Patient Cost Transparency Implementation Guide
2.0.0-ballot - STU 2 Ballot US

This page is part of the Da Vinci Patient Cost Transparency Implementation Guide (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

: PCT-ServiceRequest-1 - XML Representation

Page standards status: Informative

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="PCT-ServiceRequest-1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-servicerequest"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ServiceRequest</b><a name="PCT-ServiceRequest-1"> </a><a name="hcPCT-ServiceRequest-1"> </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 &quot;PCT-ServiceRequest-1&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-davinci-pct-servicerequest.html">PCT GFE ServiceRequest</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: proposal</p><p><b>code</b>: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT®)</a>#73722)</span></p><p><b>subject</b>: <a href="Patient-patient1001.html">Patient/patient1001</a> &quot; BETTERHALF&quot;</p></div>
  </text>
  <status value="active"/>
  <intent value="proposal"/>
  <code>
    <coding>
      <system value="http://www.ama-assn.org/go/cpt"/>
      <code value="73722"/>
      <display
               value="Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/patient1001"/>
  </subject>
</ServiceRequest>