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Servicerequest-example-lipid.xml

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw XML (canonical form + also see XML Format Specification)

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Lipid Panel Order (id = "lipid")

<?xml version="1.0" encoding="UTF-8"?>

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="lipid"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> identifier</b> : Placer: 2345234234234</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : original-order</p> <p> <b> code</b> : <span> Lipid Panel</span> </p> <p> <b> subject</b> : <a> Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers
           (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410
           5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a> </p> <p> <b> encounter</b> : <a> Generated Summary: status: in-progress; <span> inpatient encounter</span> </a> </p> <p> <b> occurrence</b> : May 2, 2013 11:16:00 PM</p> <p> <b> requester</b> : <a> Generated Summary: id: 23; active; Adam Careful </a> </p> <p> <b> performer</b> : <a> Generated Summary: UZI-nummer: 12345678902 (OFFICIAL), BIG-nummer: 12345678902 (OFFICIAL);
           active; Luigi Maas(OFFICIAL); Phone: +31715269111; gender: male; birthDate: 1960-06-12</a> </p> <h3> Reasons</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> <p> <b> supportingInfo</b> : <a>  </a> </p> <blockquote> <p/>  <p> <b> code</b> : <span> Fasting status - Reported</span> </p> <p> <b> subject</b> : <a> Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers
             (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410
             5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a> </p> <p> <b> value</b> : <span> Yes</span> </p> </blockquote> <p> <b> specimen</b> : <a>  </a> </p> <blockquote> <p> <b> identifier</b> : id: 20150107-0012</p> <p> <b> type</b> : <span> Serum sample</span> </p> <p> <b> subject</b> : <a> Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers
             (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410
             5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a> </p> <h3> Collections</h3> <table> <tr> <td> -</td> <td> <b> Collected[x]</b> </td> </tr> <tr> <td> *</td> <td> Aug 16, 2015 6:40:17 AM</td> </tr> </table> </blockquote> <p> <b> note</b> : patient is afraid of needles</p> </div> </text> <contained> 
    <Observation> 
      <id value="fasting"/> 
      <!--       the mandatory quality flag:       -->
      <status value="final"/> 
      <code> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="49541-6"/> 
          <display value="Fasting status - Reported"/> 
        </coding> 
      </code> 
      <subject> 
        <reference value="Patient/example"/> 
      </subject> 
      <valueCodeableConcept> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/> 
          <code value="Y"/> 
          <display value="Yes"/> 
        </coding> 
      </valueCodeableConcept> 
    </Observation> 
  </contained> 
  <contained> 
    <Specimen> 
      <id value="serum"/> 
      <identifier> 
        <system value="http://acme.org/specimens"/> 
        <value value="20150107-0012"/> 
      </identifier> 
      <type> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="119364003"/> 
          <display value="Serum sample"/> 
        </coding> 
      </type> 
      <subject> 
        <reference value="Patient/example"/> 
      </subject> 
      <collection> 
        <collectedDateTime value="2015-08-16T06:40:17Z"/> 
      </collection> 
    </Specimen> 
  </contained> 
  <identifier> 
    <type> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> 
        <code value="PLAC"/> 
      </coding> 
      <text value="Placer"/> 
    </type> 
    <system value="urn:oid:1.3.4.5.6.7"/> 
    <value value="2345234234234"/> 
  </identifier> 
  <status value="active"/> 
  <intent value="original-order"/> 
  <code> 
    <coding> 
      <system value="http://acme.org/tests"/> 
      <code value="LIPID"/> 
    </coding> 
    <text value="Lipid Panel"/> 
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
  </subject> 
  <encounter> 
    <reference value="Encounter/example"/> 
  </encounter> 
  <occurrenceDateTime value="2013-05-02T16:16:00-07:00"/> 
  <requester> 
      <reference value="Practitioner/example"/> 
  </requester> 
  <performer> 
    <reference value="Practitioner/f202"/> 
  </performer> 
  <reason> 
    <concept> 
      <coding> 
        <system value="http://hl7.org/fhir/sid/icd-9"/> 
        <code value="V173"/> 
        <display value="Fam hx-ischem heart dis"/> 
      </coding> 
    </concept> 
  </reason> 
  <supportingInfo> 
    <reference value="#fasting"/> 
    <display value="Fasting status"/> 
  </supportingInfo> 
  <specimen> 
    <reference value="#serum"/> 
    <display value="Serum specimen"/> 
  </specimen> 
  <note> 
    <text value="patient is afraid of needles"/> 
  </note> 
</ServiceRequest> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.