QI-Core Implementation Guide
4.1.1 - STU 4.1.1
US
This page is part of the Quality Improvement Core Framework (v4.1.1: STU 4) 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 xmlns="http://hl7.org/fhir">
<id value="referral-example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "referral-example" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-qicore-servicerequest.html">QICoreServiceRequest</a></p></div><p><b>Reason for current status</b>: Refused by parents of subject <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#609589008)</span></p><p><b>status</b>: revoked</p><p><b>intent</b>: order</p><p><b>category</b>: Referral for procedure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#700274009)</span></p><p><b>priority</b>: routine</p><p><b>code</b>: Myringotomy and insertion of short-term tympanic ventilation tube (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#172676009)</span></p><p><b>subject</b>: <a href="Patient-example.html">Patient/example</a> " CHALMERS"</p><p><b>encounter</b>: <a href="Encounter-example.html">Encounter/example</a></p><p><b>occurrence</b>: 2014-02-13</p><p><b>authoredOn</b>: 2014-02-14</p><p><b>performerType</b>: Pediatric otolaryngology <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#417887005)</span></p><p><b>reasonCode</b>: Otitis media <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#65363002)</span></p></div>
</text>
<extension url="http://hl7.org/fhir/StructureDefinition/request-statusReason">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="609589008"/>
<display value="Refused by parents of subject"/>
</coding>
</valueCodeableConcept>
</extension>
<!-- NOTE: This isn't quite right, it wasn't revoked by the authorizing provider, it was refused by the patient... not clear how to represent this in the R4 resource -->
<status value="revoked"/>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="700274009"/>
<display value="Referral for procedure"/>
</coding>
</category>
<priority value="routine"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="172676009"/>
<display
value="Myringotomy and insertion of short-term tympanic ventilation tube (procedure)"/>
</coding>
</code>
<subject>
<reference value="Patient/example"/>
</subject>
<encounter>
<reference value="Encounter/example"/>
</encounter>
<occurrenceDateTime value="2014-02-13"/>
<authoredOn value="2014-02-14"/>
<!-- <requester> -->
<!-- <agent> -->
<!-- <reference value="Practitioner/example"/> -->
<!-- </agent> -->
<!-- </requester> -->
<performerType>
<coding>
<system value="http://snomed.info/sct"/>
<code value="417887005"/>
<display value="Pediatric otolaryngology"/>
</coding>
</performerType>
<!-- <recipient> -->
<!-- <reference value="Practitioner/example"/> -->
<!-- </recipient> -->
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="65363002"/>
<display value="Otitis media"/>
</coding>
</reasonCode>
</ServiceRequest>