Release 4B Ballot #1

This page is part of the FHIR Specification (v4.1.0: Release 4B 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

Servicerequest-example-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</b></p><p><b>identifier</b>: id: ret4421</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: 1234</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: <span>Patient referral to specialist</span></p><p><b>priority</b>: routine</p><p><b>code</b>: <span>Insertion of grommets</span></p><p><b>subject</b>: <a>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>Serena Shrink</a></p><p><b>performerType</b>: <span>ENT</span></p><p><b>performer</b>: <a>Dr Dave</a></p><p><b>reasonCode</b>: <span>For consideration of Grommets</span></p><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": {
    "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"
    }
  ],
  "reasonCode": [
    {
      "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.