This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). 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 |
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An example of a Myringotomy referral request
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- [a fhir:ServiceRequest ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "myringotomy"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"myringotomy\"> </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 "myringotomy" </p></div><p><b>identifier</b>: id: ret4421</p><p><b>basedOn</b>: <span>: ServiceRequest for Myringotomy and insertion of tympanic ventilation tube</span></p><p><b>replaces</b>: <span>: prior ServiceRequest</span></p><p><b>requisition</b>: id: 1234</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Patient referral to specialist <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#103696004)</span></p><p><b>priority</b>: routine</p><h3>Codes</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Insertion of grommets <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#172676009 "Myringotomy and insertion of tympanic ventilation tube")</span></td></tr></table><p><b>subject</b>: <a href=\"broken-link.html\">https://fhir.orionhealth.com/blaze/fhir/Patient/77662: Beverly Weaver</a></p><p><b>encounter</b>: <span>: Beverly Waver's encounter on 2014-02-14</span></p><p><b>occurrence</b>: ?? --> 2014-03-14</p><p><b>authoredOn</b>: 2014-02-14</p><p><b>requester</b>: <a href=\"broken-link.html\">https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272: Serena Shrink</a></p><p><b>performerType</b>: ENT <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (specialties#ent)</span></p><p><b>performer</b>: <a href=\"broken-link.html\">https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597: Dr Dave</a></p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>For consideration of Grommets <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td></tr></table><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. (By Serena Shrink @2014-02-14)</p></div>" ] ; # fhir:identifier ( [ fhir:system [ fhir:v "http://orionhealth.com/fhir/apps/referralids"^^xsd:anyURI ] ; fhir:value [ fhir:v "ret4421" ] ] ) ; # fhir:basedOn ( [ fhir:display [ fhir:v "ServiceRequest for Myringotomy and insertion of tympanic ventilation tube" ] ] ) ; # fhir:replaces ( [ fhir:display [ fhir:v "prior ServiceRequest" ] ] ) ; # fhir:requisition [ fhir:value [ fhir:v "1234" ] ] ; # fhir:status [ fhir:v "active"] ; # fhir:intent [ fhir:v "order"] ; # fhir:category ( [ fhir:coding ( [ a sct:103696004 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "103696004" ] ; fhir:display [ fhir:v "Patient referral to specialist" ] ] ) ] ) ; # fhir:priority [ fhir:v "routine"] ; # fhir:code [ fhir:concept [ fhir:coding ( [ a sct:172676009 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "172676009" ] ; fhir:display [ fhir:v "Myringotomy and insertion of tympanic ventilation tube" ] ] ) ; fhir:text [ fhir:v "Insertion of grommets" ] ] ] ; # fhir:subject [ fhir:link <https://fhir.orionhealth.com/blaze/fhir/Patient/77662> ; fhir:reference [ fhir:v "https://fhir.orionhealth.com/blaze/fhir/Patient/77662" ] ; fhir:display [ fhir:v "Beverly Weaver" ] ] ; # fhir:encounter [ fhir:display [ fhir:v "Beverly Waver's encounter on 2014-02-14" ] ] ; # fhir:occurrence [ a fhir:Period ; fhir:end [ fhir:v "2014-03-14"^^xsd:date ] ] ; # fhir:authoredOn [ fhir:v "2014-02-14"^^xsd:date] ; # fhir:requester [ fhir:link <https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272> ; fhir:reference [ fhir:v "https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272" ] ; fhir:display [ fhir:v "Serena Shrink" ] ] ; # fhir:performerType [ fhir:coding ( [ fhir:system [ fhir:v "http://orionhealth.com/fhir/apps/specialties"^^xsd:anyURI ] ; fhir:code [ fhir:v "ent" ] ; fhir:display [ fhir:v "ENT" ] ] ) ] ; # fhir:performer ( [ fhir:link <https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597> ; fhir:reference [ fhir:v "https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597" ] ; fhir:display [ fhir:v "Dr Dave" ] ] ) ; # fhir:reason ( [ fhir:concept [ fhir:text [ fhir:v "For consideration of Grommets" ] ] ] ) ; # fhir:note ( [ fhir:author [ fhir:v "Serena Shrink" ] ; fhir:time [ fhir:v "2014-02-14"^^xsd:date ] ; fhir:text [ fhir:v "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.
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