This page is part of the MCC eCare Plan Implementation Guide (v1.0.0-ballot2: STU 1 Ballot 2) based on FHIR R4. . For a full list of available versions, see the Directory of published versions
: Multiple Chronic Condition Service Request - Food Pantry - XML Representation
Raw xml | Download
<ServiceRequest xmlns="http://hl7.org/fhir">
<id value="foodpantry-referral"/>
<meta>
<extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
<valueString value="ServiceRequest Example"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-description">
<valueMarkdown
value="This is a service request example for the MCC ServiceRequest Profile."/>
</extension>
<versionId value="10"/>
<lastUpdated value="2023-06-06T21:12:21.819Z"/>
<profile
value="http://hl7.org/fhir/us/mcc/StructureDefinition/MCCServiceRequest"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ServiceRequest</b><a name="foodpantry-referral"> </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 "foodpantry-referral" Version "10" Updated "2023-06-06 21:12:21+0000" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-MCCServiceRequest.html">Multiple Chronic Condition Care Plan Service Request</a></p></div><p><b>pertains to goal</b>: <a href="Goal-HPT-WNL.html">Goal/HPT-WNL</a></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Social Determinants Of Health <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/core/STU6.1/CodeSystem-us-core-category.html">US Core Category</a>#sdoh "SDOH")</span></p><p><b>code</b>: Assistance with application for food pantry program <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT[US rel. Oct 0012]</a>#467771000124109)</span></p><p><b>subject</b>: <a href="Patient-cc-pat-pnoelle.html">Patient/cc-pat-pnoelle</a> " NOELLE"</p><p><b>occurrence</b>: 2021-11-20</p><p><b>authoredOn</b>: 2021-11-12 10:59:38-0800</p><p><b>requester</b>: <a href="Practitioner-practitionerMCC-3.html">Practitioner/practitionerMCC-3</a> " PRIMARY"</p></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal">
<valueReference>
<reference value="Goal/HPT-WNL"/>
</valueReference>
</extension>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="http://hl7.org/fhir/us/core/CodeSystem/us-core-category"/>
<code value="sdoh"/>
<display value="SDOH"/>
</coding>
<text value="Social Determinants Of Health"/>
</category>
<code>
<coding>
<!-- system value="http://snomed.info/sct"/ -->
<!-- system value="http://snomed.info/sct/731000124108"/><version value = "20220301"/ -->
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/731000124108/version/20220301"/>
<code value="467771000124109"/>
<display value="Assistance with application for food pantry program"/>
</coding>
</code>
<subject>
<reference value="Patient/cc-pat-pnoelle"/>
</subject>
<occurrenceDateTime value="2021-11-20"/>
<authoredOn value="2021-11-12T10:59:38-08:00"/>
<requester>
<reference value="Practitioner/practitionerMCC-3"/>
</requester>
</ServiceRequest>