Referral Prescription
1.0.0 - STU Belgium flag

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

: example-b - JSON Representation

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{
  "resourceType" : "ServiceRequest",
  "id" : "example-b",
  "meta" : {
    "profile" : [
      🔗 "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-referral-servicerequest-diagnosticimaging"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest example-b</b></p><a name=\"example-b\"> </a><a name=\"hcexample-b\"> </a><a name=\"example-b-en-US\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-be-referral-servicerequest-diagnosticimaging.html\">BeReferralServiceRequestDiagnosticImaging</a></p></div><p><b>BeValidityPeriod</b>: 2024-10-15 --&gt; 2025-04-15</p><blockquote><p><b>BeRelevantInfo</b></p><ul><li>key: <span title=\"Codes:{https://qsimedical.com Bone-pain-hand}\">Bone-pain-hand</span></li><li>value: <span title=\"Codes:{http://snomed.info/sct 373066001}\">Yes (qualifier value)</span></li></ul></blockquote><blockquote><p><b>BeRelevantInfo</b></p><ul><li>key: <span title=\"Codes:{http://snomed.info/sct 237597000}\">Disorder of glucose regulation</span></li><li>value: <span title=\"Codes:{http://snomed.info/sct 373066001}\">Yes (qualifier value)</span></li></ul></blockquote><blockquote><p><b>BeRelevantInfo</b></p><ul><li>key: <span title=\"Codes:{http://snomed.info/sct 77386006}\">Pregnancy</span></li><li>value: <span title=\"Codes:{http://snomed.info/sct 373067005}\">No (qualifier value)</span></li></ul></blockquote><blockquote><p><b>BeRelevantInfo</b></p><ul><li>key: <span title=\"Codes:{http://snomed.info/sct 40388003}\">Implant</span></li><li>value: <span title=\"Codes:{http://snomed.info/sct 373067005}\">No (qualifier value)</span></li></ul></blockquote><blockquote><p><b>BeRelevantInfo</b></p><ul><li>key: <span title=\"Codes:{http://snomed.info/sct 293637006}\">Contrast media allergy</span></li><li>value: <span title=\"Codes:{http://snomed.info/sct 373066001}\">Yes (qualifier value)</span></li></ul></blockquote><blockquote><p><b>BeRelevantInfo</b></p><ul><li>key: <span title=\"Codes:{http://snomed.info/sct 422321007}\">Metallic foreign body (morphologic abnormality)</span></li><li>value: <span title=\"Codes:{http://snomed.info/sct 373067005}\">No (qualifier value)</span></li></ul></blockquote><blockquote><p><b>BeRelevantInfo</b></p><ul><li>key: <span title=\"Codes:{http://snomed.info/sct 236423003}\">Renal impairment</span></li><li>value: <span title=\"Codes:{http://snomed.info/sct 373067005}\">No (qualifier value)</span></li></ul></blockquote><blockquote><p><b>BeRelevantInfo</b></p><ul><li>key: <span title=\"Codes:{http://snomed.info/sct 74964007}\">Other</span></li><li>value: <span title=\"Codes:{http://snomed.info/sct 373067005}\">No (qualifier value)</span></li></ul></blockquote><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 363679005}\">Imaging (procedure)</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:{https://qsimedical.com XRAY-upper-extremity-hand}\">XRAY-upper-extremity-hand</span></p><p><b>subject</b>: Identifier: <a href=\"https://build.fhir.org/ig/hl7-be/core/NamingSystem-be-ssin.html\" title=\"NISS/INSZ\">BeSSINNamingSystem</a>/87011512345</p><p><b>authoredOn</b>: 2024-10-15 00:00:00+0000</p><p><b>requester</b>: <a href=\"PractitionerRole-DOCTOR-12009390800.html\">PractitionerRole physician</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 125605004}\">Fracture of bone</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 85562004}\">Hand</span></p></div>"
  },
  "extension" : [
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period",
      "valuePeriod" : {
        "start" : "2024-10-15",
        "end" : "2025-04-15"
      }
    },
    {
      "extension" : [
        {
          "url" : "key",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://qsimedical.com",
                "code" : "Bone-pain-hand"
              }
            ]
          }
        },
        {
          "url" : "value",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "373066001"
              }
            ]
          }
        }
      ],
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info"
    },
    {
      "extension" : [
        {
          "url" : "key",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "237597000"
              }
            ]
          }
        },
        {
          "url" : "value",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "373066001"
              }
            ]
          }
        }
      ],
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info"
    },
    {
      "extension" : [
        {
          "url" : "key",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "77386006"
              }
            ]
          }
        },
        {
          "url" : "value",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "373067005"
              }
            ]
          }
        }
      ],
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info"
    },
    {
      "extension" : [
        {
          "url" : "key",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "40388003"
              }
            ]
          }
        },
        {
          "url" : "value",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "373067005"
              }
            ]
          }
        }
      ],
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info"
    },
    {
      "extension" : [
        {
          "url" : "key",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "293637006"
              }
            ]
          }
        },
        {
          "url" : "value",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "373066001"
              }
            ]
          }
        }
      ],
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info"
    },
    {
      "extension" : [
        {
          "url" : "key",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "422321007"
              }
            ]
          }
        },
        {
          "url" : "value",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "373067005"
              }
            ]
          }
        }
      ],
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info"
    },
    {
      "extension" : [
        {
          "url" : "key",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "236423003"
              }
            ]
          }
        },
        {
          "url" : "value",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "373067005"
              }
            ]
          }
        }
      ],
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info"
    },
    {
      "extension" : [
        {
          "url" : "key",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "74964007"
              }
            ]
          }
        },
        {
          "url" : "value",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/11000172109",
                "code" : "373067005"
              }
            ]
          }
        }
      ],
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info"
    }
  ],
  "status" : "active",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "version" : "http://snomed.info/sct/11000172109",
          "code" : "363679005"
        }
      ]
    }
  ],
  "priority" : "routine",
  "code" : {
    "coding" : [
      {
        "system" : "https://qsimedical.com",
        "code" : "XRAY-upper-extremity-hand"
      }
    ]
  },
  "subject" : {
    "identifier" : {
      "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
      "value" : "87011512345"
    }
  },
  "authoredOn" : "2024-10-15T00:00:00+00:00",
  "requester" : {
    🔗 "reference" : "PractitionerRole/DOCTOR-12009390800"
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "version" : "http://snomed.info/sct/11000172109",
          "code" : "125605004"
        }
      ]
    }
  ],
  "bodySite" : [
    {
      "extension" : [
        {
          "url" : "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality",
          "valueCoding" : {
            "system" : "http://snomed.info/sct",
            "version" : "http://snomed.info/sct/11000172109",
            "code" : "7771000"
          }
        }
      ],
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "version" : "http://snomed.info/sct/11000172109",
          "code" : "85562004"
        }
      ]
    }
  ]
}