PACIO Sample Data Depot, published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/paciowg/sample-data-fsh/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
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: betsysmith-johnson01-ServiceRequest-med-rec-order-01 - JSON Representation

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{
  "resourceType" : "ServiceRequest",
  "id" : "betsysmith-johnson01-ServiceRequest-med-rec-order-01",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-service-request"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest betsysmith-johnson01-ServiceRequest-med-rec-order-01</b></p><a name=\"betsysmith-johnson01-ServiceRequest-med-rec-order-01\"> </a><a name=\"hcbetsysmith-johnson01-ServiceRequest-med-rec-order-01\"> </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=\"https://build.fhir.org/ig/HL7/fhir-pacio-pfe/StructureDefinition-pfe-service-request.html\">Personal Functioning and Engagement Service Request Profile</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 386053000}\">Evaluation procedure (procedure)</span></p><p><b>priority</b>: ASAP</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 306362008}\">Referral to pharmacist (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-betsysmith-johnson01.html\">Betsy Smith-Johnson</a></p><p><b>occurrence</b>: 2025-05-04 --&gt; (ongoing)</p><p><b>authoredOn</b>: 2025-05-04 15:45:00-0400</p><p><b>requester</b>: <a href=\"PractitionerRole-PractitionerRole-MD-HemaOnko.html\">PractitionerRole Internal Medicine Physician</a></p><p><b>performerType</b>: <span title=\"Codes:{http://snomed.info/sct 734293001}\">Clinical pharmacist (occupation)</span></p><p><b>performer</b>: <a href=\"PractitionerRole-PractitionerRole-Pharm-SashaAhmed.html\">PractitionerRole Pharmacist</a></p><p><b>locationCode</b>: <span title=\"Codes:\">Skilled nursing facility</span></p><p><b>locationReference</b>: <a href=\"Location-org-Loc-Motor-City-Skilled-Nursing-Facility.html\">Location Motor City Nursing Facility</a></p><p><b>note</b>: </p><blockquote><div><p>Referral for consulting clinical pharmacist for medication reconciliation</p>\n</div></blockquote></div>"
  },
  "status" : "active",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "386053000",
          "display" : "Evaluation procedure (procedure)"
        }
      ]
    }
  ],
  "priority" : "asap",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "306362008",
        "display" : "Referral to pharmacist (procedure)"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/patient-betsysmith-johnson01",
    "display" : "Betsy Smith-Johnson"
  },
  "occurrencePeriod" : {
    "start" : "2025-05-04"
  },
  "authoredOn" : "2025-05-04T15:45:00-04:00",
  "requester" : {
    🔗 "reference" : "PractitionerRole/PractitionerRole-MD-HemaOnko"
  },
  "performerType" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "734293001",
        "display" : "Clinical pharmacist (occupation)"
      }
    ]
  },
  "performer" : [
    {
      🔗 "reference" : "PractitionerRole/PractitionerRole-Pharm-SashaAhmed"
    }
  ],
  "locationCode" : [
    {
      "coding" : [
        {
          "code" : "SNF",
          "display" : "Skilled nursing facility"
        }
      ]
    }
  ],
  "locationReference" : [
    {
      🔗 "reference" : "Location/org-Loc-Motor-City-Skilled-Nursing-Facility"
    }
  ],
  "note" : [
    {
      "text" : "Referral for consulting clinical pharmacist for medication reconciliation"
    }
  ]
}