FHIR IG analytics| Package | hl7.fhir.us.bser |
| Resource Type | Bundle |
| Id | Bundle-bundle-bser-referral-message-bundle-eve-everywoman.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "Bundle",
"id": "bundle-bser-referral-message-bundle-eve-everywoman",
"meta": {
"profile": [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralMessageBundle"
]
},
"type": "message",
"entry": [
{
"fullUrl": "http://example.org/fhir/MessageHeader/messageheader-bser-referral-messageheader",
"resource": {
"resourceType": "MessageHeader",
"id": "messageheader-bser-referral-messageheader",
"meta": {
"profile": [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralMessageHeader"
]
},
"text": {
"status": "generated",
"div": "<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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-ReferralMessageHeader.html\">BSeR Referral Message Header</a></p></div><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>"
},
"eventCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0003",
"code": "I12",
"display": "REF/RRI - Patient referral"
},
"destination": [
{
"endpoint": "http://www.saintlukeshealthsystem.org/fhir/endpoint",
"receiver": {
"reference": "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"
}
}
],
"sender": {
"reference": "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"
},
"source": {
"name": "Acme Central Patient Registry",
"software": "FooBar Patient Manager",
"version": "3.1.45.AABB",
"contact": {
"system": "phone",
"value": "+1 (555) 123 4567"
},
"endpoint": "http://www.saintlukeshealthsystem.org/fhir"
},
"reason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0003",
"code": "I12",
"display": "REF/RRI - Patient referral"
}
]
},
"focus": [
{
"reference": "Task/task-bser-referral-task"
}
]
}
},
{
"fullUrl": "http://example.org/fhir/ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis",
"resource": {
"resourceType": "ServiceRequest",
"id": "servicerequest-bser-referral-servicerequest-arthritis",
"meta": {
"profile": [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralServiceRequest"
]
},
"text": {
"status": "generated",
"div": "<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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-ReferralServiceRequest.html\">BSeR Referral Service Request</a></p></div><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\">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>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PLAC"
}
]
},
"value": "88888888",
"assigner": {
"reference": "Organization/organization-us-core-organization-saint-luke"
}
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "FILL"
}
]
},
"value": "99999999",
"assigner": {
"reference": "Organization/organization-us-core-organization-saint-luke"
}
}
],
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "313204009",
"display": "Lifestyle education (procedure)"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "3457005",
"display": "Patient referral"
}
]
},
"subject": {
"reference": "Patient/patient-us-core-patient-eve-everywoman",
"display": "Eve Everywoman"
},
"occurrenceDateTime": "2020-01-09",
"authoredOn": "2020-02-14",
"requester": {
"reference": "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator",
"display": "Henry Seven, MD"
},
"performer": [
{
"reference": "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient",
"display": "Hailey Eight, MD"
}
],
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "3723001",
"display": "Arthritis (disorder)"
}
],
"text": "Arthritis (disorder)"
}
],
"insurance": [
{
"reference": "Coverage/coverage-bser-coverage-eve-everywoman"
}
],
"supportingInfo": [
{
"reference": "Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman"
},
{
"reference": "Consent/consent-bser-patientconsent-eve-everywoman"
}
]
}
},
{
"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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-bser-patient-eve-everywoman\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-bser-patient-eve-everywoman</b></p><a name=\"patient-bser-patient-eve-everywoman\"> </a><a name=\"hcpatient-bser-patient-eve-everywoman\"> </a><a name=\"patient-bser-patient-eve-everywoman-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-bser-patient.html\">BSeR Patient</a></p></div><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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - 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>"
},
"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/Task/task-bser-referral-task",
"resource": {
"resourceType": "Task",
"id": "task-bser-referral-task",
"meta": {
"profile": [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralTask"
]
},
"text": {
"status": "generated",
"div": "<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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-ReferralTask.html\">BSeR Referral Task</a></p></div><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\">Patient/patient-us-core-patient-eve-everywoman</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>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PLAC"
}
]
},
"value": "66666666",
"assigner": {
"reference": "Organization/organization-us-core-organization-saint-luke"
}
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "FILL"
}
]
},
"value": "77777777",
"assigner": {
"reference": "Organization/organization-us-core-organization-saint-luke"
}
}
],
"status": "requested",
"businessStatus": {
"coding": [
{
"system": "http://hl7.org/fhir/us/bser/CodeSystem/TaskBusinessStatusCS",
"code": "7.0",
"display": "Service Request Fulfillment Completed"
}
]
},
"intent": "order",
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/CodeSystem/task-code",
"code": "fulfill"
}
]
},
"focus": {
"reference": "ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis"
},
"for": {
"reference": "Patient/patient-us-core-patient-eve-everywoman"
},
"authoredOn": "2020-01-15T14:43:32-04:00",
"requester": {
"reference": "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator"
},
"owner": {
"reference": "PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient"
},
"output": [
{
"type": {
"text": "Arthritis referral feedback"
},
"valueReference": {
"reference": "Bundle/bundle-bser-referral-feedback-document-bundle-eve-everywoman"
}
}
]
}
},
{
