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 - XML Representation

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="HIEServiceRequest-example"/>
  <meta>
    <profile
             value="https://nshr.dha.go.ke/fhir/StructureDefinition/hie-servicerequest"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="PLAC"/>
        <display value="Placer Identifier"/>
      </coding>
    </type>
    <system value="http://hospital.example.org/ordernumbers"/>
    <value value="ORD-2025-000123"/>
  </identifier>
  <replaces>
    <reference value="ServiceRequest/sr-older-001"/>
    <display value="Supersedes prior non-fasting order"/>
  </replaces>
  <status value="active"/>
  <intent value="order"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
      <code value="LAB"/>
      <display value="Laboratory"/>
    </coding>
  </category>
  <priority value="routine"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="57021-8"/>
      <display value="CBC W Auto Differential panel"/>
    </coding>
  </code>
  <orderDetail>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="422512005"/>
      <display value="Fasting procedure requested"/>
    </coding>
  </orderDetail>
  <orderDetail>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="119361006"/>
      <display value="Serum specimen"/>
    </coding>
  </orderDetail>
  <subject>
    <reference value="Patient/p-001"/>
    <display value="Jane Patient"/>
  </subject>
  <encounter>
    <reference value="Encounter/enc-001"/>
    <display value="OP visit 2025-11-15"/>
  </encounter>
  <occurrenceDateTime value="2025-11-16T08:00:00+03:00"/>
  <authoredOn value="2025-11-15T10:12:00+03:00"/>
  <requester>
    <reference value="Practitioner/pr-001"/>
    <display value="Dr. John Clinician"/>
  </requester>
  <performerType>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/participant-role"/>
      <code value="performer"/>
      <display value="Performer"/>
    </coding>
  </performerType>
  <performer>
    <reference value="Organization/lab-001"/>
    <display value="Acme Diagnostics Lab"/>
  </performer>
  <locationReference>
    <reference value="Location/loc-lab"/>
    <display value="Outpatient Lab Room 3"/>
  </locationReference>
  <reasonReference>
    <reference value="Condition/cond-001"/>
    <display value="Fatigue"/>
  </reasonReference>
  <supportingInfo>
    <reference value="DocumentReference/dr-001"/>
    <display value="Referral letter"/>
  </supportingInfo>
  <specimen>
    <reference value="Specimen/spec-001"/>
    <display value="Serum sample"/>
  </specimen>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="368208006"/>
      <display value="Left antecubital fossa"/>
    </coding>
  </bodySite>
  <note>
    <authorReference>
      <reference value="Practitioner/pr-001"/>
    </authorReference>
    <time value="2025-11-15T10:15:00+03:00"/>
    <text value="Patient advised to fast 8 hours. Collect before 10 AM."/>
  </note>
</ServiceRequest>