td>\n <span title=\"system\">phone</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">value</td>\n <td>\n <span title=\"value\">1-(404)555-1212</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">use</td>\n <td>\n <span title=\"use\">home</span>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">telecom</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">system</td>\n <td>\n <span title=\"system\">email</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">value</td>\n <td>\n <span title=\"value\">eve.everywoman@example.com</span>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">gender</td>\n <td>\n <span title=\"gender\">female</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">birthDate</td>\n <td>\n <span title=\"birthDate\">1974-11-24</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">address</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">line</td>\n <td>\n <span title=\"line\">5101 Peachtree St NE</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">city</td>\n <td>\n <span title=\"city\">Atlanta</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">state</td>\n <td>\n <span title=\"state\">GA</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">postalCode</td>\n <td>\n <span title=\"postalCode\">30302</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">country</td>\n <td>\n <span title=\"country\">US</span>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n </table>\n </div>" }, "extension" : [ { "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" : "2106-3", "display" : "White" } }, { "url" : "text", "valueString" : "White" } ] }, { "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity", "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-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" } ] } }, { "fullUrl" : "PractitionerRole/practitionerrole-bser-referral-recipient", "resource" : { "resourceType" : "PractitionerRole", "id" : "practitionerrole-bser-referral-recipient", "meta" : { "versionId" : "7", "lastUpdated" : "2020-01-21T21:27:01.000-05:00", "profile" : [ "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralRecipientPractitionerRole" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td style=\"font-weight: bold\">id</td>\n <td>\n <div title=\"id\">practitionerrole-bser-referral-recipient</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">meta</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">profile</td>\n <td>\n <div title=\"profile\">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralInitiatorPractitionerRole</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">identifier</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"system\">\n <a href=\"http://hl7.org/fhir/sid/us-npi\">http://hl7.org/fhir/sid/us-npi</a>\n </div>\n </li>\n <li>\n <div title=\"value\">2222222222</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">practitioner</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li/>\n <li>\n <a href=\"Practitioner-practitioner-bser-hailey-eight.html\">Hailey Eight, MD</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">organization</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">code</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">Primary Care</div> ( \n <div title=\"code\">261QP2300X</div> ) \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://nucc.org/provider-taxonomy\">http://nucc.org/provider-taxonomy</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">specialty</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">Family Practice</div> ( \n <div title=\"code\">419772000</div> ) \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://snomed.info/sct\">http://snomed.info/sct</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">telecom</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">system</td>\n <td>\n <div title=\"system\">email</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">value</td>\n <td>\n <div title=\"value\">hailey.eight@example.com</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n </table>\n </div>" }, "identifier" : [ { "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "2222222222" } ], "practitioner" : { "reference" : "Practitioner/practitioner-bser-hailey-eight", "display" : "Hailey Eight, MD" }, "organization" : { "reference" : "Organization/organization-bser-organization-saint-luke" }, "code" : [ { "coding" : [ { "system" : "http://nucc.org/provider-taxonomy", "code" : "261QP2300X", "display" : "Primary Care" } ] } ], "specialty" : [ { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "419772000", "display" : "Family Practice" } ] } ], "telecom" : [ { "system" : "email", "value" : "hailey.eight@example.com" } ] } }, { "fullUrl" : "Practitioner/practitioner-bser-hailey-eight", "resource" : { "resourceType" : "Practitioner", "id" : "practitioner-bser-hailey-eight", "meta" : { "versionId" : "2", "lastUpdated" : "2020-01-17T23:52:09.000-05:00", "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td style=\"font-wEight: bold\">id</td>\n <td>\n <span title=\"id\">practitioner-bser-hailey-eight</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">meta</td>\n <td>\n <table>\n <tr>\n <td style=\"font-wEight: bold\">versionId</td>\n <td>\n <span title=\"versionId\">6</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">lastUpdated</td>\n <td>\n <span title=\"lastUpdated\">2019-10-05T02:50:13.000-04:00</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">profile</td>\n <td>\n <span title=\"profile\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner</span>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">identifier</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <span title=\"system\">\n <a href=\"http://hl7.org/fhir/sid/us-npi\">http://hl7.org/fhir/sid/us-npi</a>\n </span>\n </li>\n <li>\n <span title=\"value\">9941339888</span>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">name</td>\n <td>\n <table>\n <tr>\n <td style=\"font-wEight: bold\">family</td>\n <td>\n <span title=\"family\">Hailey</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">given</td>\n <td>\n <span title=\"given\">Eight</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">suffix</td>\n <td>\n <span title=\"suffix\">M.D.</span>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">telecom</td>\n <td>\n <table>\n <tr>\n <td style=\"font-wEight: bold\">system</td>\n <td>\n <span title=\"system\">email</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">value</td>\n <td>\n <span title=\"value\">hailey.eight@example.com</span>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">address</td>\n <td>\n <table>\n <tr>\n <td style=\"font-wEight: bold\">line</td>\n <td>\n <span title=\"line\">BMass Doctors</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">line</td>\n <td>\n <span title=\"line\">2100 North Ave</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">city</td>\n <td>\n <span title=\"city\">Burlington</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">state</td>\n <td>\n <span title=\"state\">MA</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">postalCode</td>\n <td>\n <span title=\"postalCode\">02368</span>\n </td>\n </tr>\n <tr>\n <td style=\"font-wEight: bold\">country</td>\n <td>\n <span title=\"country\">US</span>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n </table>\n </div>" }, "identifier" : [ { "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "9941339888" } ], "name" : [ { "family" : "Hailey", "given" : [ "Eight" ], "suffix" : [ "M.D." ] } ], "telecom" : [ { "system" : "email", "value" : "hailey.eight@example.com" } ], "address" : [ { "line" : [ "BMass Doctors", "2100 North Ave" ], "city" : "Burlington", "state" : "MA", "postalCode" : "02368", "country" : "US" } ] } }, { "fullUrl" : "Organization/organization-bser-organization-saint-luke", "resource" : { "resourceType" : "Organization", "id" : "organization-bser-organization-saint-luke", "meta" : { "versionId" : "6", "lastUpdated" : "2020-01-20T17:34:47.000-05:00", "profile" : [ "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Organization" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td style=\"font-weight: bold\">id</td>\n <td>\n <div title=\"id\">organization-bser-organization-saint-luke</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">meta</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">versionId</td>\n <td>\n <div title=\"versionId\">4</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">lastUpdated</td>\n <td>\n <div title=\"lastUpdated\">2020-01-18T00:12:24.000-05:00</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">profile</td>\n <td>\n <div title=\"profile\">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Organization</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">identifier</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"system\">\n <a href=\"http://hl7.org/fhir/sid/us-npi\">http://hl7.org/fhir/sid/us-npi</a>\n </div>\n </li>\n <li>\n <div title=\"value\">1063494177</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">active</td>\n <td>\n <div title=\"active\">true</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">type</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">Healthcare Provider</div> (\n <div title=\"code\">prov</div> ) \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/organization-type\">http://terminology.hl7.org/CodeSystem/organization-type</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">name</td>\n <td>\n <div title=\"name\">Saint Luke's Hospital of Kansas City</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">telecom</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">system</td>\n <td>\n <div title=\"system\">phone</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">value</td>\n <td>\n <div title=\"value\">(816)932-2000</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">use</td>\n <td>\n <div title=\"use\">work</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">telecom</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">system</td>\n <td>\n <div title=\"system\">other</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">value</td>\n <td>\n <div title=\"value\">http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">use</td>\n <td>\n <div title=\"use\">work</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">address</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">line</td>\n <td>\n <div title=\"line\">4401 Wornall Rd,</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">city</td>\n <td>\n <div