Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Servicerequest-example2.json

Example ServiceRequest/physiotherapy (JSON)

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 &quot;physiotherapy&quot; </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> &quot;Peter CHALMERS&quot;</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> &quot;Adam CAREFUL&quot;</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 &quot;cystic-fibrosis&quot; </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 &quot;Cystic fibrosis with pulmonary manifestations&quot;)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> &quot;Peter CHALMERS&quot;</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 &quot;signature&quot; </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> &quot;Adam CAREFUL&quot;</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 &quot;physiotherapy&quot; </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> &quot;Peter CHALMERS&quot;</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> &quot;Adam CAREFUL&quot;</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 &quot;Cystic fibrosis with pulmonary manifestations&quot;)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> &quot;Peter CHALMERS&quot;</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> &quot;Adam CAREFUL&quot;</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> &quot;Adam CAREFUL&quot;</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.