Da Vinci - Coverage Requirements Discovery
2.1.0-preview - STU 2 United States of America flag

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.1.0-preview: STU 2.1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.1. For a full list of available versions, see the Directory of published versions

: ServiceRequest example - XML Representation

Page standards status: Informative

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ServiceRequest example</b></p><a name="example"> </a><a name="hcexample"> </a><a name="example-en-US"> </a><p><b>basedOn</b>: <a href="https://simplifier.net/resolve?scope=hl7.fhir.us.core.v311@3.1.1&amp;canonical=http://example.org/fhir/ServiceRequest/someReferral">??</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 25267002}">Implant Pacemaker</span></p><p><b>subject</b>: <a href="Patient-example.html">Amy V. Shaw  Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))</a></p><p><b>authoredOn</b>: 2015-03-30</p><p><b>requester</b>: <a href="Practitioner-full.html">Dr. Beverly Crusher</a></p><p><b>performer</b>: <a href="https://simplifier.net/resolve?scope=hl7.fhir.us.core.v311@3.1.1&amp;canonical=http://example.org/fhir/Practitioner/full2">Dr Cecil Surgeon</a></p><p><b>locationReference</b>: <a href="Location-example.html">Location South Wing, second floor</a></p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 48867003}">Bradycardia</span></p></div>
  </text>
  <basedOn>
    <reference value="http://example.org/fhir/ServiceRequest/someReferral"/>
  </basedOn>
  <status value="draft"/>
  <intent value="order"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="25267002"/>
      <display value="Insertion of intracardiac pacemaker (procedure)"/>
    </coding>
    <text value="Implant Pacemaker"/>
  </code>
  <subject>🔗 
    <reference value="Patient/example"/>
  </subject>
  <authoredOn value="2015-03-30"/>
  <requester>🔗 
    <reference value="Practitioner/full"/>
    <display value="Dr. Beverly Crusher"/>
  </requester>
  <performer>
    <reference value="http://example.org/fhir/Practitioner/full2"/>
    <display value="Dr Cecil Surgeon"/>
  </performer>
  <locationReference>🔗 
    <reference value="Location/example"/>
  </locationReference>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="48867003"/>
      <display value="Bradycardia"/>
    </coding>
  </reasonCode>
</ServiceRequest>