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Servicerequest-example-pt.xml

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw XML (canonical form + also see XML Format Specification)

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Example of an order for an physical therapy evaluation procedure (id = "physical-therapy")

<?xml version="1.0" encoding="UTF-8"?>

<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="physical-therapy"/> 
  <!--    insert contents here    -->
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <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">Resource &quot;physical-therapy&quot; </p> </div> <p> <b> status</b> : completed</p> <p> <b> intent</b> : order</p> <p> <b> category</b> : Evaluation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #386053000 &quot;Evaluation procedure (procedure)&quot;)</span> </p> <p> <b> code</b> : Assessment of passive range of motion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #710830005 &quot;Assessment of passive range of motion (procedure)&quot;)</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Patient/example</a>  &quot;Peter CHALMERS&quot;</p> <p> <b> occurrence</b> : 2016-09-27</p> <p> <b> authoredOn</b> : 2016-09-20</p> <p> <b> requester</b> : <span> : Ollie Ortho, MD</span> </p> <p> <b> performer</b> : <span> : Paul Therapist, PT</span> </p> <p> <b> bodySite</b> : Both knees <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #36701003 &quot;Both knees (body structure)&quot;)</span> </p> </div> </text> <status value="completed"/> 
  <intent value="order"/> 
  <category> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="386053000"/> 
      <display value="Evaluation procedure (procedure)"/> 
    </coding> 
    <text value="Evaluation"/> 
  </category> 
  <code> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="710830005"/> 
      <display value="Assessment of passive range of motion (procedure)"/> 
    </coding> 
    <text value="Assessment of passive range of motion"/> 
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
  </subject> 
  <occurrenceDateTime value="2016-09-27"/> 
  <authoredOn value="2016-09-20"/> 
  <requester> 
      <display value="Ollie Ortho, MD"/> 
  </requester> 
  <performer> 
    <display value="Paul Therapist, PT"/> 
  </performer> 
   <reason> 
    <concept> 
        <text value="assessment of mobility limitations due to osteoarthritis"/> 
    </concept> 
  </reason> 
  <bodySite> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="36701003"/> 
      <display value="Both knees (body structure)"/> 
    </coding> 
    <text value="Both knees"/> 
  </bodySite> 
</ServiceRequest> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.