US Quality Core Implementation Guide
1.0.0-ballot - STU 1 - ballot United States of America flag

This page is part of the US Quality Core Implementation Guide (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

Example ServiceRequest: ServiceRequest Myringotomy Procedure example

Page standards status: Informative

status: On Hold

intent: Order

category: Surgical Procedure

priority: Routine

code: Myringotomy and insertion of short-term tympanic ventilation tube (procedure)

subject: Example Patient Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

encounter: Encounter: identifier = http://hospital.example.org/encounter-ids#ENC-2026-987654 (use: official, ); status = finished; class = inpatient encounter (ActCode#IMP); type = Hospital admission; priority = urgent; period = 2026-08-01 10:30:00-0400 --> 2026-08-05 14:00:00-0400

occurrence: 2014-02-13 --> 2014-02-13

asNeeded: true

authoredOn: 2014-02-14

performerType: Pediatric otolaryngology

reasonCode: Otitis media