This page is part of the FHIR Specification (v4.4.0: R5 Preview #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: R5 R4B R4
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
An example of a Myringotomy referral request
{ "resourceType": "ServiceRequest", "id": "myringotomy", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: myringotomy</p><p><b>identifier</b>: ret4421</p><p><b>basedOn</b>: ServiceRequest for Myringotomy and insertion of tympanic ventilation tube</p><p><b>replaces</b>: prior ServiceRequest</p><p><b>requisition</b>: 1234</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Patient referral to specialist <span>(Details : {SNOMED CT code '103696004' = 'Patient referral to specialist', given as 'Patient referral to specialist'})</span></p><p><b>priority</b>: routine</p><p><b>code</b>: Insertion of grommets <span>(Details : {SNOMED CT code '172676009' = 'Myringotomy and insertion of short-term grommet', given as 'Myringotomy and insertion of tympanic ventilation tube'})</span></p><p><b>subject</b>: <a>Beverly Weaver</a></p><p><b>encounter</b>: Beverly Waver's encounter on 2014-02-14</p><p><b>occurrence</b>: ?? --> 2014-03-14</p><p><b>authoredOn</b>: 2014-02-14</p><p><b>requester</b>: <a>Serena Shrink</a></p><p><b>performerType</b>: ENT <span>(Details : {http://orionhealth.com/fhir/apps/specialties code 'ent' = 'ent', given as 'ENT'})</span></p><p><b>performer</b>: <a>Dr Dave</a></p><p><b>reason</b>: </p><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.</p></div>" }, "identifier": [ { "system": "http://orionhealth.com/fhir/apps/referralids", "value": "ret4421" } ], "basedOn": [ { "display": "ServiceRequest for Myringotomy and insertion of tympanic ventilation tube" } ], "replaces": [ { "display": "prior ServiceRequest" } ], "requisition": { "value": "1234" }, "status": "active", "intent": "order", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "103696004", "display": "Patient referral to specialist" } ] } ], "priority": "routine", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "172676009", "display": "Myringotomy and insertion of tympanic ventilation tube" } ], "text": "Insertion of grommets" }, "subject": { "reference": "https://fhir.orionhealth.com/blaze/fhir/Patient/77662", "display": "Beverly Weaver" }, "encounter": { "display": "Beverly Waver's encounter on 2014-02-14" }, "occurrencePeriod": { "end": "2014-03-14" }, "authoredOn": "2014-02-14", "requester": { "reference": "https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272", "display": "Serena Shrink" }, "performerType": { "coding": [ { "system": "http://orionhealth.com/fhir/apps/specialties", "code": "ent", "display": "ENT" } ] }, "performer": [ { "reference": "https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597", "display": "Dr Dave" } ], "reason": [ { "concept": { "text": "For consideration of Grommets" } } ], "note": [ { "authorString": "Serena Shrink", "time": "2014-02-14", "text": "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." } ] }
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.