FHIR IG analytics| Package | myhie.v4 |
| Resource Type | ServiceRequest |
| Id | sr-myhix-template.json |
| FHIR Version | R4 |
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FHIR
FHIRsmith{
"resourceType": "ServiceRequest",
"id": "sr-myhix-template",
"meta": {
"versionId": "1",
"lastUpdated": "2023-04-25T11:01:46.170+08:00",
"source": "sample",
"profile": [
"http://fhir.hie.moh.gov.my/StructureDefinition/ServiceRequest-my-core"
],
"security": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code": "N"
}
]
},
"extension": [
{
"url": "http://fhir.hie.moh.gov.my/StructureDefinition/attester-my-core",
"extension": [
{
"url": "mode",
"valueCode": "professional"
},
{
"url": "time",
"valueDateTime": "2022-10-05T07:14:38+08:00"
},
{
"url": "party",
"valueReference": {
"type": "PractitionerRole",
"identifier": {
"system": "http://fhir.hie.moh.gov.my/sid/mmc-no",
"value": "43217"
},
"display": "Murusamy A/L Atharv"
}
}
]
}
],
"identifier": [
{
"system": "http://fhir.hie.moh.gov.my/sid/service-request-id",
"value": "HTJ-REF-2304000005"
}
],
"status": "active",
"intent": "proposal",
"category": [
{
"coding": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/servicerequest-category-my-core",
"code": "3457005",
"display": "Patient referral"
}
]
}
],
"priority": "routine",
"code": {
"coding": [
{
"display": "Hospital Referral Summary"
}
]
},
"subject": {
"reference": "Patient/patient-sample"
},
"encounter": {
"reference": "Encounter/encounter-sample"
},
"authoredOn": "2022-08-30T08:00:46.838+08:00",
"requester": {
"type": "PractitionerRole",
"identifier": {
"system": "http://fhir.hie.moh.gov.my/sid/mmc-no",
"value": "76212"
},
"display": "Wong Ah Liu"
},
"performerType": {
"coding": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/schedule-type-my-core",
"code": "internal",
"display": "Internal"
}
]
},
"performer": [
{
"reference": "Organization/11-05060009",
"type": "Organization"
},
{
"type": "PractitionerRole",
"identifier": {
"system": "http://fhir.hie.moh.gov.my/sid/mmc-no",
"value": "12345"
},
"display": "Arumugan A/L Aryan"
}
],
"reasonReference": [
{
"reference": "Condition/condition-sample"
}
],
"supportingInfo": [
{
"id": "Recipient",
"type": "PractitionerRole",
"display": "Zuraidah Binti Abu"
}
],
"note": [
{
"text": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><strong>Document Set</strong></h2><ul><li><strong>Document unique id: </strong>entry goes here</li><li><strong>Document repository unique id:</strong> entry goes here</li><li><strong>Document title:</strong> entry goes here</li><li><strong>Document confidentiality:</strong> entry goes here</li><li><strong>Document creation time:</strong> entry goes here</li><li><strong>Parent document id:</strong> entry goes here</li><li><strong>Parent document relationship:</strong> entry goes here</li></ul><h2><strong>Custodian</strong></h2><ul><li><strong>OID:</strong> entry goes here</li><li><strong>Name:</strong> entry goes here</li><li><strong>Address:</strong> entry goes here</li></ul><h2><strong>Patient</strong></h2><ul><li><strong>Name:</strong> entry goes here</li><li><strong>Gender:</strong> entry goes here</li><li><strong>DOB:</strong> entry goes here</li><li><strong>Race:</strong> entry goes here</li><li><strong>MRN:</strong> entry goes here</li><li><strong>Address:</strong> entry goes here</li><li><strong>Phone home:</strong> entry goes here</li><li><strong>Phone office:</strong> entry goes here</li><li><strong>Fax:</strong> entry goes here</li><li><strong>Email address:</strong> entry goes here</li><li><strong>National id:</strong> entry goes here</li></ul><h2><strong>Author</strong></h2><ul><li><strong>Name:</strong> entry goes here</li><li><strong>MMC:</strong> entry goes here</li><li><strong>Facility OID:</strong> entry goes here</li><li><strong>Facility name:</strong> entry goes here</li><li><strong>Time:</strong> entry goes here</li></ul><h2><strong>Consultant</strong></h2><ul><li><strong>Name:</strong> entry goes here</li><li><strong>MMC:</strong> entry goes here</li><li><strong>NSR:</strong> entry goes here</li><li><strong>Facility OID:</strong> entry goes here</li><li><strong>Facility name:</strong> entry goes here</li><li><strong>Time:</strong> entry goes here</li></ul><h2><strong>Visit / EncounterAdmission date</strong></h2><ul><li><strong>Discharge date:</strong> entry goes here</li><li><strong>Visit id:</strong> entry goes here</li><li><strong>Time:</strong> entry goes here</li><li><strong>Assign doctor name:</strong> entry goes here</li><li><strong>Assign doctor:</strong> entry goes here</li><li><strong>MMC:</strong> entry goes here</li><li><strong>Assign doctor facility OID:</strong> entry goes here</li><li><strong>Assign doctor facility name: </strong>entry goes here</li><li><strong>Service id: </strong>entry goes here</li><li><strong>Service name: </strong>entry goes here</li></ul><h2><strong>Allergies</strong></h2><ul><li><strong>Allergies and Other Adverse Reactions:</strong> entry goes here</li></ul><h2><strong>Reason for Care</strong></h2><ul><li><strong>Hospital Admission Diagnosis:</strong> entry goes here</li></ul><h2><strong>Other Condition Histories</strong></h2><ul><li><strong>Active Problems:</strong> entry goes here</li><li><strong>Discharge Diagnosis:</strong> entry goes here</li><li><strong>Resolved Problems:</strong> entry goes here</li><li><strong>List of Surgeries:</strong> entry goes here</li></ul><h2><strong>Medication</strong></h2><ul><li><strong>Medications: entry goes here</strong></li></ul><h2><strong>Relevant Studies</strong></h2><ul><li><strong>Results:</strong> entry goes here</li><li><strong>Hospital Discharge:</strong> entry goes here</li><li><strong>Studies Summary:</strong> entry goes here</li></ul><h2><strong>Plans of Care</strong></h2><ul><li><strong>Care Plan: </strong>entry goes here</li></ul><h2><strong>Correspondence Facility</strong></h2><ul><li><strong>OID:</strong> entry goes here</li><li><strong>NameAddress:</strong> entry goes here</li></ul></div>"
}
]
}