ServiceRequest Example: servicerequest-example2

Example XML

<?xml version="1.0" encoding="UTF-8"?>
<ServiceRequest xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
    <id value="physiotherapy"/>
    <!-- demonstrating in this example the reason reference element using contained resources for the purpose of this example only typically this would be a separate independent resource-->
    <contained>
        <Provenance>
            <id value="signature"/>
            <target>
                <reference value="ServiceRequest/physiotherapy/_history/1"/>
            </target>
            <recorded value="2017-02-01T17:23:07Z"/>
            <agent>
                <role>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
                        <code value="AUT"/>
                    </coding>
                </role>
                <who>
                    <reference value="Practitioner/example"/>
                    <display value="Dr Adam Careful"/>
                </who>
            </agent>
            <signature>
                <type>
                    <system value="urn:iso-astm:E1762-95:2013"/>
                    <code value="1.2.840.10065.1.12.1.1"/>
                    <display value="Author's Signature"/>
                </type>
                <when value="2017-02-01T17:23:07Z"/>
                <who>
                    <reference value="Practitioner/example"/>
                    <display value="Dr Adam Careful"/>
                </who>
                <targetFormat value="application/fhir+xml"/>
                <sigFormat value="application/signature+xml"/>
                <data value="dGhpcyBibG9iIGlzIHNuaXBwZWQ="/>
            </signature>
        </Provenance>
    </contained>
    <contained>
        <Condition>
            <id value="cystic-fibrosis"/>
            <clinicalStatus>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                <code value="active"/>
              </coding>
            </clinicalStatus>
            <verificationStatus>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
                <code value="confirmed"/>
              </coding>
            </verificationStatus>
            <category>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                    <code value="problem-list-item"/>
                    <display value="Problem List Item"/>
                </coding>
            </category>
            <severity>
                <coding>
                    <system value="http://snomed.info/sct"/>
                    <code value="255604002"/>
                    <display value="Mild"/>
                </coding>
            </severity>
            <code>
                <coding>
                    <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
                    <code value="E84.0"/>
                    <display value="Cystic fibrosis with pulmonary manifestations"/>
                </coding>
                <text value="Cystic Fibrosis"/>
            </code>
            <subject>
                <reference value="Patient/example"/>
            </subject>
            <onsetDateTime value="2012-11-12"/>
        </Condition>
    </contained>
    <identifier>
        <type>
            <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <code value="PLAC"/>
                <display value="Placer Identifier"/>
            </coding>
            <text value="Placer"/>
        </type>
        <system value="http://goodhealth.org/placer-ids">
        </system>
        <value value="20170201-0001"/>
    </identifier>
    <!--  example to show how a CarePlan can be referenced from a request -->
    <basedOn>
        <reference value="CarePlan/gpvisit"/>
    </basedOn>
    <status value="completed"/>
    <intent value="order"/>
    <!-- Physiotherapy or home excercises would be a common use case for as needed. E.g. exercises for cystic fibrosis - "Chest therapy 1-4 times per day as needed to clear mucus" -->
    <code>
      <concept>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="34431008"/>
            <display value="Physiotherapy of chest (regime/therapy)"/>
        </coding>
      </concept>
    </code>
    <subject>
        <reference value="Patient/example"/>
    </subject>
    <occurrenceTiming>
        <repeat>
      <duration value="15"/>
      <durationMax value="25"/>
      <durationUnit value="min"/>
            <frequency value="1"/>
            <frequencyMax value="4"/>
            <period value="1"/>
            <periodUnit value="d"/>
        </repeat>
    </occurrenceTiming>
    <asNeededCodeableConcept>
        <text value="as needed to clear mucus"/>
    </asNeededCodeableConcept>
    <!-- TimeStamp when order authorized-->
    <authoredOn value="2017-02-01T17:23:07Z"/>
    <requester>
            <reference value="Practitioner/example"/>
            <display value="Dr Adam Careful"/>
    </requester>
    <!-- demonstrating in this example the reason reference element using a contained resource for the purpose of this example only typically would reference an external resource-->
    <reason>
        <reference>
      <reference value="#cystic-fibrosis"/>
    </reference>
    </reason>
    <!-- demonstrating in this example the relevant history element using a contained resource for the purpose of this example only typically would reference an external resource-->
    <relevantHistory>
        <reference value="#signature"/>
        <display value="Author's Signature"/>
    </relevantHistory>
</ServiceRequest>