Bidirectional Services eReferral (BSeR)
2.0.0-ballot - STU2 United States of America flag

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

Example Bundle: Message Bundle - Eve Everywoman

Bundle bundle-bser-referral-message-bundle-eve-everywoman of type message

Entry 1 - fullUrl = http://example.org/fhir/MessageHeader/messageheader-bser-referral-messageheader

Resource MessageHeader:

Generated Narrative: MessageHeader

Resource MessageHeader "messageheader-bser-referral-messageheader"

Profile: BSeR Referral Message Header

event: REF/RRI - Patient referral (Details: http://terminology.hl7.org/CodeSystem/v2-0003 code I12 = 'REF/RRI - Patient referral', stated as 'REF/RRI - Patient referral')

Destinations

-EndpointReceiver
*http://www.saintlukeshealthsystem.org/fhir/endpointSee on this page: PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient

sender: See on this page: PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator

Sources

-NameSoftwareVersionContactEndpoint
*Acme Central Patient RegistryFooBar Patient Manager3.1.45.AABB+1 (555) 123 4567http://www.saintlukeshealthsystem.org/fhir

reason: REF/RRI - Patient referral (eventType#I12)

focus: See on this page: Task/task-bser-referral-task

Entry 2 - fullUrl = http://example.org/fhir/ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis

Resource ServiceRequest:

Generated Narrative: ServiceRequest

Resource ServiceRequest "servicerequest-bser-referral-servicerequest-arthritis"

Profile: BSeR Referral Service Request

identifier: Placer Identifier/88888888, Filler Identifier/99999999

status: ACTIVE

intent: ORDER

category: Lifestyle education (procedure) (SNOMED CT#313204009)

code: Patient referral (SNOMED CT#3457005)

subject: See on this page: Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman

occurrence: 2020-01-09

authoredOn: 2020-02-14

requester: See on this page: PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator: Henry Seven, MD

performer: See on this page: PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient: Hailey Eight, MD

insurance: See on this page: Coverage/coverage-bser-coverage-eve-everywoman

supportingInfo:

  • Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman
  • Consent/consent-bser-patientconsent-eve-everywoman

Entry 3 - fullUrl = http://example.org/fhir/Patient/patient-us-core-patient-eve-everywoman

Resource Patient:

Anonymous Patient Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual))

Entry 4 - fullUrl = http://example.org/fhir/Task/task-bser-referral-task

Resource Task:

Generated Narrative: Task

Resource Task "task-bser-referral-task"

Profile: BSeR Referral Task

identifier: Placer Identifier/66666666, Filler Identifier/77777777

status: REQUESTED

businessStatus: Service Request Fulfillment Completed (Task Business Status Code System#7.0)

intent: ORDER

code: Fulfill the focal request (Task Codes#fulfill)

focus: See on this page: ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis

for: See on this page: Patient/patient-us-core-patient-eve-everywoman

authoredOn: 2020-01-15 14:43:32-0400

requester: See on this page: PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator

owner: See on this page: PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient

Outputs

-TypeValue[x]
*Arthritis referral feedback ()Bundle/bundle-bser-referral-feedback-document-bundle-eve-everywoman

Entry 5 - fullUrl = http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator

Resource PractitionerRole:

Generated Narrative: PractitionerRole

Resource PractitionerRole "practitionerrole-us-core-practitionerrole-referral-initiator"

Profile: US Core PractitionerRole Profile

identifier: NPI/1111111111

practitioner: Practitioner/practitioner-us-core-practitioner-henry-seven: Henry Seven, MD " HENRY"

organization: See on this page: Organization/organization-us-core-organization-saint-luke

code: Primary Care Clinic/Center (provider-taxonomy#261QP2300X)

specialty: Family Practice (SNOMED CT#419772000)

Entry 6 - fullUrl = http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient

Resource PractitionerRole:

Generated Narrative: PractitionerRole

Resource PractitionerRole "practitionerrole-us-core-practitionerrole-referral-recipient"

Profile: US Core PractitionerRole Profile

identifier: NPI/2222222222

practitioner: Practitioner/practitioner-us-core-practitioner-hailey-eight: Hailey Eight, MD " HAILEY"

organization: See on this page: Organization/organization-us-core-organization-saint-luke

code: Primary Care Clinic/Center (provider-taxonomy#261QP2300X)

specialty: Family Practice (SNOMED CT#419772000)

Entry 7 - fullUrl = http://example.org/fhir/Organization/organization-us-core-organization-saint-luke

