QI-Core Implementation Guide
4.1.0 - release

This page is part of the Quality Improvement Core Framework (v4.1.0: STU 4) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

: ServiceRequest referral example - JSON Representation

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{
  "resourceType" : "ServiceRequest",
  "id" : "referral-example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<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>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/request-statusReason",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "609589008",
            "display" : "Refused by parents of subject"
          }
        ]
      }
    }
  ],
  "status" : "revoked",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "700274009",
          "display" : "Referral for procedure"
        }
      ]
    }
  ],
  "priority" : "routine",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "172676009",
        "display" : "Myringotomy and insertion of short-term tympanic ventilation tube (procedure)"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "occurrenceDateTime" : "2014-02-13",
  "authoredOn" : "2014-02-14",
  "performerType" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "417887005",
        "display" : "Pediatric otolaryngology"
      }
    ]
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "65363002",
          "display" : "Otitis media"
        }
      ]
    }
  ]
}