This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
Example of QICore ReferralRequest (id = "referralrequest-example-qicore")
<ReferralRequest xmlns="http://hl7.org/fhir"> <id value="referralrequest-example-qicore"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Referral to Dr Dave for Beverly weaver to have grommets inserted in her r) ear</div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/referralrequest-reasonRefused"> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="609589008"/> <display value="Refused by parents of subject"/> </coding> </valueCodeableConcept> </extension> <status value="cancelled"/> <category value="request"/> <type> <coding> <system value="http://snomed.info/sct"/> <code value="700274009"/> <display value="Referral for procedure"/> </coding> </type> <priority> <coding> <system value="http://snomed.info/sct"/> <code value="394848005"/> <display value="Normal priority"/> </coding> </priority> <patient> <reference value="https://fhir.orionhealth.com/blaze/fhir/Patient/77662"/> <display value="Beverly Weaver"/> </patient> <authored value="2014-02-14"/> <requester> <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272"/> <display value="Serena Shrink"/> </requester> <specialty> <coding> <system value="http://snomed.info/sct"/> <code value="417887005"/> <display value="Pediatric otolaryngology"/> </coding> </specialty> <recipient> <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597"/> <display value="Dr Dave"/> </recipient> <reason> <coding> <system value="http://snomed.info/sct"/> <code value="65363002"/> <display value="Otitis media"/> </coding> </reason> <serviceRequested> <coding> <system value="http://snomed.info/sct"/> <code value="172676009"/> <display value="Myringotomy and insertion of short-term tympanic ventilation tube (procedure)"/> </coding> </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.