Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Example ServiceRequest/physical-therapy (XML)

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

Jump past Narrative

Example of an order for a 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: ServiceRequest</b><a name="physical-therapy"></a></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 ServiceRequest &quot;physical-therapy&quot; </p></div><p ><b >status</b>: <span title=" insert contents here ">completed</span></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><h3 >Codes</h3><table class="grid"><tr ><td >-</td><td ><b >Concept</b></td></tr><tr ><td >*</td><td >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></td></tr></table><p ><b >subject</b>: <a href="patient-example.html">Patient/example</a> &quot;Peter CHALMERS&quot;</p><p ><b >occurrence</b>: 2016年09月27日</p><p ><b >authoredOn</b>: 2016年09月20日</p><p ><b >requester</b>: <span >: Ollie Ortho, MD</span></p><p ><b >performer</b>: <span >: Paul Therapist, PT</span></p><h3 >Reasons</h3><table class="grid"><tr ><td >-</td><td ><b >Concept</b></td></tr><tr ><td >*</td><td >assessment of mobility limitations due to osteoarthritis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></td></tr></table><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 ><concept ><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"/></concept></code><subject ><reference value="Patient/example "/></subject><occurrenceDateTime value="2016年09月27日"/><authoredOn value="2016年09月20日"/><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.

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