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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 an order for home physiotherapy
{ "resourceType": "ServiceRequest", "id": "physiotherapy", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"physiotherapy\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ServiceRequest "physiotherapy" </p></div><p><b>identifier</b>: Placer: 20170201-0001</p><p><b>basedOn</b>: <span title=\" example to show how a CarePlan can be referenced from a request \"><a href=\"careplan-example-GPVisit.html\">CarePlan/gpvisit</a></span></p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><h3>Codes</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Physiotherapy of chest (regime/therapy) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#34431008)</span></td></tr></table><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>occurrence</b>: Duration 15days, Do 1-1 per 1 days</p><p><b>asNeeded</b>: as needed to clear mucus <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>authoredOn</b>: <span title=\" TimeStamp when order authorized \">2017-02-01T17:23:07Z</span></p><p><b>requester</b>: <a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a name=\"cystic-fibrosis\"> </a><blockquote><p/><p><a name=\"cystic-fibrosis\"> </a></p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem List Item <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#problem-list-item)</span></p><p><b>severity</b>: Mild <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255604002)</span></p><p><b>code</b>: Cystic Fibrosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#E84.0 "Cystic fibrosis with pulmonary manifestations")</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</p><p><b>onset</b>: 2012-11-12</p></blockquote></td></tr></table><p><b>relevantHistory</b>: <span title=\" demonstrating in this example the relevant history element using a contained resource for the purpose of this example only typically would reference an external resource \"><a name=\"signature\"> </a></span></p><blockquote><p/><p><a name=\"signature\"> </a></p><p><b>target</b>: <a href=\"servicerequest-example2.html\">ServiceRequest/physiotherapy/_history/1</a></p><p><b>recorded</b>: 02/02/2017 4:23:07 AM</p><h3>Agents</h3><table class=\"grid\"><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>author (originator) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#AUT)</span></td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</td></tr></table><h3>Signatures</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>TargetFormat</b></td><td><b>SigFormat</b></td><td><b>Data</b></td></tr><tr><td>*</td><td>Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'Author's Signature')</td><td>02/02/2017 4:23:07 AM</td><td><a href=\"practitioner-example.html\">Practitioner/example: Dr Adam Careful</a> "Adam CAREFUL"</td><td>application/fhir+xml</td><td>application/signature+xml</td><td>dGhpcyBibG9iIGlzIHNuaXBwZWQ=</td></tr></table></blockquote></div>" }, "contained": [ { "resourceType": "Provenance", "id": "signature", "target": [ { "reference": "ServiceRequest/physiotherapy/_history/1" } ], "recorded": "2017-02-01T17:23:07Z", "agent": [ { "role": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "AUT" } ] } ], "who": { "reference": "Practitioner/example", "display": "Dr Adam Careful" } } ], "signature": [ { "type": [ { "system": "urn:iso-astm:E1762-95:2013", "code": "1.2.840.10065.1.12.1.1", "display": "Author's Signature" } ], "when": "2017-02-01T17:23:07Z", "who": { "reference": "Practitioner/example", "display": "Dr Adam Careful" }, "targetFormat": "application/fhir+xml", "sigFormat": "application/signature+xml", "data": "dGhpcyBibG9iIGlzIHNuaXBwZWQ=" } ] }, { "resourceType": "Condition", "id": "cystic-fibrosis", "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active" } ] }, "verificationStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed" } ] }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-category", "code": "problem-list-item", "display": "Problem List Item" } ] } ], "severity": { "coding": [ { "system": "http://snomed.info/sct", "code": "255604002", "display": "Mild" } ] }, "code": { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10-cm", "code": "E84.0", "display": "Cystic fibrosis with pulmonary manifestations" } ], "text": "Cystic Fibrosis" }, "subject": { "reference": "Patient/example" }, "onsetDateTime": "2012-11-12" } ], "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "PLAC", "display": "Placer Identifier" } ], "text": "Placer" }, "system": "http://goodhealth.org/placer-ids", "value": "20170201-0001" } ], "basedOn": [ { "reference": "CarePlan/gpvisit" } ], "status": "completed", "intent": "order", "code": { "concept": { "coding": [ { "system": "http://snomed.info/sct", "code": "34431008", "display": "Physiotherapy of chest (regime/therapy)" } ] } }, "subject": { "reference": "Patient/example" }, "occurrenceTiming": { "repeat": { "duration": 15, "durationMax": 25, "durationUnit": "min", "frequency": 1, "frequencyMax": 4, "period": 1, "periodUnit": "d" } }, "asNeededCodeableConcept": { "text": "as needed to clear mucus" }, "authoredOn": "2017-02-01T17:23:07Z", "requester": { "reference": "Practitioner/example", "display": "Dr Adam Careful" }, "reason": [ { "reference": { "reference": "#cystic-fibrosis" } } ], "relevantHistory": [ { "reference": "#signature", "display": "Author's Signature" } ] }
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.