Resource Organization:

Generated Narrative: Organization

Resource Organization "organization-us-core-organization-saint-luke"

Profile: US Core Organization Profile

identifier: NPI/1063494177

active: true

type: Healthcare Provider (Organization type#prov)

name: Saint Luke's Hospital of Kansas City

Contacts

-TelecomAddress
*ph: (816)932-2000(WORK), http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city(WORK)4401 Wornall Rd, Amherst MA 64111

Entry 8 - fullUrl = http://example.org/fhir/Coverage/coverage-bser-coverage-eve-everywoman

Resource Coverage:

Generated Narrative: Coverage

Resource Coverage "coverage-bser-coverage-eve-everywoman"

Profile: BSeR Coverage

identifier: Member Number/12345

status: ACTIVE

type: extended healthcare (ActCode#EHCPOL)

subscriber: RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman: Eve Everywoman " EVERYWOMAN"

beneficiary: See on this page: Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman

relationship: self (RoleCode#ONESELF)

period: 2019-05-23 --> 2020-05-23

class

type: Group (Coverage Class Codes#group; Coverage Class Codes#subgroup)

value: 123

name: Full Coverage: Medical, Dental, Pharmacy, Vision, EHC

class

type: Plan (Coverage Class Codes#plan; Coverage Class Codes#subplan)

value: P7

name: Includes afterlife benefits

class

type: Class (Coverage Class Codes#class)

value: SILVER

name: Silver: Family Plan spouse only

class

type: SubClass (Coverage Class Codes#subclass)

value: Tier2

name: Low deductible, max $20 copay

class

type: Sequence (Coverage Class Codes#sequence)

value: 9

class

type: RX Id (Coverage Class Codes#rxid)

value: MDF12345

class

type: RX BIN (Coverage Class Codes#rxbin)

value: 987654

class

type: RX Group (Coverage Class Codes#rxgroup)

value: M35PT

class

type: RX PCN (Coverage Class Codes#rxpcn)

value: 234516

class

type: Sequence (Coverage Class Codes#sequence)

value: 9

Entry 9 - fullUrl = http://example.org/fhir/Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman

Resource Bundle:

Generated Narrative: Composition

Resource Composition "composition-bser-referral-request-arthritis-everywoman"

Profile: BSeR Referral Request Composition

status: FINAL

type: Referral note (LOINC#57133-1)

date: 2020-01-02 22:13:23+0000

author: See on this page: PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator: Henry Seven, MD

title: Referral request

Other Supporting Information

Arthritis Referral Request Supporting Information

Additional Document Content

2. http://example.org/fhir/Observation/observation-us-core-blood-pressure-eve-everywoman (Observation/observation-us-core-blood-pressure-eve-everywoman)

Generated Narrative: Observation

Resource Observation "observation-us-core-blood-pressure-eve-everywoman"

Profile: US Core Blood Pressure Profile

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: Blood Pressure systolic & diastolic (LOINC#85354-9 "Blood Pressure panel with all children optional")

subject: See on this page: Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman

effective: 2019-01-17

performer: See on this page: Practitioner/practitioner-us-core-practitioner-henry-seven

component

code: Systolic Blood Pressure (LOINC#8480-6)

value: 107 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')

component

code: Diastolic Blood Pressure (LOINC#8462-4)

value: 60 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')

3. http://example.org/fhir/Observation/observation-us-core-body-height-eve-everywoman (Observation/observation-us-core-body-height-eve-everywoman)

Generated Narrative: Observation

Resource Observation "observation-us-core-body-height-eve-everywoman"

Profile: US Core Body Height Profile

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: Body height (LOINC#8302-2)

subject: See on this page: Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman

effective: 2019-01-17

performer: See on this page: Practitioner/practitioner-us-core-practitioner-henry-seven

value: 68 in (Details: UCUM code [in_i] = '[in_i]')

4. http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator)

Generated Narrative: PractitionerRole

Resource PractitionerRole "practitionerrole-us-core-practitionerrole-referral-initiator"

Profile: US Core PractitionerRole Profile

identifier: NPI/1111111111

practitioner: See on this page: Practitioner/practitioner-us-core-practitioner-henry-seven: Henry Seven, MD

organization: See on this page: Organization/organization-us-core-organization-saint-luke

code: Primary Care Clinic/Center (provider-taxonomy#261QP2300X)

specialty: Family Practice (SNOMED CT#419772000)

