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Packagehl7.fhir.us.eltss.r4
Resource TypeServiceRequest
IdServiceRequest-service3.json
FHIR VersionR4

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Narrative

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

Generated Narrative: ServiceRequest

Resource ServiceRequest "service3" Version "1" Updated "2020-09-03 10:16:03-0400"

Information Source: #KZ0jzPjXDrhCiMif!

Profile: ServiceRequest_eltss

status: active

intent: plan

code: Diabetes outpatient self-management training services, individual, per 30 minutes (HCFA Procedure Codes (HCPCS)#G0108)

quantity: 1 visit (Details: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl code C25716 = 'C25716')/1 week (Details: UCUM code wk = 'wk')

subject: Patient/patientBSJ1 " SMITH-JOHNSON"

occurrence: 2020-05-01 --> 2020-08-01

performer: Practitioner/provider3 " EDUCATOR"

reasonReference: Condition/need2

supportingInfo: Claim/claim2

Source1

{
  "resourceType": "ServiceRequest",
  "id": "service3",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2020-09-03T10:16:03.512-04:00",
    "source": "#KZ0jzPjXDrhCiMif",
    "profile": [
      "http://hl7.org/fhir/us/eltss/StructureDefinition/ServiceRequest-eltss"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "active",
  "intent": "plan",
  "code": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/HCPCS-all-codes",
        "code": "G0108"
      }
    ],
    "text": "Diabetes outpatient self-management training services, individual, per 30 minutes"
  },
  "quantityRatio": {
    "numerator": {
      "value": 1,
      "unit": "visit",
      "system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
      "code": "C25716"
    },
    "denominator": {
      "value": 1,
      "unit": "week",
      "system": "http://unitsofmeasure.org",
      "code": "wk"
    }
  },
  "subject": {
    "reference": "Patient/patientBSJ1"
  },
  "occurrencePeriod": {
    "start": "2020-05-01",
    "end": "2020-08-01"
  },
  "performer": [
    {
      "reference": "Practitioner/provider3"
    }
  ],
  "reasonReference": [
    {
      "reference": "Condition/need2"
    }
  ],
  "supportingInfo": [
    {
      "reference": "Claim/claim2"
    }
  ]
}