Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Example ServiceRequest/myringotomy (JSON)

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw JSON (canonical form + also see JSON Format Specification)

An example of a Myringotomy referral request

{
  "resourceType" : "ServiceRequest",
  "id" : "myringotomy",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"myringotomy\"> </a></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 ServiceRequest &quot;myringotomy&quot; </p></div><p><b>identifier</b>: id:\u00a0ret4421</p><p><b>basedOn</b>: <span>: ServiceRequest for Myringotomy and insertion of tympanic ventilation tube</span></p><p><b>replaces</b>: <span>: prior ServiceRequest</span></p><p><b>requisition</b>: id:\u00a01234</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Patient referral to specialist <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#103696004)</span></p><p><b>priority</b>: routine</p><h3>Codes</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Insertion of grommets <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#172676009 &quot;Myringotomy and insertion of tympanic ventilation tube&quot;)</span></td></tr></table><p><b>subject</b>: <a href=\"broken-link.html\">https://fhir.orionhealth.com/blaze/fhir/Patient/77662: Beverly Weaver</a></p><p><b>encounter</b>: <span>: Beverly Waver's encounter on 2014-02-14</span></p><p><b>occurrence</b>: ?? --&gt; 2014-03-14</p><p><b>authoredOn</b>: 2014-02-14</p><p><b>requester</b>: <a href=\"broken-link.html\">https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272: Serena Shrink</a></p><p><b>performerType</b>: ENT <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (specialties#ent)</span></p><p><b>performer</b>: <a href=\"broken-link.html\">https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597: Dr Dave</a></p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>For consideration of Grommets <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td></tr></table><p><b>note</b>: In the past 2 years Beverly has had 6 instances of rt-sided Otitis media. She is     falling behind her peers at school, and displaying some learning difficulties. (By Serena Shrink @2014-02-14)</p></div>"
  },
  "identifier" : [{
    "system" : "http://orionhealth.com/fhir/apps/referralids",
    "value" : "ret4421"
  }],
  "basedOn" : [{
    "display" : "ServiceRequest for Myringotomy and insertion of tympanic ventilation tube"
  }],
  "replaces" : [{
    "display" : "prior ServiceRequest"
  }],
  "requisition" : {
    "value" : "1234"
  },
  "status" : "active",
  "intent" : "order",
  "category" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "103696004",
      "display" : "Patient referral to specialist"
    }]
  }],
  "priority" : "routine",
  "code" : {
    "concept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "172676009",
        "display" : "Myringotomy and insertion of tympanic ventilation tube"
      }],
      "text" : "Insertion of grommets"
    }
  },
  "subject" : {
    "reference" : "https://fhir.orionhealth.com/blaze/fhir/Patient/77662",
    "display" : "Beverly Weaver"
  },
  "encounter" : {
    "display" : "Beverly Waver's encounter on 2014-02-14"
  },
  "occurrencePeriod" : {
    "end" : "2014-03-14"
  },
  "authoredOn" : "2014-02-14",
  "requester" : {
    "reference" : "https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272",
    "display" : "Serena Shrink"
  },
  "performerType" : {
    "coding" : [{
      "system" : "http://orionhealth.com/fhir/apps/specialties",
      "code" : "ent",
      "display" : "ENT"
    }]
  },
  "performer" : [{
    "reference" : "https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597",
    "display" : "Dr Dave"
  }],
  "reason" : [{
    "concept" : {
      "text" : "For consideration of Grommets"
    }
  }],
  "note" : [{
    "authorString" : "Serena Shrink",
    "time" : "2014-02-14",
    "text" : "In the past 2 years Beverly has had 6 instances of rt-sided Otitis media. She is     falling behind her peers at school, and displaying some learning difficulties."
  }]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.