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-example2.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 an order for home physiotherapy

{
  "resourceType": "ServiceRequest",
  "id": "physiotherapy",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: Placer: 20170201-0001</p><p><b>basedOn</b>: <a>Generated Summary: status: active; intent: plan; period: 1 Jan. 2013, 9:30:00 pm --&gt; (ongoing)</a></p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>code</b>: <span>Physiotherapy of chest (regime/therapy) </span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>occurrence</b>: Duration 15days, Do 1-1 per 1 days</p><p><b>asNeeded</b>: <span>as needed to clear mucus</span></p><p><b>authoredOn</b>: 2 Feb. 2017, 4:23:07 am</p><p><b>requester</b>: <a>Dr Adam Careful. Generated Summary: id: 23; active; Adam Careful </a></p><p><b>reasonReference</b>: <a> </a></p><blockquote><p><b>clinicalStatus</b>: <span>Active</span></p><p><b>verificationStatus</b>: <span>Confirmed</span></p><p><b>category</b>: <span>Problem List Item</span></p><p><b>severity</b>: <span>Mild</span></p><p><b>code</b>: <span>Cystic Fibrosis</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>onset</b>: 2012-11-12</p></blockquote><p><b>relevantHistory</b>: <a> </a></p><blockquote><p><b>target</b>: <a>ServiceRequest/physiotherapy/_history/1</a></p><p><b>recorded</b>: 2 Feb. 2017, 4:23:07 am</p><h3>Agents</h3><table><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td><span>author (originator)</span></td><td><a>Dr Adam Careful. Generated Summary: id: 23; active; Adam Careful </a></td></tr></table><h3>Signatures</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></div>"
  },
  "contained": [
    {
      "resourceType": "Provenance",
      "id": "signature",
      "target": [
        {
          "reference": "ServiceRequest/physiotherapy/_history/1"
        }
      ],
      "recorded": "2017-02-01T17:23:07Z",
      "agent": [
        {
          "role": [
            {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "AUT"
                }
              ]
            }
          ],
          "who": {
            "reference": "Practitioner/example",
            "display": "Dr Adam Careful"
          }
        }
      ],
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.1",
              "display": "Author's Signature"
            }
          ],
          "when": "2017-02-01T17:23:07Z",
          "who": {
            "reference": "Practitioner/example",
            "display": "Dr Adam Careful"
          },
          "targetFormat": "application/fhir+xml",
          "sigFormat": "application/signature+xml",
          "data": "dGhpcyBibG9iIGlzIHNuaXBwZWQ="
        }
      ]
    },
    {
      "resourceType": "Condition",
      "id": "cystic-fibrosis",
      "clinicalStatus": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
            "code": "active"
          }
        ]
      },
      "verificationStatus": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
            "code": "confirmed"
          }
        ]
      },
      "category": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-category",
              "code": "problem-list-item",
              "display": "Problem List Item"
            }
          ]
        }
      ],
      "severity": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255604002",
            "display": "Mild"
          }
        ]
      },
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/icd-10-cm",
            "code": "E84.0",
            "display": "Cystic fibrosis with pulmonary manifestations"
          }
        ],
        "text": "Cystic Fibrosis"
      },
      "subject": {
        "reference": "Patient/example"
      },
      "onsetDateTime": "2012-11-12"
    }
  ],
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "PLAC",
            "display": "Placer Identifier"
          }
        ],
        "text": "Placer"
      },
      "system": "http://goodhealth.org/placer-ids",
      "value": "20170201-0001"
    }
  ],
  "basedOn": [
    {
      "reference": "CarePlan/gpvisit"
    }
  ],
  "status": "completed",
  "intent": "order",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "34431008",
        "display": "Physiotherapy of chest (regime/therapy) "
      }
    ]
  },
  "subject": {
    "reference": "Patient/example"
  },
  "occurrenceTiming": {
    "repeat": {
      "duration": 15,
      "durationMax": 25,
      "durationUnit": "min",
      "frequency": 1,
      "frequencyMax": 4,
      "period": 1,
      "periodUnit": "d"
    }
  },
  "asNeededCodeableConcept": {
    "text": "as needed to clear mucus"
  },
  "authoredOn": "2017-02-01T17:23:07Z",
  "requester": {
    "reference": "Practitioner/example",
    "display": "Dr Adam Careful"
  },
  "reasonReference": [
    {
      "reference": "#cystic-fibrosis"
    }
  ],
  "relevantHistory": [
    {
      "reference": "#signature",
      "display": "Author's Signature"
    }
  ]
}

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.