BSeR: Bidirectional Services_eReferral
BSeR: Bidirectional Services_eReferral
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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<!-- <entry>
<fullUrl value="Observation/observation-BSeR-ArthritisFeedbackObservation-1-eve-everywoman" />
<resource>
<Observation xmlns="http://hl7.org/fhir">
<id value="observation-BSeR-ArthritisFeedbackObservation-1-eve-everywoman" />
<meta>
<versionId value="7" />
<lastUpdated value="2019-12-20T02:10:56.000-05:00" />
<profile value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ArthritisFeedbackObservation" />
</meta>
<text>
<status value="generated" />
<div xmlns="http://www.w3.org/1999/xhtml">
<table xmlns:xsl="http://www.w3.org/1999/XSL/Transform">
<tr>
<td style="font-weight: bold">id</td>
<td>
<div title="id">observation-BSeR-ArthritisFeedbackObservation-1-eve-everywoman</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">meta</td>
<td>
<table>
<tr>
<td style="font-weight: bold">versionId</td>
<td>
<div title="versionId">3</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">lastUpdated</td>
<td>
<div title="lastUpdated">2019-12-10T21:56:18.000-05:00</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">profile</td>
<td>
<div title="profile">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ArthritisFeedbackObservation</div>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">status</td>
<td>
<div title="status">final</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">code</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">Endurance (observable entity)</div> (
<div title="code">406203001</div> )
</li>
<li>
<div title="system">
<a href="http://snomed.info/sct">http://snomed.info/sct</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">subject</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li />
<li>
<a href="Patient-patient-us-core-patient-eve-everywoman.html">Eve Everywoman</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">effectiveDateTime</td>
<td>
<div title="effectiveDateTime">2019-01-18T22:33:22Z</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">performer</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<a href="PractitionerRole-practitionerrole-bser-referral-recipient.html">PractitionerRole/practitionerrole-bser-referral-recipient</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">valueCodeableConcept</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">Patient's condition improved (finding)</div> (
<div title="code"
>268910001</div> )
</li>
<li>
<div title="system">
<a href="http://snomed.info/sct">http://snomed.info/sct</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
</table>
</div>
</text>
<status value="final" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="406203001" />
<display value="Endurance (observable entity)" />
</coding>
</code>
<subject>
<reference value="Patient/patient-us-core-patient-eve-everywoman" />
<display value="Eve Everywoman" />
</subject>
<effectiveDateTime value="2019-01-18T22:33:22Z" />
<performer>
<reference value="PractitionerRole/practitionerrole-bser-referral-recipient" />
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct" />
<code value="268910001" />
<display value="Patient's condition improved (finding)" />
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
-->
<Bundle xmlns="http://hl7.org/fhir">
<id value="bundle-bser-referral-feedback-document-bundle-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackDocumentBundle"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda54e"/>
</identifier>
<type value="document"/>
<timestamp value="2020-01-07T09:25:00Z"/>
<entry>
<fullUrl value="Composition/composition-bser-referral-feedback"/>
<resource>
<Composition>
<id value="composition-bser-referral-feedback"/>
<meta>
<versionId value="5"/>
<lastUpdated value="2020-01-06T00:48:15.000-05:00"/>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackComposition"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<tr>
<td style="font-weight: bold">id</td>
<td>
<div title="id">composition-bser-referral-feedback</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">meta</td>
<td>
<table>
<tr>
<td style="font-weight: bold">versionId</td>
<td>
<div title="versionId">3</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">lastUpdated</td>
<td>
<div title="lastUpdated">2020-01-22T00:31:00.000-05:00</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">profile</td>
<td>
<div title="profile">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackComposition</div>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">status</td>
<td>
<div title="status">final</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">type</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">Referral note</div> (
<div title="code">57133-1</div> )
</li>
<li>
<div title="system">
<a href="http://loinc.org">http://loinc.org</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">subject</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li/>
<li>
<a href="Patient-patient-us-core-patient-eve-everywoman.html">Eve Everywoman</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">date</td>
<td>
<div title="date">2020-01-03T11:15:23Z</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">author</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li/>
