Referral Prescription
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Referral Prescription, published by . This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/referral/ and changes regularly. See the Directory of published versions

: laboratory-order-example1 - XML Representation

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="laboratory-order-example1"/>
  <meta>
    <profile
             value="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-lab-prescription"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ServiceRequest</b><a name="laboratory-order-example1"> </a><a name="hclaboratory-order-example1"> </a></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 ServiceRequest &quot;laboratory-order-example1&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-lab-prescription.html">BeLabPrescription</a></p></div><p><b>BeFeedbackToPrescriber</b>: true</p><p><b>BeValidityPeriod</b>: 2021-10-10 --&gt; (ongoing)</p><p><b>Reason for current status</b>: In progress <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-be-prescription-status-reason.html">BePrescriptionStatusReason</a>#inProgress)</span></p><blockquote><p><b>BeUrgentCommunication</b></p><blockquote><p><b>url</b></p><code>party</code></blockquote><p><b>value</b>: <a name="hcRequester1"> </a></p><blockquote><p/><p><a name="Requester1"> </a></p><p><a name="hcRequester1"> </a></p><p><b>identifier</b>: BeNIHDINamingSystem/88888888881 (use: OFFICIAL)</p><p><b>name</b>: Henry Seven (OFFICIAL)</p><p><b>telecom</b>: ph: 322882299(HOME)</p><p><b>address</b>: Werkstraat 26, 1000 Brussel(WORK)</p></blockquote><blockquote><p><b>url</b></p><code>instructions</code></blockquote><p><b>value</b>: Send the requester an email, when the test is done.</p><blockquote><p><b>url</b></p><code>contactway</code></blockquote></blockquote><p><b>identifier</b>: <a href="NamingSystem-be-ns-uhmep.html" title="UHMEP naming system">BeUnadressedHealthMessageExchangePlatform</a>/XXXXXX</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>category</b>: Laboratory test <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT[BE]</a>#15220000)</span></p><p><b>priority</b>: stat</p><p><b>code</b>: Hematology studies (set) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#18723-7)</span></p><p><b>orderDetail</b>: Erythrocyte sedimentation rate <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#30341-2)</span>, Erythrocytes [#/volume] in Blood by Automated count <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#789-8)</span>, Carboxyhemoglobin/Hemoglobin.total in Blood <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#20563-3)</span>, Test described in text only <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><p><b>subject</b>: <a name="hcpatient1"> </a></p><blockquote><p/><p><a name="patient1"> </a></p><p><a name="hcpatient1"> </a></p><p><b>identifier</b>: BeSSINNamingSystem/99999999991 (use: OFFICIAL)</p><p><b>name</b>: Jane Doe </p><p><b>telecom</b>: ph: 322672299(HOME)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1956-05-27</p><p><b>address</b>: Labradorstraat 26, 1000 Brussel(HOME)</p></blockquote><p><b>authoredOn</b>: 2015-11-01 00:00:00+0100</p><p><b>requester</b>: <a name="hcrequesterrole1"> </a></p><blockquote><p/><p><a name="requesterrole1"> </a></p><p><a name="hcrequesterrole1"> </a></p><p><b>practitioner</b>: <a href="#hcRequester1">#Requester1</a></p><p><b>code</b>: physician <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://build.fhir.org/ig/hl7-be/core//CodeSystem-cd-hcparty.html">BeCdHcParty</a>#persphysician)</span></p></blockquote><p><b>performer</b>: <a name="hcpractitionerrole1"> </a></p><blockquote><p/><p><a name="practitionerrole1"> </a></p><p><a name="hcpractitionerrole1"> </a></p><p><b>identifier</b>: <code>http://www.acme.org/practitioners</code>/23</p><p><b>active</b>: true</p><p><b>period</b>: 2019-08-01 00:00:00+0000 --&gt; 2019-12-01 00:00:00+0000</p><p><b>practitioner</b>: <a href="Practitioner-Performer1.html">Practitioner/Performer1: Dr Katherine Pulaski</a> &quot; LISA&quot;</p><p><b>code</b>: physician <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://build.fhir.org/ig/hl7-be/core//CodeSystem-cd-hcparty.html">BeCdHcParty</a>#persphysician)</span></p><p><b>specialty</b>: Family practice <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT[BE]</a>#419772000)</span></p><blockquote><p><b>availableTime</b></p><p><b>daysOfWeek</b>: mon, tue, wed</p><p><b>availableStartTime</b>: 09:00:00</p><p><b>availableEndTime</b>: 16:30:00</p></blockquote><blockquote><p><b>availableTime</b></p><p><b>daysOfWeek</b>: thu, fri</p><p><b>availableStartTime</b>: 09:00:00</p><p><b>availableEndTime</b>: 12:00:00</p></blockquote><h3>NotAvailables</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>During</b></td></tr><tr><td