Release 4B 5

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Servicerequest-example2.xml

Example ServiceRequest/physiotherapy (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 an order for home physiotherapy (id = "physiotherapy")

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


  
  <!--    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
     -->
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  <!--    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"    -->
  
    
      
      
      
    
  
  
    
  
  
    
      
      
      
      
      
      
      
    
  
  
    
  
  
  
  
      
      
  
  <!--    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   -->
  
    
  
  <!--    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   -->
  
    
    
  

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="physiotherapy"/> 
      <!--    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   -->
  <text> <status value="generated"/> <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> </text> <contained> 
    <Provenance>       <id value="signature"/>       <target>         <reference value="ServiceRequest/physiotherapy/_history/1"/>       </target>       <recorded value="2017-02-01T17:23:07Z"/>       <agent>         <role>           <coding>             <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>             <code value="AUT"/>           </coding>         </role>         <who>           <reference value="Practitioner/example"/>           <display value="Dr Adam Careful"/>         </who>       </agent>       <signature>         <type>           <system value="urn:iso-astm:E1762-95:2013"/>           <code value="1.2.840.10065.1.12.1.1"/>           <display value="Author's Signature"/>         </type>         <when value="2017-02-01T17:23:07Z"/>         <who>           <reference value="Practitioner/example"/>           <display value="Dr Adam Careful"/>         </who>         <targetFormat value="application/fhir+xml"/>         <sigFormat value="application/signature+xml"/>         <data value="dGhpcyBibG9iIGlzIHNuaXBwZWQ="/>       </signature>     </Provenance>   </contained>   <contained>     <Condition>       <id value="cystic-fibrosis"/>       <clinicalStatus>         <coding>           <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>           <code value="active"/>         </coding>         </clinicalStatus>         <verificationStatus>         <coding>           <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>           <code value="confirmed"/>         </coding>         </verificationStatus>       <category>         <coding>           <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>           <code value="problem-list-item"/>           <display value="Problem List Item"/>         </coding>       </category>       <severity>         <coding>           <system value="http://snomed.info/sct"/>           <code value="255604002"/>           <display value="Mild"/>         </coding>       </severity>       <code>         <coding>           <system value="http://hl7.org/fhir/sid/icd-10-cm"/>           <code value="E84.0"/>           <display value="Cystic fibrosis with pulmonary manifestations"/>         </coding>         <text value="Cystic Fibrosis"/>       </code>       <subject>         <reference value="Patient/example"/>       </subject>       <onsetDateTime value="2012-11-12"/>     </Condition>   </contained>   <identifier>     <type>       <coding>         <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>         <code value="PLAC"/>         <display value="Placer Identifier"/>       </coding>       <text value="Placer"/>     </type>     <system value="http://goodhealth.org/placer-ids">    </system>     <value value="20170201-0001"/>   </identifier>       <!--     example to show how a CarePlan can be referenced from a request    -->  <basedOn>     <reference value="CarePlan/gpvisit"/>   </basedOn>   <status value="completed"/>   <intent value="order"/>       <!--    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"    -->
  <code>     <concept>     <coding>       <system value="http://snomed.info/sct"/>       <code value="34431008"/>       <display value="Physiotherapy of chest (regime/therapy)"/>     </coding>     </concept>   </code>   <subject>     <reference value="Patient/example"/>   </subject>   <occurrenceTiming>     <repeat>       <duration value="15"/>       <durationMax value="25"/>       <durationUnit value="min"/>       <frequency value="1"/>       <frequencyMax value="4"/>       <period value="1"/>       <periodUnit value="d"/>     </repeat>   </occurrenceTiming>   <asNeededCodeableConcept>     <text value="as needed to clear mucus"/>   </asNeededCodeableConcept>       <!--    TimeStamp when order authorized   -->  <authoredOn value="2017-02-01T17:23:07Z"/>   <requester>       <reference value="Practitioner/example"/>       <display value="Dr Adam Careful"/>   </requester>       <!--    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   -->
  <reason>      <reference>       <reference value="#cystic-fibrosis"/>     </reference>   </reason>       <!--    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   -->
  <relevantHistory>     <reference value="#signature"/>     <display value="Author's Signature"/>   </relevantHistory> 


</

ServiceRequest

>



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.