<li>
<a href="PractitionerRole-practitionerrole-bser-referral-recipient.html">Hailey Eight, MD</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">title</td>
<td>
<div title="title">Referral feedback</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">section</td>
<td>
<table>
<tr>
<td style="font-weight: bold">title</td>
<td>
<div title="title">Arthritis referral request feedback summary</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">code</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">CompositionSectionReferralServiceRequestFeedbackSummary</div> (
<div title="code">RSRFS</div> )
</li>
<li>
<div title="system">
<a href="http://hl7.org/fhir/us/bser/CodeSystem/bser">http://hl7.org/fhir/us/bser/CodeSystem/bser</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">section</td>
<td>
<table>
<tr>
<td style="font-weight: bold">title</td>
<td>
<div title="title">Arthritis referral feedback supporting information</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">code</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">CompositionSectionReferralServiceRequestFeedbackSupportingInformation</div> (
<div title="code">RSRFSI</div> )
</li>
<li>
<div title="system">
<a href="http://hl7.org/fhir/us/bser/CodeSystem/bser">http://hl7.org/fhir/us/bser/CodeSystem/bser</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<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="2020-01-03T11:15:23Z"/>
<author>
<reference
value="PractitionerRole/practitionerrole-bser-referral-recipient"/>
<display value="Hailey Eight, MD"/>
</author>
<title value="Referral feedback"/>
<section>
<title value="Arthritis referral request feedback summary"/>
<code>
<coding>
<system value="http://hl7.org/fhir/us/bser/CodeSystem/bser"/>
<code value="RSRFS"/>
<display
value="CompositionSectionReferralServiceRequestFeedbackSummary"/>
</coding>
</code>
<focus>
<reference
value="ServiceRequest/servicerequest-BSeR-ReferralServiceRequest"/>
</focus>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<tr>
<td style="font-weight: bold">id</td>
<td>
<div title="id">composition-bser-referral-feedback</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">meta</td>
<td>
<table>
<tr>
<td style="font-weight: bold">versionId</td>
<td>
<div title="versionId">3</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">lastUpdated</td>
<td>
<div title="lastUpdated">2020-01-22T00:31:00.000-05:00</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">profile</td>
<td>
<div title="profile">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackComposition</div>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">status</td>
<td>
<div title="status">final</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">type</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">Referral note</div> (
<div title="code">57133-1</div> )
</li>
<li>
<div title="system">
<a href="http://loinc.org">http://loinc.org</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">subject</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li/>
<li>
<a href="Patient-patient-us-core-patient-eve-everywoman.html">Eve Everywoman</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">date</td>
<td>
<div title="date">2020-01-03T11:15:23Z</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">author</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li/>
<li>
<a href="PractitionerRole-practitionerrole-bser-referral-recipient.html">Hailey Eight, MD</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">title</td>
<td>
<div title="title">Referral feedback</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">section</td>
<td>
<table>
<tr>
<td style="font-weight: bold">title</td>
<td>
<div title="title">Arthritis referral request feedback summary</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">code</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">CompositionSectionReferralServiceRequestFeedbackSummary</div> (
<div title="code">RSRFS</div> )
</li>
<li>
<div title="system">
<a href="http://hl7.org/fhir/us/bser/CodeSystem/bser">http://hl7.org/fhir/us/bser/CodeSystem/bser</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">section</td>
<td>
<table>
<tr>
<td style="font-weight: bold">title</td>
<td>
<div title="title">Arthritis referral feedback supporting information</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">code</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">CompositionSectionReferralServiceRequestFeedbackSupportingInformation</div> (
<div title="code">RSRFSI</div> )
</li>
<li>
<div title="system">
<a href="http://hl7.org/fhir/us/bser/CodeSystem/bser">http://hl7.org/fhir/us/bser/CodeSystem/bser</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<entry>
<reference
value="Observation/observation-BSeR-ReferralActivityStatus-eve-everywoman"/>
</entry>
</section>
<section>
<title value="Arthritis referral feedback supporting information"/>
<code>
<coding>
<system value="http://hl7.org/fhir/us/bser/CodeSystem/bser"/>
<code value="RSRFSI"/>
<display
value="CompositionSectionReferralServiceRequestFeedbackSupportingInformation"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<tr>
<td style="font-weight: bold">id</td>
<td>
