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. For a full list of available versions, see the Directory of published versions

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: Request-based solicitation example - ServiceRequest - JSON Representation

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{
  "resourceType" : "ServiceRequest",
  "id" : "example",
  "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 \"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>"
  },
  "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"
    }
  ]
}