BSeR: Bidirectional Services_eReferral
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: BSeR Referral Feedback Document Bundle - Eve Everywoman - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "bundle-bser-referral-feedback-document-bundle-eve-everywoman",
  "meta" : {
    "versionId" : "7",
    "lastUpdated" : "2023-04-13T06:55:47.216+00:00",
    "source" : "#QEA44D64lFs33iI7",
    "profile" : [
      "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackDocumentBundle"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:2be4b4e4-6df1-4cb2-a947-c70fa0eda54e"
  },
  "type" : "document",
  "timestamp" : "2020-01-07T09:25:00Z",
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/Composition/composition-bser-referral-feedback-arthritis-everywoman",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "composition-bser-referral-feedback-arthritis-everywoman",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2023-04-13T05:47:44.055+00:00",
          "source" : "#SAUe61jarX1IqkiJ",
          "profile" : [
            "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralFeedbackComposition"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"composition-bser-referral-feedback-arthritis-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 Composition &quot;composition-bser-referral-feedback-arthritis-everywoman&quot; Version &quot;3&quot; Updated &quot;2023-04-13 05:47:44+0000&quot; </p><p style=\"margin-bottom: 0px\">Information Source: #SAUe61jarX1IqkiJ!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-ReferralFeedbackComposition.html\">BSeR Referral Feedback Composition</a></p></div><p><b>status</b>: final</p><p><b>type</b>: Consult note <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#11488-4)</span></p><p><b>date</b>: 2020-01-03 11:15:23+0000</p><p><b>author</b>: <a href=\"#PractitionerRole_practitionerrole-bser-referral-recipient\">See above (PractitionerRole/practitionerrole-bser-referral-recipient: Hailey Eight, MD)</a></p><p><b>title</b>: Referral feedback</p></div>"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11488-4",
              "display" : "Consult note"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient-us-core-patient-eve-everywoman",
          "display" : "Eve Everywoman"
        },
        "date" : "2020-01-03T11:15:23Z",
        "author" : [
          {
            "reference" : "PractitionerRole/practitionerrole-bser-referral-recipient",
            "display" : "Hailey Eight, MD"
          }
        ],
        "title" : "Referral feedback",
        "section" : [
          {
            "title" : "Referral Service Request Feedback Summary",
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/bser/CodeSystem/bser",
                  "code" : "RSRFS",
                  "display" : "CompositionSectionReferralServiceRequestFeedbackSummary"
                }
              ]
            },
            "focus" : {
              "reference" : "ServiceRequest/servicerequest-BSeR-ReferralServiceRequest"
            },
            "entry" : [
              {
                "reference" : "Observation/observation-BSeR-ReferralActivityStatus-eve-everywoman"
              }
            ]
          },
          {
            "title" : "Arthritis Referral Feedback Supporting Information",
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/bser/CodeSystem/bser",
                  "code" : "ARFSI",
                  "display" : "Arthritis Referral Feedback Supporting Information"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Observation/observation-BSeR-ArthritisFeedbackObservation-1-eve-everywoman"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Observation/observation-BSeR-ArthritisFeedbackObservation-1-eve-everywoman",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-BSeR-ArthritisFeedbackObservation-1-eve-everywoman",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2023-03-31T04:46:33.577+00:00",
          "source" : "#pO0kvhrqvU8E7xY9",
          "profile" : [
            "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ArthritisFeedbackObservation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"observation-BSeR-ArthritisFeedbackObservation-1-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 Observation &quot;observation-BSeR-ArthritisFeedbackObservation-1-eve-everywoman&quot; Version &quot;3&quot; Updated &quot;2023-03-31 04:46:33+0000&quot; </p><p style=\"margin-bottom: 0px\">Information Source: #pO0kvhrqvU8E7xY9!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-ArthritisFeedbackObservation.html\">BSeR Arthritis Feedback Observation</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Endurance (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#406203001)</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>effective</b>: 2019-01-18 22:33:22+0000</p><p><b>performer</b>: <a href=\"#PractitionerRole_practitionerrole-bser-referral-recipient\">See above (PractitionerRole/practitionerrole-bser-referral-recipient)</a></p><p><b>value</b>: Patient's condition improved (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#268910001)</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "406203001",
              "display" : "Endurance (observable entity)"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient-us-core-patient-eve-everywoman",
          "display" : "Eve Everywoman"
        },
        "effectiveDateTime" : "2019-01-18T22:33:22Z",
        "performer" : [
          {
            "reference" : "PractitionerRole/practitionerrole-bser-referral-recipient"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "268910001",
              "display" : "Patient's condition improved (finding)"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/PractitionerRole/practitionerrole-bser-referral-recipient",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "practitionerrole-bser-referral-recipient",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2023-03-31T04:46:51.931+00:00",
          "source" : "#fKpmbvxENjA50N93",
          "profile" : [
            "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralRecipientPractitionerRole"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b><a name=\"practitionerrole-bser-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 &quot;practitionerrole-bser-referral-recipient&quot; Version &quot;3&quot; Updated &quot;2023-03-31 04:46:51+0000&quot; </p><p style=\"margin-bottom: 0px\">Information Source: #fKpmbvxENjA50N93!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-ReferralRecipientPractitionerRole.html\">BSeR Referral Recipient Practitioner Role</a></p></div><p><b>identifier</b>: id:\u00a02222222222</p><p><b>practitioner</b>: <a href=\"#Practitioner_practitioner-bser-hailey-eight\">See above (Practitioner/practitioner-bser-hailey-eight: Hailey Eight, MD)</a></p><p><b>organization</b>: <a href=\"#Organization_organization-bser-organization-saint-luke\">See above (Organization/organization-bser-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-bser-hailey-eight",