<div title="id">composition-bser-referral-feedback</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">meta</td>
<td>
<table>
<tr>
<td style="font-weight: bold">versionId</td>
<td>
<div title="versionId">3</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">lastUpdated</td>
<td>
<div title="lastUpdated">2020-01-22T00:31:00.000-05:00</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">profile</td>
<td>
<div title="profile">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackComposition</div>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">status</td>
<td>
<div title="status">final</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">type</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">Referral note</div> (
<div title="code">57133-1</div> )
</li>
<li>
<div title="system">
<a href="http://loinc.org">http://loinc.org</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">subject</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li/>
<li>
<a href="Patient-patient-us-core-patient-eve-everywoman.html">Eve Everywoman</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">date</td>
<td>
<div title="date">2020-01-03T11:15:23Z</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">author</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li/>
<li>
<a href="PractitionerRole-practitionerrole-bser-referral-recipient.html">Hailey Eight, MD</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">title</td>
<td>
<div title="title">Referral feedback</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">section</td>
<td>
<table>
<tr>
<td style="font-weight: bold">title</td>
<td>
<div title="title">Arthritis referral request feedback summary</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">code</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">CompositionSectionReferralServiceRequestFeedbackSummary</div> (
<div title="code">RSRFS</div> )
</li>
<li>
<div title="system">
<a href="http://hl7.org/fhir/us/bser/CodeSystem/bser">http://hl7.org/fhir/us/bser/CodeSystem/bser</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">section</td>
<td>
<table>
<tr>
<td style="font-weight: bold">title</td>
<td>
<div title="title">Arthritis referral feedback supporting information</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">code</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">CompositionSectionReferralServiceRequestFeedbackSupportingInformation</div> (
<div title="code">RSRFSI</div> )
</li>
<li>
<div title="system">
<a href="http://hl7.org/fhir/us/bser/CodeSystem/bser">http://hl7.org/fhir/us/bser/CodeSystem/bser</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<entry>
<reference
value="Bundle/bundle-bser-arthritis-referral-feedback-eve-everywoman"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="Observation/observation-BSeR-ReferralActivityStatus-eve-everywoman"/>
<resource>
<Observation>
<id value="observation-BSeR-ReferralActivityStatus-eve-everywoman"/>
<meta>
<versionId value="2"/>
<lastUpdated value="2020-01-20T18:21:50.000-05:00"/>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralActivityStatus"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<tr>
<td style="font-weight: bold">id</td>
<td>
<div title="id">observation-BSeR_ReferralActivityStatus-eve-everywoman</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">meta</td>
<td>
<table>
<tr>
<td style="font-weight: bold">profile</td>
<td>
<div title="profile">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralActivityStatus</div>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">status</td>
<td>
<div title="status">final</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">code</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">Action status</div> (
<div title="code">385641008</div> )
</li>
<li>
<div title="system">
<a href="http://snomed.info/sct">http://snomed.info/sct</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">subject</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li/>
<li>
<a href="Patient-patient-us-core-patient-eve-everywoman.html">Eve Everywoman</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">effectiveDateTime</td>
<td>
<div title="effectiveDateTime">2019-01-17</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">performer</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<a href="PractitionerRole-practitionerrole-bser-referral-recipient.html">PractitionerRole/practitionerrole-bser-referral-recipient</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">valueString</td>
<td>
<div title="valueString">Referral accepted</div>
</td>
</tr>
</table>
</div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385641008"/>
<display value="Action status"/>
</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-bser-referral-recipient"/>
</performer>
<valueString value="Referral accepted"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="Bundle/bundle-bser-arthritis-referral-feedback-eve-everywoman"/>
<resource>
<Bundle>
<id value="bundle-bser-arthritis-referral-feedback-eve-everywoman"/>
<meta>
<versionId value="10"/>
<lastUpdated value="2020-01-13T20:41:48.000-05:00"/>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ArthritisReferralFeedbackSupportingInformation"/>
</meta>
<type value="collection"/>
<entry>
<fullUrl
value="Observation/observation-BSeR-ArthritisFeedbackObservation-1-eve-everywoman"/>
