Bidirectional Services eReferral (BSeR)
2.0.0-ballot - STU2
Bidirectional Services eReferral (BSeR)
2.0.0-ballot - STU2
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
<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="http://example.org/fhir/Composition/composition-bser-referral-feedback-arthritis-everywoman"/>
<resource>
<Composition>
<id value="composition-bser-referral-feedback-arthritis-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackComposition"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="11488-4"/>
<display value="Consult 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-us-core-practitionerrole-referral-recipient"/>
<display value="Hailey Eight, MD"/>
</author>
<title value="Referral feedback"/>
<section>
<title value="Referral Service 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-referral-servicerequest-arthritis"/>
</focus>
</section>
<section>
<title value="Arthritis Referral Feedback Supporting Information"/>
<code>
<coding>
<system value="http://hl7.org/fhir/us/bser/CodeSystem/bser"/>
<code value="ARFSI"/>
<display
value="Arthritis Referral Feedback Supporting Information"/>
</coding>
</code>
<entry>🔗
<reference
value="Observation/observation-bser-referral-observation-pain-mgmt-eve-everywoman"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-bser-referral-observation-pain-mgmt-eve-everywoman"/>
<resource>
<Observation>
<id
value="observation-bser-referral-observation-pain-mgmt-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/bser-referral-observation"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="therapy"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="278414003"/>
<display value="Pain management (procedure)"/>
</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-us-core-practitionerrole-referral-recipient"/>
</performer>
<valueBoolean value="true"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"/>
<resource>
<PractitionerRole>
<id
value="practitionerrole-us-core-practitionerrole-referral-recipient"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="2222222222"/>
</identifier>
<practitioner>🔗
<reference
value="Practitioner/practitioner-us-core-practitioner-hailey-eight"/>
<display value="Hailey Eight, MD"/>
</practitioner>
<organization>🔗
<reference
value="Organization/organization-us-core-organization-saint-luke"/>
</organization>
<code>
<coding>
<system value="http://nucc.org/provider-taxonomy"/>
<code value="261QP2300X"/>
<display value="Primary Care Clinic/Center"/>
</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="http://example.org/fhir/Patient/patient-us-core-patient-eve-everywoman"/>
<resource>
<Patient>
<id value="patient-us-core-patient-eve-everywoman"/>
<meta>
<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"><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 (use: usual, ))</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:
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- 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>
</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>
<link>
<other>🔗
<reference
value="RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman"/>
</other>
<type value="seealso"/>
</link>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Organization/organization-us-core-organization-saint-luke"/>
<resource>
<Organization>
<id value="organization-us-core-organization-saint-luke"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
</meta>
<text>
<status value="generated"/>
<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>
</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="http://example.org/fhir/Practitioner/practitioner-us-core-practitioner-hailey-eight"/>
<resource>
<Practitioner>
<id value="practitioner-us-core-practitioner-hailey-eight"/>
<meta>
<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"><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>
</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="http://example.org/fhir/ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis"/>
<resource>
<ServiceRequest>
<id value="servicerequest-bser-referral-servicerequest-arthritis"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralServiceRequest"/>
</meta>
<text>
<status value="generated"/>
<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>
</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-us-core-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-us-core-organization-saint-luke"/>
</assigner>
</identifier>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="313204009"/>
<display value="Lifestyle education (procedure)"/>
</coding>
</category>
<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-us-core-practitionerrole-referral-initiator"/>
<display value="Henry Seven, MD"/>
</requester>
<performer>🔗
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"/>
<display value="Hailey Eight, MD"/>
</performer>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="3723001"/>
<display value="Arthritis (disorder)"/>
</coding>
<text value="Arthritis (disorder)"/>
</reasonCode>
<insurance>🔗
<reference value="Coverage/coverage-bser-coverage-eve-everywoman"/>
</insurance>
<supportingInfo>🔗
<reference
value="Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman"/>
</supportingInfo>
<supportingInfo>🔗
<reference
value="Consent/consent-bser-patientconsent-eve-everywoman"/>
</supportingInfo>
</ServiceRequest>
</resource>
</entry>
</Bundle>
IG © 2022+ HL7 Public Health Working Group. Package hl7.fhir.us.bser#2.0.0-ballot based on FHIR 4.0.1. Generated 2024-12-02
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