This page is part of the Quality Improvement Core Framework (v3.1.0: STU 3) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

ReferralRequest example

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Raw json

{
  "resourceType" : "ReferralRequest",
  "id" : "example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-referralrequest"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>status</b>: cancelled</p><p><b>intent</b>: order</p><p><b>type</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>serviceRequested</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); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 25/12/1974; </a></p><p><b>context</b>: <a href="Encounter-example.html">Generated Summary: id: example; status: in-progress; <span title="{http://hl7.org/fhir/v3/ActCode IMP}">inpatient encounter</span></a></p><p><b>occurrence</b>: 13/02/2014</p><p><b>authoredOn</b>: 14/02/2014</p><p><b>specialty</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>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/referralrequest-reasonRefused",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "609589008",
            "display" : "Refused by parents of subject"
          }
        ]
      }
    }
  ],
  "status" : "cancelled",
  "intent" : "order",
  "type" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "700274009",
        "display" : "Referral for procedure"
      }
    ]
  },
  "priority" : "routine",
  "serviceRequested" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "172676009",
          "display" : "Myringotomy and insertion of short-term tympanic ventilation tube (procedure)"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/example"
  },
  "context" : {
    "reference" : "Encounter/example"
  },
  "occurrenceDateTime" : "2014-02-13",
  "authoredOn" : "2014-02-14",
  "specialty" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "417887005",
        "display" : "Pediatric otolaryngology"
      }
    ]
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "65363002",
          "display" : "Otitis media"
        }
      ]
    }
  ]
}