<resource>
<Observation>
<id
value="observation-BSeR-ArthritisFeedbackObservation-1-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ArthritisFeedbackObservation"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<tr>
<td style="font-weight: bold">id</td>
<td>
<div title="id">observation-BSeR-ArthritisFeedbackObservation-1-eve-everywoman</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">meta</td>
<td>
<table>
<tr>
<td style="font-weight: bold">versionId</td>
<td>
<div title="versionId">3</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">lastUpdated</td>
<td>
<div title="lastUpdated">2019-12-10T21:56:18.000-05:00</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">profile</td>
<td>
<div title="profile">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ArthritisFeedbackObservation</div>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">status</td>
<td>
<div title="status">final</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">code</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">Endurance (observable entity)</div> (
<div title="code">406203001</div> )
</li>
<li>
<div title="system">
<a href="http://snomed.info/sct">http://snomed.info/sct</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">subject</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li/>
<li>
<a href="Patient-patient-us-core-patient-eve-everywoman.html">Eve Everywoman</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">effectiveDateTime</td>
<td>
<div title="effectiveDateTime">2019-01-18T22:33:22Z</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">performer</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<a href="PractitionerRole-practitionerrole-bser-referral-recipient.html">PractitionerRole/practitionerrole-bser-referral-recipient</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">valueCodeableConcept</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">Patient's condition improved (finding)</div> (
<div title="code">268910001</div> )
</li>
<li>
<div title="system">
<a href="http://snomed.info/sct">http://snomed.info/sct</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
</table>
</div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="406203001"/>
<display value="Endurance (observable entity)"/>
</coding>
</code>
<subject>
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<effectiveDateTime value="2019-01-18T22:33:22Z"/>
<performer>
<reference
value="PractitionerRole/practitionerrole-bser-referral-recipient"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="268910001"/>
<display value="Patient's condition improved (finding)"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
</Bundle>
</resource>
</entry>
<entry>
<fullUrl value="Patient/patient-us-core-patient-eve-everywoman"/>
<resource>
<Patient>
<id value="patient-us-core-patient-eve-everywoman"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2019-12-19T21:35:47.000-05:00"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<tr>
<td style="font-weight: bold">id</td>
<td>
<span title="id">patient-us-core-patient-eve-everywoman</span>
</td>
</tr>
<tr>
<td style="font-weight: bold">meta</td>
<td>
<table>
<tr>
<td style="font-weight: bold">profile</td>
<td>
<span title="profile">http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient</span>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">us-core-race</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<span title="display">White</span>
</li>
<li>
<span title="system">urn:oid:2.16.840.1.113883.6.238</span>
</li>
<li>
<span title="code">2106-3</span>
</li>
<li>
<span title="valueString">White</span>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">us-core-ethnicity</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<span title="display">Not Hispanic or Latino</span>
</li>
<li>
<span title="system">urn:oid:2.16.840.1.113883.6.238</span>
</li>
<li>
<span title="code">2186-5</span>
</li>
<li>
<span title="valueString">Not Hispanic or Latino</span>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">us-core-birthsex</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<span title="valueCode">F</span>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">identifier</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<span title="use">usual</span>
</li>
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<span title="display">Medical Record Number</span> (
<span title="code">MR</span> )
</li>
<li>
<span title="system">
<a href="http://terminology.hl7.org/CodeSystem/v2-0203">http://terminology.hl7.org/CodeSystem/v2-0203</a>
</span>
</li>
</ul>
</li>
<li>
<span title="system">
<a href="http://hospital.smarthealthit.org">http://hospital.smarthealthit.org</a>
</span>
</li>
<li>
<span title="value">1032702</span>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">active</td>
<td>
<span title="active">true</span>
</td>
</tr>
<tr>
<td style="font-weight: bold">name</td>
<td>
<table>
<tr>
<td style="font-weight: bold">family</td>
<td>
<span title="family">Everywoman</span>
</td>
</tr>
<tr>
<td style="font-weight: bold">given</td>
<td>
<span title="given">Eve</span>
</td>
</tr>
<tr>
<td style="font-weight: bold">given</td>
<td>
<span title="given">L</span>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">telecom</td>
