Release 4

Servicerequest-example2.json

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

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

An example of an order for home physiotherapy

{
  "resourceType": "ServiceRequest",
  "id": "physiotherapy",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: physiotherapy</p><p><b>contained</b>: , </p><p><b>identifier</b>: Placer = 20170201-0001</p><p><b>basedOn</b>: <a>CarePlan/gpvisit</a></p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>code</b>: Physiotherapy of chest (regime/therapy) <span>(Details : {SNOMED CT code '34431008' = 'Physiotherapy of chest', given as 'Physiotherapy of chest (regime/therapy)'})</span></p><p><b>subject</b>: <a>Patient/example</a></p><p><b>occurrence</b>: Duration 15days, Do 1-1 per 1 days</p><p><b>asNeeded</b>: as needed to clear mucus <span>(Details )</span></p><p><b>authoredOn</b>: Feb 1, 2017 5:23:07 PM</p><p><b>requester</b>: <a>Dr Adam Careful</a></p><p><b>reason</b>: </p><p><b>relevantHistory</b>: Author's Signature. Generated Summary: id: signature; recorded: Feb 1, 2017 5:23:07 PM; </p></div>"
  },
  "contained": [
    {
      "resourceType": "Provenance",
      "id": "signature",
      "target": [
        {
          "reference": "ServiceRequest/physiotherapy/_history/1"
        }
      ],
      "recorded": "2017-02-01T17:23:07Z",
      "agent": [
        {
          "role": [
            {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "AUT"
                }
              ]
            }
          ],
          "who": {
            "reference": "Practitioner/example",
            "display": "Dr Adam Careful"
          }
        }
      ],
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.1",
              "display": "Author's Signature"
            }
          ],
          "when": "2017-02-01T17:23:07Z",
          "who": {
            "reference": "Practitioner/example",
            "display": "Dr Adam Careful"
          },
          "targetFormat": "application/fhir+xml",
          "sigFormat": "application/signature+xml",
          "data": "dGhpcyBibG9iIGlzIHNuaXBwZWQ="
        }
      ]
    },
    {
      "resourceType": "Condition",
      "id": "cystic-fibrosis",
      "clinicalStatus": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
            "code": "active"
          }
        ]
      },
      "verificationStatus": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
            "code": "confirmed"
          }
        ]
      },
      "category": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-category",
              "code": "problem-list-item",
              "display": "Problem List Item"
            }
          ]
        }
      ],
      "severity": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "255604002",
            "display": "Mild"
          }
        ]
      },
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/icd-10-cm",
            "code": "E84.0",
            "display": "Cystic fibrosis with pulmonary manifestations"
          }
        ],
        "text": "Cystic Fibrosis"
      },
      "subject": {
        "reference": "Patient/example"
      },
      "onsetDateTime": "2012-11-12"
    }
  ],
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "PLAC",
            "display": "Placer Identifier"
          }
        ],
        "text": "Placer"
      },
      "system": "http://goodhealth.org/placer-ids",
      "value": "20170201-0001"
    }
  ],
  "basedOn": [
    {
      "reference": "CarePlan/gpvisit"
    }
  ],
  "status": "completed",
  "intent": "order",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "34431008",
        "display": "Physiotherapy of chest (regime/therapy)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/example"
  },
  "occurrenceTiming": {
    "repeat": {
      "duration": 15,
      "durationMax": 25,
      "durationUnit": "min",
      "frequency": 1,
      "frequencyMax": 4,
      "period": 1,
      "periodUnit": "d"
    }
  },
  "asNeededCodeableConcept": {
    "text": "as needed to clear mucus"
  },
  "authoredOn": "2017-02-01T17:23:07Z",
  "requester": {
    "reference": "Practitioner/example",
    "display": "Dr Adam Careful"
  },
  "reason": [
    {
      "reference": {
        "reference": "#cystic-fibrosis"
      }
    }
  ],
  "relevantHistory": [
    {
      "reference": "#signature",
      "display": "Author's Signature"
    }
  ]
}

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.