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-message-bundle-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralMessageBundle"/>
</meta>
<type value="message"/>
<entry>
<fullUrl
value="http://example.org/fhir/MessageHeader/messageheader-bser-referral-messageheader"/>
<resource>
<MessageHeader>
<id value="messageheader-bser-referral-messageheader"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralMessageHeader"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_messageheader-bser-referral-messageheader"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader messageheader-bser-referral-messageheader</b></p><a name="messageheader-bser-referral-messageheader"> </a><a name="hcmessageheader-bser-referral-messageheader"> </a><a name="messageheader-bser-referral-messageheader-en-US"> </a><p><b>event</b>: <a href="http://terminology.hl7.org/5.0.0/CodeSystem-v2-0003.html#v2-0003-I12">eventType I12</a>: REF/RRI - Patient referral</p><h3>Destinations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style="display: none">*</td><td><a href="http://www.saintlukeshealthsystem.org/fhir/endpoint">http://www.saintlukeshealthsystem.org/fhir/endpoint</a></td><td><a href="PractitionerRole-practitionerrole-us-core-practitionerrole-referral-recipient.html">PractitionerRole Primary Care Clinic/Center</a></td></tr></table><p><b>sender</b>: <a href="PractitionerRole-practitionerrole-us-core-practitionerrole-referral-initiator.html">PractitionerRole Primary Care Clinic/Center</a></p><h3>Sources</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Software</b></td><td><b>Version</b></td><td><b>Contact</b></td><td><b>Endpoint</b></td></tr><tr><td style="display: none">*</td><td>Acme Central Patient Registry</td><td>FooBar Patient Manager</td><td>3.1.45.AABB</td><td><a href="tel:+1(555)1234567">+1 (555) 123 4567</a></td><td><a href="http://www.saintlukeshealthsystem.org/fhir">http://www.saintlukeshealthsystem.org/fhir</a></td></tr></table><p><b>reason</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0003 I12}">REF/RRI - Patient referral</span></p><p><b>focus</b>: <a href="Task-task-bser-referral-task.html">Task Fulfill the focal request</a></p></div>
</text>
<eventCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="I12"/>
<display value="REF/RRI - Patient referral"/>
</eventCoding>
<destination>
<endpoint
value="http://www.saintlukeshealthsystem.org/fhir/endpoint"/>
<receiver>🔗
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"/>
</receiver>
</destination>
<sender>🔗
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"/>
</sender>
<source>
<name value="Acme Central Patient Registry"/>
<software value="FooBar Patient Manager"/>
<version value="3.1.45.AABB"/>
<contact>
<system value="phone"/>
<value value="+1 (555) 123 4567"/>
</contact>
<endpoint value="http://www.saintlukeshealthsystem.org/fhir"/>
</source>
<reason>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="I12"/>
<display value="REF/RRI - Patient referral"/>
</coding>
</reason>
<focus>🔗
<reference value="Task/task-bser-referral-task"/>
</focus>
</MessageHeader>
</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>
<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/Task/task-bser-referral-task"/>
<resource>
<Task>
<id value="task-bser-referral-task"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralTask"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Task_task-bser-referral-task"> </a><p class="res-header-id"><b>Generated Narrative: Task task-bser-referral-task</b></p><a name="task-bser-referral-task"> </a><a name="hctask-bser-referral-task"> </a><a name="task-bser-referral-task-en-US"> </a><p><b>identifier</b>: Placer Identifier/66666666, Filler Identifier/77777777</p><p><b>status</b>: Requested</p><p><b>businessStatus</b>: <span title="Codes:{http://hl7.org/fhir/us/bser/CodeSystem/TaskBusinessStatusCS 7.0}">Service Request Fulfillment Completed</span></p><p><b>intent</b>: order</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/CodeSystem/task-code fulfill}">Fulfill the focal request</span></p><p><b>focus</b>: <a href="ServiceRequest-servicerequest-bser-referral-servicerequest-arthritis.html">ServiceRequest Patient referral</a></p><p><b>for</b>: <a href="Patient-patient-us-core-patient-eve-everywoman.html">Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702 (use: usual, ))</a></p><p><b>authoredOn</b>: 2020-01-15 14:43:32-0400</p><p><b>requester</b>: <a href="PractitionerRole-practitionerrole-us-core-practitionerrole-referral-initiator.html">PractitionerRole Primary Care Clinic/Center</a></p><p><b>owner</b>: <a href="PractitionerRole-practitionerrole-us-core-practitionerrole-referral-recipient.html">PractitionerRole Primary Care Clinic/Center</a></p><h3>Outputs</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:">Arthritis referral feedback</span></td><td><a href="Bundle-bundle-bser-referral-feedback-document-bundle-eve-everywoman.html">Bundle: identifier = UUID:2be4b4e4-6df1-4cb2-a947-c70fa0eda54e; type = document; timestamp = 2020-01-07 09:25:00+0000</a></td></tr></table></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<value value="66666666"/>