<td>
<table>
<tr>
<td style="font-weight: bold">system</td>
<td>
<span title="system">phone</span>
</td>
</tr>
<tr>
<td style="font-weight: bold">value</td>
<td>
<span title="value">1-(404)555-1212</span>
</td>
</tr>
<tr>
<td style="font-weight: bold">use</td>
<td>
<span title="use">home</span>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">telecom</td>
<td>
<table>
<tr>
<td style="font-weight: bold">system</td>
<td>
<span title="system">email</span>
</td>
</tr>
<tr>
<td style="font-weight: bold">value</td>
<td>
<span title="value">eve.everywoman@example.com</span>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">gender</td>
<td>
<span title="gender">female</span>
</td>
</tr>
<tr>
<td style="font-weight: bold">birthDate</td>
<td>
<span title="birthDate">1974-11-24</span>
</td>
</tr>
<tr>
<td style="font-weight: bold">address</td>
<td>
<table>
<tr>
<td style="font-weight: bold">line</td>
<td>
<span title="line">5101 Peachtree St NE</span>
</td>
</tr>
<tr>
<td style="font-weight: bold">city</td>
<td>
<span title="city">Atlanta</span>
</td>
</tr>
<tr>
<td style="font-weight: bold">state</td>
<td>
<span title="state">GA</span>
</td>
</tr>
<tr>
<td style="font-weight: bold">postalCode</td>
<td>
<span title="postalCode">30302</span>
</td>
</tr>
<tr>
<td style="font-weight: bold">country</td>
<td>
<span title="country">US</span>
</td>
</tr>
</table>
</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>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="PractitionerRole/practitionerrole-bser-referral-recipient"/>
<resource>
<PractitionerRole>
<id value="practitionerrole-bser-referral-recipient"/>
<meta>
<versionId value="7"/>
<lastUpdated value="2020-01-21T21:27:01.000-05:00"/>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralRecipientPractitionerRole"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<tr>
<td style="font-weight: bold">id</td>
<td>
<div title="id">practitionerrole-bser-referral-recipient</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">meta</td>
<td>
<table>
<tr>
<td style="font-weight: bold">profile</td>
<td>
<div title="profile">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralInitiatorPractitionerRole</div>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">identifier</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="system">
<a href="http://hl7.org/fhir/sid/us-npi">http://hl7.org/fhir/sid/us-npi</a>
</div>
</li>
<li>
<div title="value">2222222222</div>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">practitioner</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li/>
<li>
<a href="Practitioner-practitioner-bser-hailey-eight.html">Hailey Eight, MD</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">organization</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">code</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">Primary Care</div> (
<div title="code">261QP2300X</div> )
</li>
<li>
<div title="system">
<a href="http://nucc.org/provider-taxonomy">http://nucc.org/provider-taxonomy</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">specialty</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">Family Practice</div> (
<div title="code">419772000</div> )
</li>
<li>
<div title="system">
<a href="http://snomed.info/sct">http://snomed.info/sct</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">telecom</td>
<td>
<table>
<tr>
<td style="font-weight: bold">system</td>
<td>
<div title="system">email</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">value</td>
<td>
<div title="value">hailey.eight@example.com</div>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="2222222222"/>
</identifier>
<practitioner>
<reference value="Practitioner/practitioner-bser-hailey-eight"/>
<display value="Hailey Eight, MD"/>
</practitioner>
<organization>
<reference
value="Organization/organization-bser-organization-saint-luke"/>
</organization>
<code>
<coding>
<system value="http://nucc.org/provider-taxonomy"/>
<code value="261QP2300X"/>
<display value="Primary Care"/>
</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="Practitioner/practitioner-bser-hailey-eight"/>
<resource>
<Practitioner>
<id value="practitioner-bser-hailey-eight"/>
<meta>
<versionId value="2"/>
<lastUpdated value="2020-01-17T23:52:09.000-05:00"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<tr>
<td style="font-wEight: bold">id</td>
<td>
<span title="id">practitioner-bser-hailey-eight</span>
</td>
</tr>
<tr>
<td style="font-wEight: bold">meta</td>
<td>
<table>
<tr>
<td style="font-wEight: bold">versionId</td>
<td>
<span title="versionId">6</span>
</td>
</tr>
<tr>
<td style="font-wEight: bold">lastUpdated</td>
<td>
<span title="lastUpdated">2019-10-05T02:50:13.000-04:00</span>
</td>
</tr>
<tr>
<td style="font-wEight: bold">profile</td>
<td>
<span title="profile">http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner</span>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-wEight: bold">identifier</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<span title="system">
<a href="http://hl7.org/fhir/sid/us-npi">http://hl7.org/fhir/sid/us-npi</a>
</span>
</li>
<li>
<span title="value">9941339888</span>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-wEight: bold">name</td>
<td>
<table>
<tr>
<td style="font-wEight: bold">family</td>
