Message Bundle - Eve Everywoman - Bidirectional Services eReferral (BSeR) v2.0.0-ballot

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

Generated Narrative: Bundle bundle-bser-referral-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 messageheader-bser-referral-messageheader

event: eventType I12: REF/RRI - Patient referral
Destinations
- Receiver
* PractitionerRole Primary Care Clinic/Center
sender: PractitionerRole Primary Care Clinic/Center
Sources
- Name Software Version Contact
* Acme Central Patient Registry FooBar Patient Manager 3.1.45.AABB +1 (555) 123 4567
reason: REF/RRI - Patient referral
focus: Task Fulfill the focal request

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

Resource ServiceRequest:

Generated Narrative: ServiceRequest servicerequest-bser-referral-servicerequest-arthritis

identifier: Placer Identifier/88888888, Filler Identifier/99999999
status: Active
intent: Order
category: Lifestyle education (procedure)
code: No display for ServiceRequest.code (concept: Patient referral)
subject: Eve Everywoman
occurrence: 2020-01-09
authoredOn: 2020-02-14
requester: Henry Seven, MD
performer: Hailey Eight, MD
insurance: Coverage: identifier = Member Number: 12345; status = active; type = extended healthcare; relationship = self; period = 2019-05-23 --> 2020-05-23
supportingInfo:
No display for ServiceRequest.supportingInfo (reference: ->Bundle: identifier = UUID:2be4b4e4-6df1-4cb2-a947-c70fa0eda54c; type = document; timestamp = 2020-01-06 22:13:23+0000)
No display for ServiceRequest.supportingInfo (reference: ->Consent: status = active; scope = Privacy Consent; category = information access; dateTime = 2019-05-23; policyRule = opt-in)

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

Resource Patient:

Generated Narrative: Patient patient-us-core-patient-eve-everywoman

Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual, ))
Active: true
Contact Detail
ph: 1-(404)555-1212(Home)
eve.everywoman@example.com
5101 Peachtree St NE Atlanta GA 30302 US
Links:
Also see: RelatedPerson Eve L Everywoman
US Core Ethnicity Extension:
ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino
text: Not Hispanic or Latino
US Core Birth Sex Extension F
US Core Race Extension:
ombCategory: CDC Race and Ethnicity 2106-3: White
text: White

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

Resource Task:

Generated Narrative: Task task-bser-referral-task

identifier: Placer Identifier/66666666, Filler Identifier/77777777
status: Requested
businessStatus: Service Request Fulfillment Completed
intent: Order
code: Fulfill the focal request
focus: ServiceRequest Patient referral
for: Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual, ))
authoredOn: 2020-01-15 14:43:32-0400
requester: PractitionerRole Primary Care Clinic/Center
owner: PractitionerRole Primary Care Clinic/Center
Outputs
- Type Value[x]
* Arthritis referral feedback Bundle: identifier = UUID:2be4b4e4-6df1-4cb2-a947-c70fa0eda54e; type = document; timestamp = 2020-01-07 09:25:00+0000

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

Resource PractitionerRole:

Generated Narrative: PractitionerRole practitionerrole-us-core-practitionerrole-referral-initiator

identifier: NPI/1111111111
practitioner: Henry Seven, MD
organization: Organization Saint Luke's Hospital of Kansas City
code: Primary Care Clinic/Center
specialty: Family Practice

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

Resource PractitionerRole:

Generated Narrative: PractitionerRole practitionerrole-us-core-practitionerrole-referral-recipient

identifier: NPI/2222222222
practitioner: Hailey Eight, MD
organization: Organization Saint Luke's Hospital of Kansas City
code: Primary Care Clinic/Center
specialty: Family Practice

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

Resource Organization:

Generated Narrative: Organization organization-us-core-organization-saint-luke

identifier: NPI/1063494177
active: true
type: Healthcare Provider
name: Saint Luke's Hospital of Kansas City
contact
telecom: ph: (816)932-2000(Work), http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city(Work)
address: 4401 Wornall Rd, Amherst MA 64111

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

Resource Coverage:

Generated Narrative: Coverage coverage-bser-coverage-eve-everywoman

identifier: Member Number/12345
status: Active
type: extended healthcare
subscriber: Eve Everywoman
beneficiary: Eve Everywoman
relationship: self
period: 2019-05-23 --> 2020-05-23
class
type: Group
value: 123
name: Full Coverage: Medical, Dental, Pharmacy, Vision, EHC
class
type: Plan
value: P7
name: Includes afterlife benefits
class
type: Class
value: SILVER
name: Silver: Family Plan spouse only
class
type: SubClass
value: Tier2
name: Low deductible, max $20 copay
class
type: Sequence
value: 9
class
type: RX Id
value: MDF12345
class
type: RX BIN
value: 987654
class
type: RX Group
value: M35PT
class
type: RX PCN
value: 234516
class
type: Sequence
value: 9

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

Resource Bundle:

Document Details
Generated Narrative: Bundle Referral request

Document Subject
Unable to resolve subject ''
Document Content
Other Supporting Information
Arthritis Referral Request Supporting Information
Additional Resources Included in Document

Entry 1 - fullUrl = http://example.org/fhir/Composition/composition-bser-referral-request-arthritis-everywoman
Resource Composition:
Generated Narrative: Composition composition-bser-referral-request-arthritis-everywoman

status: Final
type: Referral note
date: 2020-01-02 22:13:23+0000
author: Henry Seven, MD
title: Referral request

