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| Orders and Observations Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Device , Encounter , 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</b></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 "physiotherapy" </p></div><p><b>identifier</b>: Placer: 20170201-0001</p><p><b>basedOn</b>: <a href=\"careplan-gpvisit.html\">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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#34431008)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>occurrence</b>: Duration 15days, Do 1-1 per 1 days</p><p><b>asNeeded</b>: as needed to clear mucus <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>authoredOn</b>: 2017-02-01T17:23:07Z</p><p><b>requester</b>: <a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</p><p><b>reasonReference</b>: <a name=\"cystic-fibrosis\"> </a></p><blockquote><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 "cystic-fibrosis" </p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem List Item <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-condition-category.html\">Condition Category Codes</a>#problem-list-item)</span></p><p><b>severity</b>: Mild <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255604002)</span></p><p><b>code</b>: Cystic Fibrosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#E84.0 "Cystic fibrosis with pulmonary manifestations")</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>onset</b>: 2012-11-12</p></blockquote><p><b>relevantHistory</b>: <a name=\"signature\"> </a></p><blockquote><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 "signature" </p></div><p><b>target</b>: <a href=\"servicerequest-physiotherapy.html\">ServiceRequest/physiotherapy/_history/1</a></p><p><b>recorded</b>: 02/02/2017 4:23:07 AM</p><h3>Agents</h3><table class=\"grid\"><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>author (originator) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#AUT)</span></td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</td></tr></table></blockquote></div>"
"resourceType" : "ServiceRequest",
"id" : "physiotherapy",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"physiotherapy\"> </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 ServiceRequest "physiotherapy" </p></div><p><b>identifier</b>: Placer: 20170201-0001</p><p><b>basedOn</b>: <span title=\" example to show how a CarePlan can be referenced from a request \"><a href=\"careplan-example-GPVisit.html\">CarePlan/gpvisit</a></span></p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><h3>Codes</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Physiotherapy of chest (regime/therapy) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#34431008)</span></td></tr></table><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>occurrence</b>: Duration 15days, 1-1 per 1 days</p><p><b>asNeeded</b>: as needed to clear mucus <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>authoredOn</b>: <span title=\" TimeStamp when order authorized \">2017-02-01T17:23:07Z</span></p><p><b>requester</b>: <a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a name=\"cystic-fibrosis\"> </a><blockquote><p/><p><a name=\"cystic-fibrosis\"> </a></p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem List Item <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#problem-list-item)</span></p><p><b>severity</b>: Mild <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255604002)</span></p><p><b>code</b>: Cystic Fibrosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#E84.0 "Cystic fibrosis with pulmonary manifestations")</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>onset</b>: 2012-11-12</p></blockquote></td></tr></table><p><b>relevantHistory</b>: <span title=\" 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 \"><a name=\"signature\"> </a></span></p><blockquote><p/><p><a name=\"signature\"> </a></p><p><b>target</b>: <a href=\"servicerequest-example2.html\">ServiceRequest/physiotherapy/_history/1</a></p><p><b>recorded</b>: 2 Feb 2017, 4:23:07 am</p><h3>Agents</h3><table class=\"grid\"><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>author (originator) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#AUT)</span></td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</td></tr></table><h3>Signatures</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>TargetFormat</b></td><td><b>SigFormat</b></td><td><b>Data</b></td></tr><tr><td>*</td><td>Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'Author's Signature')</td><td>2 Feb 2017, 4:23:07 am</td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</td><td>application/fhir+xml</td><td>application/signature+xml</td><td>dGhpcyBibG9iIGlzIHNuaXBwZWQ=</td></tr></table></blockquote></div>"
},
"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"
}
]
},
"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"
"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"
},
"system": "http://goodhealth.org/placer-ids",
"value": "20170201-0001"
}
],
"basedOn": [
{
"reference": "CarePlan/gpvisit"
"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"
}]
},
"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"
"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.
FHIR
®©
HL7.org
2011+.
FHIR
Release
4B
(v4.3.0)
hl7.fhir.r4b.core#4.3.0
R5
hl7.fhir.core#5.0.0-draft-final
generated
on
Sat,
May
28,
2022
12:57+1000.
Wed,
Mar
1,
2023
23:07+1100.
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