style="display: none">*</td><td>Katherine will be on extended leave during August 2020</td><td>2020-08-01 00:00:00+0000 --&gt; 2020-08-20 00:00:00+0000</td></tr></table><p><b>availabilityExceptions</b>: Katherine is generally unavailable on public holidays and during the Christmas/New Year break</p></blockquote><p><b>reasonCode</b>: TheJustification <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (#123)</span></p><p><b>supportingInfo</b>: </p><ul><li><a name="hcobservation1"> </a></li><li><a name="hccondition1"> </a></li><li><a name="hcmedia1"> </a></li></ul><blockquote><p/><p><a name="observation1"> </a></p><p><a name="hcobservation1"> </a></p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Heart rate <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#8867-4; <a href="https://browser.ihtsdotools.org/">SNOMED CT[BE]</a>#364075005 &quot;Heart rate (observable entity)&quot;)</span></p><p><b>subject</b>: <a href="#hcpatient1">#patient1</a></p><p><b>effective</b>: 1999-07-02</p><p><b>performer</b>: <a href="#hcRequester1">#Requester1</a></p><p><b>value</b>: 51 beats/minute<span style="background: LightGoldenRodYellow"> (Details: UCUM code /min = '/min')</span></p></blockquote><blockquote><p/><p><a name="condition1"> </a></p><p><a name="hccondition1"> </a></p><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-condition-clinical.html">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Provisional <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#provisional)</span></p><p><b>code</b>: bradycardie <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><p><b>subject</b>: <a href="#hcpatient1">#patient1</a></p><p><b>note</b>: This is a suspicion</p></blockquote><blockquote><p/><p><a name="media1"> </a></p><p><a name="hcmedia1"> </a></p><p><b>status</b>: current</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ContentType</b></td><td><b>Data</b></td></tr><tr><td style="display: none">*</td><td>image/gif</td><td>(base64 data - 115 bytes)</td></tr></table></blockquote></blockquote><p><b>specimen</b>: <a name="hcspecimen1"> </a></p><blockquote><p/><p><a name="specimen1"> </a></p><p><a name="hcspecimen1"> </a></p><p><b>identifier</b>: <code>https://www.GTL-LABO.be/</code>/1</p><p><b>type</b>: A string can be added to nuance or explain. <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT[BE]</a>#119297000 &quot;Blood specimen&quot;)</span></p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td><td><b>Method</b></td><td><b>BodySite</b></td></tr><tr><td style="display: none">*</td><td>2015-11-03</td><td>Venipuncture for blood test (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT[BE]</a>#28520004)</span></td><td>Left upper arm structure (body structure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT[BE]</a>#368208006)</span></td></tr></table><p><b>note</b>: Some extra relevant information concerning the specimen</p></blockquote><p><b>note</b>: Some free text explaining about these tests that are ordered.</p><hr/><blockquote><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;"><b>Jane Doe </b> female, DoB: 1956-05-27 ( BeSSINNamingSystem/99999999991 (use: OFFICIAL))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Details:</td><td colspan="3"><ul><li>ph: 322672299(HOME)</li><li>Labradorstraat 26, 1000 Brussel(HOME)</li></ul></td></tr></table></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #observation1</b><a name="observation1"> </a><a name="hcobservation1"> </a></p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Heart rate <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#8867-4; <a href="https://browser.ihtsdotools.org/">SNOMED CT[BE]</a>#364075005 &quot;Heart rate (observable entity)&quot;)</span></p><p><b>subject</b>: <a href="#hcpatient1">#patient1</a></p><p><b>effective</b>: 1999-07-02</p><p><b>performer</b>: <a href="#hcRequester1">#Requester1</a></p><p><b>value</b>: 51 beats/minute<span style="background: LightGoldenRodYellow"> (Details: UCUM code /min = '/min')</span></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Condition #condition1</b><a name="condition1"> </a><a name="hccondition1"> </a></p><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-condition-clinical.html">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Provisional <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#provisional)</span></p><p><b>code</b>: bradycardie <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><p><b>subject</b>: <a href="#hcpatient1">#patient1</a></p><p><b>note</b>: This is a suspicion</p></blockquote><hr/><blockquote><p><b>Generated Narrative: DocumentReference #media1</b><a name="media1"> </a><a name="hcmedia1"> </a></p><p><b>status</b>: current</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ContentType</b></td><td><b>Data</b></td></tr><tr><td