R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). 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

Servicerequest-example-lipid.xml

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

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Lipid Panel Order (id = "lipid")

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="lipid"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : lipid</p> <p> <b> contained</b> : , </p> <p> <b> identifier</b> : Placer = 2345234234234</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : original-order</p> <p> <b> code</b> : Lipid Panel <span> (Details : {http://acme.org/tests code 'LIPID' = 'LIPID)</span> </p> <p> <b> subject</b> : <a> Patient/example</a> </p> <p> <b> context</b> : <a> Encounter/example</a> </p> <p> <b> occurrence</b> : 02/05/2013 4:16:00 PM</p> <p> <b> requester</b> : <a> Practitioner/example</a> </p> <p> <b> performer</b> : <a> Practitioner/f202</a> </p> <p> <b> reasonCode</b> : Fam hx-ischem heart dis <span> (Details : {ICD-9 code 'V173' = 'V173', given as 'Fam hx-ischem heart dis'})</span> </p> <p> <b> supportingInfo</b> : Fasting status. Generated Summary: id: fasting; status: final; Fasting status - Reported
         <span> (Details : {LOINC code '49541-6' = 'Fasting status - Reported', given as 'Fasting status
           - Reported'})</span> ; Yes <span> (Details : {http://hl7.org/fhir/v2/0136 code 'Y' = 'Yes', given as 'Yes'})</span> </p> <p> <b> specimen</b> : Serum specimen. Generated Summary: id: serum; 20150107-0012; Serum sample <span> (Details : {SNOMED CT code '119364003' = 'Serum specimen', given as 'Serum sample'})</span> </p> <p> <b> note</b> : patient is afraid of needles</p> </div> </text> <contained> 
    <Observation> 
      <id value="fasting"/> 
      <!--       the mandatory quality flag:       -->
      <status value="final"/> 
      <code> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="49541-6"/> 
          <display value="Fasting status - Reported"/> 
        </coding> 
      </code> 
      <subject> 
        <reference value="Patient/example"/> 
      </subject> 
      <valueCodeableConcept> 
        <coding> 
          <system value="http://hl7.org/fhir/v2/0136"/> 
          <code value="Y"/> 
          <display value="Yes"/> 
        </coding> 
      </valueCodeableConcept> 
    </Observation> 
  </contained> 
  <contained> 
    <Specimen> 
      <id value="serum"/> 
      <identifier> 
        <system value="http://acme.org/specimens"/> 
        <value value="20150107-0012"/> 
      </identifier> 
      <type> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="119364003"/> 
          <display value="Serum sample"/> 
        </coding> 
      </type> 
      <subject> 
        <reference value="Patient/example"/> 
      </subject> 
      <collection> 
        <collectedDateTime value="2015-08-16T06:40:17Z"/> 
      </collection> 
    </Specimen> 
  </contained> 
  <identifier> 
    <type> 
      <coding> 
        <system value="http://hl7.org/fhir/identifier-type"/> 
        <code value="PLAC"/> 
      </coding> 
      <text value="Placer"/> 
    </type> 
    <system value="urn:oid:1.3.4.5.6.7"/> 
    <value value="2345234234234"/> 
  </identifier> 
  <status value="active"/> 
  <intent value="original-order"/> 
  <code> 
    <coding> 
      <system value="http://acme.org/tests"/> 
      <code value="LIPID"/> 
    </coding> 
    <text value="Lipid Panel"/> 
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
  </subject> 
  <context> 
    <reference value="Encounter/example"/> 
  </context> 
  <occurrenceDateTime value="2013-05-02T16:16:00-07:00"/> 
  <requester> 
      <reference value="Practitioner/example"/> 
  </requester> 
  <performer> 
    <reference value="Practitioner/f202"/> 
  </performer> 
  <reasonCode> 
    <coding> 
      <system value="http://hl7.org/fhir/sid/icd-9"/> 
      <code value="V173"/> 
      <display value="Fam hx-ischem heart dis"/> 
    </coding> 
  </reasonCode> 
  <supportingInfo> 
    <reference value="#fasting"/> 
    <display value="Fasting status"/> 
  </supportingInfo> 
  <specimen> 
    <reference value="#serum"/> 
    <display value="Serum specimen"/> 
  </specimen> 
  <note> 
    <text value="patient is afraid of needles"/> 
  </note> 
</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.