SIL HIE Implementation Guide, published by Kathurima Kimathi. 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/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Example HIE ServiceRequest - JSON Representation

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{
  "resourceType" : "ServiceRequest",
  "id" : "HIEServiceRequest-example",
  "meta" : {
    "profile" : [
      🔗 "https://nshr.dha.go.ke/fhir/StructureDefinition/hie-servicerequest"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>ServiceRequest Summary</b></p><table><tbody><tr><td><b>Status</b></td><td>active</td></tr><tr><td><b>Intent</b></td><td>order</td></tr><tr><td><b>Priority</b></td><td>routine</td></tr><tr><td><b>Category</b></td><td>Laboratory test</td></tr><tr><td><b>Code</b></td><td>Complete blood count panel (LOINC 57021-8)</td></tr><tr><td><b>Subject</b></td><td>Jane Patient (Patient/p-001)</td></tr><tr><td><b>Encounter</b></td><td>OP visit 2025-11-15 (Encounter/enc-001)</td></tr><tr><td><b>When</b></td><td>2025-11-16T08:00:00+03:00</td></tr><tr><td><b>Requester</b></td><td>Dr. John Clinician (Practitioner/pr-001)</td></tr><tr><td><b>Performer</b></td><td>Acme Diagnostics Lab (Organization/lab-001)</td></tr></tbody></table><p><b>Order Details</b></p><ul><li>Fasting required</li><li>Serum specimen</li></ul><p><b>Reason</b></p><ul><li>Condition: Fatigue (Condition/cond-001)</li></ul><p><b>Specimen &amp; Location</b></p><ul><li>Collect at Outpatient Lab Room 3 (Location/loc-lab)</li><li>Specimen: Specimen/spec-001</li></ul><p><b>Notes</b></p><ul><li>Patient instructed to fast for 8 hours prior to collection.</li></ul></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PLAC",
            "display" : "Placer Identifier"
          }
        ]
      },
      "system" : "http://hospital.example.org/ordernumbers",
      "value" : "ORD-2025-000123"
    }
  ],
  "replaces" : [
    {
      "reference" : "ServiceRequest/sr-older-001",
      "display" : "Supersedes prior non-fasting order"
    }
  ],
  "status" : "active",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "LAB",
          "display" : "Laboratory"
        }
      ]
    }
  ],
  "priority" : "routine",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "57021-8",
        "display" : "CBC W Auto Differential panel"
      }
    ]
  },
  "orderDetail" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "422512005",
          "display" : "Fasting procedure requested"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "119361006",
          "display" : "Serum specimen"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/p-001",
    "display" : "Jane Patient"
  },
  "encounter" : {
    "reference" : "Encounter/enc-001",
    "display" : "OP visit 2025-11-15"
  },
  "occurrenceDateTime" : "2025-11-16T08:00:00+03:00",
  "authoredOn" : "2025-11-15T10:12:00+03:00",
  "requester" : {
    "reference" : "Practitioner/pr-001",
    "display" : "Dr. John Clinician"
  },
  "performerType" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/participant-role",
        "code" : "performer",
        "display" : "Performer"
      }
    ]
  },
  "performer" : [
    {
      "reference" : "Organization/lab-001",
      "display" : "Acme Diagnostics Lab"
    }
  ],
  "locationReference" : [
    {
      "reference" : "Location/loc-lab",
      "display" : "Outpatient Lab Room 3"
    }
  ],
  "reasonReference" : [
    {
      "reference" : "Condition/cond-001",
      "display" : "Fatigue"
    }
  ],
  "supportingInfo" : [
    {
      "reference" : "DocumentReference/dr-001",
      "display" : "Referral letter"
    }
  ],
  "specimen" : [
    {
      "reference" : "Specimen/spec-001",
      "display" : "Serum sample"
    }
  ],
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "368208006",
          "display" : "Left antecubital fossa"
        }
      ]
    }
  ],
  "note" : [
    {
      "authorReference" : {
        "reference" : "Practitioner/pr-001"
      },
      "time" : "2025-11-15T10:15:00+03:00",
      "text" : "Patient advised to fast 8 hours. Collect before 10 AM."
    }
  ]
}