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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:\u00a020170201-0001</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, 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/5.1.0/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=\"http://terminology.hl7.org/5.1.0/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/5.1.0/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/5.1.0/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>: 2 Feb 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/5.1.0/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>2 Feb 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.
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0 generated on Sun, Mar 26, 2023 15:25+1100.
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