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-c - XML Representation

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="example-c"/>
  <meta>
    <profile
             value="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-referral-servicerequest-diagnosticimaging"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ServiceRequest example-c</b></p><a name="example-c"> </a><a name="hcexample-c"> </a><a name="example-c-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-shoulder}">Bone-pain-shoulder</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 73211009}">Diabetes mellitus</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 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><blockquote><p><b>BeRelevantInfo</b></p><ul><li>key: <span title="Codes:{http://snomed.info/sct 64859006}">Osteoporosis</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 363680008}">Radiographic imaging procedure</span></li><li>value: <span title="Codes:{http://snomed.info/sct 373066001}">Yes (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 MR-upper-extremity-shoulder-wo-iv-contrast}">MR-upper-extremity-shoulder-wo-iv-contrast</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>/50011512345</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 16982005}">Shoulder</span></p></div>
  </text>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period">
    <valuePeriod>
      <start value="2024-10-15"/>
      <end value="2025-04-15"/>
    </valuePeriod>
  </extension>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info">
    <extension url="key">
      <valueCodeableConcept>
        <coding>
          <system value="https://qsimedical.com"/>
          <code value="Bone-pain-shoulder"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="373066001"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info">
    <extension url="key">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="73211009"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="373067005"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info">
    <extension url="key">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="77386006"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="373067005"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info">
    <extension url="key">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="40388003"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="373067005"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info">
    <extension url="key">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="293637006"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="373066001"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info">
    <extension url="key">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="422321007"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="373067005"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info">
    <extension url="key">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="236423003"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="373067005"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info">
    <extension url="key">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="74964007"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="373067005"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info">
    <extension url="key">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="64859006"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="373066001"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-relevant-info">
    <extension url="key">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="363680008"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <version value="http://snomed.info/sct/11000172109"/>
          <code value="373066001"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <status value="active"/>
  <intent value="order"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version value="http://snomed.info/sct/11000172109"/>
      <code value="363679005"/>
    </coding>
  </category>
  <priority value="routine"/>
  <code>
    <coding>
      <system value="https://qsimedical.com"/>
      <code value="MR-upper-extremity-shoulder-wo-iv-contrast"/>
    </coding>
  </code>
  <subject>
    <identifier>
      <system
              value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"/>
      <value value="50011512345"/>
    </identifier>
  </subject>
  <authoredOn value="2024-10-15T00:00:00+00:00"/>
  <requester>🔗 
    <reference value="PractitionerRole/DOCTOR-12009390800"/>
  </requester>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version value="http://snomed.info/sct/11000172109"/>
      <code value="125605004"/>
    </coding>
  </reasonCode>
  <bodySite>
    <extension
               url="https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality">
      <valueCoding>
        <system value="http://snomed.info/sct"/>
        <version value="http://snomed.info/sct/11000172109"/>
        <code value="24028007"/>
      </valueCoding>
    </extension>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version value="http://snomed.info/sct/11000172109"/>
      <code value="16982005"/>
    </coding>
  </bodySite>
</ServiceRequest>