This page is part of the Quality Improvement Core Framework (v2.0.0: STU 2) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

Example: ReferralRequest-qicore-referralrequest-example

Formats: XML, JSON, Turtle

<ReferralRequest xmlns="http://hl7.org/fhir">
  <id value="qicore-referralrequest-example"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Referral to Dr Dave for Beverly weaver to have grommets inserted in her r) ear</div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/referralrequest-reasonRefused">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="609589008"/>
        <display value="Refused by parents of subject"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <status value="cancelled"/>
  <intent value="order"/>
  <type>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="700274009"/>
      <display value="Referral for procedure"/>
    </coding>
  </type>
  <priority value="routine"/>
  <serviceRequested>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="172676009"/>
      <display
               value="Myringotomy and insertion of short-term tympanic ventilation tube (procedure)"/>
    </coding>
  </serviceRequested>
  <subject>
    <reference value="Patient/qicore-patient-example"/>
  </subject>
  <context>
    <reference value="Encounter/qicore-encounter-example"/>
  </context>
  <occurrenceDateTime value="2014-02-13"/>
  <authoredOn value="2014-02-14"/>
<!-- <requester> -->
<!-- <agent> -->
<!-- <reference value="Practitioner/example"/> -->
<!-- </agent> -->
<!-- </requester> -->
  <specialty>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="417887005"/>
      <display value="Pediatric otolaryngology"/>
    </coding>
  </specialty>
<!-- <recipient> -->
<!-- <reference value="Practitioner/example"/> -->
<!-- </recipient> -->
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="65363002"/>
      <display value="Otitis media"/>
    </coding>
  </reasonCode>
</ReferralRequest>