5. http://example.org/fhir/Observation/observation-us-core-bmi-eve-everywoman (Observation/observation-us-core-bmi-eve-everywoman)

Generated Narrative: Observation

Resource Observation "observation-us-core-bmi-eve-everywoman"

Profile: US Core BMI Profile

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: BMI (LOINC#39156-5 "Body mass index (BMI) [Ratio]")

subject: See on this page: Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman

effective: 2019-01-17

performer: See on this page: Practitioner/practitioner-us-core-practitioner-henry-seven

value: 29 kg/m2 (Details: UCUM code kg/m2 = 'kg/m2')

6. http://example.org/fhir/Observation/observation-us-core-social-history-education-eve-everywoman (Observation/observation-us-core-social-history-education-eve-everywoman)

Generated Narrative: Observation

Resource Observation "observation-us-core-social-history-education-eve-everywoman"

Profile: US Core Observation Social History Profile

status: FINAL

category: Social History (Observation Category Codes#social-history)

code: Highest level of education (LOINC#82589-3)

subject: See on this page: Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman

effective: 2019-01-17

performer: See on this page: PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator

value: Elementary School (Education Level#ELEM)

7. http://example.org/fhir/MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman (MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman)

Generated Narrative: MedicationRequest

Resource MedicationRequest "medicationrequest-us-core-medicationrequest-eve-everywoman"

Profile: US Core MedicationRequest Profile

status: ACTIVE

intent: INSTANCEORDER

subject: See on this page: Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman

authoredOn: 2019-01-17

requester: Practitioner/practitioner-us-core-practitioner-hailey-eight " HAILEY"

DosageInstructions

-Text
*bid

8. http://example.org/fhir/Observation/observation-us-core-body-weight-eve-everywoman (Observation/observation-us-core-body-weight-eve-everywoman)

Generated Narrative: Observation

Resource Observation "observation-us-core-body-weight-eve-everywoman"

Profile: US Core Body Weight Profile

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: Body weight (LOINC#29463-7)

subject: See on this page: Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman

effective: 2019-01-17

performer: See on this page: Practitioner/practitioner-us-core-practitioner-henry-seven

value: 65 kg (Details: UCUM code kg = 'kg')

9. http://example.org/fhir/Patient/patient-us-core-patient-eve-everywoman (Patient/patient-us-core-patient-eve-everywoman)

Anonymous Patient Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual))

10. http://example.org/fhir/AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman (AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman)

Generated Narrative: AllergyIntolerance

Resource AllergyIntolerance "allergyintolerance-us-core-allergyint-eve-everywoman"

Profile: US Core AllergyIntolerance Profile

clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)

verificationStatus: Confirmed (AllergyIntolerance Verification Status#confirmed)

category: MEDICATION

criticality: HIGH

code: sulfonamide antibacterial (SNOMED CT#387406002 "Sulfonamide (substance)")

patient: See on this page: Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman

Reactions

-ManifestationSeverity
*skin rash (SNOMED CT#271807003)MILD

11. http://example.org/fhir/Practitioner/practitioner-us-core-practitioner-henry-seven (Practitioner/practitioner-us-core-practitioner-henry-seven)

Generated Narrative: Practitioner

Resource Practitioner "practitioner-us-core-practitioner-henry-seven"

Profile: US Core Practitioner Profile

identifier: NPI/9941339108

name: Seven Henry

telecom: henry.seven@example.com

address: BMass Doctors 2100 North Ave Burlington MA 02368 US

12. http://example.org/fhir/Organization/organization-us-core-organization-saint-luke (Organization/organization-us-core-organization-saint-luke)

Generated Narrative: Organization

Resource Organization "organization-us-core-organization-saint-luke"

Profile: US Core Organization Profile

identifier: NPI/1063494177

active: true

type: Healthcare Provider (Organization type#prov)

name: Saint Luke's Hospital of Kansas City

Contacts

-TelecomAddress
*ph: (816)932-2000(WORK), http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city(WORK)4401 Wornall Rd, Amherst MA 64111

Entry 10 - fullUrl = http://example.org/fhir/Consent/consent-bser-patientconsent-eve-everywoman

Resource Consent:

Generated Narrative: Consent

Resource Consent "consent-bser-patientconsent-eve-everywoman"

Profile: BSeR Patient Consent

status: ACTIVE

category: information access (ActCode#INFA)

provision

Actors

-RoleReference
*custodian (ParticipationType#CST)See on this page: Organization/organization-us-core-organization-saint-luke

action: Access (Consent Action Codes#access)