QI-Core Implementation Guide
4.1.0 - release

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## : ServiceRequest referral example - XML Representation

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    <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="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "referral-example" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-qicore-servicerequest.html">QICoreServiceRequest</a></p></div><p><b>Reason for current status</b>: Refused by parents of subject <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#609589008)</span></p><p><b>status</b>: revoked</p><p><b>intent</b>: order</p><p><b>category</b>: Referral for procedure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#700274009)</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; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#172676009)</span></p><p><b>subject</b>: <a href="Patient-example.html">Patient/example</a> " CHALMERS"</p><p><b>encounter</b>: <a href="Encounter-example.html">Encounter/example</a></p><p><b>occurrence</b>: 2014-02-13</p><p><b>authoredOn</b>: 2014-02-14</p><p><b>performerType</b>: Pediatric otolaryngology <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#417887005)</span></p><p><b>reasonCode</b>: Otitis media <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#65363002)</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>