<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="77777777"/>
<assigner>🔗
<reference
value="Organization/organization-us-core-organization-saint-luke"/>
</assigner>
</identifier>
<status value="requested"/>
<businessStatus>
<coding>
<system
value="http://hl7.org/fhir/us/bser/CodeSystem/TaskBusinessStatusCS"/>
<code value="7.0"/>
<display value="Service Request Fulfillment Completed"/>
</coding>
</businessStatus>
<intent value="order"/>
<code>
<coding>
<system value="http://hl7.org/fhir/CodeSystem/task-code"/>
<code value="fulfill"/>
</coding>
</code>
<focus>🔗
<reference
value="ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis"/>
</focus>
<for>🔗
<reference value="Patient/patient-us-core-patient-eve-everywoman"/>
</for>
<authoredOn value="2020-01-15T14:43:32-04:00"/>
<requester>🔗
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"/>
</requester>
<owner>🔗
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"/>
</owner>
<output>
<type>
<text value="Arthritis referral feedback"/>
</type>
<valueReference>🔗
<reference
value="Bundle/bundle-bser-referral-feedback-document-bundle-eve-everywoman"/>
</valueReference>
</output>
</Task>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"/>
<resource>
<PractitionerRole>
<id
value="practitionerrole-us-core-practitionerrole-referral-initiator"/>
<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-initiator"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole practitionerrole-us-core-practitionerrole-referral-initiator</b></p><a name="practitionerrole-us-core-practitionerrole-referral-initiator"> </a><a name="hcpractitionerrole-us-core-practitionerrole-referral-initiator"> </a><a name="practitionerrole-us-core-practitionerrole-referral-initiator-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>/1111111111</p><p><b>practitioner</b>: <a href="Practitioner-practitioner-us-core-practitioner-henry-seven.html">Henry Seven, 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:henry.seven@example.com">henry.seven@example.com</a></p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1111111111"/>
</identifier>
<practitioner>🔗
<reference
value="Practitioner/practitioner-us-core-practitioner-henry-seven"/>
<display value="Henry Seven, 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="henry.seven@example.com"/>
</telecom>
</PractitionerRole>
</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/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/Coverage/coverage-bser-coverage-eve-everywoman"/>
<resource>
<Coverage>
<id value="coverage-bser-coverage-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Coverage"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_coverage-bser-coverage-eve-everywoman"> </a><p class="res-header-id"><b>Generated Narrative: Coverage coverage-bser-coverage-eve-everywoman</b></p><a name="coverage-bser-coverage-eve-everywoman"> </a><a name="hccoverage-bser-coverage-eve-everywoman"> </a><a name="coverage-bser-coverage-eve-everywoman-en-US"> </a><p><b>identifier</b>: Member Number/12345</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode EHCPOL}">extended healthcare</span></p><p><b>subscriber</b>: <a href="RelatedPerson-relatedperson-us-core-relatedperson-self-eve-everywoman.html">Eve Everywoman</a></p><p><b>beneficiary</b>: <a href="Patient-patient-us-core-patient-eve-everywoman.html">Eve Everywoman</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode ONESELF}">self</span></p><p><b>period</b>: 2019-05-23 --> 2020-05-23</p><p><b>payor</b>: <a href="Organization-organization-us-core-organization-saint-luke.html">Organization Saint Luke's Hospital of Kansas City</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}, {http://terminology.hl7.org/CodeSystem/coverage-class subgroup}">Group</span></p><p><b>value</b>: 123</p><p><b>name</b>: Full Coverage: Medical, Dental, Pharmacy, Vision, EHC</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}, {http://terminology.hl7.org/CodeSystem/coverage-class subplan}">Plan</span></p><p><b>value</b>: P7</p><p><b>name</b>: Includes afterlife benefits</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class class}">Class</span></p><p><b>value</b>: SILVER</p><p><b>name</b>: Silver: Family Plan spouse only</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class subclass}">SubClass</span></p><p><b>value</b>: Tier2</p><p><b>name</b>: Low deductible, max $20 copay</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class sequence}">Sequence</span></p><p><b>value</b>: 9</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxid}">RX Id</span></p><p><b>value</b>: MDF12345</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxbin}">RX BIN</span></p><p><b>value</b>: 987654</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxgroup}">RX Group</span></p><p><b>value</b>: M35PT</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxpcn}">RX PCN</span></p><p><b>value</b>: 234516</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class sequence}">Sequence</span></p><p><b>value</b>: 9</p></blockquote></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MB"/>
