Release 5 Draft Ballot

This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot). 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 R3

Devicerequest-example-insulinpump.xml

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner

Raw XML (canonical form + also see XML Format Specification)

Jump past Narrative

Insulin Pump request (id = "insulinpump")

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

<DeviceRequest xmlns="http://hl7.org/fhir">
  <id value="insulinpump"/> 
  <!--     <extension url="http://hl7.org/fhir/StructureDefinition/bodysitecode">
  <valueCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="51185008"/>
      <display value="Thoracic structure"/>
    </coding>
  </valueCodeableConcept>
</extension>     -->
<text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> identifier</b> : id: ip_request1.1</p> <p> <b> instantiatesCanonical</b> : <a> http://motivemi.com/artifacts/PlanDefinition/low-suicide-risk-order-set</a> </p> <p> <b> basedOn</b> : <span> Homecare - DM follow-up</span> </p> <p> <b> priorRequest</b> : <span> CGM ambulatory</span> </p> <p> <b> groupIdentifier</b> : id: ip_request1</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : instance-order</p> <p> <b> priority</b> : routine</p> <h3> Codes</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> <p> <b> subject</b> : <a> Generated Summary: id: MINT1234; active; MINT_TEST ; gender: male</a> </p> <p> <b> encounter</b> : <span> Encounter 1</span> </p> <p> <b> occurrence</b> : 8 May 2013, 12:33:27 pm</p> <p> <b> authoredOn</b> : 8 May 2013, 12:33:27 pm</p> <p> <b> requester</b> : <a> Dr. Adam Careful. Generated Summary: id: 23; active; Adam Careful </a> </p> <p> <b> performerType</b> : <span> Nurse</span> </p> <p> <b> performer</b> : <span> Nurse Rossignol</span> </p> <h3> Reasons</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> <tr> <td> *</td> </tr> </table> <p> <b> supportingInfo</b> : <span> Previous results</span> </p> <p> <b> note</b> : this is the right device brand and model</p> <p> <b> relevantHistory</b> : <span> Request for unspecified device</span> </p> </div> </text> <identifier> 
  <value value="ip_request1.1"/> 
</identifier> 
<instantiatesCanonical value="http://motivemi.com/artifacts/PlanDefinition/low-suicide-risk-order-set"/> 
<basedOn> 
  <display value="Homecare - DM follow-up"/> 
</basedOn> 
<priorRequest> 
  <display value="CGM ambulatory"/> 
</priorRequest> 
<groupIdentifier> 
  <value value="ip_request1"/> 
</groupIdentifier> 
<status value="active"/> 
<intent value="instance-order"/> 
<priority value="routine"/> 
<code> 
<concept> 
  <coding> 
    <system value="http://loinc.org"/> 
    <code value="43148-6"/> 
  </coding> 
  <text value="Insulin delivery device panel"/> 
</concept> 
</code> 
<subject> 
  <reference value="Patient/dicom"/> 
</subject> 
<encounter> 
  <display value="Encounter 1"/> 
</encounter> 
<occurrenceDateTime value="2013-05-08T09:33:27+07:00"/> 
<authoredOn value="2013-05-08T09:33:27+07:00"/> 
<requester> 
  <reference value="Practitioner/example"/> 
  <display value="Dr. Adam Careful"/> 
</requester> 
<performerType> 
  <coding> 
    <display value="Qualified nurse"/> 
  </coding> 
  <text value="Nurse"/> 
</performerType> 
<performer> 
  <display value="Nurse Rossignol"/> 
</performer> 
<reason> 
  <concept> 
    <text value="gastroparesis"/> 
  </concept> 
</reason> 
<reason> 
  <reference> 
    <display value="Gastroparesis"/> 
  </reference> 
</reason> 
<supportingInfo> 
  <display value="Previous results"/> 
</supportingInfo> 
<note> 
  <text value="this is the right device brand and model"/> 
</note> 
<relevantHistory> 
  <display value="Request for unspecified device"/> 
</relevantHistory> 
</DeviceRequest> 

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.