"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": "<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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profile</a></p></div><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>"
},
"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/PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient",
"resource": {
"resourceType": "PractitionerRole",
"id": "practitionerrole-us-core-practitionerrole-referral-recipient",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"
]
},
"text": {
"status": "generated",
"div": "<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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profile</a></p></div><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>"
},
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "2222222222"
}
],
"practitioner": {
"reference": "Practitioner/practitioner-us-core-practitioner-hailey-eight",
"display": "Hailey Eight, 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": "hailey.eight@example.com"
}
]
}
},
{
"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": "<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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-organization.html\">US Core Organization Profile</a></p></div><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>"
},
"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"
}
]
}
},
{
"fullUrl": "http://example.org/fhir/Coverage/coverage-bser-coverage-eve-everywoman",
"resource": {
"resourceType": "Coverage",
"id": "coverage-bser-coverage-eve-everywoman",
"meta": {
"profile": [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Coverage"
]
},
"text": {
"status": "generated",
"div": "<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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-Coverage.html\">BSeR Coverage</a></p></div><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\">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>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MB",
"display": "Member Number"
}
]
},
"system": "http://benefitsinc.com/certificate",
"value": "12345"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EHCPOL",
"display": "extended healthcare"
}
]
},
"subscriber": {
"reference": "RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman",
"display": "Eve Everywoman"
},
"beneficiary": {
"reference": "Patient/patient-us-core-patient-eve-everywoman",
"display": "Eve Everywoman"
},
"relationship": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "ONESELF",
"display": "self"
}
],
"text": "self"
},
"period": {
"start": "2019-05-23",
"end": "2020-05-23"
},
"payor": [
{
"reference": "Organization/organization-us-core-organization-saint-luke"
}
],
"class": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "group"
},
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "subgroup"
}
]
},
"value": "123",
"name": "Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "plan"
},
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "subplan"
}
]
},
"value": "P7",
"name": "Includes afterlife benefits"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "class"
}
]
},
"value": "SILVER",
"name": "Silver: Family Plan spouse only"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "subclass"
}
]
},
"value": "Tier2",
"name": "Low deductible, max $20 copay"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "sequence"
}
]
},
"value": "9"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "rxid"
}
]
},
"value": "MDF12345"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "rxbin"
}
]
},
"value": "987654"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "rxgroup"
}
]
},
"value": "M35PT"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "rxpcn"
}
]
},
"value": "234516"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "sequence"
}
]
},
"value": "9"
}
]
}
},
{
"fullUrl": "http://example.org/fhir/Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman",
"resource": {
"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"
]
},
"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"
]
},
"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"
]
},
"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"
]
},
"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"
]
},
"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"
]
},
"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"
]
},
"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"
]
},
"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"
]
},
"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"
]
},
"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"
]
},
"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"
]
},
"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"
}
]
}
}
]
}
},
{
"fullUrl": "http://example.org/fhir/Consent/consent-bser-patientconsent-eve-everywoman",
"resource": {
"resourceType": "Consent",
"id": "consent-bser-patientconsent-eve-everywoman",
"meta": {
"profile": [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-PatientConsent"
]
},
"text": {
"status": "generated",
"div": "<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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-PatientConsent.html\">BSeR Patient Consent</a></p></div><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\">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\">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>"
},
"status": "active",
"scope": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/consentscope",
"code": "patient-privacy"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "INFA",
"display": "information access"
}
]
}
],
"patient": {
"reference": "Patient/patient-us-core-patient-eve-everywoman",
"display": "Eve Everywoman"
},
"dateTime": "2019-05-23",
"performer": [
{
"reference": "Patient/patient-us-core-patient-eve-everywoman",
"display": "Eve Everywoman"
}
],
"policyRule": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "OPTIN"
}
]
},
"provision": {
"type": "permit",
"actor": [
{
"role": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "CST"
}
]
},
"reference": {
"reference": "Organization/organization-us-core-organization-saint-luke"
}
}
],
"action": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/consentaction",
"code": "access"
}
]
}
]
}
}
}
]
}