Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). 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.ttl

Example ServiceRequest/physiotherapy (Turtle)

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

Raw Turtle (+ also see Turtle/RDF Format Specification )

An example of an order for home physiotherapy 

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ServiceRequest/physiotherapy> a fhir:ServiceRequest;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "physiotherapy"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: physiotherapy</p><p><b>contained</b>: , </p><p><b>identifier</b>: Placer = 20170201-0001</p><p><b>basedOn</b>: <a>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>(Details : {SNOMED CT code '34431008' = 'Physiotherapy of chest', given as 'Physiotherapy of chest (regime/therapy) '})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>occurrence</b>: Duration 15days, Do 1-1 per 1 days</p><p><b>asNeeded</b>: as needed to clear mucus <span>(Details )</span></p><p><b>authoredOn</b>: 01/02/2017 5:23:07 PM</p><p><b>requester</b>: <a>Dr Adam Careful</a></p><p><b>reasonReference</b>: id: cystic-fibrosis; Active <span>(Details : {http://terminology.hl7.org/CodeSystem/condition-clinical code 'active' = 'Active)</span>; Confirmed <span>(Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed' = 'Confirmed)</span>; Problem List Item <span>(Details : {http://terminology.hl7.org/CodeSystem/condition-category code 'problem-list-item' = 'Problem List Item', given as 'Problem List Item'})</span>; Mild <span>(Details : {SNOMED CT code '255604002' = 'Mild', given as 'Mild'})</span>; Cystic Fibrosis <span>(Details : {http://hl7.org/fhir/sid/icd-10-cm code 'E84.0' = 'E84.0', given as 'Cystic fibrosis with pulmonary manifestations'})</span>; onset: 12/11/2012</p><p><b>relevantHistory</b>: Author's Signature. Generated Summary: id: signature; recorded: 01/02/2017 5:23:07 PM; </p></div>"
  ];
  fhir:DomainResource.contained [
     a fhir:Provenance;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "signature" ];
     fhir:Provenance.target [
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/ServiceRequest/physiotherapy/_history/1>;
       fhir:Reference.reference [ fhir:value "ServiceRequest/physiotherapy/_history/1" ]
     ];
     fhir:Provenance.recorded [ fhir:value "2017-02-01T17:23:07Z"^^xsd:dateTime ];
     fhir:Provenance.agent [
       fhir:index 0;
       fhir:Provenance.agent.role [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ParticipationType" ];
           fhir:Coding.code [ fhir:value "AUT" ]
         ]
       ];
       fhir:Provenance.agent.who [
         fhir:link <http://hl7.org/fhir/Practitioner/example>;
         fhir:Reference.reference [ fhir:value "Practitioner/example" ];
         fhir:Reference.display [ fhir:value "Dr Adam Careful" ]

[a fhir:ServiceRequest ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "physiotherapy"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir: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/5.1.0/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/5.1.0/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/5.1.0/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/5.1.0/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></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/5.1.0/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><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>"
  ] ; #    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  
  fhir:contained ( [
     a fhir:Provenance ;
     fhir:id [ fhir:v "signature" ] ;
     fhir:target ( [
       fhir:reference [ fhir:v "ServiceRequest/physiotherapy/_history/1" ]
     ] ) ;
     fhir:recorded [ fhir:v "2017-02-01T17:23:07Z"^^xsd:dateTime ] ;
     fhir:agent ( [
       fhir:role ( [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "AUT" ]
         ] )
       ] ) ;
       fhir:who [
         fhir:reference [ fhir:v "Practitioner/example" ] ;
         fhir:display [ fhir:v "Dr Adam Careful" ]

       ]
     ];
     fhir:Provenance.signature [
       fhir:index 0;
       fhir:Signature.type [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:iso-astm:E1762-95:2013" ];
         fhir:Coding.code [ fhir:value "1.2.840.10065.1.12.1.1" ];
         fhir:Coding.display [ fhir:value "Author's Signature" ]
       ];
       fhir:Signature.when [ fhir:value "2017-02-01T17:23:07Z"^^xsd:dateTime ];
       fhir:Signature.who [
         fhir:link <http://hl7.org/fhir/Practitioner/example>;
         fhir:Reference.reference [ fhir:value "Practitioner/example" ];
         fhir:Reference.display [ fhir:value "Dr Adam Careful" ]
       ];
       fhir:Signature.targetFormat [ fhir:value "application/fhir+xml" ];
       fhir:Signature.sigFormat [ fhir:value "application/signature+xml" ];
       fhir:Signature.data [ fhir:value "dGhpcyBibG9iIGlzIHNuaXBwZWQ="^^xsd:base64Binary ]

