This page is part of the US Core (v4.1.0: STU5 Ballot 1) based on FHIR R4. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions
<ServiceRequest xmlns="http://hl7.org/fhir">
<id value="foodpantry-referral"/>
<meta>
<extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
<valueString value="ServiceRequest Example"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-description">
<valueMarkdown
value="This is a service request example for the *US Core Service Request Profile*."/>
</extension>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "foodpantry-referral" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-core-servicerequest.html">US Core Service Request</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Social Determinants Of Health <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LG41762-2 "SocialDeterminantsOfHealth")</span></p><p><b>code</b>: Assistance with application for food pantry program <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#467771000124109)</span></p><p><b>subject</b>: <a href="Patient-example.html">Patient/example</a> " SHAW"</p><p><b>occurrence</b>: 2021-11-20</p><p><b>authoredOn</b>: 2021-11-12T10:59:38-08:00</p><p><b>requester</b>: <a href="Practitioner-practitioner-1.html">Practitioner/practitioner-1</a> " BONE"</p></div>
</text>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="LG41762-2"/>
<display value="SocialDeterminantsOfHealth"/>
</coding>
<text value="Social Determinants Of Health"/>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="467771000124109"/>
<display value="Assistance with application for food pantry program"/>
</coding>
</code>
<subject>
<reference value="Patient/example"/>
</subject>
<occurrenceDateTime value="2021-11-20"/>
<authoredOn value="2021-11-12T10:59:38-08:00"/>
<requester>
<reference value="Practitioner/practitioner-1"/>
</requester>
</ServiceRequest>