FHIR IG analytics| Package | hl7.fhir.us.bser.r4 |
| 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\"><p><b>Generated Narrative: MessageHeader</b><a name=\"messageheader-bser-referral-messageheader\"> </a></p><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\">Resource MessageHeader "messageheader-bser-referral-messageheader" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-ReferralMessageHeader.html\">BSeR Referral Message Header</a></p></div><p><b>event</b>: REF/RRI - Patient referral (Details: http://terminology.hl7.org/CodeSystem/v2-0003 code I12 = 'REF/RRI - Patient referral', stated as '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\">See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient)</a></td></tr></table><p><b>sender</b>: <a href=\"#PractitionerRole_practitionerrole-us-core-practitionerrole-referral-initiator\">See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator)</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>: REF/RRI - Patient referral <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v2-0003.html\">eventType</a>#I12)</span></p><p><b>focus</b>: <a href=\"#Task_task-bser-referral-task\">See above (Task/task-bser-referral-task)</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\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"servicerequest-bser-referral-servicerequest-arthritis\"> </a></p><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\">Resource ServiceRequest "servicerequest-bser-referral-servicerequest-arthritis" </p><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>: Lifestyle education (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#313204009)</span></p><p><b>code</b>: Patient referral <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#3457005)</span></p><p><b>subject</b>: <a href=\"#Patient_patient-us-core-patient-eve-everywoman\">See above (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\">See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator: Henry Seven, MD)</a></p><p><b>performer</b>: <a href=\"#PractitionerRole_practitionerrole-us-core-practitionerrole-referral-recipient\">See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient: Hailey Eight, MD)</a></p><p><b>reasonCode</b>: Arthritis (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#3723001)</span></p><p><b>insurance</b>: <a href=\"#Coverage_coverage-bser-coverage-eve-everywoman\">See above (Coverage/coverage-bser-coverage-eve-everywoman)</a></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"#Bundle_bundle-bser-referral-request-document-bundle-eve-everywoman\">See above (Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman)</a></li><li><a href=\"#Consent_consent-bser-patientconsent-eve-everywoman\">See above (Consent/consent-bser-patientconsent-eve-everywoman)</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)"
}
]
}
],
"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-us-core-patient-eve-everywoman",
"resource": {
"resourceType": "Patient",
"id": "patient-us-core-patient-eve-everywoman",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"patient-us-core-patient-eve-everywoman\"> </a></p><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\">Resource Patient "patient-us-core-patient-eve-everywoman" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a></p></div><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = '2106-3', stated as 'White')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = '2186-5', stated as 'Not Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>US Core Birth Sex Extension</b>: F</p><p><b>identifier</b>: Medical Record Number: 1032702 (use: USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Eve L Everywoman </p><p><b>telecom</b>: ph: 1-(404)555-1212(HOME), <a href=\"mailto:eve.everywoman@example.com\">eve.everywoman@example.com</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1974-11-24</p><p><b>address</b>: 5101 Peachtree St NE Atlanta GA 30302 US </p><h3>Links</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Other</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"RelatedPerson-relatedperson-us-core-relatedperson-self-eve-everywoman.html\">RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman</a> " EVERYWOMAN"</td><td>seealso</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\"><p><b>Generated Narrative: Task</b><a name=\"task-bser-referral-task\"> </a></p><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\">Resource Task "task-bser-referral-task" </p><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>: Service Request Fulfillment Completed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-TaskBusinessStatusCS.html\">Task Business Status Code System</a>#7.0)</span></p><p><b>intent</b>: order</p><p><b>code</b>: Fulfill the focal request <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-task-code.html\">Task Codes</a>#fulfill)</span></p><p><b>focus</b>: <a href=\"#ServiceRequest_servicerequest-bser-referral-servicerequest-arthritis\">See above (ServiceRequest/servicerequest-bser-referral-servicerequest-arthritis)</a></p><p><b>for</b>: <a href=\"#Patient_patient-us-core-patient-eve-everywoman\">See above (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\">See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-initiator)</a></p><p><b>owner</b>: <a href=\"#PractitionerRole_practitionerrole-us-core-practitionerrole-referral-recipient\">See above (PractitionerRole/practitionerrole-us-core-practitionerrole-referral-recipient)</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>Arthritis referral feedback <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td><td><a href=\"Bundle-bundle-bser-referral-feedback-document-bundle-eve-everywoman.html\">Bundle/bundle-bser-referral-feedback-document-bundle-eve-everywoman</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\"><p><b>Generated Narrative: PractitionerRole</b><a name=\"practitionerrole-us-core-practitionerrole-referral-initiator\"> </a></p><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\">Resource PractitionerRole "practitionerrole-us-core-practitionerrole-referral-initiator" </p><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>: id: 1111111111</p><p><b>practitioner</b>: <a href=\"Practitioner-practitioner-us-core-practitioner-henry-seven.html\">Practitioner/practitioner-us-core-practitioner-henry-seven: Henry Seven, MD</a> " HENRY"</p><p><b>organization</b>: <a href=\"#Organization_organization-us-core-organization-saint-luke\">See above (Organization/organization-us-core-organization-saint-luke)</a></p><p><b>code</b>: Primary Care Clinic/Center <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (provider-taxonomy#261QP2300X)</span></p><p><b>specialty</b>: Family Practice <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#419772000)</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\"><p><b>Generated Narrative: PractitionerRole</b><a name=\"practitionerrole-us-core-practitionerrole-referral-recipient\"> </a></p><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\">Resource PractitionerRole "practitionerrole-us-core-practitionerrole-referral-recipient" </p><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>: id: 2222222222</p><p><b>practitioner</b>: <a href=\"Practitioner-practitioner-us-core-practitioner-hailey-eight.html\">Practitioner/practitioner-us-core-practitioner-hailey-eight: Hailey Eight, MD</a> " HAILEY"</p><p><b>organization</b>: <a href=\"#Organization_organization-us-core-organization-saint-luke\">See above (Organization/organization-us-core-organization-saint-luke)</a></p><p><b>code</b>: Primary Care Clinic/Center <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (provider-taxonomy#261QP2300X)</span></p><p><b>specialty</b>: Family Practice <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#419772000)</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\"><p><b>Generated Narrative: Organization</b><a name=\"organization-us-core-organization-saint-luke\"> </a></p><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\">Resource Organization "organization-us-core-organization-saint-luke" </p><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>: id: 1063494177</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</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\"><p><b>Generated Narrative: Coverage</b><a name=\"coverage-bser-coverage-eve-everywoman\"> </a></p><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\">Resource Coverage "coverage-bser-coverage-eve-everywoman" </p><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>: extended healthcare <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#EHCPOL)</span></p><p><b>subscriber</b>: <a href=\"RelatedPerson-relatedperson-us-core-relatedperson-self-eve-everywoman.html\">RelatedPerson/relatedperson-us-core-relatedperson-self-eve-everywoman: Eve Everywoman</a> " EVERYWOMAN"</p><p><b>beneficiary</b>: <a href=\"#Patient_patient-us-core-patient-eve-everywoman\">See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)</a></p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#ONESELF)</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\">See above (Organization/organization-us-core-organization-saint-luke)</a></p><blockquote><p><b>class</b></p><p><b>type</b>: Group <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#group; <a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#subgroup)</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>: Plan <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#plan; <a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#subplan)</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>: Class <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#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>: SubClass <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#subclass)</span></p><p><b>value</b>: Tier2</p><p><b>name</b>: Low deductable, max $20 copay</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: Sequence <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#sequence)</span></p><p><b>value</b>: 9</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: RX Id <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#rxid)</span></p><p><b>value</b>: MDF12345</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: RX BIN <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#rxbin)</span></p><p><b>value</b>: 987654</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: RX Group <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#rxgroup)</span></p><p><b>value</b>: M35PT</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: RX PCN <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#rxpcn)</span></p><p><b>value</b>: 234516</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: Sequence <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#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 deductable, 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-us-core-patient-eve-everywoman",
"resource": {
"resourceType": "Patient",
"id": "patient-us-core-patient-eve-everywoman",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-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\"><p><b>Generated Narrative: Consent</b><a name=\"consent-bser-patientconsent-eve-everywoman\"> </a></p><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\">Resource Consent "consent-bser-patientconsent-eve-everywoman" </p><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>: Privacy Consent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-consentscope.html\">Consent Scope Codes</a>#patient-privacy)</span></p><p><b>category</b>: information access <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#INFA)</span></p><p><b>patient</b>: <a href=\"#Patient_patient-us-core-patient-eve-everywoman\">See above (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\">See above (Patient/patient-us-core-patient-eve-everywoman: Eve Everywoman)</a></p><p><b>policyRule</b>: opt-in <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#OPTIN)</span></p><blockquote><p><b>provision</b></p><p><b>type</b>: permit</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>custodian <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#CST)</span></td><td><a href=\"#Organization_organization-us-core-organization-saint-luke\">See above (Organization/organization-us-core-organization-saint-luke)</a></td></tr></table><p><b>action</b>: Access <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-consentaction.html\">Consent Action Codes</a>#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"
}
]
}
]
}
}
}
]
}