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
<ServiceRequest xmlns="http://hl7.org/fhir">
<id value="example-b"/>
<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-b</b></p><a name="example-b"> </a><a name="hcexample-b"> </a><a name="example-b-en-US"> </a><p><b>BeValidityPeriod</b>: 2024-10-15 --> 2025-04-15</p><p><b>BeSupportingInfo</b>: <span title="Codes:">Bone-pain-hand</span></p><p><b>BeSupportingInfo</b>: <span title="Codes:">237597000</span></p><p><b>BeSupportingInfo</b>: Pregnancy: No</p><p><b>BeSupportingInfo</b>: Implants : No</p><p><b>BeSupportingInfo</b>: <span title="Codes:">293637006</span></p><p><b>BeSupportingInfo</b>: Metallic debris: No</p><p><b>BeSupportingInfo</b>: Renal Dysfunction: No</p><p><b>BeSupportingInfo</b>: Other: NA</p><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>
</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-supporting-info">
<valueCodeableConcept>
<coding>
<code value="Bone-pain-hand"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info">
<valueCodeableConcept>
<coding>
<code value="237597000"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info">
<valueAnnotation>
<text value="Pregnancy: No"/>
</valueAnnotation>
</extension>
<extension
url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info">
<valueAnnotation>
<text value="Implants : No"/>
</valueAnnotation>
</extension>
<extension
url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info">
<valueCodeableConcept>
<coding>
<code value="293637006"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info">
<valueAnnotation>
<text value="Metallic debris: No"/>
</valueAnnotation>
</extension>
<extension
url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info">
<valueAnnotation>
<text value="Renal Dysfunction: No"/>
</valueAnnotation>
</extension>
<extension
url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info">
<valueAnnotation>
<text value="Other: NA"/>
</valueAnnotation>
</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="XRAY-upper-extremity-hand"/>
</coding>
</code>
<subject>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"/>
<value value="87011512345"/>
</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="7771000"/>
</valueCoding>
</extension>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/11000172109"/>
<code value="85562004"/>
</coding>
</bodySite>
</ServiceRequest>