Bidirectional Services eReferral (BSeR)
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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

Service Request and Referral Feedback Supporting Information

The BSeR IG illustrates the inclusion of service request content profiles for six representative use cases. See Adaptation for Additional Referral Use Cases for details on extension of BSeR for use by other applications/programs.

The selected use cases have overlapping information needs that demonstrate the concepts of parsimonious partitioning and resource profile reuse.

Each referral use case is an aggregation of supporting information data items. Supporting information data items are represented with clinical profiles. In most cases, US Core profiles have been reused.

Use Case Profiles

The following table identifies the aggregation of supporting information profiles for each use case split between referral request and referral feedback flows:

Referral Use Case Referral Request Referral Feedback
Concept Profile Concept Profile
All Employment status ODH Employment Status
Education level US Core Observation Social History Profile
Patient consent BSeR Patient Consent
Insurance coverage BSeR Coverage
Arthritis Blood Pressure US Core Blood Pressure Profile Pain BSeR Referral Observation
Body Height US Core Body Height Profile Feeling frustrated BSeR Referral Observation
Body Mass Index (BMI) US Core BMI Profile Pain management BSeR Referral Observation
Body Weight US Core Body Weight Profile Feeling isolated BSeR Referral Observation
Allergies US Core AllergyIntolerance Profile Range of joint movement BSeR Referral Observation
Diabetes Prevention Blood Pressure US Core Blood Pressure Profile Muscle strength BSeR Referral Observation
Body Height US Core Body Height Profile Body Height US Core Body Height Profile
Body Mass Index (BMI) US Core BMI Profile Body Mass Index (BMI) US Core BMI Profile
Body Weight US Core Body Weight Profile Body Weight US Core Body Weight Profile
HA1C Observation US Core Laboratory Result Observation Number of appointments attended US Core Observation Social History Profile
Number of appointments missed US Core Observation Social History Profile
Early Childhood Nutrition Blood Pressure (baby) US Core Blood Pressure Profile Number of appointments attended US Core Observation Social History Profile
Blood Pressure (mother) US Core Blood Pressure Profile Number of appointments missed US Core Observation Social History Profile
Body Height Lying (baby) US Core Body Height Profile Finding related to ability to perform breast-feeding BSeR Referral Observation
Body Height (mother) US Core Body Height Profile Breastfeeding support BSeR Referral Observation
Body Mass Index (BMI) (mother) US Core BMI Profile Tongue tie US Core Condition Problems and Health Concerns Profile
Body Weight (baby) US Core Body Weight Profile
Body Weight (mother) US Core Body Weight Profile
Able to latch on to breast for feeding BSeR Referral Observation
Maternal concern BSeR Referral Observation
Nipple shield BSeR Referral Observation
Baby's birthdate ​ BSeR Patient
Baby's name ​ BSeR Patient
Baby's sex ​ BSeR Patient
Hypertension Blood Pressure US Core Blood Pressure Profile Blood Pressure US Core Blood Pressure Profile
Body Height US Core Body Height Profile Body Height US Core Body Height Profile
Body Mass Index (BMI) US Core BMI Profile Body Mass Index (BMI) US Core BMI Profile
Body Weight US Core Body Weight Profile Body Weight US Core Body Weight Profile
Diagnosis US Core Condition Problems and Health Concerns Profile
Obesity Blood Pressure US Core Blood Pressure Profile Blood Pressure US Core Blood Pressure Profile
Body Height US Core Body Height Profile Body Height US Core Body Height Profile
Body Mass Index (BMI) US Core BMI Profile Body Mass Index (BMI) US Core BMI Profile
Body Weight US Core Body Weight Profile Body Weight US Core Body Weight Profile
Allergies US Core AllergyIntolerance Profile
Tobacco Use Cessation Nicotine replacement therapy US Core Procedure Profile Number of appointments attended US Core Observation Social History Profile
Smoking Status US Core Smoking Status Observation Profile Number of appointments missed US Core Observation Social History Profile
Time since stopped smoking US Core Observation Social History Profile