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 service request for an ECG due to an elevated heart rate

Table View

ServiceRequest.id[0]	UKCore-ServiceRequest-ECG-Example
ServiceRequest.text[0].status[0]	additional
ServiceRequest.text[0].div[0]	<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate service request for an ECG due to an elevated heart rate</div>
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]	268400002
ServiceRequest.code[0].coding[0].display[0]	12 lead ECG
ServiceRequest.subject[0].reference[0]	Patient/UKCore-Patient-RichardSmith-Example
ServiceRequest.occurrence[0].start[0]	2023-10-13T16:20:27+07:00
ServiceRequest.authoredOn[0]	2023-10-13T16:28:00+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]	11092001
ServiceRequest.reasonCode[0].coding[0].display[0]	Sinus tachycardia

Tree View

ServiceRequest

id : UKCore-ServiceRequest-ECG-Example

text

status : additional

status : active

intent : order

code

coding

system : http://snomed.info/sct

code : 268400002

display : 12 lead ECG

subject

reference : Patient/UKCore-Patient-RichardSmith-Example

occurrence

start : 2023-10-13T16:20:27+07:00

authoredOn : 2023-10-13T16:28:00+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 : 11092001

display : Sinus tachycardia

XML View

<ServiceRequest xmlns="http://hl7.org/fhir">
    <id value="UKCore-ServiceRequest-ECG-Example" />
    <text>
        <status value="additional" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <status value="active" />
    <intent value="order" />
    <code>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="268400002" />
            <display value="12 lead ECG" />
        </coding>
    </code>
    <subject>
        <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
    </subject>
    <occurrencePeriod>
        <start value="2023-10-13T16:20:27+07:00" />
    </occurrencePeriod>
    <authoredOn value="2023-10-13T16:28:00+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="11092001" />
            <display value="Sinus tachycardia" />
        </coding>
    </reasonCode>
</ServiceRequest>

JSON View

{
    "resourceType": "ServiceRequest",
    "id": "UKCore-ServiceRequest-ECG-Example",
    "text": {
        "status": "additional",
        --- We have skipped the narrative for better readability of the resource ---
    },
    "status": "active",
    "intent": "order",
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "268400002",
                "display": "12 lead ECG"
            }
        ]
    },
    "subject": {
        "reference": "Patient/UKCore-Patient-RichardSmith-Example"
    },
    "occurrencePeriod": {
        "start": "2023-10-13T16:20:27+07:00"
    },
    "authoredOn": "2023-10-13T16:28:00+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": "11092001",
                    "display": "Sinus tachycardia"
                }
            ]
        }
    ]
}