DSTU2 Ballot Source

This page is part of the FHIR Specification (v0.5.0: DSTU 2 Ballot 2). 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: R3 R2

Referralrequest-example.xml

Raw XML (canonical form)

Example of referralrequest (id = "example")

Raw XML

<ReferralRequest xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <status value="requested"/>
  <identifier>
    <system value="http://orionhealth.com/fhir/apps/referralids"/>
    <value value="ret4421"/>
  </identifier><!--    replace with a code from a recognized coding system   -->
  <type>
    <coding>
      <system value="http://orionhealth.com/fhir/apps/referraltypes"/>
      <code value="rfs"/>
      <display value="Referral for service"/>
    </coding>
  </type><!--    replace with a code from a recognized coding system   -->
  <specialty>
    <coding>
      <system value="http://orionhealth.com/fhir/apps/specialties"/>
      <code value="ent"/>
      <display value="ENT"/>
    </coding>
  </specialty><!--    replace with a code from a recognized coding system   -->
  <priority>
    <coding>
      <system value="http://orionhealth.com/fhir/apps/prioritycodes"/>
      <code value="med"/>
      <display value="Medium"/>
    </coding>
  </priority>
  <patient>
    <reference value="https://fhir.orionhealth.com/blaze/fhir/Patient/77662"/>
    <display value="Beverly Weaver"/>
  </patient>
  <requester>
    <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272"/>
    <display value="Serena Shrink"/>
  </requester>
  <recipient>
    <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597"/>
    <display value="Dr Dave"/>
  </recipient>
  <dateSent value="2014-02-14"/>
  <reason>
    <text value="For consideration of Grommets"/>
  </reason>
  <description value="In the past 2 years Beverly has had 6 instances of r) sided Otitis media. She is     falling
   behind her peers at school, and displaying some learning difficulties."/>
  <serviceRequested>
    <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"/>
  </serviceRequested>
</ReferralRequest>

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.