<display value="Member Number"/>
</coding>
</type>
<system value="http://benefitsinc.com/certificate"/>
<value value="12345"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="EHCPOL"/>
<display value="extended healthcare"/>
</coding>
</type>
<subscriber>🔗
<reference
value="RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subscriber>
<beneficiary>🔗
<reference value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</beneficiary>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="ONESELF"/>
<display value="self"/>
</coding>
<text value="self"/>
</relationship>
<period>
<start value="2019-05-23"/>
<end value="2020-05-23"/>
</period>
<payor>🔗
<reference
value="Organization/organization-us-core-organization-saint-luke"/>
</payor>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="group"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="subgroup"/>
</coding>
</type>
<value value="123"/>
<name
value="Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="plan"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="subplan"/>
</coding>
</type>
<value value="P7"/>
<name value="Includes afterlife benefits"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="class"/>
</coding>
</type>
<value value="SILVER"/>
<name value="Silver: Family Plan spouse only"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="subclass"/>
</coding>
</type>
<value value="Tier2"/>
<name value="Low deductible, max $20 copay"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="sequence"/>
</coding>
</type>
<value value="9"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="rxid"/>
</coding>
</type>
<value value="MDF12345"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="rxbin"/>
</coding>
</type>
<value value="987654"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="rxgroup"/>
</coding>
</type>
<value value="M35PT"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="rxpcn"/>
</coding>
</type>
<value value="234516"/>
</class>
<class>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="sequence"/>
</coding>
</type>
<value value="9"/>
</class>
</Coverage>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman"/>
<resource>
<Bundle>
<id
value="bundle-bser-referral-request-document-bundle-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralRequestDocumentBundle"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda54c"/>
</identifier>
<type value="document"/>
<timestamp value="2020-01-06T22:13:23Z"/>
<entry>
<fullUrl
value="http://example.org/fhir/Composition/composition-bser-referral-request-arthritis-everywoman"/>
<resource>
<Composition>
<id
value="composition-bser-referral-request-arthritis-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralRequestComposition"/>
</meta>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="57133-1"/>
<display value="Referral note"/>
</coding>
</type>
<subject>🔗
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<date value="2020-01-02T22:13:23Z"/>
<author>🔗
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"/>
<display value="Henry Seven, MD"/>
</author>
<title value="Referral request"/>
<section>
<title value="Other Supporting Information"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/bser/CodeSystem/bser"/>
<code value="OSI"/>
<display value="Other Supporting Information"/>
</coding>
</code>
<entry>🔗
<reference
value="Observation/observation-us-core-social-history-education-eve-everywoman"/>
</entry>
</section>
<section>
<title
value="Arthritis Referral Request Supporting Information"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/bser/CodeSystem/bser"/>
<code value="ARSI"/>
<display
value="Arthritis Referral Supporting Information"/>
</coding>
</code>
<entry>🔗
<reference
value="AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman"/>
</entry>
<entry>🔗
<reference
value="MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-us-core-blood-pressure-eve-everywoman"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-us-core-body-height-eve-everywoman"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-us-core-body-weight-eve-everywoman"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-us-core-bmi-eve-everywoman"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-us-core-blood-pressure-eve-everywoman"/>
