Referralrequest-example.xml

Example of referralrequest (id = "example")

<ReferralRequest xmlns="http://hl7.org/fhir">
  <id value="example"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">Referral to Dr Dave for Beverly weaver to have grommets inserted in her r) ear</div> 
  </text> 
  <identifier> 
    <system value="http://orionhealth.com/fhir/apps/referralids"/> 
    <value value="ret4421"/> 
  </identifier> 
  <definition> 
  <display value="Protocol for insertion of tympanic ventilation tube"/> 
  </definition> 
  <basedOn> 
  <display value="ProcedureRequest for Myringotomy and insertion of tympanic ventilation tube"/> 
  </basedOn> 
  <replaces> 
  <display value="prior ReferralRequest"/> 
  </replaces> 
  <groupIdentifier> 
    <value value="1234"/> 
  </groupIdentifier> 
  <status value="active"/> 
  <intent value="order"/> 
  <type> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="103696004"/> 
      <display value="Patient referral to specialist"/> 
    </coding> 
  </type> 
  <priority value="routine"/> 
  <serviceRequested> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="172676009"/> 
      <display value="Myringotomy and insertion of tympanic ventilation tube"/> 
    </coding> 
    <text value="Insertion of grommets"/> 
  </serviceRequested> 
  <subject> 
    <reference value="https://fhir.orionhealth.com/blaze/fhir/Patient/77662"/> 
    <display value="Beverly Weaver"/> 
  </subject> 
  <context> 
    <display value="Beverly Waver's encounter on 2014-02-14"/> 
  </context> 
  <occurrencePeriod> 
      <end value="2014-03-14"/> 
  </occurrencePeriod> 
  <authoredOn value="2014-02-14"/> 
  <requester> 
  <agent> 
    <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272"/> 
    <display value="Serena Shrink"/> 
  </agent> 
  </requester> 
  <specialty> 
    <coding> 
      <system value="http://orionhealth.com/fhir/apps/specialties"/> 
      <code value="ent"/> 
      <display value="ENT"/> 
    </coding> 
  </specialty> 
  <recipient> 
    <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597"/> 
    <display value="Dr Dave"/> 
  </recipient> 
  <reasonCode> 
    <text value="For consideration of Grommets"/> 
  </reasonCode> 
  <description value="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."/> 
  
</ReferralRequest>