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 in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
Source view
{
"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 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\">2019-01-18T22:33:22Z</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\">valueCodeableConcept</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\">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; 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\">Patient referral</div> (\n \n <div title=\"code\">3457005</div> )\n \n \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\">occurrenceDateTime</td>\n <td>\n <div title=\"occurrenceDateTime\">2020-01-09</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">authoredOn</td>\n <td>\n <div title=\"authoredOn\">2020-02-14</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">requester</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-initiator.html\">Henry Seven, MD</a>\n </li>\n </ul>\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 <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\">reasonCode</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\">Arthritis (disorder)</div> (\n \n <div title=\"code\">3723001</div> )\n \n \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>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC"
}
]
},
"value" : "88888888",
"assigner" : {
"reference" : "Organization/organization-bser-organization-saint-luke"
}
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "FILL"
}
]
},
"value" : "99999999",
"assigner" : {
"reference" : "Organization/organization-bser-organization-saint-luke"
}
}
],
"status" : "active",
"intent" : "order",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3457005",
"display" : "Patient referral"
}
]
},
"subject" : {
"reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"occurrenceDateTime" : "2020-01-09",
"authoredOn" : "2020-02-14",
"requester" : {
"reference" : "PractitionerRole/practitionerrole-bser-referral-initiator",
"display" : "Henry Seven, MD"
},
"performer" : [
{
"reference" : "PractitionerRole/practitionerrole-bser-referral-recipient",
"display" : "Hailey Eight, MD"
}
],
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3723001",
"display" : "Arthritis (disorder)"
}
]
}
],
"insurance" : [
{
"reference" : "Coverage/coverage-BSeR-Coverage-eve-everywoman"
}
],
"supportingInfo" : [
{
"reference" : "Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman"
}
]
}
},
{
"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 title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/v3-ActCode\">http://terminology.hl7.org/CodeSystem/v3-ActCode</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">subscriber</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li/>\n <li>\n <a href=\"RelatedPerson-relatedperson-self-eve-everywoman.html\">Eve Everywoman</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">beneficiary</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\">relationship</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\">self</div> )\n \n \n \n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">period</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">start</td>\n <td>\n <div title=\"start\">2019-05-23</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">end</td>\n <td>\n <div title=\"end\">2020-05-23</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">payor</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\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\">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\">group</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\">CB135</div>\n </li>\n <li>\n <div title=\"name\">Corporate Baker's Inc. Local #35</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\">subgroup</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\">123</div>\n </li>\n <li>\n <div title=\"name\">Trainee Part-time Benefits</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\">plan</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\">B37FC</div>\n </li>\n <li>\n <div title=\"name\">Full Coverage: Medical, Dental, Pharmacy, Vision, EHC</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\">subplan</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\">P7</div>\n </li>\n <li>\n <div title=\"name\">Includes afterlife benefits</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\">class</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\">SILVER</div>\n </li>\n <li>\n <div title=\"name\">Silver: Family Plan spouse only</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\">subclass</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\">Tier2</div>\n </li>\n <li>\n <div title=\"name\">Low deductable, max $20 copay</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 <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\">rxid</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\">MDF12345</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\">rxbin</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\">987654</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\">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"
}
]
}
}
]
}
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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