style="display: none">*</td><td>image/gif</td><td>(base64 data - 115 bytes)</td></tr></table></blockquote></blockquote><hr/><blockquote><p><b>Generated Narrative: Practitioner #Requester1</b><a name="Requester1"> </a><a name="hcRequester1"> </a></p><p><b>identifier</b>: BeNIHDINamingSystem/88888888881 (use: OFFICIAL)</p><p><b>name</b>: Henry Seven (OFFICIAL)</p><p><b>telecom</b>: ph: 322882299(HOME)</p><p><b>address</b>: Werkstraat 26, 1000 Brussel(WORK)</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Specimen #specimen1</b><a name="specimen1"> </a><a name="hcspecimen1"> </a></p><p><b>identifier</b>: <code>https://www.GTL-LABO.be/</code>/1</p><p><b>type</b>: A string can be added to nuance or explain. <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT[BE]</a>#119297000 &quot;Blood specimen&quot;)</span></p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td><td><b>Method</b></td><td><b>BodySite</b></td></tr><tr><td style="display: none">*</td><td>2015-11-03</td><td>Venipuncture for blood test (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT[BE]</a>#28520004)</span></td><td>Left upper arm structure (body structure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT[BE]</a>#368208006)</span></td></tr></table><p><b>note</b>: Some extra relevant information concerning the specimen</p></blockquote><hr/><blockquote><p><b>Generated Narrative: PractitionerRole #practitionerrole1</b><a name="practitionerrole1"> </a><a name="hcpractitionerrole1"> </a></p><p><b>identifier</b>: <code>http://www.acme.org/practitioners</code>/23</p><p><b>active</b>: true</p><p><b>period</b>: 2019-08-01 00:00:00+0000 --&gt; 2019-12-01 00:00:00+0000</p><p><b>practitioner</b>: <a href="Practitioner-Performer1.html">Practitioner/Performer1: Dr Katherine Pulaski</a> &quot; LISA&quot;</p><p><b>code</b>: physician <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://build.fhir.org/ig/hl7-be/core//CodeSystem-cd-hcparty.html">BeCdHcParty</a>#persphysician)</span></p><p><b>specialty</b>: Family practice <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT[BE]</a>#419772000)</span></p><blockquote><p><b>availableTime</b></p><p><b>daysOfWeek</b>: mon, tue, wed</p><p><b>availableStartTime</b>: 09:00:00</p><p><b>availableEndTime</b>: 16:30:00</p></blockquote><blockquote><p><b>availableTime</b></p><p><b>daysOfWeek</b>: thu, fri</p><p><b>availableStartTime</b>: 09:00:00</p><p><b>availableEndTime</b>: 12:00:00</p></blockquote><h3>NotAvailables</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>During</b></td></tr><tr><td style="display: none">*</td><td>Katherine will be on extended leave during August 2020</td><td>2020-08-01 00:00:00+0000 --&gt; 2020-08-20 00:00:00+0000</td></tr></table><p><b>availabilityExceptions</b>: Katherine is generally unavailable on public holidays and during the Christmas/New Year break</p></blockquote><hr/><blockquote><p><b>Generated Narrative: PractitionerRole #requesterrole1</b><a name="requesterrole1"> </a><a name="hcrequesterrole1"> </a></p><p><b>practitioner</b>: <a href="#hcRequester1">#Requester1</a></p><p><b>code</b>: physician <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://build.fhir.org/ig/hl7-be/core//CodeSystem-cd-hcparty.html">BeCdHcParty</a>#persphysician)</span></p></blockquote></div>
  </text>
  <contained>
    <Patient>
      <id value="patient1"/>
      <meta>
        <profile
                 value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"/>
      </meta>
      <identifier>
        <use value="official"/>
        <system
                value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"/>
        <value value="99999999991"/>
      </identifier>
      <name>
        <family value="Doe"/>
        <given value="Jane"/>
      </name>
      <telecom>
        <system value="phone"/>
        <value value="322672299"/>
        <use value="home"/>
      </telecom>
      <gender value="female"/>
      <birthDate value="1956-05-27"/>
      <address>
        <use value="home"/>
        <type value="both"/>
        <text value="Labradorstraat 26, 1000 Brussel"/>
        <line value="Labradorstraat 26"/>
        <city value="Brussel"/>
        <postalCode value="1000"/>
        <country value="BE"/>
      </address>
    </Patient>
  </contained>
  <contained>
    <Observation>
      <id value="observation1"/>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/observation-category"/>
          <code value="vital-signs"/>
          <display value="Vital Signs"/>
        </coding>
        <text value="Vital Signs"/>
      </category>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="8867-4"/>
          <display value="Heart rate"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="364075005"/>
          <display value="Heart rate (observable entity)"/>
        </coding>
