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Narrative

Note: links and images are rebased to the (stated) source

Source1

{
  "resourceType": "ServiceRequest",
  "id": "HIEServiceRequest-example",
  "meta": {
    "profile": [
      "https://nshr.dha.go.ke/fhir/StructureDefinition/servicerequest"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "use": "official",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "PLAC",
            "display": "Placer Identifier"
          }
        ]
      },
      "system": "http://hospital.example.org/ordernumbers",
      "value": "ORD-2025-000123"
    }
  ],
  "replaces": [
    {
      "reference": "ServiceRequest/sr-older-001",
      "display": "Supersedes prior non-fasting order"
    }
  ],
  "status": "active",
  "intent": "order",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code": "LAB",
          "display": "Laboratory"
        }
      ]
    }
  ],
  "priority": "routine",
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "57021-8",
        "display": "CBC W Auto Differential panel"
      }
    ]
  },
  "orderDetail": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "422512005",
          "display": "Fasting procedure requested"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "119361006",
          "display": "Serum specimen"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/p-001",
    "display": "Jane Patient"
  },
  "encounter": {
    "reference": "Encounter/enc-001",
    "display": "OP visit 2025-11-15"
  },
  "occurrenceDateTime": "2025-11-16T08:00:00+03:00",
  "authoredOn": "2025-11-15T10:12:00+03:00",
  "requester": {
    "reference": "Practitioner/pr-001",
    "display": "Dr. John Clinician"
  },
  "performerType": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/participant-role",
        "code": "performer",
        "display": "Performer"
      }
    ]
  },
  "performer": [
    {
      "reference": "Organization/lab-001",
      "display": "Acme Diagnostics Lab"
    }
  ],
  "locationReference": [
    {
      "reference": "Location/loc-lab",
      "display": "Outpatient Lab Room 3"
    }
  ],
  "reasonReference": [
    {
      "reference": "Condition/cond-001",
      "display": "Fatigue"
    }
  ],
  "supportingInfo": [
    {
      "reference": "DocumentReference/dr-001",
      "display": "Referral letter"
    }
  ],
  "specimen": [
    {
      "reference": "Specimen/spec-001",
      "display": "Serum sample"
    }
  ],
  "bodySite": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "368208006",
          "display": "Left antecubital fossa"
        }
      ]
    }
  ],
  "note": [
    {
      "authorReference": {
        "reference": "Practitioner/pr-001"
      },
      "time": "2025-11-15T10:15:00+03:00",
      "text": "Patient advised to fast 8 hours. Collect before 10 AM."
    }
  ]
}