{ "resourceType" : "Bundle", "id" : "bundle-bser-referral-request-document-bundle-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralRequestDocumentBundle"] }, "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda54c" }, "type" : "document", "timestamp" : "2020-01-06T22:13:23Z", "entry" : [{ "fullUrl" : "http://example.org/fhir/Composition/composition-bser-referral-request-arthritis-everywoman", "resource" : { "resourceType" : "Composition", "id" : "composition-bser-referral-request-arthritis-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralRequestComposition"] }, "text" : { "status" : "generated", "div" : "

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

" }, "status" : "final", "type" : { "coding" : [{ "system" : "http://loinc.org", "code" : "57133-1", "display" : "Referral note" }] }, "subject" : { "reference" : "Patient/patient-us-core-patient-eve-everywoman", "display" : "Eve Everywoman" }, "date" : "2020-01-02T22:13:23Z", "author" : [{ "reference" : "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator", "display" : "Henry Seven, MD" }], "title" : "Referral request", "section" : [{ "title" : "Other Supporting Information", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/bser/CodeSystem/bser", "code" : "OSI", "display" : "Other Supporting Information" }] }, "entry" : [{ "reference" : "Observation/observation-us-core-social-history-education-eve-everywoman" }] }, { "title" : "Arthritis Referral Request Supporting Information", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/bser/CodeSystem/bser", "code" : "ARSI", "display" : "Arthritis Referral Supporting Information" }] }, "entry" : [{ "reference" : "AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman" }, { "reference" : "MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman" }, { "reference" : "Observation/observation-us-core-blood-pressure-eve-everywoman" }, { "reference" : "Observation/observation-us-core-body-height-eve-everywoman" }, { "reference" : "Observation/observation-us-core-body-weight-eve-everywoman" }, { "reference" : "Observation/observation-us-core-bmi-eve-everywoman" }] }] } }, { "fullUrl" : "http://example.org/fhir/Observation/observation-us-core-blood-pressure-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-us-core-blood-pressure-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure"] }, "text" : { "status" : "generated", "div" : "

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]')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }], "text" : "Vital Signs" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "85354-9", "display" : "Blood Pressure panel with all children optional" }], "text" : "Blood Pressure systolic & diastolic" }, "subject" : { "reference" : "Patient/patient-us-core-patient-eve-everywoman", "display" : "Eve Everywoman" }, "effectiveDateTime" : "2019-01-17", "performer" : [{ "reference" : "Practitioner/practitioner-us-core-practitioner-henry-seven" }], "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8480-6", "display" : "Systolic Blood Pressure" }] }, "valueQuantity" : { "value" : 107, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8462-4", "display" : "Diastolic Blood Pressure" }] }, "valueQuantity" : { "value" : 60, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" } }] } }, { "fullUrl" : "http://example.org/fhir/Observation/observation-us-core-body-height-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-us-core-body-height-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height"] }, "text" : { "status" : "generated", "div" : "

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]')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }], "text" : "Vital Signs" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8302-2", "display" : "Body height" }], "text" : "Body height" }, "subject" : { "reference" : "Patient/patient-us-core-patient-eve-everywoman", "display" : "Eve Everywoman" }, "effectiveDateTime" : "2019-01-17", "performer" : [{ "reference" : "Practitioner/practitioner-us-core-practitioner-henry-seven" }], "valueQuantity" : { "value" : 68, "unit" : "in", "system" : "http://unitsofmeasure.org", "code" : "[in_i]" } } }, { "fullUrl" : "http://example.org/fhir/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator", "resource" : { "resourceType" : "PractitionerRole", "id" : "practitionerrole-us-core-practitionerrole-referral-initiator", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"] }, "text" : { "status" : "generated", "div" : "

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

" }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "1111111111" }], "practitioner" : { "reference" : "Practitioner/practitioner-us-core-practitioner-henry-seven", "display" : "Henry Seven, MD" }, "organization" : { "reference" : "Organization/organization-us-core-organization-saint-luke" }, "code" : [{ "coding" : [{ "system" : "http://nucc.org/provider-taxonomy", "code" : "261QP2300X", "display" : "Primary Care Clinic/Center" }] }], "specialty" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "419772000", "display" : "Family Practice" }] }], "telecom" : [{ "system" : "email", "value" : "henry.seven@example.com" }] } }, { "fullUrl" : "http://example.org/fhir/Observation/observation-us-core-bmi-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-us-core-bmi-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi"] }, "text" : { "status" : "generated", "div" : "

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')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }], "text" : "Vital Signs" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "39156-5", "display" : "Body mass index (BMI) [Ratio]" }], "text" : "BMI" }, "subject" : { "reference" : "Patient/patient-us-core-patient-eve-everywoman", "display" : "Eve Everywoman" }, "effectiveDateTime" : "2019-01-17", "performer" : [{ "reference" : "Practitioner/practitioner-us-core-practitioner-henry-seven" }], "valueQuantity" : { "value" : 29, "unit" : "kg/m2", "system" : "http://unitsofmeasure.org", "code" : "kg/m2" } } }, { "fullUrl" : "http://example.org/fhir/Observation/observation-us-core-social-history-education-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-us-core-social-history-education-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history"] }, "text" : { "status" : "generated", "div" : "

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

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }], "text" : "Social History" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "82589-3", "display" : "Highest level of education" }] }, "subject" : { "reference" : "Patient/patient-us-core-patient-eve-everywoman", "display" : "Eve Everywoman" }, "effectiveDateTime" : "2019-01-17", "performer" : [{ "reference" : "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator" }], "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-EducationLevel", "code" : "ELEM", "display" : "Elementary School" }], "text" : "Elementary School" } } }, { "fullUrl" : "http://example.org/fhir/MedicationRequest/medicationrequest-us-core-medicationrequest-eve-everywoman", "resource" : { "resourceType" : "MedicationRequest", "id" : "medicationrequest-us-core-medicationrequest-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest medicationrequest-us-core-medicationrequest-eve-everywoman

