Structured Data Capture
4.0.0-ballot - STU 4 ballot International flag

This page is part of the Structured Data Capture FHIR IG (v4.0.0-ballot: STU 4 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

: Request-based solicitation example - ServiceRequest - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "ServiceRequest",
  "id" : "example",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-servicerequest"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </a><a name=\"example-en-US\"> </a><p><b>ServiceRequest Questionnaire</b>: <a href=\"Questionnaire-questionnaire-sdc-profile-example-PHQ9.html\">Patient Health Questionnaire - 9 Item</a></p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/sdc/CodeSystem/temp complete-questionnaire}\">Complete Questionnaire</span></p><p><b>subject</b>: <a href=\"http://hl7.org/fhir/Patient/proband\">Annie Proband</a></p><p><b>occurrence</b>: Once per 1 months</p><p><b>requester</b>: <a href=\"http://hl7.org/fhir/PractitionerRole/example\">Dr. Adam Careful, Acme Hospital</a></p><p><b>performer</b>: <a href=\"http://hl7.org/fhir/Patient/proband\">Annie Proband</a></p><p><b>reasonCode</b>: <span title=\"Codes:\">Monitor effects of new anti-depressant</span></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-servicerequest-questionnaire",
      "valueCanonical" : "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-PHQ9"
    }
  ],
  "status" : "active",
  "intent" : "order",
  "code" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
        "code" : "complete-questionnaire"
      }
    ]
  },
  "subject" : {
    "reference" : "http://hl7.org/fhir/Patient/proband",
    "display" : "Annie Proband"
  },
  "occurrenceTiming" : {
    "repeat" : {
      "frequency" : 1,
      "period" : 1,
      "periodUnit" : "mo"
    }
  },
  "requester" : {
    "reference" : "http://hl7.org/fhir/PractitionerRole/example",
    "display" : "Dr. Adam Careful, Acme Hospital"
  },
  "performer" : [
    {
      "reference" : "http://hl7.org/fhir/Patient/proband",
      "display" : "Annie Proband"
    }
  ],
  "reasonCode" : [
    {
      "text" : "Monitor effects of new anti-depressant"
    }
  ]
}