          "display" : "Hailey Eight, MD"
        },
        "organization" : {
          "reference" : "Organization/organization-bser-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/Observation/observation-BSeR-ReferralActivityStatus-eve-everywoman",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation-BSeR-ReferralActivityStatus-eve-everywoman",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2023-03-31T04:46:33.803+00:00",
          "source" : "#KH1UGGSHAr2RLZRo",
          "profile" : [
            "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralActivityStatus"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"observation-BSeR-ReferralActivityStatus-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 Observation &quot;observation-BSeR-ReferralActivityStatus-eve-everywoman&quot; Version &quot;3&quot; Updated &quot;2023-03-31 04:46:33+0000&quot; </p><p style=\"margin-bottom: 0px\">Information Source: #KH1UGGSHAr2RLZRo!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-ReferralActivityStatus.html\">BSeR Referral Activity Status</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Action status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385641008)</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>effective</b>: 2019-01-17</p><p><b>performer</b>: <a href=\"#PractitionerRole_practitionerrole-bser-referral-recipient\">See above (PractitionerRole/practitionerrole-bser-referral-recipient)</a></p><p><b>value</b>: Referral accepted</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "385641008",
              "display" : "Action status"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient-us-core-patient-eve-everywoman",
          "display" : "Eve Everywoman"
        },
        "effectiveDateTime" : "2019-01-17",
        "performer" : [
          {
            "reference" : "PractitionerRole/practitionerrole-bser-referral-recipient"
          }
        ],
        "valueString" : "Referral accepted"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Patient/patient-us-core-patient-eve-everywoman",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient-us-core-patient-eve-everywoman",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2023-03-31T04:46:51.933+00:00",
          "source" : "#TNq3kA1qG2CRftFd",
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                        <div class=\"hapiHeaderText\">Eve L \n                            <b>EVERYWOMAN </b>\n                        </div>\n                        <table class=\"hapiPropertyTable\">\n                            <tbody>\n                                <tr>\n                                    <td>Identifier</td>\n                                    <td>1032702</td>\n                                </tr>\n                                <tr>\n                                    <td>Address</td>\n                                    <td>\n                                        <span>5101 Peachtree St NE </span>\n                                        <br/>\n                                        <span>Atlanta </span>\n                                        <span>GA </span>\n                                        <span>US </span>\n                                    </td>\n                                </tr>\n                                <tr>\n                                    <td>Date of birth</td>\n                                    <td>\n                                        <span>24 November 1974</span>\n                                    </td>\n                                </tr>\n                            </tbody>\n                        </table>\n                    </div>"
        },
        "extension" : [
          {
            "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" : "2106-3",
                  "display" : "White"
                }
              },
              {
                "url" : "text",
                "valueString" : "White"
              }
            ]
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
            "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-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"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Organization/organization-bser-organization-saint-luke",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization-bser-organization-saint-luke",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2023-03-31T04:46:51.929+00:00",
          "source" : "#kdzeqbNX0AdNEyTf"
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"organization-bser-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 &quot;organization-bser-organization-saint-luke&quot; Version &quot;3&quot; Updated &quot;2023-03-31 04:46:51+0000&quot; </p><p style=\"margin-bottom: 0px\">Information Source: #kdzeqbNX0AdNEyTf!</p></div><p><b>identifier</b>: id:\u00a01063494177</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/Practitioner/practitioner-bser-hailey-eight",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "practitioner-bser-hailey-eight",
        "meta" : {
          "versionId" : "3",
          "lastUpdated" : "2023-03-31T04:46:51.931+00:00",
          "source" : "#XYgRlxww31HhZa5a",
          "profile" : [
            "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"practitioner-bser-hailey-eight\"> </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 Practitioner &quot;practitioner-bser-hailey-eight&quot; Version &quot;3&quot; Updated &quot;2023-03-31 04:46:51+0000&quot; </p><p style=\"margin-bottom: 0px\">Information Source: #XYgRlxww31HhZa5a!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-BSeR-Practitioner.html\">BSeR Practitioner</a></p></div><p><b>identifier</b>: id:\u00a09941339888</p><p><b>name</b>: Eight Hailey </p><p><b>telecom</b>: <a href=\"mailto:hailey.eight@example.com\">hailey.eight@example.com</a></p><p><b>address</b>: BMass Doctors 2100 North Ave Burlington MA 02368 US </p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "9941339888"
          }
        ],
        "name" : [
          {
            "family" : "Hailey",
            "given" : [
              "Eight"
            ],
            "suffix" : [
              "M.D."
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "email",
            "value" : "hailey.eight@example.com"
          }
        ],
        "address" : [
          {
            "line" : [
              "BMass Doctors",
              "2100 North Ave"
            ],
            "city" : "Burlington",
            "state" : "MA",
            "postalCode" : "02368",
            "country" : "US"
          }
        ]
      }
    }
  ]
}