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

Profile: BSeR Referral Message Bundle

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

Profile: BSeR Referral Message Header
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

Profile: BSeR Referral Service Request
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-bser-patient-eve-everywoman

Resource Patient:

Generated Narrative: Patient patient-bser-patient-eve-everywoman

Profile: BSeR Patient
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

Profile: 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: Patient/patient-us-core-patient-eve-everywoman
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

Profile: US Core PractitionerRole Profile
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

Profile: US Core PractitionerRole Profile
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

Profile: US Core Organization Profile
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

Profile: BSeR Coverage
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

Profile: BSeR Referral Request Document Bundle
Final Document at 2020-01-02 22:13:23+0000 by Henry Seven, MD for Eve Everywoman
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

Profile: BSeR Referral Request Composition
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

Profile: US Core Blood Pressure Profile
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

Profile: US Core Body Height Profile
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

Profile: US Core PractitionerRole Profile
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

Profile: US Core BMI Profile
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

Profile: US Core Observation Social History Profile
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

Profile: US Core MedicationRequest Profile
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

Profile: US Core Body Weight Profile
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-bser-patient-eve-everywoman
Resource Patient:
Generated Narrative: Patient patient-bser-patient-eve-everywoman

Profile: BSeR Patient
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

Profile: US Core AllergyIntolerance Profile
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

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

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

Profile: US Core Organization Profile
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

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