Release 4

Servicerequest-example-myringotomy.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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An example of a Myringotomy referral request (id = "myringotomy")

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

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="myringotomy"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : myringotomy</p> <p> <b> identifier</b> : ret4421</p> <p> <b> basedOn</b> : ServiceRequest for Myringotomy and insertion of tympanic ventilation tube</p> <p> <b> replaces</b> : prior ServiceRequest</p> <p> <b> requisition</b> : 1234</p> <p> <b> status</b> : active</p> <p> <b> intent</b> : order</p> <p> <b> category</b> : Patient referral to specialist <span> (Details : {SNOMED CT code '103696004' = 'Patient referral to specialist', given as 'Patient
           referral to specialist'})</span> </p> <p> <b> priority</b> : routine</p> <p> <b> code</b> : Insertion of grommets <span> (Details : {SNOMED CT code '172676009' = 'Myringotomy and insertion of short-term grommet',
           given as 'Myringotomy and insertion of tympanic ventilation tube'})</span> </p> <p> <b> subject</b> : <a> Beverly Weaver</a> </p> <p> <b> encounter</b> : Beverly Waver's encounter on 2014-02-14</p> <p> <b> occurrence</b> : ?? --&gt; 2014-03-14</p> <p> <b> authoredOn</b> : 2014-02-14</p> <p> <b> requester</b> : <a> Serena Shrink</a> </p> <p> <b> performerType</b> : ENT <span> (Details : {http://orionhealth.com/fhir/apps/specialties code 'ent' = 'ent', given as
           'ENT'})</span> </p> <p> <b> performer</b> : <a> Dr Dave</a> </p> <p> <b> reason</b> : </p> <p> <b> note</b> : In the past 2 years Beverly has had 6 instances of rt-sided Otitis media. She is   
          falling behind her peers at school, and displaying some learning difficulties.</p> </div> </text> <identifier> 
    <system value="http://orionhealth.com/fhir/apps/referralids"/> 
    <value value="ret4421"/> 
  </identifier> 
  <basedOn> 
    <display value="ServiceRequest for Myringotomy and insertion of tympanic ventilation tube"/> 
  </basedOn> 
  <replaces> 
    <display value="prior ServiceRequest"/> 
  </replaces> 
  <requisition> 
    <value value="1234"/> 
  </requisition> 
  <status value="active"/> 
  <intent value="order"/> 
  <category> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="103696004"/> 
      <display value="Patient referral to specialist"/> 
    </coding> 
  </category> 
  <priority value="routine"/> 
  <code> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="172676009"/> 
      <display value="Myringotomy and insertion of tympanic ventilation tube"/> 
    </coding> 
    <text value="Insertion of grommets"/> 
  </code> 
  <subject> 
    <reference value="https://fhir.orionhealth.com/blaze/fhir/Patient/77662"/> 
    <display value="Beverly Weaver"/> 
  </subject> 
  <encounter> 
    <display value="Beverly Waver's encounter on 2014-02-14"/> 
  </encounter> 
  <occurrencePeriod> 
    <end value="2014-03-14"/> 
  </occurrencePeriod> 
  <authoredOn value="2014-02-14"/> 
  <requester> 
      <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272"/> 
      <display value="Serena Shrink"/> 
  </requester> 
  <performerType> 
    <coding> 
      <system value="http://orionhealth.com/fhir/apps/specialties"/> 
      <code value="ent"/> 
      <display value="ENT"/> 
    </coding> 
  </performerType> 
  <performer> 
    <reference value="https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597"/> 
    <display value="Dr Dave"/> 
  </performer> 
  <reason> 
    <concept> 
      <text value="For consideration of Grommets"/> 
    </concept> 
  </reason> 
  <note> 
    <authorString value="Serena Shrink"/> 
    <time value="2014-02-14"/> 
    <text value="In the past 2 years Beverly has had 6 instances of rt-sided Otitis media. She is     falling
     behind her peers at school, and displaying some learning difficulties."/> 
  </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.