This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4
Orders and Observations Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
An example of an order for home physiotherapy (id = "physiotherapy")
<ServiceRequest xmlns="http://hl7.org/fhir"> <id value="physiotherapy"/> <!-- demonstrating in this example the reason reference element using contained resources for the purpose of this example only typically this would be a separate independent resource --> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : physiotherapy</p> <p> <b> contained</b> : , </p> <p> <b> identifier</b> : Placer = 20170201-0001</p> <p> <b> basedOn</b> : <a> CarePlan/gpvisit</a> </p> <p> <b> status</b> : completed</p> <p> <b> intent</b> : order</p> <p> <b> code</b> : Physiotherapy of chest (regime/therapy) <span> (Details : {SNOMED CT code '34431008' = 'Physiotherapy of chest', given as 'Physiotherapy of chest (regime/therapy) '})</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> occurrence</b> : Duration 15days, Do 1-1 per 1 days</p> <p> <b> asNeeded</b> : as needed to clear mucus <span> (Details )</span> </p> <p> <b> authoredOn</b> : 01/02/2017 5:23:07 PM</p> <p> <b> requester</b> : <a> Dr Adam Careful</a> </p> <p> <b> reasonReference</b> : id: cystic-fibrosis; clinicalStatus: active; verificationStatus: confirmed; Problem List Item <span> (Details : {http://hl7.org/fhir/condition-category code 'problem-list-item' = 'Problem List Item', given as 'Problem List Item'})</span> ; Mild <span> (Details : {SNOMED CT code '255604002' = 'Mild', given as 'Mild'})</span> ; Cystic Fibrosis <span> (Details : {http://hl7.org/fhir/sid/icd-10-cm code 'E84.0' = 'E84.0', given as 'Cystic fibrosis with pulmonary manifestations'})</span> ; ????; onset: 12/11/2012</p> <p> <b> relevantHistory</b> : Author's Signature. Generated Summary: id: signature; recorded: 01/02/2017 5:23:07 PM; </p> </div> </text> <contained> <Provenance> <id value="signature"/> <target> <reference value="ServiceRequest/physiotherapy/_history/1"/> </target> <recorded value="2017-02-01T17:23:07Z"/> <agent> <role> <coding> <system value="http://hl7.org/fhir/v3/ParticipationType"/> <code value="AUT"/> </coding> </role> <whoReference> <reference value="Practitioner/example"/> <display value="Dr Adam Careful"/> </whoReference> </agent> <signature> <type> <system value="urn:iso-astm:E1762-95:2013"/> <code value="1.2.840.10065.1.12.1.1"/> <display value="Author's Signature"/> </type> <when value="2017-02-01T17:23:07Z"/> <whoReference> <reference value="Practitioner/example"/> <display value="Dr Adam Careful"/> </whoReference> <targetFormat value="application/fhir+xml"/> <sigFormat value="application/signature+xml"/> <blob value="dGhpcyBibG9iIGlzIHNuaXBwZWQ="/> </signature> </Provenance> </contained> <contained> <Condition> <id value="cystic-fibrosis"/> <clinicalStatus value="active"/> <verificationStatus value="confirmed"/> <category> <coding> <system value="http://hl7.org/fhir/condition-category"/> <code value="problem-list-item"/> <display value="Problem List Item"/> </coding> </category> <severity> <coding> <system value="http://snomed.info/sct"/> <code value="255604002"/> <display value="Mild"/> </coding> </severity> <code> <coding> <system value="http://hl7.org/fhir/sid/icd-10-cm"/> <code value="E84.0"/> <display value="Cystic fibrosis with pulmonary manifestations"/> </coding> <text value="Cystic Fibrosis"/> </code> <subject> <reference value="Patient/example"/> </subject> <onsetDateTime value="2012-11-12"/> </Condition> </contained> <identifier> <type> <coding> <system value="http://hl7.org/fhir/identifier-type"/> <code value="PLAC"/> <display value="Placer Identifier"/> </coding> <text value="Placer"/> </type> <system value="http://goodhealth.org/placer-ids"> </system> <value value="20170201-0001"/> </identifier> <!-- example to show how a CarePlan can be referenced from a request --> <basedOn> <reference value="CarePlan/gpvisit"/> </basedOn> <status value="completed"/> <intent value="order"/> <!-- Physiotherapy or home excercises would be a common use case for as needed. E.g. exercises for cystic fibrosis - "Chest therapy 1-4 times per day as needed to clear mucus" --> <code> <coding> <system value="http://snomed.info/sct"/> <code value="34431008"/> <display value="Physiotherapy of chest (regime/therapy) "/> </coding> </code> <subject> <reference value="Patient/example"/> </subject> <occurrenceTiming> <repeat> <duration value="15"/> <durationMax value="25"/> <durationUnit value="min"/> <frequency value="1"/> <frequencyMax value="4"/> <period value="1"/> <periodUnit value="d"/> </repeat> </occurrenceTiming> <asNeededCodeableConcept> <text value="as needed to clear mucus"/> </asNeededCodeableConcept> <!-- TimeStamp when order authorized --> <authoredOn value="2017-02-01T17:23:07Z"/> <requester> <reference value="Practitioner/example"/> <display value="Dr Adam Careful"/> </requester> <!-- demonstrating in this example the reason reference element using a contained resource for the purpose of this example only typically would reference an external resource --> <reasonReference> <reference value="#cystic-fibrosis"/> </reasonReference> <!-- demonstrating in this example the relevant history element using a contained resource for the purpose of this example only typically would reference an external resource --> <relevantHistory> <reference value="#signature"/> <display value="Author's Signature"/> </relevantHistory> </ServiceRequest>
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.