This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions
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 "myringotomy" </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 style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</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 "Myringotomy and insertion of tympanic ventilation tube")</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>: ?? --> 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 style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</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.