Bidirectional Services eReferral (BSeR), published by HL7 Public Health Working Group. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/bser/ and changes regularly. See the Directory of published versions
{
"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" : "http://example.org/fhir/Composition/composition-bser-referral-feedback-arthritis-everywoman",
"resource" : {
"resourceType" : "Composition",
"id" : "composition-bser-referral-feedback-arthritis-everywoman",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackComposition"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_composition-bser-referral-feedback-arthritis-everywoman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition composition-bser-referral-feedback-arthritis-everywoman</b></p><a name=\"composition-bser-referral-feedback-arthritis-everywoman\"> </a><a name=\"hccomposition-bser-referral-feedback-arthritis-everywoman\"> </a><a name=\"composition-bser-referral-feedback-arthritis-everywoman-en-US\"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 11488-4}\">Consult note</span></p><p><b>date</b>: 2020-01-03 11:15:23+0000</p><p><b>author</b>: <a href=\"PractitionerRole-practitionerrole-us-core-practitionerrole-referral-recipient.html\">Hailey Eight, MD</a></p><p><b>title</b>: Referral feedback</p></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11488-4",
"display" : "Consult note"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"date" : "2020-01-03T11:15:23Z",
"author" : [
{
🔗 "reference" : "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient",
"display" : "Hailey Eight, MD"
}
],
"title" : "Referral feedback",
"section" : [
{
"title" : "Referral Service Request Feedback Summary",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/bser/CodeSystem/bser",
"code" : "RSRFS",
"display" : "CompositionSectionReferralServiceRequestFeedbackSummary"
}
]
},
"focus" : {
🔗 "reference" : "ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis"
}
},
{
"title" : "Arthritis Referral Feedback Supporting Information",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/bser/CodeSystem/bser",
"code" : "ARFSI",
"display" : "Arthritis Referral Feedback Supporting Information"
}
]
},
"entry" : [
{
🔗 "reference" : "Observation/observation-bser-referral-observation-pain-mgmt-eve-everywoman"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/observation-bser-referral-observation-pain-mgmt-eve-everywoman",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-bser-referral-observation-pain-mgmt-eve-everywoman",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bser/StructureDefinition/bser-referral-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-bser-referral-observation-pain-mgmt-eve-everywoman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-bser-referral-observation-pain-mgmt-eve-everywoman</b></p><a name=\"observation-bser-referral-observation-pain-mgmt-eve-everywoman\"> </a><a name=\"hcobservation-bser-referral-observation-pain-mgmt-eve-everywoman\"> </a><a name=\"observation-bser-referral-observation-pain-mgmt-eve-everywoman-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category therapy}\">Therapy</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 278414003}\">Pain management (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-us-core-patient-eve-everywoman.html\">Eve Everywoman</a></p><p><b>effective</b>: 2019-01-18 22:33:22+0000</p><p><b>performer</b>: <a href=\"PractitionerRole-practitionerrole-us-core-practitionerrole-referral-recipient.html\">PractitionerRole Primary Care Clinic/Center</a></p><p><b>value</b>: true</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "therapy"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "278414003",
"display" : "Pain management (procedure)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"effectiveDateTime" : "2019-01-18T22:33:22Z",
"performer" : [
{
🔗 "reference" : "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"
}
],
"valueBoolean" : true
}
},
{
"fullUrl" : "http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "practitionerrole-us-core-practitionerrole-referral-recipient",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_practitionerrole-us-core-practitionerrole-referral-recipient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole practitionerrole-us-core-practitionerrole-referral-recipient</b></p><a name=\"practitionerrole-us-core-practitionerrole-referral-recipient\"> </a><a name=\"hcpractitionerrole-us-core-practitionerrole-referral-recipient\"> </a><a name=\"practitionerrole-us-core-practitionerrole-referral-recipient-en-US\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/2222222222</p><p><b>practitioner</b>: <a href=\"Practitioner-practitioner-us-core-practitioner-hailey-eight.html\">Hailey Eight, MD</a></p><p><b>organization</b>: <a href=\"Organization-organization-us-core-organization-saint-luke.html\">Organization Saint Luke's Hospital of Kansas City</a></p><p><b>code</b>: <span title=\"Codes:{http://nucc.org/provider-taxonomy 261QP2300X}\">Primary Care Clinic/Center</span></p><p><b>specialty</b>: <span title=\"Codes:{http://snomed.info/sct 419772000}\">Family Practice</span></p><p><b>telecom</b>: <a href=\"mailto:hailey.eight@example.com\">hailey.eight@example.com</a></p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "2222222222"
}
],
"practitioner" : {
🔗 "reference" : "Practitioner/practitioner-us-core-practitioner-hailey-eight",
"display" : "Hailey Eight, MD"
},
"organization" : {
🔗 "reference" : "Organization/organization-us-core-organization-saint-luke"
},
"code" : [
{
"coding" : [
{
"system" : "http://nucc.org/provider-taxonomy",
"code" : "261QP2300X",
"display" : "Primary Care Clinic/Center"
}
]
}
],
"specialty" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "419772000",
"display" : "Family Practice"
}
]
}
],
"telecom" : [
{
"system" : "email",
"value" : "hailey.eight@example.com"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Patient/patient-us-core-patient-eve-everywoman",
"resource" : {
"resourceType" : "Patient",