Profile: US Core MedicationRequest Profile

status: Active

intent: Instance Order

medication: Amoxicillin-containing product

subject: Eve Everywoman

authoredOn: 2019-01-17

requester: Practitioner Eight Hailey

DosageInstructions

-Text
*bid
" }, "status" : "active", "intent" : "instance-order", "medicationCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "27658006", "display" : "Amoxicillin-containing product" }] }, "subject" : { "reference" : "Patient/patient-us-core-patient-eve-everywoman", "display" : "Eve Everywoman" }, "authoredOn" : "2019-01-17", "requester" : { "reference" : "Practitioner/practitioner-us-core-practitioner-hailey-eight" }, "dosageInstruction" : [{ "text" : "bid" }] } }, { "fullUrl" : "http://example.org/fhir/Observation/observation-us-core-body-weight-eve-everywoman", "resource" : { "resourceType" : "Observation", "id" : "observation-us-core-body-weight-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight"] }, "text" : { "status" : "generated", "div" : "

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')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }], "text" : "Vital Signs" }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "29463-7", "display" : "Body weight" }], "text" : "Body weight" }, "subject" : { "reference" : "Patient/patient-us-core-patient-eve-everywoman", "display" : "Eve Everywoman" }, "effectiveDateTime" : "2019-01-17", "performer" : [{ "reference" : "Practitioner/practitioner-us-core-practitioner-henry-seven" }], "valueQuantity" : { "value" : 65, "unit" : "kg", "system" : "http://unitsofmeasure.org", "code" : "kg" } } }, { "fullUrl" : "http://example.org/fhir/Patient/patient-bser-patient-eve-everywoman", "resource" : { "resourceType" : "Patient", "id" : "patient-bser-patient-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/bser/StructureDefinition/bser-patient"] }, "text" : { "status" : "generated", "div" : "

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

Profile: BSeR Patient

Eve L Everywoman Female, DoB: 1974-11-24 ( Medical Record Number: 1032702\u00a0(use:\u00a0usual,\u00a0))

Active:true
Contact Detail
Links:
US Core Ethnicity Extension:
US Core Birth Sex ExtensionF
US Core Race Extension:
" }, "extension" : [{ "extension" : [{ "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2106-3", "display" : "White" } }, { "url" : "text", "valueString" : "White" }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" }, { "extension" : [{ "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2186-5", "display" : "Not Hispanic or Latino" } }, { "url" : "text", "valueString" : "Not Hispanic or Latino" }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" }, { "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex", "valueCode" : "F" }], "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR", "display" : "Medical Record Number" }] }, "system" : "http://hospital.smarthealthit.org", "value" : "1032702" }], "active" : true, "name" : [{ "family" : "Everywoman", "given" : ["Eve", "L"] }], "telecom" : [{ "system" : "phone", "value" : "1-(404)555-1212", "use" : "home" }, { "system" : "email", "value" : "eve.everywoman@example.com" }], "gender" : "female", "birthDate" : "1974-11-24", "address" : [{ "line" : ["5101 Peachtree St NE"], "city" : "Atlanta", "state" : "GA", "postalCode" : "30302", "country" : "US" }], "link" : [{ "other" : { "reference" : "RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman" }, "type" : "seealso" }] } }, { "fullUrl" : "http://example.org/fhir/AllergyIntolerance/allergyintolerance-us-core-allergyint-eve-everywoman", "resource" : { "resourceType" : "AllergyIntolerance", "id" : "allergyintolerance-us-core-allergyint-eve-everywoman", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"] }, "text" : { "status" : "generated", "div" : "

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

-ManifestationSeverity
*skin rashMild
" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code" : "active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification", "code" : "confirmed" }] }, "category" : ["medication"], "criticality" : "high", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "387406002", "display" : "Sulfonamide (substance)" }], "text" : "sulfonamide antibacterial" }, "patient" : { "reference" : "Patient/patient-us-core-patient-eve-everywoman", "display" : "Eve Everywoman" }, "reaction" : [{ "manifestation" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "271807003", "display" : "skin rash" }], "text" : "skin rash" }], "severity" : "mild" }] } }, { "fullUrl" : "http://example.org/fhir/Practitioner/practitioner-us-core-practitioner-henry-seven", "resource" : { "resourceType" : "Practitioner", "id" : "practitioner-us-core-practitioner-henry-seven", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"] }, "text" : { "status" : "generated", "div" : "

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

" }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "9941339108" }], "name" : [{ "family" : "Henry", "given" : ["Seven"], "suffix" : ["M.D."] }], "telecom" : [{ "system" : "email", "value" : "henry.seven@example.com" }], "address" : [{ "line" : ["BMass Doctors", "2100 North Ave"], "city" : "Burlington", "state" : "MA", "postalCode" : "02368", "country" : "US" }] } }, { "fullUrl" : "http://example.org/fhir/Organization/organization-us-core-organization-saint-luke", "resource" : { "resourceType" : "Organization", "id" : "organization-us-core-organization-saint-luke", "meta" : { "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"] }, "text" : { "status" : "generated", "div" : "

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

" }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "1063494177" }], "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "prov", "display" : "Healthcare Provider" }] }], "name" : "Saint Luke's Hospital of Kansas City", "telecom" : [{ "system" : "phone", "value" : "(816)932-2000", "use" : "work" }, { "system" : "other", "value" : "http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city", "use" : "work" }], "address" : [{ "line" : ["4401 Wornall Rd,"], "city" : "Amherst", "state" : "MA", "postalCode" : "64111" }] } }] }