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

Servicerequest-example-colonoscopy.xml

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

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

Jump past Narrative

Example of an order for a colonoscopy procedure with complication (id = "colonoscopy")

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

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="colonoscopy"/> 
  <!--    Example of colonoscopy service request which is grouped with a bx request   -->
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> identifier</b> : id: 45678</p> <p> <b> requisition</b> : id: req12345</p> <p> <b> status</b> : completed</p> <p> <b> intent</b> : order</p> <p> <b> code</b> : <span> Colonoscopy</span> </p> <p> <b> subject</b> : <a> Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers
           (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410
           5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a> </p> <p> <b> authoredOn</b> : 2017-03-05</p> <p> <b> requester</b> : <a> Dr. Beverly Crusher. Generated Summary: </a> </p> <p> <b> performer</b> : <a> Dr Adam Careful. Generated Summary: id: 23; active; Adam Careful </a> </p> </div> </text> <identifier> 
    <value value="45678"/> 
  </identifier> 
  <requisition> 
    <system value="http://bumc.org/requisitions"/> 
    <value value="req12345"/> 
  </requisition> 
  <status value="completed"/> 
  <intent value="order"/> 
  <code> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="73761001"/> 
      <display value="Colonoscopy (procedure)"/> 
    </coding> 
    <text value="Colonoscopy"/> 
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
  </subject> 
  <authoredOn value="2017-03-05"/> 
  <requester> 

      <reference value="Practitioner/3ad0687e-f477-468c-afd5-fcc2bf897809"/> 
      <display value="Dr. Beverly Crusher"/> 

  </requester> 
  <performer> 
    <reference value="Practitioner/example"/> 
    <display value="Dr Adam Careful"/> 
  </performer> 
</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.