Dental Data Exchange
1.0.0 - STU 1

This page is part of the Dental Data Exchange (v1.0.0: STU1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: ServiceRequest- Prophylaxis ServiceRequest example - XML Representation

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="prophylaxis-example"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2021-08-25T15:09:04.425+00:00"/>
    <source value="#3GuJaGTJjbgyJVdj"/>
    <profile
             value="http://hl7.org/fhir/us/dental-data-exchange/dental-servicerequest"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>code</b>: <span title="Codes: {http://ada.org/cdt D1352}">Preventive resin restoration in a moderate to high caries risk patient-permanent tooth</span></p><p><b>subject</b>: <a href="Patient-example-dental.html">Generated Summary: Medical Record Number: 5152020 (USUAL); active: true; Patient A ; Phone: 123-456-7890, testA@email.com; gender: male; birthDate: 1990-01-01</a></p><p><b>requester</b>: <a href="Practitioner-practitioner-D.html">Generated Summary: id: 1234560000; John D ; Phone: 720-555-6443; gender: male; birthDate: 1990-06-09</a></p><p><b>bodySite</b>: <span title="Codes: {http://www.ada.org/snodent 161941D}, {http://snomed.info/sct 245574002}">Entire maxillary right lateral incisor tooth</span></p></div>
  </text>
  <status value="active"/>
  <intent value="plan"/>
  <code>
    <coding>
      <system value="http://ada.org/cdt"/>
      <code value="D1352"/>
      <display
               value="Preventive resin restoration in a moderate to high caries risk patient-permanent tooth"/>
    </coding>
    <text
          value="Preventive resin restoration in a moderate to high caries risk patient-permanent tooth"/>
  </code>
  <subject>
    <reference value="Patient/example-dental"/>
  </subject>
  <requester>
    <reference value="Practitioner/practitioner-D"/>
  </requester>
  <bodySite>
    <coding>
      <system value="http://www.ada.org/snodent"/>
      <code value="161941D"/>
      <display value="Permanent upper right lateral incisor tooth"/>
    </coding>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="245574002"/>
      <display value="Entire maxillary right lateral incisor tooth"/>
    </coding>
    <text value="Entire maxillary right lateral incisor tooth"/>
  </bodySite>
</ServiceRequest>