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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 a Myringotomy referral request
{
"resourceType": "ServiceRequest",
"id": "myringotomy",
"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 "myringotomy" </p></div><p><b>identifier</b>: id: ret4421</p><p><b>basedOn</b>: <span>: ServiceRequest for Myringotomy and insertion of tympanic ventilation tube</span></p><p><b>replaces</b>: <span>: prior ServiceRequest</span></p><p><b>requisition</b>: id: 1234</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Patient referral to specialist <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#103696004)</span></p><p><b>priority</b>: routine</p><p><b>code</b>: Insertion of grommets <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#172676009 "Myringotomy and insertion of tympanic ventilation tube")</span></p><p><b>subject</b>: <a href=\"todo.html\">https://fhir.orionhealth.com/blaze/fhir/Patient/77662: Beverly Weaver</a></p><p><b>encounter</b>: <span>: Beverly Waver's encounter on 2014-02-14</span></p><p><b>occurrence</b>: ?? --> 2014-03-14</p><p><b>authoredOn</b>: 2014-02-14</p><p><b>requester</b>: <a href=\"todo.html\">https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272: Serena Shrink</a></p><p><b>performerType</b>: ENT <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (specialties#ent)</span></p><p><b>performer</b>: <a href=\"todo.html\">https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597: Dr Dave</a></p><p><b>reasonCode</b>: For consideration of Grommets <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>note</b>: In the past 2 years Beverly has had 6 instances of rt-sided Otitis media. She is falling behind her peers at school, and displaying some learning difficulties. (By Serena Shrink @2014-02-14)</p></div>"
"resourceType" : "ServiceRequest",
"id" : "myringotomy",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"myringotomy\"> </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 "myringotomy" </p></div><p><b>identifier</b>: id:\u00a0ret4421</p><p><b>basedOn</b>: <span>: ServiceRequest for Myringotomy and insertion of tympanic ventilation tube</span></p><p><b>replaces</b>: <span>: prior ServiceRequest</span></p><p><b>requisition</b>: id:\u00a01234</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Patient referral to specialist <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#103696004)</span></p><p><b>priority</b>: routine</p><h3>Codes</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Insertion of grommets <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#172676009 "Myringotomy and insertion of tympanic ventilation tube")</span></td></tr></table><p><b>subject</b>: <a href=\"broken-link.html\">https://fhir.orionhealth.com/blaze/fhir/Patient/77662: Beverly Weaver</a></p><p><b>encounter</b>: <span>: Beverly Waver's encounter on 2014-02-14</span></p><p><b>occurrence</b>: ?? --> 2014-03-14</p><p><b>authoredOn</b>: 2014-02-14</p><p><b>requester</b>: <a href=\"broken-link.html\">https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272: Serena Shrink</a></p><p><b>performerType</b>: ENT <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (specialties#ent)</span></p><p><b>performer</b>: <a href=\"broken-link.html\">https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597: Dr Dave</a></p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>For consideration of Grommets <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td></tr></table><p><b>note</b>: In the past 2 years Beverly has had 6 instances of rt-sided Otitis media. She is falling behind her peers at school, and displaying some learning difficulties. (By Serena Shrink @2014-02-14)</p></div>"
},
"identifier": [
{
"system": "http://orionhealth.com/fhir/apps/referralids",
"value": "ret4421"
}
],
"basedOn": [
{
"display": "ServiceRequest for Myringotomy and insertion of tympanic ventilation tube"
}
],
"replaces": [
{
"display": "prior ServiceRequest"
}
],
"requisition": {
"value": "1234"
"identifier" : [{
"system" : "http://orionhealth.com/fhir/apps/referralids",
"value" : "ret4421"
}],
"basedOn" : [{
"display" : "ServiceRequest for Myringotomy and insertion of tympanic ventilation tube"
}],
"replaces" : [{
"display" : "prior ServiceRequest"
}],
"requisition" : {
"value" : "1234"
},
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "103696004",
"display": "Patient referral to specialist"
}
]
"status" : "active",
"intent" : "order",
"category" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "103696004",
"display" : "Patient referral to specialist"
}]
}],
"priority" : "routine",
"code" : {
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "172676009",
"display" : "Myringotomy and insertion of tympanic ventilation tube"
}],
"text" : "Insertion of grommets"
}
],
"priority": "routine",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "172676009",
"display": "Myringotomy and insertion of tympanic ventilation tube"
}
],
"text": "Insertion of grommets"
},
"subject": {
"reference": "https://fhir.orionhealth.com/blaze/fhir/Patient/77662",
"display": "Beverly Weaver"
"subject" : {
"reference" : "https://fhir.orionhealth.com/blaze/fhir/Patient/77662",
"display" : "Beverly Weaver"
},
"encounter": {
"display": "Beverly Waver's encounter on 2014-02-14"
"encounter" : {
"display" : "Beverly Waver's encounter on 2014-02-14"
},
"occurrencePeriod": {
"end": "2014-03-14"
"occurrencePeriod" : {
"end" : "2014-03-14"
},
"authoredOn": "2014-02-14",
"requester": {
"reference": "https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272",
"display": "Serena Shrink"
"authoredOn" : "2014-02-14",
"requester" : {
"reference" : "https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272",
"display" : "Serena Shrink"
},
"performerType": {
"coding": [
{
"system": "http://orionhealth.com/fhir/apps/specialties",
"code": "ent",
"display": "ENT"
}
]
"performerType" : {
"coding" : [{
"system" : "http://orionhealth.com/fhir/apps/specialties",
"code" : "ent",
"display" : "ENT"
}]
},
"performer": [
{
"reference": "https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597",
"display": "Dr Dave"
}
],
"reasonCode": [
{
"text": "For consideration of Grommets"
}
],
"note": [
{
"authorString": "Serena Shrink",
"time": "2014-02-14",
"text": "In the past 2 years Beverly has had 6 instances of rt-sided Otitis media. She is falling behind her peers at school, and displaying some learning difficulties."
"performer" : [{
"reference" : "https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597",
"display" : "Dr Dave"
}],
"reason" : [{
"concept" : {
"text" : "For consideration of Grommets"
}
]
}],
"note" : [{
"authorString" : "Serena Shrink",
"time" : "2014-02-14",
"text" : "In the past 2 years Beverly has had 6 instances of rt-sided Otitis media. She is falling behind her peers at school, and displaying some learning difficulties."
}]
}
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
generated
on
Sat,
May
28,
2022
12:57+1000.
Sun,
Mar
26,
2023
15:25+1100.
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