FHIR Release 3 (STU)

This page is part of the FHIR Specification (v3.0.2: STU 3). 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: R3 R2

Referralrequest-example.json

Patient Care Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Patient, Practitioner

Raw JSON (canonical form)

Example of referralrequest

{
  "resourceType": "ReferralRequest",
  "id": "example",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Referral to Dr Dave for Beverly weaver to have grommets inserted in her r) ear</div>"
  },
  "identifier": [
    {
      "system": "http://orionhealth.com/fhir/apps/referralids",
      "value": "ret4421"
    }
  ],
  "definition": [
    {
      "display": "Protocol for insertion of tympanic ventilation tube"
    }
  ],
  "basedOn": [
    {
      "display": "ProcedureRequest for Myringotomy and insertion of tympanic ventilation tube"
    }
  ],
  "replaces": [
    {
      "display": "prior ReferralRequest"
    }
  ],
  "groupIdentifier": {
    "value": "1234"
  },
  "status": "active",
  "intent": "order",
  "type": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "103696004",
        "display": "Patient referral to specialist"
      }
    ]
  },
  "priority": "routine",
  "serviceRequested": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "172676009",
          "display": "Myringotomy and insertion of tympanic ventilation tube"
        }
      ],
      "text": "Insertion of grommets"
    }
  ],
  "subject": {
    "reference": "https://fhir.orionhealth.com/blaze/fhir/Patient/77662",
    "display": "Beverly Weaver"
  },
  "context": {
    "display": "Beverly Waver's encounter on 2014-02-14"
  },
  "occurrencePeriod": {
    "end": "2014-03-14"
  },
  "authoredOn": "2014-02-14",
  "requester": {
    "agent": {
      "reference": "https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272",
      "display": "Serena Shrink"
    }
  },
  "specialty": {
    "coding": [
      {
        "system": "http://orionhealth.com/fhir/apps/specialties",
        "code": "ent",
        "display": "ENT"
      }
    ]
  },
  "recipient": [
    {
      "reference": "https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597",
      "display": "Dr Dave"
    }
  ],
  "reasonCode": [
    {
      "text": "For consideration of Grommets"
    }
  ],
  "description": "In the past 2 years Beverly has had 6 instances of r) 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.