"id" : "patient-us-core-patient-eve-everywoman",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-us-core-patient-eve-everywoman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-us-core-patient-eve-everywoman</b></p><a name=\"patient-us-core-patient-eve-everywoman\"> </a><a name=\"hcpatient-us-core-patient-eve-everywoman\"> </a><a name=\"patient-us-core-patient-eve-everywoman-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 1-(404)555-1212(Home)</li><li><a href=\"mailto:eve.everywoman@example.com\">eve.everywoman@example.com</a></li><li>5101 Peachtree St NE Atlanta GA 30302 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>Also see: <a href=\"RelatedPerson-relatedperson-us-core-relatedperson-self-eve-everywoman.html\">RelatedPerson Eve L Everywoman </a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-2186-5\">CDC Race and Ethnicity 2186-5</a>: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9).\"><a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">F</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CDCREC.html#CDCREC-2106-3\">CDC Race and Ethnicity 2106-3</a>: White</li><li>text: White</li></ul></td></tr></table></div>"
},
"extension" : [
{
"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-race"
},
{
"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-ethnicity"
},
{
"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"
}
],
"link" : [
{
"other" : {
🔗 "reference" : "RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman"
},
"type" : "seealso"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Organization/organization-us-core-organization-saint-luke",
"resource" : {
"resourceType" : "Organization",
"id" : "organization-us-core-organization-saint-luke",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_organization-us-core-organization-saint-luke\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization organization-us-core-organization-saint-luke</b></p><a name=\"organization-us-core-organization-saint-luke\"> </a><a name=\"hcorganization-us-core-organization-saint-luke\"> </a><a name=\"organization-us-core-organization-saint-luke-en-US\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/1063494177</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Saint Luke's Hospital of Kansas City</p><p><b>telecom</b>: ph: (816)932-2000(Work), http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city(Work)</p><p><b>address</b>: 4401 Wornall Rd, Amherst MA 64111 </p></div>"
},
"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" : "http://example.org/fhir/Practitioner/practitioner-us-core-practitioner-hailey-eight",
"resource" : {
"resourceType" : "Practitioner",
"id" : "practitioner-us-core-practitioner-hailey-eight",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_practitioner-us-core-practitioner-hailey-eight\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner practitioner-us-core-practitioner-hailey-eight</b></p><a name=\"practitioner-us-core-practitioner-hailey-eight\"> </a><a name=\"hcpractitioner-us-core-practitioner-hailey-eight\"> </a><a name=\"practitioner-us-core-practitioner-hailey-eight-en-US\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/9941339888</p><p><b>name</b>: Eight Hailey </p><p><b>telecom</b>: <a href=\"mailto:hailey.eight@example.com\">hailey.eight@example.com</a></p><p><b>address</b>: BMass Doctors 2100 North Ave Burlington MA 02368 US </p></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" : "http://example.org/fhir/ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "servicerequest-bser-referral-servicerequest-arthritis",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralServiceRequest"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_servicerequest-bser-referral-servicerequest-arthritis\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest servicerequest-bser-referral-servicerequest-arthritis</b></p><a name=\"servicerequest-bser-referral-servicerequest-arthritis\"> </a><a name=\"hcservicerequest-bser-referral-servicerequest-arthritis\"> </a><a name=\"servicerequest-bser-referral-servicerequest-arthritis-en-US\"> </a><p><b>identifier</b>: Placer Identifier/88888888, Filler Identifier/99999999</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 313204009}\">Lifestyle education (procedure)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 3457005}\">Patient referral</span></p><p><b>subject</b>: <a href=\"Patient-patient-us-core-patient-eve-everywoman.html\">Eve Everywoman</a></p><p><b>occurrence</b>: 2020-01-09</p><p><b>authoredOn</b>: 2020-02-14</p><p><b>requester</b>: <a href=\"PractitionerRole-practitionerrole-us-core-practitionerrole-referral-initiator.html\">Henry Seven, MD</a></p><p><b>performer</b>: <a href=\"PractitionerRole-practitionerrole-us-core-practitionerrole-referral-recipient.html\">Hailey Eight, MD</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 3723001}\">Arthritis (disorder)</span></p><p><b>insurance</b>: <a href=\"Coverage-coverage-bser-coverage-eve-everywoman.html\">Coverage: identifier = Member Number: 12345; status = active; type = extended healthcare; relationship = self; period = 2019-05-23 --> 2020-05-23</a></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"Bundle-bundle-bser-referral-request-document-bundle-eve-everywoman.html\">Bundle: identifier = UUID:2be4b4e4-6df1-4cb2-a947-c70fa0eda54c; type = document; timestamp = 2020-01-06 22:13:23+0000</a></li><li><a href=\"Consent-consent-bser-patientconsent-eve-everywoman.html\">Consent: status = active; scope = Privacy Consent; category = information access; dateTime = 2019-05-23; policyRule = opt-in</a></li></ul></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC"
}
]
},
"value" : "88888888",
"assigner" : {
🔗 "reference" : "Organization/organization-us-core-organization-saint-luke"
}
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "FILL"
}
]
},
"value" : "99999999",
"assigner" : {
🔗 "reference" : "Organization/organization-us-core-organization-saint-luke"
}
}
],
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "313204009",
"display" : "Lifestyle education (procedure)"
}
]
}
],
"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-us-core-practitionerrole-referral-initiator",
"display" : "Henry Seven, MD"
},
"performer" : [
{
🔗 "reference" : "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient",
"display" : "Hailey Eight, MD"
}
],
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3723001",
"display" : "Arthritis (disorder)"
}
],
"text" : "Arthritis (disorder)"
}
],
"insurance" : [
{
🔗 "reference" : "Coverage/coverage-bser-coverage-eve-everywoman"
}
],
"supportingInfo" : [
{
🔗 "reference" : "Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman"
},
{
🔗 "reference" : "Consent/consent-bser-patientconsent-eve-everywoman"
}
]
}
}
]
}