CH eTOC (R4)
0.1.0 - STU 1 Ballot

This page is part of the CH eTOC (R4) (v0.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.1. For a full list of available versions, see the Directory of published versions

: ServiceRequest Medical Referral - XML Representation

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="ServiceRequestEtoc"/>
  <meta>
    <profile
             value="http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>CH ORF Location and Time</b>: <a href="Appointment-AppointmentHospitalStay.html">Generated Summary: status: proposed; patientInstruction: Wunschtermin der Patientin; requestedPeriod: Apr 1, 2019, 5:00:00 PM --&gt; Apr 1, 2019, 5:30:00 PM</a></p><p><b>identifier</b>: Placer Identifier: 12345</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>priority</b>: routine</p><p><b>code</b>: <span title="Codes: ">Abklärung akuter Thoraxschmerzen</span></p><p><b>subject</b>: <a href="Patient-SUfferer.html">Generated Summary: Susanna Ufferer (OFFICIAL), Leidend (MAIDEN); Phone: +41 79 979 79 79, susanna@ufferer.ch; gender: female; birthDate: 1970-03-14</a></p><p><b>requester</b>: <a href="PractitionerRole-ORderplacerHappyDoctors.html">Generated Summary: </a></p><p><b>reasonCode</b>: <span title="Codes: ">Verdacht auf Myokardinfarkt</span></p><p><b>reasonReference</b>: <a href="Condition-PrimaryDiagnosis.html">Generated Summary: <span title="Codes: {http://fhir.ch/ig/ch-etoc/CodeSystem/ch-etoc-conditioncategory primary-diagnosis}">Primary Diagnosis</span>; <span title="Codes: ">St. nach Bypass 2007</span></a></p><p><b>insurance</b>: <a href="Coverage-CoverageKVG.html">Generated Summary: Insurance Card Number: 80756015090002647590; status: active; <span title="Codes: {http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coveragetype KVG}">According to KVG</span></a></p><p><b>supportingInfo</b>: </p><ul><li><a href="Observation-BodyHeight.html">Generated Summary: <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span>; <span title="Codes: {http://loinc.org 8302-2}">Body height</span>; effective: Apr 1, 2019, 12:10:00 PM; 176 cm</a></li><li><a href="Observation-BodyWeight.html">Generated Summary: <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span>; <span title="Codes: {http://loinc.org 29463-7}">Body weight</span>; effective: Apr 1, 2019, 12:10:00 PM; 99 kg</a></li><li><a href="Condition-SecondaryDiagnosis1.html">Generated Summary: <span title="Codes: {http://fhir.ch/ig/ch-etoc/CodeSystem/ch-etoc-conditioncategory secondary-diagnosis}">Secondary Diagnosis</span>; <span title="Codes: ">Hypertonie (Syst um 180 mm HG)</span></a></li><li><a href="Condition-SecondaryDiagnosis2.html">Generated Summary: <span title="Codes: {http://fhir.ch/ig/ch-etoc/CodeSystem/ch-etoc-conditioncategory secondary-diagnosis}">Secondary Diagnosis</span>; <span title="Codes: ">Hypercholesterinämie</span></a></li></ul><p><b>note</b>: Patient ist sehr ängstlich</p></div>
  </text>
  <extension
             url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime">
    <valueReference>
      <reference value="Appointment/AppointmentHospitalStay"/>
    </valueReference>
  </extension>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="PLAC"/>
      </coding>
    </type>
    <system value="urn:oid:1.3.4.5.6.7"/>
    <value value="12345"/>
  </identifier>
  <status value="active"/>
  <intent value="order"/>
  <priority value="routine"/>
  <code>
    <text value="Abklärung akuter Thoraxschmerzen"/>
  </code>
  <subject>
    <reference value="Patient/SUfferer"/>
  </subject>
  <requester>
    <reference value="PractitionerRole/ORderplacerHappyDoctors"/>
  </requester>
  <reasonCode>
    <text value="Verdacht auf Myokardinfarkt"/>
  </reasonCode>
  <reasonReference>
    <reference value="Condition/PrimaryDiagnosis"/>
  </reasonReference>
  <insurance>
    <reference value="Coverage/CoverageKVG"/>
  </insurance>
  <supportingInfo>
    <reference value="Observation/BodyHeight"/>
  </supportingInfo>
  <supportingInfo>
    <reference value="Observation/BodyWeight"/>
  </supportingInfo>
  <supportingInfo>
    <reference value="Condition/SecondaryDiagnosis1"/>
  </supportingInfo>
  <supportingInfo>
    <reference value="Condition/SecondaryDiagnosis2"/>
  </supportingInfo>
  <note>
    <text value="Patient ist sehr ängstlich"/>
  </note>
</ServiceRequest>