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Example ServiceRequest/myringotomy (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 a Myringotomy referral request

{
  "resourceType" : "ServiceRequest",
  "id" : "myringotomy",
  "identifier" : [{
    "system" : "http://orionhealth.com/fhir/apps/referralids",
    "value" : "ret4421"
  }],
  "basedOn" : [{
    "display" : "ServiceRequest for Myringotomy and insertion of short-term grommet"
  }],
  "replaces" : [{
    "display" : "prior ServiceRequest"
  }],
  "requisition" : {
    "value" : "1234"
  },
  "status" : "active",
  "intent" : "order",
  "category" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "103696004",
      "display" : "Patient referral to specialist"
    }]
  }],
  "priority" : "routine",
  "code" : {
    "concept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "172676009",
        "display" : "Myringotomy and insertion of short-term grommet"
      }],
      "text" : "Insertion of grommets"
    }
  },
  "subject" : {
    "reference" : "https://fhir.example.org/blaze/fhir/Patient/77662",
    "display" : "Beverly Weaver"
  },
  "encounter" : {
    "display" : "Beverly Waver's encounter on 2014-02-14"
  },
  "occurrencePeriod" : {
    "end" : "2014-03-14"
  },
  "authoredOn" : "2014-02-14",
  "requester" : {
    "reference" : "https://fhir.example.org/blaze/fhir/Practitioner/77272",
    "display" : "Serena Shrink"
  },
  "performerType" : {
    "coding" : [{
      "system" : "http://orionhealth.com/fhir/apps/specialties",
      "code" : "ent",
      "display" : "ENT"
    }]
  },
  "performer" : [{
    "reference" : "https://fhir.example.org/blaze/fhir/Practitioner/76597",
    "display" : "Dr Dave"
  }],
  "reason" : [{
    "concept" : {
      "text" : "For consideration of Grommets"
    }
  }],
  "note" : [{
    "authorString" : "Serena Shrink",
    "time" : "2014-02-14",
    "text" : "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."
  }]
}

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.