<resource>
<Observation>
<id value="observation-us-core-blood-pressure-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
<text value="Vital Signs"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85354-9"/>
<display
value="Blood Pressure panel with all children optional"/>
</coding>
<text value="Blood Pressure systolic & diastolic"/>
</code>
<subject>🔗
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<effectiveDateTime value="2019-01-17"/>
<performer>🔗
<reference
value="Practitioner/practitioner-us-core-practitioner-henry-seven"/>
</performer>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8480-6"/>
<display value="Systolic Blood Pressure"/>
</coding>
</code>
<valueQuantity>
<value value="107"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8462-4"/>
<display value="Diastolic Blood Pressure"/>
</coding>
</code>
<valueQuantity>
<value value="60"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-us-core-body-height-eve-everywoman"/>
<resource>
<Observation>
<id value="observation-us-core-body-height-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
<text value="Vital Signs"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8302-2"/>
<display value="Body height"/>
</coding>
<text value="Body height"/>
</code>
<subject>🔗
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<effectiveDateTime value="2019-01-17"/>
<performer>🔗
<reference
value="Practitioner/practitioner-us-core-practitioner-henry-seven"/>
</performer>
<valueQuantity>
<value value="68"/>
<unit value="in"/>
<system value="http://unitsofmeasure.org"/>
<code value="[in_i]"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"/>
<resource>
<PractitionerRole>
<id
value="practitionerrole-us-core-practitionerrole-referral-initiator"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"/>
</meta>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1111111111"/>
</identifier>
<practitioner>🔗
<reference
value="Practitioner/practitioner-us-core-practitioner-henry-seven"/>
<display value="Henry Seven, 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="henry.seven@example.com"/>
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-us-core-bmi-eve-everywoman"/>
<resource>
<Observation>
<id value="observation-us-core-bmi-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
<text value="Vital Signs"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="39156-5"/>
<display value="Body mass index (BMI) [Ratio]"/>
</coding>
<text value="BMI"/>
</code>
<subject>🔗
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<effectiveDateTime value="2019-01-17"/>
<performer>🔗
<reference
value="Practitioner/practitioner-us-core-practitioner-henry-seven"/>
</performer>
<valueQuantity>
<value value="29"/>
<unit value="kg/m2"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg/m2"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-us-core-social-history-education-eve-everywoman"/>
<resource>
<Observation>
<id
value="observation-us-core-social-history-education-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="social-history"/>
<display value="Social History"/>
</coding>
<text value="Social History"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="82589-3"/>
<display value="Highest level of education"/>
</coding>
</code>
<subject>🔗
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<effectiveDateTime value="2019-01-17"/>
<performer>🔗
<reference
value="PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"/>
</performer>
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"/>
<code value="ELEM"/>
<display value="Elementary School"/>
</coding>
<text value="Elementary School"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman"/>
<resource>
<MedicationRequest>
<id
value="medicationrequest-us-core-medicationrequest-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/>
</meta>
<status value="active"/>
<intent value="instance-order"/>
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="27658006"/>
<display value="Amoxicillin-containing product"/>
</coding>
</medicationCodeableConcept>
<subject>🔗
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<authoredOn value="2019-01-17"/>
<requester>🔗
<reference
value="Practitioner/practitioner-us-core-practitioner-hailey-eight"/>
</requester>
<dosageInstruction>
<text value="bid"/>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/observation-us-core-body-weight-eve-everywoman"/>
<resource>
<Observation>
<id value="observation-us-core-body-weight-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight"/>
</meta>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
<text value="Vital Signs"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29463-7"/>
<display value="Body weight"/>
</coding>
<text value="Body weight"/>
</code>
<subject>🔗