        <text value="Heart rate"/>
      </code>
      <subject>
        <reference value="#patient1"/>
      </subject>
      <effectiveDateTime value="1999-07-02"/>
      <performer>
        <reference value="#Requester1"/>
      </performer>
      <valueQuantity>
        <value value="51"/>
        <unit value="beats/minute"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="/min"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Condition>
      <id value="condition1"/>
      <clinicalStatus>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
          <code value="active"/>
        </coding>
      </clinicalStatus>
      <verificationStatus>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
          <code value="provisional"/>
        </coding>
      </verificationStatus>
      <code>
        <text value="bradycardie"/>
      </code>
      <subject>
        <reference value="#patient1"/>
      </subject>
      <note>
        <text value="This is a suspicion"/>
      </note>
    </Condition>
  </contained>
  <contained>
    <DocumentReference>
      <id value="media1"/>
      <status value="current"/>
      <content>
        <attachment>
          <contentType value="image/gif"/>
          <data
                value="iVBORw0KGgoAAAANSUhEUgAAA+MAAACnCAYAAAB6pY03AAAAAXNSR0IArs4c6QAAAARnQU1BAACx jwv8YQUAAAAJcEhZcwAAEnMAABJzAYwiuQcAADBZSURBVHhe7d09rty218fxrOFfZj/ZQHZgwEiZ gg=="/>
        </attachment>
      </content>
    </DocumentReference>
  </contained>
  <contained>
    <Practitioner>
      <id value="Requester1"/>
      <meta>
        <profile
                 value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"/>
      </meta>
      <identifier>
        <use value="official"/>
        <system
                value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"/>
        <value value="88888888881"/>
      </identifier>
      <name>
        <use value="official"/>
        <family value="Seven"/>
        <given value="Henry"/>
      </name>
      <telecom>
        <system value="phone"/>
        <value value="322882299"/>
        <use value="home"/>
      </telecom>
      <address>
        <use value="work"/>
        <type value="both"/>
        <text value="Werkstraat 26, 1000 Brussel"/>
        <line value="Werkstraat 26"/>
        <city value="Brussel"/>
        <postalCode value="1000"/>
        <country value="BE"/>
      </address>
    </Practitioner>
  </contained>
  <contained>
    <Specimen>
      <id value="specimen1"/>
      <identifier>
        <system value="https://www.GTL-LABO.be/"/>
        <value value="1"/>
      </identifier>
      <type>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="119297000"/>
          <display value="Blood specimen"/>
        </coding>
        <text value="A string can be added to nuance or explain."/>
      </type>
      <collection>
        <collectedDateTime value="2015-11-03"/>
        <method>
          <coding>
            <system value="http://snomed.info/sct"/>
            <version value="http://snomed.info/sct/11000172109"/>
            <code value="28520004"/>
            <display value="Venipuncture for blood test (procedure)"/>
          </coding>
        </method>
        <bodySite>
          <coding>
            <system value="http://snomed.info/sct"/>
            <version value="http://snomed.info/sct/11000172109"/>
            <code value="368208006"/>
            <display value="Left upper arm structure (body structure)"/>
          </coding>
        </bodySite>
      </collection>
      <note>
        <text
              value="Some extra relevant information concerning the specimen"/>
      </note>
    </Specimen>
  </contained>
  <contained>
    <PractitionerRole>
      <id value="practitionerrole1"/>
      <meta>
        <profile
                 value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"/>
      </meta>
      <identifier>
        <system value="http://www.acme.org/practitioners"/>
        <value value="23"/>
      </identifier>
      <active value="true"/>
      <period>
        <start value="2019-08-01T00:00:00.000Z"/>
        <end value="2019-12-01T00:00:00.000Z"/>
      </period>
      <practitioner>🔗 
        <reference value="Practitioner/Performer1"/>
        <display value="Dr Katherine Pulaski"/>
      </practitioner>
      <code>
        <coding>
          <system
                  value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
          <code value="persphysician"/>
          <display value="physician"/>
        </coding>
      </code>
      <specialty>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="419772000"/>
          <display value="Family practice"/>
        </coding>
      </specialty>
      <availableTime>
        <daysOfWeek value="mon"/>
        <daysOfWeek value="tue"/>
