This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4
Raw XML (canonical form + also see XML Format Specification)
An example of a Myringotomy referral request (id = "myringotomy")
<?xml version="1.0" encoding="UTF-8"?> <ServiceRequest xmlns="http://hl7.org/fhir"><id value="myringotomy"/><text ><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p ><b >Generated Narrative with Details</b></p><p ><b >id</b>: myringotomy</p><p ><b >identifier</b>: ret4421</p><p ><b >basedOn</b>: ServiceRequest for Myringotomy and insertion of tympanic ventilation tube</p><p ><b >replaces</b>: prior ServiceRequest</p><p ><b >requisition</b>: 1234</p><p ><b >status</b>: active</p><p ><b >intent</b>: order</p><p ><b >category</b>: Patient referral to specialist <span >(Details : {SNOMED CT code '103696004' = 'Patient referral to specialist', given as 'Patient referral to specialist'})</span></p><p ><b >priority</b>: routine</p><p ><b >code</b>: Insertion of grommets <span >(Details : {SNOMED CT code '172676009' = 'Myringotomy and insertion of short-term grommet', given as 'Myringotomy and insertion of tympanic ventilation tube'})</span></p><p ><b >subject</b>: <a >Beverly Weaver</a></p><p ><b >encounter</b>: Beverly Waver's encounter on 2014年02月14日</p><p ><b >occurrence</b>: ?? --> 14/03/2014</p><p ><b >authoredOn</b>: 14/02/2014</p><p ><b >requester</b>: <a >Serena Shrink</a></p><p ><b >performerType</b>: ENT <span >(Details : {http://orionhealth.com/fhir/apps/specialties code 'ent' = 'ent', given as 'ENT'})</span></p><p ><b >performer</b>: <a >Dr Dave</a></p><p ><b >reasonCode</b>: For consideration of Grommets <span >(Details )</span></p><p ><b >note</b>: In the past 2 years Beverly has had 6 instances of rt-sided Otitis media. She is falling behind her peers at school, and displaying some learning difficulties.</p></div></text><identifier ><system value="http://orionhealth.com/fhir/apps/referralids"/><value value="ret4421"/></identifier><basedOn ><displayvalue="ServiceRequest for Myringotomy and insertion of tympanic ventilation tube"/></basedOn><replaces ><displayvalue="prior ServiceRequest"/></replaces><requisition ><value value="1234"/></requisition><status value="active"/><intent value="order"/><category ><coding ><system value="http://snomed.info/sct"/><code value="103696004"/><display value="Patient referral to specialist"/></coding></category><priority value="routine"/><code ><coding ><system value="http://snomed.info/sct"/><code value="172676009"/><display value="Myringotomy and insertion of tympanic ventilation tube"/></coding><text value="Insertion of grommets"/></code><subject ><referencevalue="https://fhir.orionhealth.com/blaze/fhir/Patient/77662"/><displayvalue="Beverly Weaver"/></subject><encounter ><displayvalue="Beverly Waver's encounter on 2014年02月14日"/></encounter><occurrencePeriod ><endvalue="2014年03月14日"/></occurrencePeriod><authoredOn value="2014年02月14日"/><requester ><referencevalue="https://fhir.orionhealth.com/blaze/fhir/Practitioner/77272"/><displayvalue="Serena Shrink"/></requester><performerType ><coding ><system value="http://orionhealth.com/fhir/apps/specialties"/><code value="ent"/><display value="ENT"/></coding></performerType><performer ><referencevalue="https://fhir.orionhealth.com/blaze/fhir/Practitioner/76597"/><displayvalue="Dr Dave"/></performer><reasonCode ><text value="For consideration of Grommets"/></reasonCode><note ><authorString value="Serena Shrink"/><time value="2014年02月14日"/><text value="In the past 2 years Beverly has had 6 instances of rt-sided Otitis media. She is falling behind her peers at school, and displaying some learning difficulties."/></note></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.