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.xml

Example ServiceRequest/physiotherapy (XML)

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

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

Jump past Narrative

An example of an order for home physiotherapy (id = "physiotherapy")

<?xml version="1.0" encoding="UTF-8"?>


  
  <!--    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
     -->
  (Details : {SNOMED CT code '34431008' = 'Physiotherapy of chest', given as 'Physiotherapy
           of chest (regime/therapy) '})(Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed'
           = 'Confirmed)(Details : {http://terminology.hl7.org/CodeSystem/condition-category code 'problem-list-item'
           = 'Problem List Item', given as 'Problem List Item'})(Details : {http://hl7.org/fhir/sid/icd-10-cm code 'E84.0' = 'E84.0', given as 'Cystic
           fibrosis with pulmonary manifestations'}): Author's Signature. Generated Summary: id: signature; recorded: 01/02/2017 5:23:07 PM;
         
    
      
      
        
      
      
      
        
          
            
            
          
        
        
          
          
        
      
      
        
          
          
          
        
        
        
          
          
        
        
        
        
      
    
  
  
    
      
      
        
          
          
        
        

        
        
          
          
        
        
      
        
          
          
          
        
      
      
        
          
          
          
        
      
      
        
          
          
          
        
        
      
      
        
      
      
    
  
  
    
      
        
        
        
      
      
    
    
    
    
  
  
  
    
  
  
  
  <!--    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"    -->
  
    
      
      
      
    
  
  
    
  
  
    
      
      
      
      
      
      
      
    
  
  
    
  
  
  
  
      
      
  
  <!--    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   -->
  
    
  
  <!--    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   -->
  
    
    
  

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="physiotherapy"/> 
  <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"/> 
    <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>   <!--   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

>



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.