Release 4 5

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Servicerequest-example-myringotomy.xml

Example ServiceRequest/myringotomy (XML)

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

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

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An example of a Myringotomy referral request (id = "myringotomy")

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


  
  (Details : {SNOMED CT code '103696004' = 'Patient referral to specialist', given as 'Patient
           referral to specialist'})(Details : {SNOMED CT code '172676009' = 'Myringotomy and insertion of short-term grommet',
           given as 'Myringotomy and insertion of tympanic ventilation tube'})(Details : {http://orionhealth.com/fhir/apps/specialties code 'ent' = 'ent', given as
           'ENT'}): 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.
    
    
  
  
    
  
  
    
  
  
    
  
  
  
  
    
      
      
      
    
  
  
  
    
      
      
      
    
    
  
  
    
    
  
  
    
  
  
    
  
  
  
      
      
  
  
    
      
      
      
    
  
  
    
    
  
  
    
  
  
    
    
    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.
  

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="myringotomy"/> 
  <text> <status value="generated"/> <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 &quot;myringotomy&quot; </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> <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 &quot;Myringotomy and insertion of tympanic ventilation tube&quot;)</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> : ?? --&gt; 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> </text> <identifier> 
    <system value="http://orionhealth.com/fhir/apps/referralids"/>     <value value="ret4421"/>   </identifier>   <basedOn>     <display value="ServiceRequest for Myringotomy and insertion of tympanic ventilation tube"/>   </basedOn>   <replaces>     <display value="prior ServiceRequest"/>   </replaces>   <requisition>     <value value="1234"/>   </requisition>   <status value="active"/>   <intent value="order"/>   <category>     <coding>       <system value="http://snomed.info/sct"/>       <code value="103696004"/>       <display value="Patient referral to specialist"/>     </coding>   </category>   <priority value="routine"/>   <code>     <concept>     <coding>       <system value="http://snomed.info/sct"/>       <code value="172676009"/>       <display value="Myringotomy and insertion of tympanic ventilation tube"/>     </coding>     <text value="Insertion of grommets"/>      </concept>   </code>   <subject>     <reference value="https://fhir.orionhealth.com/blaze/fhir/Patient/77662"/>     <display value="Beverly Weaver"/>   </subject>   <encounter>     <display value="Beverly Waver's encounter on 2014-02-14"/>   </encounter>   <occurrencePeriod>     <end value="2014-03-14"/>   </occurrencePeriod>   <authoredOn value="2014-02-14"/>   <requester>       <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272"/>       <display value="Serena Shrink"/>   </requester>   <performerType>     <coding>       <system value="http://orionhealth.com/fhir/apps/specialties"/>       <code value="ent"/>       <display value="ENT"/>     </coding>   </performerType>   <performer>     <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597"/>     <display value="Dr Dave"/>   </performer>   <reason>     <concept>       <text value="For consideration of Grommets"/>     </concept>   </reason>   <note>     <authorString value="Serena Shrink"/>     <time value="2014-02-14"/>     <text value="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."/> 
  </note> 


</

ServiceRequest

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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.