Entry 2 - fullUrl = http://example.org/fhir/Observation/observation-us-core-blood-pressure-eve-everywoman
Resource Observation:
Generated Narrative: Observation observation-us-core-blood-pressure-eve-everywoman

status: Final
category: Vital Signs
code: Blood Pressure systolic & diastolic
subject: Eve Everywoman
effective: 2019-01-17
performer: Practitioner Seven Henry
component
code: Systolic Blood Pressure
value: 107 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
component
code: Diastolic Blood Pressure
value: 60 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

Entry 3 - fullUrl = http://example.org/fhir/Observation/observation-us-core-body-height-eve-everywoman
Resource Observation:
Generated Narrative: Observation observation-us-core-body-height-eve-everywoman

status: Final
category: Vital Signs
code: Body height
subject: Eve Everywoman
effective: 2019-01-17
performer: Practitioner Seven Henry
value: 68 in (Details: UCUM code[in_i] = '[in_i]')

Entry 4 - fullUrl = http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator
Resource PractitionerRole:
Generated Narrative: PractitionerRole practitionerrole-us-core-practitionerrole-referral-initiator

identifier: NPI/1111111111
practitioner: Henry Seven, MD
organization: Organization Saint Luke's Hospital of Kansas City
code: Primary Care Clinic/Center
specialty: Family Practice

Entry 5 - fullUrl = http://example.org/fhir/Observation/observation-us-core-bmi-eve-everywoman
Resource Observation:
Generated Narrative: Observation observation-us-core-bmi-eve-everywoman

status: Final
category: Vital Signs
code: BMI
subject: Eve Everywoman
effective: 2019-01-17
performer: Practitioner Seven Henry
value: 29 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')

Entry 6 - fullUrl = http://example.org/fhir/Observation/observation-us-core-social-history-education-eve-everywoman
Resource Observation:
Generated Narrative: Observation observation-us-core-social-history-education-eve-everywoman

status: Final
category: Social History
code: Highest level of education
subject: Eve Everywoman
effective: 2019-01-17
performer: PractitionerRole Primary Care Clinic/Center
value: Elementary School

Entry 7 - fullUrl = http://example.org/fhir/MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman
Resource MedicationRequest:
Generated Narrative: MedicationRequest medicationrequest-us-core-medicationrequest-eve-everywoman

status: Active
intent: Instance Order
subject: Eve Everywoman
authoredOn: 2019-01-17
requester: Practitioner Eight Hailey
DosageInstructions
- Text
* bid

Entry 8 - fullUrl = http://example.org/fhir/Observation/observation-us-core-body-weight-eve-everywoman
Resource Observation:
Generated Narrative: Observation observation-us-core-body-weight-eve-everywoman

status: Final
category: Vital Signs
code: Body weight
subject: Eve Everywoman
effective: 2019-01-17
performer: Practitioner Seven Henry
value: 65 kg (Details: UCUM codekg = 'kg')

Entry 9 - fullUrl = http://example.org/fhir/Patient/patient-us-core-patient-eve-everywoman
Resource Patient:
Generated Narrative: Patient patient-us-core-patient-eve-everywoman

Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual, ))
Active: true
Contact Detail
ph: 1-(404)555-1212(Home)
eve.everywoman@example.com
5101 Peachtree St NE Atlanta GA 30302 US
Links:
Also see: RelatedPerson Eve L Everywoman
US Core Ethnicity Extension:
ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino
text: Not Hispanic or Latino
US Core Birth Sex Extension F
US Core Race Extension:
ombCategory: CDC Race and Ethnicity 2106-3: White
text: White

Entry 10 - fullUrl = http://example.org/fhir/AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman
Resource AllergyIntolerance:
Generated Narrative: AllergyIntolerance allergyintolerance-us-core-allergyint-eve-everywoman

clinicalStatus: Active
verificationStatus: Confirmed
category: Medication
criticality: High Risk
code: sulfonamide antibacterial
patient: Eve Everywoman
Reactions
- Manifestation Severity
* No display for AllergyIntolerance.reaction.manifestation (concept: skin rash) Mild

Entry 11 - fullUrl = http://example.org/fhir/Practitioner/practitioner-us-core-practitioner-henry-seven
Resource Practitioner:
Generated Narrative: Practitioner practitioner-us-core-practitioner-henry-seven

identifier: NPI/9941339108
name: Seven Henry
telecom: henry.seven@example.com
address: BMass Doctors 2100 North Ave Burlington MA 02368 US

Entry 12 - fullUrl = http://example.org/fhir/Organization/organization-us-core-organization-saint-luke
Resource Organization:
Generated Narrative: Organization organization-us-core-organization-saint-luke

identifier: NPI/1063494177
active: true
type: Healthcare Provider
name: Saint Luke's Hospital of Kansas City
contact
telecom: ph: (816)932-2000(Work), http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city(Work)
address: 4401 Wornall Rd, Amherst MA 64111

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

Resource Consent:

Generated Narrative: Consent consent-bser-patientconsent-eve-everywoman

status: Active
category: information access
provision
Actors
- Role Reference
* custodian Organization Saint Luke's Hospital of Kansas City
action: Access