title=\"city\">Amherst</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">state</td>\n <td>\n <div title=\"state\">MA</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">postalCode</td>\n <td>\n <div title=\"postalCode\">64111</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n </table>\n </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" : "ServiceRequest/servicerequest-BSeR-ReferralServiceRequest", "resource" : { "resourceType" : "ServiceRequest", "id" : "servicerequest-BSeR-ReferralServiceRequest", "meta" : { "versionId" : "4", "lastUpdated" : "2020-01-21T23:02:38.000-05:00", "profile" : [ "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralServiceRequest" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table xmlns:xsl=\"http://www.w3.org/1999/XSL/Transform\">\n <tr>\n <td style=\"font-weight: bold\">id</td>\n <td>\n <div title=\"id\">servicerequest-BSeR-ReferralServiceRequest</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">identifier</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n <div title=\"code\">PLAC</div> )\n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">http://terminology.hl7.org/CodeSystem/v2-0203</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">88888888</div>\n </li>\n <li>\n <a href=\"Organization-organization-bser-organization-saint-luke.html\">Organization/organization-bser-organization-saint-luke</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">identifier</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n <div title=\"code\">FILL</div> )\n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">http://terminology.hl7.org/CodeSystem/v2-0203</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">99999999</div>\n </li>\n <li>\n <a href=\"Organization-organization-bser-organization-saint-luke.html\">Organization/organization-bser-organization-saint-luke</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">status</td>\n <td>\n <div title=\"status\">active</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">intent</td>\n <td>\n <div title=\"intent\">order</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">code</td>\n <td>\n <ul style=\"list-style:none; 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], "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" } ] } }, { "fullUrl" : "Coverage/coverage-BSeR-Coverage-eve-everywoman", "resource" : { "resourceType" : "Coverage", "id" : "coverage-BSeR-Coverage-eve-everywoman", "meta" : { "versionId" : "3", "lastUpdated" : "2020-01-18T00:10:51.000-05:00", "profile" : [ "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Coverage" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table xmlns:xsl=\"http://www.w3.org/1999/XSL/Transform\">\n <tr>\n <td style=\"font-weight: bold\">id</td>\n <td>\n <div title=\"id\">coverage-BSeR-Coverage-eve-everywoman</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">meta</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">profile</td>\n <td>\n <div title=\"profile\">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Coverage</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">identifier</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"system\">\n <a href=\"http://benefitsinc.com/certificate\">http://benefitsinc.com/certificate</a>\n </div>\n </li>\n <li>\n <div title=\"value\">12345</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">status</td>\n <td>\n <div title=\"status\">active</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">type</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">extended healthcare</div> (\n \n \n <div title=\"code\">EHCPOL</div> )\n \n \n \n </li>\n <li>\n <div 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padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">rxgroup</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">M35PT</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">class</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">rxpcn</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">234516</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">class</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">sequence</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">9</div>\n </li>\n </ul>\n </td>\n </tr>\n </table>\n </div>" }, "identifier" : [ { "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-self-eve-everywoman", "display" : "Eve Everywoman" }, "beneficiary" : { "reference" : "Patient/patient-us-core-patient-eve-everywoman", "display" : "Eve Everywoman" }, "relationship" : { "coding" : [ { "code" : "self" } ] }, "period" : { "start" : "2019-05-23", "end" : "2020-05-23" }, "payor" : [ { "reference" : "Organization/organization-bser-organization-saint-luke" } ], "class" : [ { "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/coverage-class", "code" : "group" } ] }, "value" : "CB135", "name" : "Corporate Baker's Inc. Local #35" }, { "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/coverage-class", "code" : "subgroup" } ] }, "value" : "123", "name" : "Trainee Part-time Benefits" }, { "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/coverage-class", "code" : "plan" } ] }, "value" : "B37FC", "name" : "Full Coverage: Medical, Dental, Pharmacy, Vision, EHC" }, { "type" : { "coding" : [ { "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" } ] } } ] }