UK Core Implementation Guide STU3 Sequence - Sprint 6 Review

An example to illustrate a service request regarding a colonoscopy

Table View

ServiceRequest.id[0]UKCore-ServiceRequest-ColonoscopyRequest-Example
ServiceRequest.extension[0].url[0]https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SourceOfServiceRequest
ServiceRequest.extension[0].valueCodeableConcept[0].coding[0].system[0]http://snomed.info/sct
ServiceRequest.extension[0].valueCodeableConcept[0].coding[0].code[0]108161000000109
ServiceRequest.extension[0].valueCodeableConcept[0].coding[0].display[0]Referred by general practitioner
ServiceRequest.status[0]active
ServiceRequest.intent[0]order
ServiceRequest.code[0].coding[0].system[0]http://snomed.info/sct
ServiceRequest.code[0].coding[0].code[0]73761001
ServiceRequest.code[0].coding[0].display[0]Colonoscopy
ServiceRequest.code[0].text[0]Colonoscopy requested
ServiceRequest.subject[0].reference[0]Patient/UKCore-Patient-RichardSmith-Example
ServiceRequest.encounter[0].reference[0]Encounter/UKCore-Encounter-InpatientEncounter-Example
ServiceRequest.occurrencePeriod[0].start[0]2021-10-13T16:20:27+07:00
ServiceRequest.authoredOn[0]2021-10-13T16:28:00+07:00
ServiceRequest.requester[0].reference[0]Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example
ServiceRequest.performer[0].reference[0]Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example
ServiceRequest.locationReference[0].reference[0]Location/UKCore-Location-HospitalSJUH-Example
ServiceRequest.reasonCode[0].coding[0].system[0]http://snomed.info/sct
ServiceRequest.reasonCode[0].coding[0].code[0]271835004
ServiceRequest.reasonCode[0].coding[0].display[0]Abdominal distension, gaseous
ServiceRequest.reasonCode[0].text[0]Swollen abdomen
ServiceRequest.reasonReference[0].reference[0]DiagnosticReport/UKCore-DiagnosticReport-DiagnosticStudiesReport-Example
ServiceRequest.reasonReference[0].display[0]Diagnostic report on the Blood specimen warrants a colonoscopy to investigate this further
ServiceRequest.supportingInfo[0].reference[0]Observation/UKCore-Observation-WhiteCellCount-Example
ServiceRequest.supportingInfo[0].display[0]White cell count
ServiceRequest.patientInstruction[0]ADVICE GIVEN: If there are any new symptoms, or if the condition gets worse, changes or you have any other concerns, contact your GP.

XML View

<ServiceRequest xmlns="http://hl7.org/fhir">
    <id value="UKCore-ServiceRequest-ColonoscopyRequest-Example" />
    <!-- The source of the service request. -->
    <!--  ***************extension start***************  -->
    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SourceOfServiceRequest">
        <valueCodeableConcept>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="108161000000109" />
                <display value="Referred by general practitioner" />
            </coding>
        </valueCodeableConcept>
    </extension>
    <!--  **************extension end ******************  -->
    <status value="active" />
    <intent value="order" />
    <code>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="73761001" />
            <display value="Colonoscopy" />
        </coding>
        <text value="Colonoscopy requested" />
    </code>
    <subject>
        <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
    </subject>
    <encounter>
        <reference value="Encounter/UKCore-Encounter-InpatientEncounter-Example" />
    </encounter>
    <occurrencePeriod>
        <start value="2021-10-13T16:20:27+07:00" />
    </occurrencePeriod>
    <authoredOn value="2021-10-13T16:28:00+07:00" />
    <requester>
        <reference value="Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example" />
    </requester>
    <performer>
        <reference value="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" />
    </performer>
    <locationReference>
        <reference value="Location/UKCore-Location-HospitalSJUH-Example" />
    </locationReference>
    <reasonCode>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="271835004" />
            <display value="Abdominal distension, gaseous" />
        </coding>
        <text value="Swollen abdomen" />
    </reasonCode>
    <reasonReference>
        <reference value="DiagnosticReport/UKCore-DiagnosticReport-DiagnosticStudiesReport-Example" />
        <display value="Diagnostic report on the Blood specimen warrants a colonoscopy to investigate this further" />
    </reasonReference>
    <supportingInfo>
        <reference value="Observation/UKCore-Observation-WhiteCellCount-Example" />
        <display value="White cell count" />
    </supportingInfo>
    <patientInstruction value="ADVICE GIVEN: If there are any new symptoms, or if the condition gets worse, changes or you have any other concerns, contact your GP." />
</ServiceRequest>

JSON View

{
    "resourceType": "ServiceRequest",
    "id": "UKCore-ServiceRequest-ColonoscopyRequest-Example",
    "extension":  [
        {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SourceOfServiceRequest",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "108161000000109",
                        "display": "Referred by general practitioner"
                    }
                ]
            }
        }
    ],
    "status": "active",
    "intent": "order",
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "73761001",
                "display": "Colonoscopy"
            }
        ],
        "text": "Colonoscopy requested"
    },
    "subject": {
        "reference": "Patient/UKCore-Patient-RichardSmith-Example"
    },
    "encounter": {
        "reference": "Encounter/UKCore-Encounter-InpatientEncounter-Example"
    },
    "occurrencePeriod": {
        "start": "2021-10-13T16:20:27+07:00"
    },
    "authoredOn": "2021-10-13T16:28:00+07:00",
    "requester": {
        "reference": "Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example"
    },
    "performer":  [
        {
            "reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"
        }
    ],
    "locationReference":  [
        {
            "reference": "Location/UKCore-Location-HospitalSJUH-Example"
        }
    ],
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "271835004",
                    "display": "Abdominal distension, gaseous"
                }
            ],
            "text": "Swollen abdomen"
        }
    ],
    "reasonReference":  [
        {
            "reference": "DiagnosticReport/UKCore-DiagnosticReport-DiagnosticStudiesReport-Example",
            "display": "Diagnostic report on the Blood specimen warrants a colonoscopy to investigate this further"
        }
    ],
    "supportingInfo":  [
        {
            "reference": "Observation/UKCore-Observation-WhiteCellCount-Example",
            "display": "White cell count"
        }
    ],
    "patientInstruction": "ADVICE GIVEN: If there are any new symptoms, or if the condition gets worse, changes or you have any other concerns, contact your GP."
}

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