QI-Core Implementation Guide - This is the current published version.. See the Directory of published versions
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<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="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: referral-example</p><p><b>meta</b>: </p><p><b>status</b>: revoked</p><p><b>intent</b>: order</p><p><b>category</b>: Referral for procedure <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '700274009' = 'Referral for procedure', given as 'Referral for procedure'})</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">(Details : {SNOMED CT code '172676009' = 'Myringotomy and insertion of short-term grommet', given as 'Myringotomy and insertion of short-term tympanic ventilation tube (procedure)'})</span></p><p><b>subject</b>: <a href="Patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>encounter</b>: <a href="Encounter-example.html">Generated Summary: id: example; status: in-progress; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}">inpatient encounter</span>; <span title="Codes: {http://www.ama-assn.org/go/cpt 99223}">Inpatient Hospital Care</span></a></p><p><b>occurrence</b>: Feb 13, 2014 12:00:00 AM</p><p><b>authoredOn</b>: Feb 14, 2014 12:00:00 AM</p><p><b>performerType</b>: Pediatric otolaryngology <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '417887005' = 'Pediatric otolaryngology', given as 'Pediatric otolaryngology'})</span></p><p><b>reasonCode</b>: Otitis media <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '65363002' = 'Otitis media', given as 'Otitis media'})</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>