<td>
<span title="family">Hailey</span>
</td>
</tr>
<tr>
<td style="font-wEight: bold">given</td>
<td>
<span title="given">Eight</span>
</td>
</tr>
<tr>
<td style="font-wEight: bold">suffix</td>
<td>
<span title="suffix">M.D.</span>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-wEight: bold">telecom</td>
<td>
<table>
<tr>
<td style="font-wEight: bold">system</td>
<td>
<span title="system">email</span>
</td>
</tr>
<tr>
<td style="font-wEight: bold">value</td>
<td>
<span title="value">hailey.eight@example.com</span>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-wEight: bold">address</td>
<td>
<table>
<tr>
<td style="font-wEight: bold">line</td>
<td>
<span title="line">BMass Doctors</span>
</td>
</tr>
<tr>
<td style="font-wEight: bold">line</td>
<td>
<span title="line">2100 North Ave</span>
</td>
</tr>
<tr>
<td style="font-wEight: bold">city</td>
<td>
<span title="city">Burlington</span>
</td>
</tr>
<tr>
<td style="font-wEight: bold">state</td>
<td>
<span title="state">MA</span>
</td>
</tr>
<tr>
<td style="font-wEight: bold">postalCode</td>
<td>
<span title="postalCode">02368</span>
</td>
</tr>
<tr>
<td style="font-wEight: bold">country</td>
<td>
<span title="country">US</span>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339888"/>
</identifier>
<name>
<family value="Hailey"/>
<given value="Eight"/>
<suffix value="M.D."/>
</name>
<telecom>
<system value="email"/>
<value value="hailey.eight@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="Organization/organization-bser-organization-saint-luke"/>
<resource>
<Organization>
<id value="organization-bser-organization-saint-luke"/>
<meta>
<versionId value="6"/>
<lastUpdated value="2020-01-20T17:34:47.000-05:00"/>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<tr>
<td style="font-weight: bold">id</td>
<td>
<div title="id">organization-bser-organization-saint-luke</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">meta</td>
<td>
<table>
<tr>
<td style="font-weight: bold">versionId</td>
<td>
<div title="versionId">4</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">lastUpdated</td>
<td>
<div title="lastUpdated">2020-01-18T00:12:24.000-05:00</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">profile</td>
<td>
<div title="profile">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Organization</div>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">identifier</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="system">
<a href="http://hl7.org/fhir/sid/us-npi">http://hl7.org/fhir/sid/us-npi</a>
</div>
</li>
<li>
<div title="value">1063494177</div>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">active</td>
<td>
<div title="active">true</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">type</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">Healthcare Provider</div> (
<div title="code">prov</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/organization-type">http://terminology.hl7.org/CodeSystem/organization-type</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">name</td>
<td>
<div title="name">Saint Luke's Hospital of Kansas City</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">telecom</td>
<td>
<table>
<tr>
<td style="font-weight: bold">system</td>
<td>
<div title="system">phone</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">value</td>
<td>
<div title="value">(816)932-2000</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">use</td>
<td>
<div title="use">work</div>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">telecom</td>
<td>
<table>
<tr>
<td style="font-weight: bold">system</td>
<td>
<div title="system">other</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">value</td>
<td>
<div title="value">http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">use</td>
<td>
<div title="use">work</div>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">address</td>
<td>
<table>
<tr>
<td style="font-weight: bold">line</td>
<td>
<div title="line">4401 Wornall Rd,</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">city</td>
<td>
<div title="city">Amherst</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">state</td>
<td>
<div title="state">MA</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">postalCode</td>
<td>
<div title="postalCode">64111</div>
</td>
</tr>
</table>
</td>
</tr>
</table>
</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="ServiceRequest/servicerequest-BSeR-ReferralServiceRequest"/>
<resource>
<ServiceRequest>
<id value="servicerequest-BSeR-ReferralServiceRequest"/>
<meta>
<versionId value="4"/>
<lastUpdated value="2020-01-21T23:02:38.000-05:00"/>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralServiceRequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table xmlns:xsl="http://www.w3.org/1999/XSL/Transform">
<tr>
<td style="font-weight: bold">id</td>
<td>
<div title="id">servicerequest-BSeR-ReferralServiceRequest</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">identifier</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">PLAC</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/v2-0203">http://terminology.hl7.org/CodeSystem/v2-0203</a>
</div>
</li>
</ul>
</li>
<li>
<div title="value">88888888</div>
</li>
<li>
