Release 4 FHIR CI-Build

This page is part of the Continuous Integration Build of FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see times).
See the Directory of published versions . Page versions: R5 R4B R4

Servicerequest-example2.json

Example ServiceRequest/physiotherapy (JSON)

Maturity Level : N/A
Responsible Owner: Orders and Observations Work Group Standards Status : Informative Compartments : Device , Encounter , Group , Patient , Practitioner , RelatedPerson

Raw JSON ( canonical form + also see JSON Format Specification )

An example of an order for home physiotherapy 

{
  "resourceType": "ServiceRequest",
  "id": "physiotherapy",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: physiotherapy</p><p><b>contained</b>: , </p><p><b>identifier</b>: Placer = 20170201-0001</p><p><b>basedOn</b>: <a>CarePlan/gpvisit</a></p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>code</b>: Physiotherapy of chest (regime/therapy)  <span>(Details : {SNOMED CT code '34431008' = 'Physiotherapy of chest', given as 'Physiotherapy of chest (regime/therapy) '})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>occurrence</b>: Duration 15days, Do 1-1 per 1 days</p><p><b>asNeeded</b>: as needed to clear mucus <span>(Details )</span></p><p><b>authoredOn</b>: 01/02/2017 5:23:07 PM</p><p><b>requester</b>: <a>Dr Adam Careful</a></p><p><b>reasonReference</b>: id: cystic-fibrosis; Active <span>(Details : {http://terminology.hl7.org/CodeSystem/condition-clinical code 'active' = 'Active)</span>; Confirmed <span>(Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed' = 'Confirmed)</span>; Problem List Item <span>(Details : {http://terminology.hl7.org/CodeSystem/condition-category code 'problem-list-item' = 'Problem List Item', given as 'Problem List Item'})</span>; Mild <span>(Details : {SNOMED CT code '255604002' = 'Mild', given as 'Mild'})</span>; Cystic Fibrosis <span>(Details : {http://hl7.org/fhir/sid/icd-10-cm code 'E84.0' = 'E84.0', given as 'Cystic fibrosis with pulmonary manifestations'})</span>; onset: 12/11/2012</p><p><b>relevantHistory</b>: Author's Signature. Generated Summary: id: signature; recorded: 01/02/2017 5:23:07 PM; </p></div>"

  "resourceType" : "ServiceRequest",
  "id" : "physiotherapy",
  "contained" : [{
    "resourceType" : "Provenance",
    "id" : "signature",
    "target" : [{
      "reference" : "ServiceRequest/physiotherapy/_history/1"
    }],
    "recorded" : "2017-02-01T17:23:07Z",
    "agent" : [{
      "role" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
          "code" : "AUT"
        }]
      }],
      "who" : {
        "reference" : "Practitioner/example",
        "display" : "Dr Adam Careful"
      }
    }],
    "signature" : [{
      "type" : [{
        "system" : "urn:iso-astm:E1762-95:2013",
        "code" : "1.2.840.10065.1.12.1.1",
        "display" : "Author's Signature"
      }],
      "when" : "2017-02-01T17:23:07Z",
      "who" : {
        "reference" : "Practitioner/example",
        "display" : "Dr Adam Careful"
      },
      "targetFormat" : "application/fhir+xml",
      "sigFormat" : "application/signature+xml",
      "data" : "dGhpcyBibG9iIGlzIHNuaXBwZWQ="
    }]

  },
  "contained": [
    {
      "resourceType": "Provenance",
      "id": "signature",
      "target": [
        {
          "reference": "ServiceRequest/physiotherapy/_history/1"
        }
      ],
      "recorded": "2017-02-01T17:23:07Z",
      "agent": [
        {
          "role": [
            {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "AUT"
                }
              ]
            }
          ],
          "who": {
            "reference": "Practitioner/example",
            "display": "Dr Adam Careful"
          }
        }
      ],
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.1",
              "display": "Author's Signature"
            }
          ],
          "when": "2017-02-01T17:23:07Z",
          "who": {
            "reference": "Practitioner/example",
            "display": "Dr Adam Careful"
          },
          "targetFormat": "application/fhir+xml",
          "sigFormat": "application/signature+xml",
          "data": "dGhpcyBibG9iIGlzIHNuaXBwZWQ="
        }
      ]