        <daysOfWeek value="wed"/>
        <availableStartTime value="09:00:00"/>
        <availableEndTime value="16:30:00"/>
      </availableTime>
      <availableTime>
        <daysOfWeek value="thu"/>
        <daysOfWeek value="fri"/>
        <availableStartTime value="09:00:00"/>
        <availableEndTime value="12:00:00"/>
      </availableTime>
      <notAvailable>
        <description
                     value="Katherine will be on extended leave during August 2020"/>
        <during>
          <start value="2020-08-01T00:00:00.000Z"/>
          <end value="2020-08-20T00:00:00.000Z"/>
        </during>
      </notAvailable>
      <availabilityExceptions
                              value="Katherine is generally unavailable on public holidays and during the Christmas/New Year break"/>
    </PractitionerRole>
  </contained>
  <contained>
    <PractitionerRole>
      <id value="requesterrole1"/>
      <meta>
        <profile
                 value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"/>
      </meta>
      <practitioner>
        <reference value="#Requester1"/>
      </practitioner>
      <code>
        <coding>
          <system
                  value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
          <code value="persphysician"/>
          <display value="physician"/>
        </coding>
      </code>
    </PractitionerRole>
  </contained>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber">
    <valueBoolean value="true"/>
  </extension>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period">
    <valuePeriod>
      <start value="2021-10-10"/>
    </valuePeriod>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/request-statusReason">
    <valueCodeableConcept>
      <coding>
        <system
                value="https://www.ehealth.fgov.be/standards/fhir/referral/CodeSystem/be-prescription-status-reason"/>
        <code value="inProgress"/>
        <display value="In progress"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication">
    <extension url="party">
      <valueReference>
        <reference value="#Requester1"/>
      </valueReference>
    </extension>
    <extension url="instructions">
      <valueString
                   value="Send the requester an email, when the test is done."/>
    </extension>
    <extension url="contactway">
      <extension url="contactSystem">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/contact-point-system"/>
            <code value="email"/>
            <display value="email"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="contactSystemValue">
        <valueString value="doctor@mycabinet.be"/>
      </extension>
    </extension>
  </extension>
  <identifier>
    <system
            value="https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep"/>
    <value value="XXXXXX"/>
  </identifier>
  <status value="active"/>
  <intent value="original-order"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version value="http://snomed.info/sct/11000172109"/>
      <code value="15220000"/>
      <display value="Laboratory test"/>
    </coding>
  </category>
  <priority value="stat"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="18723-7"/>
      <display value="Hematology studies (set)"/>
    </coding>
  </code>
  <orderDetail>
    <coding>
      <system value="http://loinc.org"/>
      <code value="30341-2"/>
      <display value="Erythrocyte sedimentation rate"/>
    </coding>
  </orderDetail>
  <orderDetail>
    <coding>
      <system value="http://loinc.org"/>
      <code value="789-8"/>
      <display value="Erythrocytes [#/volume] in Blood by Automated count"/>
    </coding>
  </orderDetail>
  <orderDetail>
    <coding>
      <system value="http://loinc.org"/>
      <code value="20563-3"/>
      <display value="Carboxyhemoglobin/Hemoglobin.total in Blood"/>
    </coding>
  </orderDetail>
  <orderDetail>
    <text value="Test described in text only"/>
  </orderDetail>
  <subject>
    <reference value="#patient1"/>
  </subject>
  <authoredOn value="2015-11-01T00:00:00+01:00"/>
  <requester>
    <reference value="#requesterrole1"/>
  </requester>
  <performer>
    <reference value="#practitionerrole1"/>
  </performer>
  <reasonCode>
    <coding>
      <system value="https://www.SOME_NOMENCLATURE_SYSTEM.be/"/>
      <code value="123"/>
      <display value="TheJustification"/>
    </coding>
  </reasonCode>
  <supportingInfo>
    <reference value="#observation1"/>
  </supportingInfo>
  <supportingInfo>
    <reference value="#condition1"/>
  </supportingInfo>
  <supportingInfo>
    <reference value="#media1"/>
  </supportingInfo>
  <specimen>
    <reference value="#specimen1"/>
  </specimen>
  <note>
    <text
          value="Some free text explaining about these tests that are ordered."/>
  </note>
</ServiceRequest>