<a href="Organization-organization-bser-organization-saint-luke.html">Organization/organization-bser-organization-saint-luke</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">identifier</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">FILL</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/v2-0203">http://terminology.hl7.org/CodeSystem/v2-0203</a>
</div>
</li>
</ul>
</li>
<li>
<div title="value">99999999</div>
</li>
<li>
<a href="Organization-organization-bser-organization-saint-luke.html">Organization/organization-bser-organization-saint-luke</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">status</td>
<td>
<div title="status">active</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">intent</td>
<td>
<div title="intent">order</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">code</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">Patient referral</div> (
<div title="code">3457005</div> )
</li>
<li>
<div title="system">
<a href="http://snomed.info/sct">http://snomed.info/sct</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">subject</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li/>
<li>
<a href="Patient-patient-us-core-patient-eve-everywoman.html">Eve Everywoman</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">occurrenceDateTime</td>
<td>
<div title="occurrenceDateTime">2020-01-09</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">authoredOn</td>
<td>
<div title="authoredOn">2020-02-14</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">requester</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li/>
<li>
<a href="PractitionerRole-practitionerrole-bser-referral-initiator.html">Henry Seven, MD</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">performer</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li/>
<li>
<a href="PractitionerRole-practitionerrole-bser-referral-recipient.html">Hailey Eight, MD</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">reasonCode</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">Arthritis (disorder)</div> (
<div title="code">3723001</div> )
</li>
<li>
<div title="system">
<a href="http://snomed.info/sct">http://snomed.info/sct</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
</table>
</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-bser-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-bser-organization-saint-luke"/>
</assigner>
</identifier>
<status value="active"/>
<intent value="order"/>
<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-bser-referral-initiator"/>
<display value="Henry Seven, MD"/>
</requester>
<performer>
<reference
value="PractitionerRole/practitionerrole-bser-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>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="Coverage/coverage-BSeR-Coverage-eve-everywoman"/>
<resource>
<Coverage>
<id value="coverage-BSeR-Coverage-eve-everywoman"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2020-01-18T00:10:51.000-05:00"/>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Coverage"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table xmlns:xsl="http://www.w3.org/1999/XSL/Transform">
<tr>
<td style="font-weight: bold">id</td>
<td>
<div title="id">coverage-BSeR-Coverage-eve-everywoman</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">meta</td>
<td>
<table>
<tr>
<td style="font-weight: bold">profile</td>
<td>
<div title="profile">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Coverage</div>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">identifier</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="system">
<a href="http://benefitsinc.com/certificate">http://benefitsinc.com/certificate</a>
</div>
</li>
<li>
<div title="value">12345</div>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">status</td>
<td>
<div title="status">active</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">type</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<div title="display">extended healthcare</div> (
<div title="code">EHCPOL</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/v3-ActCode">http://terminology.hl7.org/CodeSystem/v3-ActCode</a>
</div>
</li>
</ul>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">subscriber</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li/>
<li>
<a href="RelatedPerson-relatedperson-self-eve-everywoman.html">Eve Everywoman</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">beneficiary</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li/>
<li>
<a href="Patient-patient-us-core-patient-eve-everywoman.html">Eve Everywoman</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">relationship</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">self</div> )
</li>
</ul>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">period</td>
<td>
<table>
<tr>
<td style="font-weight: bold">start</td>
<td>
<div title="start">2019-05-23</div>
</td>
</tr>
<tr>
<td style="font-weight: bold">end</td>
<td>
<div title="end">2020-05-23</div>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="font-weight: bold">payor</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<a href="Organization-organization-bser-organization-saint-luke.html">Organization/organization-bser-organization-saint-luke</a>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">class</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">group</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/coverage-class">http://terminology.hl7.org/CodeSystem/coverage-class</a>
