ServiceRequest/referral-example

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Raw xml

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="referral-example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: referral-example</p><p><b>meta</b>: </p><p><b>status</b>: revoked</p><p><b>intent</b>: order</p><p><b>category</b>: Referral for procedure <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '700274009' = 'Referral for procedure', given as 'Referral for procedure'})</span></p><p><b>priority</b>: routine</p><p><b>code</b>: Myringotomy and insertion of short-term tympanic ventilation tube (procedure) <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '172676009' = 'Myringotomy and insertion of short-term grommet', given as 'Myringotomy and insertion of short-term tympanic ventilation tube (procedure)'})</span></p><p><b>subject</b>: <a href="Patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: Dec 25, 1974; </a></p><p><b>encounter</b>: <a href="Encounter-example.html">Generated Summary: id: example; status: in-progress; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}">inpatient encounter</span>; <span title="Codes: {http://www.ama-assn.org/go/cpt 99223}">Inpatient Hospital Care</span></a></p><p><b>occurrence</b>: Feb 13, 2014 12:00:00 AM</p><p><b>authoredOn</b>: Feb 14, 2014 12:00:00 AM</p><p><b>performerType</b>: Pediatric otolaryngology <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '417887005' = 'Pediatric otolaryngology', given as 'Pediatric otolaryngology'})</span></p><p><b>reasonCode</b>: Otitis media <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '65363002' = 'Otitis media', given as 'Otitis media'})</span></p></div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/request-statusReason">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="609589008"/>
        <display value="Refused by parents of subject"/>
      </coding>
    </valueCodeableConcept>
  </extension>
<!--  NOTE: This isn't quite right, it wasn't revoked by the authorizing provider, it was refused by the patient... not clear how to represent this in the R4 resource  -->
  <status value="revoked"/>
  <intent value="order"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="700274009"/>
      <display value="Referral for procedure"/>
    </coding>
  </category>
  <priority value="routine"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="172676009"/>
      <display
               value="Myringotomy and insertion of short-term tympanic ventilation tube (procedure)"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <encounter>
    <reference value="Encounter/example"/>
  </encounter>
  <occurrenceDateTime value="2014-02-13"/>
  <authoredOn value="2014-02-14"/>
<!-- <requester> -->
<!-- <agent> -->
<!-- <reference value="Practitioner/example"/> -->
<!-- </agent> -->
<!-- </requester> -->
  <performerType>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="417887005"/>
      <display value="Pediatric otolaryngology"/>
    </coding>
  </performerType>
<!-- <recipient> -->
<!-- <reference value="Practitioner/example"/> -->
<!-- </recipient> -->
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="65363002"/>
      <display value="Otitis media"/>
    </coding>
  </reasonCode>
</ServiceRequest>