Generated Narrative: MessageHeader messageheader-bser-referral-messageheader Profile: BSeR Referral Message Header event: eventType I12: REF/RRI - Patient referral Destinations - Endpoint Receiver * http://www.saintlukeshealthsystem.org/fhir/endpoint PractitionerRole Primary Care Clinic/Center sender: PractitionerRole Primary Care Clinic/Center Sources - Name Software Version Contact Endpoint * Acme Central Patient Registry FooBar Patient Manager 3.1.45.AABB +1 (555) 123 4567 http://www.saintlukeshealthsystem.org/fhir reason: REF/RRI - Patient referral focus: Task Fulfill the focal request
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: Patient referral subject: Eve Everywoman occurrence: 2020-01-09 authoredOn: 2020-02-14 requester: Henry Seven, MD performer: Hailey Eight, MD reasonCode: Arthritis (disorder) insurance: Coverage: identifier = Member Number: 12345; status = active; type = extended healthcare; relationship = self; period = 2019-05-23 --> 2020-05-23 supportingInfo: Bundle: identifier = UUID:2be4b4e4-6df1-4cb2-a947-c70fa0eda54c; type = document; timestamp = 2020-01-06 22:13:23+0000 Consent: status = active; scope = Privacy Consent; category = information access; dateTime = 2019-05-23; policyRule = opt-in
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 <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: ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino text: Not Hispanic or Latino US Core Birth Sex Extension F <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: ombCategory: CDC Race and Ethnicity 2106-3: White text: White
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
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 telecom: henry.seven@example.com
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 telecom: hailey.eight@example.com
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 telecom: ph: (816)932-2000(Work), http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city(Work) address: 4401 Wornall Rd, Amherst MA 64111
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 payor: Organization Saint Luke's Hospital of Kansas City 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
Full Coverage: Medical, Dental, Pharmacy, Vision, EHC
Arthritis Referral Request Supporting Information
Arthritis Referral Supporting Information
Blood Pressure panel with all children optional
Generated Narrative: Consent consent-bser-patientconsent-eve-everywoman Profile: BSeR Patient Consent status: Active scope: Privacy Consent category: information access patient: Eve Everywoman dateTime: 2019-05-23 performer: Eve Everywoman policyRule: opt-in provision type: Opt In Actors - Role Reference * custodian Organization Saint Luke's Hospital of Kansas City action: Access