This page is part of the Bidirectional Services eReferrals (BSeR) (v1.0.0: STU 1) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
Source view
{
"resourceType" : "ServiceRequest",
"id" : "servicerequest-BSeR-ReferralServiceRequest",
"meta" : {
"versionId" : "4",
"lastUpdated" : "2020-01-21T23:02:38.000-05:00",
"profile" : [
"http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralServiceRequest"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table xmlns:xsl=\"http://www.w3.org/1999/XSL/Transform\">\n <tr>\n <td style=\"font-weight: bold\">id</td>\n <td>\n <div title=\"id\">servicerequest-BSeR-ReferralServiceRequest</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">identifier</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n <div title=\"code\">PLAC</div> )\n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">http://terminology.hl7.org/CodeSystem/v2-0203</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">88888888</div>\n </li>\n <li>\n <a href=\"Organization-organization-bser-organization-saint-luke.html\">Organization/organization-bser-organization-saint-luke</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">identifier</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n <div title=\"code\">FILL</div> )\n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">http://terminology.hl7.org/CodeSystem/v2-0203</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">99999999</div>\n </li>\n <li>\n <a href=\"Organization-organization-bser-organization-saint-luke.html\">Organization/organization-bser-organization-saint-luke</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">status</td>\n <td>\n <div title=\"status\">active</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">intent</td>\n <td>\n <div title=\"intent\">order</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">code</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">Patient referral</div> (\n \n <div title=\"code\">3457005</div> )\n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://snomed.info/sct\">http://snomed.info/sct</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">subject</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li/>\n <li>\n <a href=\"Patient-patient-us-core-patient-eve-everywoman.html\">Eve Everywoman</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">occurrenceDateTime</td>\n <td>\n <div title=\"occurrenceDateTime\">2020-01-09</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">authoredOn</td>\n <td>\n <div title=\"authoredOn\">2020-02-14</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">requester</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li/>\n <li>\n <a href=\"PractitionerRole-practitionerrole-bser-referral-initiator.html\">Henry Seven, MD</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">performer</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li/>\n <li>\n <a href=\"PractitionerRole-practitionerrole-bser-referral-recipient.html\">Hailey Eight, MD</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">reasonCode</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">Arthritis (disorder)</div> (\n \n <div title=\"code\">3723001</div> )\n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://snomed.info/sct\">http://snomed.info/sct</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n </table>\n </div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC"
}
]
},
"value" : "88888888",
"assigner" : {
"reference" : "Organization/organization-bser-organization-saint-luke"
}
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "FILL"
}
]
},
"value" : "99999999",
"assigner" : {
"reference" : "Organization/organization-bser-organization-saint-luke"
}
}
],
"status" : "active",
"intent" : "order",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3457005",
"display" : "Patient referral"
}
]
},
"subject" : {
"reference" : "Patient/patient-us-core-patient-eve-everywoman",
"display" : "Eve Everywoman"
},
"occurrenceDateTime" : "2020-01-09",
"authoredOn" : "2020-02-14",
"requester" : {
"reference" : "PractitionerRole/practitionerrole-bser-referral-initiator",
"display" : "Henry Seven, MD"
},
"performer" : [
{
"reference" : "PractitionerRole/practitionerrole-bser-referral-recipient",
"display" : "Hailey Eight, MD"
}
],
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3723001",
"display" : "Arthritis (disorder)"
}
]
}
],
"insurance" : [
{
"reference" : "Coverage/coverage-BSeR-Coverage-eve-everywoman"
}
],
"supportingInfo" : [
{
"reference" : "Bundle/bundle-bser-referral-request-document-bundle-eve-everywoman"
}
]
}