UK Core Implementation Guide STU3 Sequence

Please note:

This version of the UK Core is a development copy.
This contains BREAKING CHANGES as a result of the C&TA Sprint 7 Review, and STU2 Sequence ballot reconciliation.
This version is not yet reviewed for implementation. Other versions are available on the UK Core Version History Guide
Please follow the guidance on the Contact Us page if you need any assistance.
A summary of changes is available on the STU3 Sequence Change Log

An example to illustrate sending a priority reason for an urgent ServiceRequest, using a SNOMED CT concept

Table View

ServiceRequest.id[0]	UKCore-Extension-PriorityReason-Example
ServiceRequest.text[0].status[0]	additional
ServiceRequest.text[0].div[0]	<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate sending a priority reason for an urgent ServiceRequest, using a SNOMED CT concept</div>
ServiceRequest.status[0]	active
ServiceRequest.intent[0]	order
ServiceRequest.priority[0]	urgent
ServiceRequest.priority[0].extension[0].url[0]	https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason
ServiceRequest.priority[0].extension[0].value[0].coding[0].system[0]	http://snomed.info/sct
ServiceRequest.priority[0].extension[0].value[0].coding[0].code[0]	1321851000000109
ServiceRequest.priority[0].extension[0].value[0].coding[0].display[0]	Provision of advice, assessment or treatment delayed due to COVID-19 pandemic
ServiceRequest.subject[0].reference[0]	Patient/UKCore-Patient-RichardSmith-Example
ServiceRequest.requester[0].reference[0]	Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example

Tree View

ServiceRequest

id : UKCore-Extension-PriorityReason-Example

text

status : additional

status : active

intent : order

priority : urgent

extension

url : https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason

value

coding

system : http://snomed.info/sct

code : 1321851000000109

display : Provision of advice, assessment or treatment delayed due to COVID-19 pandemic

subject

reference : Patient/UKCore-Patient-RichardSmith-Example

requester

reference : Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example

XML View

<ServiceRequest xmlns="http://hl7.org/fhir">
    <id value="UKCore-Extension-PriorityReason-Example" />
    <text>
        <status value="additional" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <status value="active" />
    <intent value="order" />
    <priority value="urgent">
        <!--   ***************extension start***************   -->
        <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason">
            <valueCodeableConcept>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="1321851000000109" />
                    <display value="Provision of advice, assessment or treatment delayed due to COVID-19 pandemic" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <!--   **************extension end ******************   -->
    </priority>
    <subject>
        <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
    </subject>
    <requester>
        <reference value="Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example" />
    </requester>
</ServiceRequest>

JSON View

{
    "resourceType": "ServiceRequest",
    "id": "UKCore-Extension-PriorityReason-Example",
    "text": {
        "status": "additional",
        --- We have skipped the narrative for better readability of the resource ---
    },
    "status": "active",
    "intent": "order",
    "priority": "urgent",
    "_priority": {
        "extension":  [
            {
                "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason",
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "1321851000000109",
                            "display": "Provision of advice, assessment or treatment delayed due to COVID-19 pandemic"
                        }
                    ]
                }
            }
        ]
    },
    "subject": {
        "reference": "Patient/UKCore-Patient-RichardSmith-Example"
    },
    "requester": {
        "reference": "Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example"
    }
}