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 class="res-header-id"><b>Generated Narrative: ServiceRequest laboratory-order-example1</b></p><a name="laboratory-order-example1"> </a><a name="hclaboratory-order-example1"> </a><a name="laboratory-order-example1-en-US"> </a><p><b>BeValidityPeriod</b>: 2021-10-10 --&gt; (ongoing)</p><p><b>BePerformerType</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty persnurse}">nurse</span></p><p><b>Request status reason</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/referral/CodeSystem/be-prescription-status-reason inProgress}">In progress</span></p><p><b>BeFeedbackToPrescriber</b>: true</p><blockquote><p><b>BeUrgentCommunication</b></p><blockquote><p><b>url</b></p>party</blockquote><p><b>value</b>: <a href="#hclaboratory-order-example1/Requester1">Practitioner Henry Seven (official)</a></p><blockquote><p><b>url</b></p>instructions</blockquote><p><b>value</b>: Send the requester an email, when the test is done.</p><p><b>contactSystem</b>: <span title="Codes:{http://hl7.org/fhir/contact-point-system email}">email</span></p><p><b>contactSystemValue</b>: doctor@mycabinet.be</p><blockquote><p><b>url</b></p>contactway</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>: <span title="Codes:{http://snomed.info/sct 15220000}">Laboratory test</span></p><p><b>priority</b>: STAT</p><p><b>code</b>: <span title="Codes:{http://loinc.org 18723-7}">Hematology studies (set)</span></p><p><b>orderDetail</b>: <span title="Codes:{http://loinc.org 30341-2}">Erythrocyte sedimentation rate</span>, <span title="Codes:{http://loinc.org 789-8}">Erythrocytes [#/volume] in Blood by Automated count</span>, <span title="Codes:{http://loinc.org 20563-3}">Carboxyhemoglobin/Hemoglobin.total in Blood</span>, <span title="Codes:">Test described in text only</span></p><p><b>subject</b>: <a href="#hclaboratory-order-example1/patient1">Jane Doe  Female, DoB: 1956-05-27 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#99999999991 (use: official, ))</a></p><p><b>authoredOn</b>: 2015-11-01 00:00:00+0100</p><p><b>requester</b>: <a href="#hclaboratory-order-example1/requesterrole1">PractitionerRole physician</a></p><p><b>reasonCode</b>: <span title="Codes:{https://www.SOME_NOMENCLATURE_SYSTEM.be/ 123}">TheJustification</span></p><p><b>supportingInfo</b>: </p><ul><li><a href="#hclaboratory-order-example1/observation1">Observation Heart rate</a></li><li><a href="#hclaboratory-order-example1/condition1">Condition </a></li><li><a href="#hclaboratory-order-example1/media1">DocumentReference: status = current</a></li></ul><p><b>specimen</b>: <a href="#hclaboratory-order-example1/specimen1">Specimen: identifier = https://www.GTL-LABO.be/#1; type = Blood specimen; note = Some extra relevant information concerning the specimen</a></p><p><b>note</b>: Some free text explaining about these tests that are ordered.</p><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Patient  #patient1</b></p><a name="laboratory-order-example1/patient1"> </a><a name="hclaboratory-order-example1/patient1"> </a><a name="laboratory-order-example1/patient1-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Jane Doe  Female, DoB: 1956-05-27 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#99999999991 (use: official, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</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 class="res-header-id"><b>Generated Narrative: Observation  #observation1</b></p><a name="laboratory-order-example1/observation1"> </a><a name="hclaboratory-order-example1/observation1"> </a><a name="laboratory-order-example1/observation1-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8867-4}, {http://snomed.info/sct 364075005}">Heart rate</span></p><p><b>subject</b>: <a href="#hclaboratory-order-example1/patient1">Jane Doe  Female, DoB: 1956-05-27 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#99999999991 (use: official, ))</a></p><p><b>effective</b>: 1999-07-02</p><p><b>performer</b>: <a href="#hclaboratory-order-example1/Requester1">Practitioner Henry Seven (official)</a></p><p><b>value</b>: 51 beats/minute<span style="background: LightGoldenRodYellow"> (Details: UCUM  code/min = '/min')</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Condition  #condition1</b></p><a name="laboratory-order-example1/condition1"> </a><a name="hclaboratory-order-example1/condition1"> </a><a name="laboratory-order-example1/condition1-en-US"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status provisional}">Provisional</span></p><p><b>code</b>: <span title="Codes:">bradycardie</span></p><p><b>subject</b>: <a href="#hclaboratory-order-example1/patient1">Jane Doe  Female, DoB: 1956-05-27 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#99999999991 (use: official, ))</a></p><p><b>note</b>: This is a suspicion</p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: DocumentReference  #media1</b></p><a name="laboratory-order-example1/media1"> </a><a name="hclaboratory-order-example1/media1"> </a><a name="laboratory-order-example1/media1-en-US"> </a><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><code>iVBORw0KGgoAAAANSUhEUgAAA+MAAACnCAYAAAB6pY03AAAAAXNSR0IArs4c6QAAAARnQU1BAACx jwv8YQUAAAAJcEhZcwAAEnMAABJzAYwiuQcAADBZSURBVHhe7d09rty218fxrOFfZj/ZQHZgwEiZ gg==</code></td></tr></table></blockquote></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Practitioner  #Requester1</b></p><a name="laboratory-order-example1/Requester1"> </a><a name="hclaboratory-order-example1/Requester1"> </a><a name="laboratory-order-example1/Requester1-en-US"> </a><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 class="res-header-id"><b>Generated Narrative: Specimen  #specimen1</b></p><a name="laboratory-order-example1/specimen1"> </a><a name="hclaboratory-order-example1/specimen1"> </a><a name="laboratory-order-example1/specimen1-en-US"> </a><p><b>identifier</b>: <code>https://www.GTL-LABO.be/</code>/1</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 119297000}">A string can be added to nuance or explain.</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><span title="Codes:{http://snomed.info/sct 28520004}">Venipuncture for blood test (procedure)</span></td><td><span title="Codes:{http://snomed.info/sct 368208006}">Left upper arm structure (body structure)</span></td></tr></table><p><b>note</b>: Some extra relevant information concerning the specimen</p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: PractitionerRole  #requesterrole1</b></p><a name="laboratory-order-example1/requesterrole1"> </a><a name="hclaboratory-order-example1/requesterrole1"> </a><a name="laboratory-order-example1/requesterrole1-en-US"> </a><p><b>practitioner</b>: <a href="#hclaboratory-order-example1/Requester1">Practitioner Henry Seven (official)</a></p><p><b>code</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty persphysician}">physician</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="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-validity-period">
    <valuePeriod>
      <start value="2021-10-10"/>
    </valuePeriod>
  </extension>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type">
    <valueCodeableConcept>
      <coding>
        <system
                value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
        <code value="persnurse"/>
      </coding>
    </valueCodeableConcept>
  </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-feedback-to-prescriber">
    <valueBoolean value="true"/>
  </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>
  <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>