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</subject>
<effectiveDateTime value="2019-01-17"/>
<performer>🔗
<reference
value="Practitioner/practitioner-us-core-practitioner-henry-seven"/>
</performer>
<valueQuantity>
<value value="65"/>
<unit value="kg"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg"/>
</valueQuantity>
</Observation>
</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>
<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/AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman"/>
<resource>
<AllergyIntolerance>
<id
value="allergyintolerance-us-core-allergyint-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"/>
</meta>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category value="medication"/>
<criticality value="high"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="387406002"/>
<display value="Sulfonamide (substance)"/>
</coding>
<text value="sulfonamide antibacterial"/>
</code>
<patient>🔗
<reference
value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</patient>
<reaction>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="271807003"/>
<display value="skin rash"/>
</coding>
<text value="skin rash"/>
</manifestation>
<severity value="mild"/>
</reaction>
</AllergyIntolerance>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Practitioner/practitioner-us-core-practitioner-henry-seven"/>
<resource>
<Practitioner>
<id value="practitioner-us-core-practitioner-henry-seven"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
</meta>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339108"/>
</identifier>
<name>
<family value="Henry"/>
<given value="Seven"/>
<suffix value="M.D."/>
</name>
<telecom>
<system value="email"/>
<value value="henry.seven@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/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>
<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>
</Bundle>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Consent/consent-bser-patientconsent-eve-everywoman"/>
<resource>
<Consent>
<id value="consent-bser-patientconsent-eve-everywoman"/>
<meta>
<profile
value="http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-PatientConsent"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Consent_consent-bser-patientconsent-eve-everywoman"> </a><p class="res-header-id"><b>Generated Narrative: Consent consent-bser-patientconsent-eve-everywoman</b></p><a name="consent-bser-patientconsent-eve-everywoman"> </a><a name="hcconsent-bser-patientconsent-eve-everywoman"> </a><a name="consent-bser-patientconsent-eve-everywoman-en-US"> </a><p><b>status</b>: Active</p><p><b>scope</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/consentscope patient-privacy}">Privacy Consent</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode INFA}">information access</span></p><p><b>patient</b>: <a href="Patient-patient-us-core-patient-eve-everywoman.html">Eve Everywoman</a></p><p><b>dateTime</b>: 2019-05-23</p><p><b>performer</b>: <a href="Patient-patient-us-core-patient-eve-everywoman.html">Eve Everywoman</a></p><p><b>policyRule</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode OPTIN}">opt-in</span></p><blockquote><p><b>provision</b></p><p><b>type</b>: Opt In</p><h3>Actors</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Role</b></td><td><b>Reference</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType CST}">custodian</span></td><td><a href="Organization-organization-us-core-organization-saint-luke.html">Organization Saint Luke's Hospital of Kansas City</a></td></tr></table><p><b>action</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/consentaction access}">Access</span></p></blockquote></div>
</text>
<status value="active"/>
<scope>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/consentscope"/>
<code value="patient-privacy"/>
</coding>
</scope>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="INFA"/>
<display value="information access"/>
</coding>
</category>
<patient>🔗
<reference value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</patient>
<dateTime value="2019-05-23"/>
<performer>🔗
<reference value="Patient/patient-us-core-patient-eve-everywoman"/>
<display value="Eve Everywoman"/>
</performer>
<policyRule>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="OPTIN"/>
</coding>
</policyRule>
<provision>
<type value="permit"/>
<actor>
<role>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="CST"/>
</coding>
</role>
<reference>🔗
<reference
value="Organization/organization-us-core-organization-saint-luke"/>
</reference>
</actor>
<action>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/consentaction"/>
<code value="access"/>
</coding>
</action>
</provision>
</Consent>
</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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