  {
    "resourceType" : "Condition",
    "id" : "cystic-fibrosis",
    "clinicalStatus" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
        "code" : "active"
      }]

    },
    {
      "resourceType": "Condition",
      "id": "cystic-fibrosis",
      "clinicalStatus": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
            "code": "active"
          }
        ]
      },
      "verificationStatus": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
            "code": "confirmed"
          }
        ]
      },
      "category": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-category",
              "code": "problem-list-item",
              "display": "Problem List Item"
            }
          ]
        }
      ],
      "severity": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255604002",
            "display": "Mild"
          }
        ]
      },
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/icd-10-cm",
            "code": "E84.0",
            "display": "Cystic fibrosis with pulmonary manifestations"
          }
        ],
        "text": "Cystic Fibrosis"
      },
      "subject": {
        "reference": "Patient/example"
      },
      "onsetDateTime": "2012-11-12"
    }
  ],
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "PLAC",
            "display": "Placer Identifier"
          }
        ],
        "text": "Placer"
      },
      "system": "http://goodhealth.org/placer-ids",
      "value": "20170201-0001"
    }
  ],
  "basedOn": [
    {
      "reference": "CarePlan/gpvisit"

    "verificationStatus" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
        "code" : "confirmed"
      }]
    },
    "category" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
        "code" : "problem-list-item",
        "display" : "Problem List Item"
      }]
    }],
    "severity" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "255604002",
        "display" : "Mild"
      }]
    },
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/sid/icd-10-cm",
        "code" : "E84.0",
        "display" : "Cystic fibrosis with pulmonary manifestations"
      }],
      "text" : "Cystic Fibrosis"
    },
    "subject" : {
      "reference" : "Patient/example"
    },
    "onsetDateTime" : "2012-11-12"
  }],
  "identifier" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "PLAC",
        "display" : "Placer Identifier"
      }],
      "text" : "Placer"
    },
    "system" : "http://goodhealth.org/placer-ids",
    "value" : "20170201-0001"
  }],
  "basedOn" : [{
    "reference" : "CarePlan/gpvisit"
  }],
  "status" : "completed",
  "intent" : "order",
  "code" : {
    "concept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "34431008",
        "display" : "Physiotherapy of chest (regime/therapy)"
      }]

    }
  ],
  "status": "completed",
  "intent": "order",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "34431008",
        "display": "Physiotherapy of chest (regime/therapy) "
      }
    ]

  },
  "subject": {
    "reference": "Patient/example"

  "subject" : {
    "reference" : "Patient/example"

  },
  "occurrenceTiming": {
    "repeat": {
      "duration": 15,
      "durationMax": 25,
      "durationUnit": "min",
      "frequency": 1,
      "frequencyMax": 4,
      "period": 1,
      "periodUnit": "d"

  "occurrenceTiming" : {
    "repeat" : {
      "duration" : 15,
      "durationMax" : 25,
      "durationUnit" : "min",
      "frequency" : 1,
      "frequencyMax" : 4,
      "period" : 1,
      "periodUnit" : "d"

    }
  },
  "asNeededCodeableConcept": {
    "text": "as needed to clear mucus"
  },
  "authoredOn": "2017-02-01T17:23:07Z",
  "requester": {
    "reference": "Practitioner/example",
    "display": "Dr Adam Careful"

  "authoredOn" : "2017-02-01T17:23:07Z",
  "requester" : {
    "reference" : "Practitioner/example",
    "display" : "Dr Adam Careful"

  },
  "reasonReference": [
    {
      "reference": "#cystic-fibrosis"
    }
  ],
  "relevantHistory": [
    {
      "reference": "#signature",
      "display": "Author's Signature"

  "reason" : [{
    "reference" : {
      "reference" : "#cystic-fibrosis"

    }
  ]

  }],
  "relevantHistory" : [{
    "reference" : "#signature",
    "display" : "Author's Signature"
  }]

}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.