     ] ) ;
     fhir:signature ( [
       fhir:type ( [
         fhir:system [ fhir:v "urn:iso-astm:E1762-95:2013"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "1.2.840.10065.1.12.1.1" ] ;
         fhir:display [ fhir:v "Author's Signature" ]
       ] ) ;
       fhir:when [ fhir:v "2017-02-01T17:23:07Z"^^xsd:dateTime ] ;
       fhir:who [
         fhir:reference [ fhir:v "Practitioner/example" ] ;
         fhir:display [ fhir:v "Dr Adam Careful" ]
       ] ;
       fhir:targetFormat [ fhir:v "application/fhir+xml" ] ;
       fhir:sigFormat [ fhir:v "application/signature+xml" ] ;
       fhir:data [ fhir:v "dGhpcyBibG9iIGlzIHNuaXBwZWQ="^^xsd:base64Binary ]
     ] )
  ] [
     a fhir:Condition ;
     fhir:id [ fhir:v "cystic-fibrosis" ] ;
     fhir:clinicalStatus [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "active" ]
       ] )
     ] ;
     fhir:verificationStatus [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "confirmed" ]
       ] )
     ] ;
     fhir:category ( [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "problem-list-item" ] ;
         fhir:display [ fhir:v "Problem List Item" ]
       ] )
     ] ) ;
     fhir:severity [
       fhir:coding ( [
         a sct:255604002 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "255604002" ] ;
         fhir:display [ fhir:v "Mild" ]
       ] )
     ] ;
     fhir:code [
       fhir:coding ( [
         fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10-cm"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "E84.0" ] ;
         fhir:display [ fhir:v "Cystic fibrosis with pulmonary manifestations" ]
       ] ) ;
       fhir:text [ fhir:v "Cystic Fibrosis" ]
     ] ;
     fhir:subject [
       fhir:reference [ fhir:v "Patient/example" ]
     ] ;
     fhir:onset [ fhir:v "2012-11-12"^^xsd:date ]
  ] ) ; # 
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "PLAC" ] ;
         fhir:display [ fhir:v "Placer Identifier" ]
       ] ) ;
       fhir:text [ fhir:v "Placer" ]
     ] ;
     fhir:system [ fhir:v "http://goodhealth.org/placer-ids"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "20170201-0001" ]
  ] ) ; # 
  fhir:basedOn ( [
     fhir:reference [ fhir:v "CarePlan/gpvisit" ]
  ] ) ; #     example to show how a CarePlan can be referenced from a request   
  fhir:status [ fhir:v "completed"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:code [
     fhir:concept [
       fhir:coding ( [
         a sct:34431008 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "34431008" ] ;
         fhir:display [ fhir:v "Physiotherapy of chest (regime/therapy)" ]
       ] )

     ]
  ], [
     a fhir:Condition;
     fhir:index 1;
     fhir:Resource.id [ fhir:value "cystic-fibrosis" ];
     fhir:Condition.clinicalStatus [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
         fhir:Coding.code [ fhir:value "active" ]
       ]
     ];
     fhir:Condition.verificationStatus [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
         fhir:Coding.code [ fhir:value "confirmed" ]
       ]
     ];
     fhir:Condition.category [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
         fhir:Coding.code [ fhir:value "problem-list-item" ];
         fhir:Coding.display [ fhir:value "Problem List Item" ]
       ]
     ];
     fhir:Condition.severity [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:255604002;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "255604002" ];
         fhir:Coding.display [ fhir:value "Mild" ]
       ]
     ];
     fhir:Condition.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
         fhir:Coding.code [ fhir:value "E84.0" ];
         fhir:Coding.display [ fhir:value "Cystic fibrosis with pulmonary manifestations" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Cystic Fibrosis" ]
     ];
     fhir:Condition.subject [
       fhir:link <http://hl7.org/fhir/Patient/example>;
       fhir:Reference.reference [ fhir:value "Patient/example" ]
     ];
     fhir:Condition.onsetDateTime [ fhir:value "2012-11-12"^^xsd:date ]
  ];
  fhir:ServiceRequest.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PLAC" ];
         fhir:Coding.display [ fhir:value "Placer Identifier" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Placer" ]
     ];
     fhir:Identifier.system [ fhir:value "http://goodhealth.org/placer-ids" ];
     fhir:Identifier.value [ fhir:value "20170201-0001" ]
  ];
  fhir:ServiceRequest.basedOn [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/CarePlan/gpvisit>;
     fhir:Reference.reference [ fhir:value "CarePlan/gpvisit" ]
  ];
  fhir:ServiceRequest.status [ fhir:value "completed"];
  fhir:ServiceRequest.intent [ fhir:value "order"];
  fhir:ServiceRequest.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:34431008;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "34431008" ];
       fhir:Coding.display [ fhir:value "Physiotherapy of chest (regime/therapy) " ]

