This page is part of the MCC eCare Plan Implementation Guide (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) 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 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 MCC ServiceRequest Profile."/>
</extension>
<versionId value="10"/>
<lastUpdated value="2023-06-06T21:12:21.819Z"/>
<profile
value="http://hl7.org/fhir/us/mcc/StructureDefinition/MCCServiceRequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ServiceRequest foodpantry-referral</b></p><a name="foodpantry-referral"> </a><a name="hcfoodpantry-referral"> </a><a name="foodpantry-referral-en-US"> </a><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">version: 10; Last updated: 2023-06-06 21:12:21+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-MCCServiceRequest.html">Multiple Chronic Condition Care Plan Service Request</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://hl7.org/fhir/us/core/CodeSystem/us-core-category sdoh}">Social Determinants Of Health</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 467771000124109}">Assistance with application for food pantry program</span></p><p><b>subject</b>: <a href="Patient-cc-pat-pnoelle.html">Patricia Noelle Female, DoB: 1955-01-15 ( Medical Record Number: 103270456 (use: usual, ))</a></p><p><b>occurrence</b>: 2021-11-20</p><p><b>authoredOn</b>: 2021-11-12 10:59:38-0800</p><p><b>requester</b>: <a href="Practitioner-practitionerMCC-3.html">Practitioner Peter Primary </a></p></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal">
<valueReference>🔗
<reference value="Goal/HPT-WNL"/>
</valueReference>
</extension>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="http://hl7.org/fhir/us/core/CodeSystem/us-core-category"/>
<version value="6.1.0"/>
<code value="sdoh"/>
<display value="SDOH"/>
</coding>
<text value="Social Determinants Of Health"/>
</category>
<code>
<coding>
<!-- system value="http://snomed.info/sct"/ -->
<!-- system value="http://snomed.info/sct/731000124108"/><version value = "20220301"/ -->
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/731000124108/version/20220301"/>
<code value="467771000124109"/>
<display value="Assistance with application for food pantry program"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cc-pat-pnoelle"/>
</subject>
<occurrenceDateTime value="2021-11-20"/>
<authoredOn value="2021-11-12T10:59:38-08:00"/>
<requester>🔗
<reference value="Practitioner/practitionerMCC-3"/>
</requester>
</ServiceRequest>