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

• Narrative Content
• XML
• JSON
• TTL

: example-c - JSON Representation

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{
  "resourceType" : "ServiceRequest",
  "id" : "example-c",
  "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-c</b></p><a name=\"example-c\"> </a><a name=\"hcexample-c\"> </a><a name=\"example-c-en-US\"> </a><p><b>BeValidityPeriod</b>: 2024-10-15 --&gt; 2025-04-15</p><p><b>BeSupportingInfo</b>: <span title=\"Codes:\">Bone-pain-shoulder</span></p><p><b>BeSupportingInfo</b>: Diabetes: No</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>BeSupportingInfo</b>: <span title=\"Codes:\">64859006</span></p><p><b>BeSupportingInfo</b>: <span title=\"Codes:\">363680008</span></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 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>"
  },
  "extension" : [
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period",
      "valuePeriod" : {
        "start" : "2024-10-15",
        "end" : "2025-04-15"
      }
    },
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "code" : "Bone-pain-shoulder"
          }
        ]
      }
    },
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info",
      "valueAnnotation" : {
        "text" : "Diabetes: No"
      }
    },
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info",
      "valueAnnotation" : {
        "text" : "Pregnancy: No"
      }
    },
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info",
      "valueAnnotation" : {
        "text" : "Implants : No"
      }
    },
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "code" : "293637006"
          }
        ]
      }
    },
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info",
      "valueAnnotation" : {
        "text" : "Metallic debris: No"
      }
    },
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info",
      "valueAnnotation" : {
        "text" : "Renal Dysfunction: No"
      }
    },
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info",
      "valueAnnotation" : {
        "text" : "Other: NA"
      }
    },
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "code" : "64859006"
          }
        ]
      }
    },
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "code" : "363680008"
          }
        ]
      }
    }
  ],
  "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" : "MR-upper-extremity-shoulder-wo-iv-contrast"
      }
    ]
  },
  "subject" : {
    "identifier" : {
      "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
      "value" : "50011512345"
    }
  },
  "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" : "24028007"
          }
        }
      ],
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "version" : "http://snomed.info/sct/11000172109",
          "code" : "16982005"
        }
      ]
    }
  ]
}