</div>
</li>
</ul>
</li>
<li>
<div title="value">CB135</div>
</li>
<li>
<div title="name">Corporate Baker's Inc. Local #35</div>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">class</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">subgroup</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/coverage-class">http://terminology.hl7.org/CodeSystem/coverage-class</a>
</div>
</li>
</ul>
</li>
<li>
<div title="value">123</div>
</li>
<li>
<div title="name">Trainee Part-time Benefits</div>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">class</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">plan</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/coverage-class">http://terminology.hl7.org/CodeSystem/coverage-class</a>
</div>
</li>
</ul>
</li>
<li>
<div title="value">B37FC</div>
</li>
<li>
<div title="name">Full Coverage: Medical, Dental, Pharmacy, Vision, EHC</div>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">class</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">subplan</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/coverage-class">http://terminology.hl7.org/CodeSystem/coverage-class</a>
</div>
</li>
</ul>
</li>
<li>
<div title="value">P7</div>
</li>
<li>
<div title="name">Includes afterlife benefits</div>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">class</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">class</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/coverage-class">http://terminology.hl7.org/CodeSystem/coverage-class</a>
</div>
</li>
</ul>
</li>
<li>
<div title="value">SILVER</div>
</li>
<li>
<div title="name">Silver: Family Plan spouse only</div>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">class</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">subclass</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/coverage-class">http://terminology.hl7.org/CodeSystem/coverage-class</a>
</div>
</li>
</ul>
</li>
<li>
<div title="value">Tier2</div>
</li>
<li>
<div title="name">Low deductable, max $20 copay</div>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">class</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">sequence</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/coverage-class">http://terminology.hl7.org/CodeSystem/coverage-class</a>
</div>
</li>
</ul>
</li>
<li>
<div title="value">9</div>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">class</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">rxid</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/coverage-class">http://terminology.hl7.org/CodeSystem/coverage-class</a>
</div>
</li>
</ul>
</li>
<li>
<div title="value">MDF12345</div>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">class</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">rxbin</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/coverage-class">http://terminology.hl7.org/CodeSystem/coverage-class</a>
</div>
</li>
</ul>
</li>
<li>
<div title="value">987654</div>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">class</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">rxgroup</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/coverage-class">http://terminology.hl7.org/CodeSystem/coverage-class</a>
</div>
</li>
</ul>
</li>
<li>
<div title="value">M35PT</div>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">class</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">rxpcn</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/coverage-class">http://terminology.hl7.org/CodeSystem/coverage-class</a>
</div>
</li>
</ul>
</li>
<li>
<div title="value">234516</div>
</li>
</ul>
</td>
</tr>
<tr>
<td style="font-weight: bold">class</td>
<td>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li>
<ul style="list-style:none; padding-left:0; margin:0 0;">
<li> (
<div title="code">sequence</div> )
</li>
<li>
<div title="system">
<a href="http://terminology.hl7.org/CodeSystem/coverage-class">http://terminology.hl7.org/CodeSystem/coverage-class</a>
</div>
</li>
</ul>
</li>
<li>
<div title="value">9</div>
</li>
</ul>
</td>
</tr>
</table>
</div>
</text>
<identifier>
<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-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>
<code value="self"/>
</coding>
</relationship>
<period>
<start value="2019-05-23"/>
<end value="2020-05-23"/>
</period>
<payor>
<reference
value="Organization/organization-bser-organization-saint-luke"/>
</payor>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="group"/>
</coding>
</type>
<value value="CB135"/>
<name value="Corporate Baker's Inc. Local #35"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="subgroup"/>
</coding>
</type>
<value value="123"/>
<name value="Trainee Part-time Benefits"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="plan"/>
</coding>
</type>
<value value="B37FC"/>
<name value="Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"/>
</class>
<class>
<type>
<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>
</Bundle>
IG © 2019+ HL7 International - Public Health Work Group. Package hl7.fhir.us.bser#1.0.0 based on FHIR 4.0.1. Generated 2020-03-02
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