View raw Markdown
type: exampleresource: ServiceRequestexample: servicerequest-example-myringotomy

ServiceRequest Example: servicerequest-example-myringotomy

Example XML

<?xml version="1.0" encoding="UTF-8"?>
<ServiceRequest xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/servicerequest.xsd">
    <id value="myringotomy"/>
    <identifier>
        <system value="http://orionhealth.com/fhir/apps/referralids"/>
        <value value="ret4421"/>
    </identifier>
    <basedOn>
        <display value="ServiceRequest for Myringotomy and insertion of short-term grommet"/>
    </basedOn>
    <replaces>
        <display value="prior ServiceRequest"/>
    </replaces>
    <requisition>
        <value value="1234"/>
    </requisition>
    <status value="active"/>
    <intent value="order"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="103696004"/>
      <display value="Patient referral to specialist"/>
    </coding>
  </category>
    <priority value="routine"/>
    <code>
      <concept>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="172676009"/>
            <display value="Myringotomy and insertion of short-term grommet"/>
        </coding>
        <text value="Insertion of grommets"/>
       </concept>
    </code>
    <subject>
        <reference value="https://fhir.example.org/blaze/fhir/Patient/77662"/>
        <display value="Beverly Weaver"/>
    </subject>
    <encounter>
        <display value="Beverly Waver's encounter on 2014-02-14"/>
    </encounter>
    <occurrencePeriod>
        <end value="2014-03-14"/>
    </occurrencePeriod>
    <authoredOn value="2014-02-14"/>
    <requester>
            <reference value="https://fhir.example.org/blaze/fhir/Practitioner/77272"/>
            <display value="Serena Shrink"/>
    </requester>
    <performerType>
        <coding>
            <system value="http://orionhealth.com/fhir/apps/specialties"/>
            <code value="ent"/>
            <display value="ENT"/>
        </coding>
    </performerType>
    <performer>
        <reference value="https://fhir.example.org/blaze/fhir/Practitioner/76597"/>
        <display value="Dr Dave"/>
    </performer>
    <reason>
    <concept>
        <text value="For consideration of Grommets"/>
    </concept>
    </reason>
    <note>
        <authorString value="Serena Shrink"/>
        <time value="2014-02-14"/>
        <text value="In the past 2 years Beverly has had 6 instances of rt-sided Otitis media. She is
    falling behind her peers at school, and displaying some learning difficulties."/>
    </note>
</ServiceRequest>