Structured Data Capture
3.0.0 - STU 3 International flag

This page is part of the Structured Data Capture FHIR IG (v3.0.0: STU 3) 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

: Request-based solicitation example - ServiceRequest - XML Representation

Page standards status: Informative

Raw xml | Download



<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <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 "example" </p></div><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>: Complete Questionnaire <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-temp.html">Temporary SDC Codes</a>#complete-questionnaire)</span></p><p><b>subject</b>: <a href="http://hl7.org/fhir/Patient/proband">http://hl7.org/fhir/Patient/proband: Annie Proband</a></p><p><b>occurrence</b>: Do Once per 1 months</p><p><b>requester</b>: <a href="http://hl7.org/fhir/PractitionerRole/example">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">http://hl7.org/fhir/Patient/proband: Annie Proband</a></p><p><b>reasonCode</b>: Monitor effects of new anti-depressant <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-servicerequest-questionnaire">
    <valueCanonical
                    value="http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-PHQ9"/>
  </extension>
  <status value="active"/>
  <intent value="order"/>
  <code>
    <coding>
      <system value="http://hl7.org/fhir/uv/sdc/CodeSystem/temp"/>
      <code value="complete-questionnaire"/>
    </coding>
  </code>
  <subject>
    <reference value="http://hl7.org/fhir/Patient/proband"/>
    <display value="Annie Proband"/>
  </subject>
  <occurrenceTiming>
    <repeat>
      <frequency value="1"/>
      <period value="1"/>
      <periodUnit value="mo"/>
    </repeat>
  </occurrenceTiming>
  <requester>
    <reference value="http://hl7.org/fhir/PractitionerRole/example"/>
    <display value="Dr. Adam Careful, Acme Hospital"/>
  </requester>
  <performer>
    <reference value="http://hl7.org/fhir/Patient/proband"/>
    <display value="Annie Proband"/>
  </performer>
  <reasonCode>
    <text value="Monitor effects of new anti-depressant"/>
  </reasonCode>
</ServiceRequest>