  ] ; #    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"   
  fhir:subject [
     fhir:reference [ fhir:v "Patient/example" ]
  ] ; # 
  fhir:occurrence [
     a fhir:Timing ;
     fhir:repeat [
       fhir:duration [ fhir:v "15"^^xsd:decimal ] ;
       fhir:durationMax [ fhir:v "25"^^xsd:decimal ] ;
       fhir:durationUnit [ fhir:v "min" ] ;
       fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
       fhir:frequencyMax [ fhir:v "4"^^xsd:positiveInteger ] ;
       fhir:period [ fhir:v "1"^^xsd:decimal ] ;
       fhir:periodUnit [ fhir:v "d" ]

     ]
  ];
  fhir:ServiceRequest.subject [
     fhir:link <http://hl7.org/fhir/Patient/example>;
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:ServiceRequest.occurrenceTiming [
     fhir:Timing.repeat [
       fhir:Timing.repeat.duration [ fhir:value "15"^^xsd:decimal ];
       fhir:Timing.repeat.durationMax [ fhir:value "25"^^xsd:decimal ];
       fhir:Timing.repeat.durationUnit [ fhir:value "min" ];
       fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
       fhir:Timing.repeat.frequencyMax [ fhir:value "4"^^xsd:positiveInteger ];
       fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
       fhir:Timing.repeat.periodUnit [ fhir:value "d" ]

  ] ; # 
  fhir:asNeeded [
     a fhir:CodeableConcept ;
     fhir:text [ fhir:v "as needed to clear mucus" ]
  ] ; # 
  fhir:authoredOn [ fhir:v "2017-02-01T17:23:07Z"^^xsd:dateTime] ; #    TimeStamp when order authorized  
  fhir:requester [
     fhir:reference [ fhir:v "Practitioner/example" ] ;
     fhir:display [ fhir:v "Dr Adam Careful" ]
  ] ; # 
  fhir:reason ( [
     fhir:reference [
       fhir:reference [ fhir:v "#cystic-fibrosis" ]

     ]
  ];
  fhir:ServiceRequest.asNeededCodeableConcept [
     fhir:CodeableConcept.text [ fhir:value "as needed to clear mucus" ]
  ];
  fhir:ServiceRequest.authoredOn [ fhir:value "2017-02-01T17:23:07Z"^^xsd:dateTime];
  fhir:ServiceRequest.requester [
     fhir:link <http://hl7.org/fhir/Practitioner/example>;
     fhir:Reference.reference [ fhir:value "Practitioner/example" ];
     fhir:Reference.display [ fhir:value "Dr Adam Careful" ]
  ];
  fhir:ServiceRequest.reasonReference [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "#cystic-fibrosis" ]
  ];
  fhir:ServiceRequest.relevantHistory [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "#signature" ];
     fhir:Reference.display [ fhir:value "Author's Signature" ]
  ] .

<http://hl7.org/fhir/ServiceRequest/physiotherapy/_history/1> a fhir:ServiceRequest .

<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .

<http://hl7.org/fhir/Patient/example> a fhir:Patient .

<http://hl7.org/fhir/CarePlan/gpvisit> a fhir:CarePlan .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ServiceRequest/physiotherapy.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/ServiceRequest/physiotherapy.ttl> .

  ] ) ; #    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  
  fhir:relevantHistory ( [
     fhir:reference [ fhir:v "#signature" ] ;
     fhir:display [ fhir:v "Author's Signature" ]
  ] )] . #    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  


# -------------------------------------------------------------------------------------

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.