This page is part of the U.S. Physical Activity IG (v1.0.0-ballot: STU 1.0 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

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: Example Physical Activity Referral - JSON Representation

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{
  "resourceType" : "ServiceRequest",
  "id" : "ExampleServiceRequest",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"ExampleServiceRequest\"> </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;ExampleServiceRequest&quot; </p></div><p><b>pertains to goal</b>: <a href=\"Goal-ExampleGoal.html\">Goal/ExampleGoal</a></p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>category</b>: Counseling <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#409063005)</span>, Physical Activity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-pa-temporary-codes.html\">Temporary Codes</a>#PhysicalActivity)</span></p><p><b>priority</b>: routine</p><p><b>code</b>: Referral to physical activity program (Procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#390893007)</span></p><p><b>subject</b>: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a></p><p><b>occurrence</b>: 2022-06-08 --&gt; 2022-08-01</p><p><b>authoredOn</b>: 2022-06-08</p><p><b>requester</b>: <a href=\"http://example.org/PractitionerRole/1\">http://example.org/PractitionerRole/1: Ordering Clinician</a></p><p><b>performer</b>: <a href=\"http://example.org/Organization/1\">http://example.org/Organization/1</a></p><p><b>reasonReference</b>: <a href=\"Condition-ExampleCondition.html\">Condition/ExampleCondition</a></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal",
      "valueReference" : {
        "reference" : "Goal/ExampleGoal"
      }
    }
  ],
  "status" : "active",
  "intent" : "original-order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "409063005",
          "display" : "Counseling"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes",
          "code" : "PhysicalActivity"
        }
      ]
    }
  ],
  "priority" : "routine",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "390893007",
        "display" : "Referral to physical activity program (Procedure)"
      }
    ]
  },
  "subject" : {
    "reference" : "http://example.org/Patient/1",
    "display" : "Example Patient"
  },
  "occurrencePeriod" : {
    "start" : "2022-06-08",
    "end" : "2022-08-01"
  },
  "authoredOn" : "2022-06-08",
  "requester" : {
    "reference" : "http://example.org/PractitionerRole/1",
    "display" : "Ordering Clinician"
  },
  "performer" : [
    {
      "reference" : "http://example.org/Organization/1"
    }
  ],
  "reasonReference" : [
    {
      "reference" : "Condition/ExampleCondition"
    }
  ]
}