FHIR Resource Examples | Medplum
ServiceRequest Example
Here's an example of a ServiceRequest resource representing a cardiology referral:
{
"resourceType": "ServiceRequest",
"id": "cardiology-referral-example",
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "308447001",
"display": "Referral to specialist"
}
]
}
],
"priority": "routine",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "17561000",
"display": "Cardiology service"
}
],
"text": "Cardiology consultation"
},
"subject": {
"reference": "Patient/example-patient-id",
"display": "John Smith"
},
"encounter": {
"reference": "Encounter/primary-care-visit-id"
},
"occurrenceDateTime": "2023-06-15",
"authoredOn": "2023-05-28",
"requester": {
"reference": "Practitioner/primary-care-doctor-id",
"display": "Dr. Marcus Welby"
},
"performer": [
{
"reference": "Practitioner/cardiologist-id",
"display": "Dr. Helen Cardio"
}
],
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "429626006",
"display": "Chest pain on exertion"
}
]
}
],
"reasonReference": [
{
"reference": "Condition/chest-pain-condition-id"
}
],
"supportingInfo": [
{
"reference": "Observation/ecg-observation-id"
},
{
"reference": "DocumentReference/ecg-report-id"
}
],
"note": [
{
"text": "Patient reports chest pain with exertion for the past 2 weeks. ECG shows non-specific ST changes. Please evaluate for possible coronary artery disease."
}
],
"patientInstruction": "Please bring your medication list to the appointment."
}
Task Example
Here's an example of a Task resource for tracking the referral status:
{
"resourceType": "Task",
"id": "referral-task-example",
"status": "requested",
"intent": "order",
"priority": "routine",
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/task-code",
"code": "fulfill",
"display": "Fulfill the focal request"
}
],
"text": "Process referral"
},
"focus": {
"reference": "ServiceRequest/cardiology-referral-example"
},
"for": {
"reference": "Patient/example-patient-id",
"display": "John Smith"
},
"authoredOn": "2023-05-28T14:30:00Z",
"lastModified": "2023-05-28T14:30:00Z",
"requester": {
"reference": "Practitioner/primary-care-doctor-id",
"display": "Dr. Marcus Welby"
},
"owner": {
"reference": "Practitioner/cardiologist-id",
"display": "Dr. Helen Cardio"
},
"businessStatus": {
"text": "Waiting for review"
},
"description": "Cardiology referral for chest pain evaluation",
"restriction": {
"period": {
"start": "2023-05-28T14:30:00Z",
"end": "2023-06-28T14:30:00Z"
}
}
}
Questionnaire Example
Here's a sample Questionnaire for capturing referral data:
{
"resourceType": "Questionnaire",
"id": "cardiology-referral-questionnaire",
"title": "Cardiology Referral Form",
"status": "active",
"date": "2023-01-15",
"item": [
{
"linkId": "referral-category",
"text": "Referral Type",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "308447001",
"display": "Referral to specialist"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "306237005",
"display": "Referral to outpatient department"
}
}
]
},
{
"linkId": "specialty",
"text": "Specialty",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "17561000",
"display": "Cardiology service"
}
}
]
},
{
"linkId": "urgency",
"text": "Urgency",
"type": "choice",
"required": true,
"answerOption": [
{
"valueString": "routine"
},
{
"valueString": "urgent"
},
{
"valueString": "asap"
}
]
},
{
"linkId": "reason",
"text": "Reason for Referral",
"type": "text",
"required": true
},
{
"linkId": "clinical-info",
"text": "Clinical Information",
"type": "group",
"item": [
{
"linkId": "symptoms",
"text": "Current Symptoms",
"type": "text",
"required": true
},
{
"linkId": "duration",
"text": "Duration of Symptoms",
"type": "string"
},
{
"linkId": "relevant-history",
"text": "Relevant Medical History",
"type": "text"
}
]
},
{
"linkId": "medications",
"text": "Current Medications",
"type": "text"
},
{
"linkId": "allergies",
"text": "Allergies",
"type": "text"
},
{
"linkId": "attachments",
"text": "Supporting Documents",
"type": "attachment",
"repeats": true
}
]
}
Communication Example
Here's an example of a Communication resource for the referral transmission:
{
"resourceType": "Communication",
"id": "referral-communication-example",
"status": "completed",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/communication-category",
"code": "notification",
"display": "Notification"
}
],
"text": "Referral"
}
],
"priority": "routine",
"subject": {
"reference": "Patient/example-patient-id",
"display": "John Smith"
},
"about": [
{
"reference": "ServiceRequest/cardiology-referral-example"
}
],
"sent": "2023-05-28T15:00:00Z",
"received": "2023-05-28T15:05:23Z",
"recipient": [
{
"reference": "Practitioner/cardiologist-id",
"display": "Dr. Helen Cardio"
}
],
"sender": {
"reference": "Practitioner/primary-care-doctor-id",
"display": "Dr. Marcus Welby"
},
"payload": [
{
"contentString": "Please see the attached referral for John Smith for evaluation of chest pain."
},
{
"contentReference": {
"reference": "DocumentReference/referral-summary-doc-id"
}
}
]
}
DocumentReference Example
Here's an example of a DocumentReference containing a referral summary PDF:
{
"resourceType": "DocumentReference",
"id": "referral-summary-doc-id",
"status": "current",
"docStatus": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "57133-1",
"display": "Referral note"
}
]
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "57170-3",
"display": "Specialty specific referral"
}
]
}
],
"subject": {
"reference": "Patient/example-patient-id",
"display": "John Smith"
},
"date": "2023-05-28T14:45:00Z",
"author": [
{
"reference": "Practitioner/primary-care-doctor-id",
"display": "Dr. Marcus Welby"
}
],
"authenticator": {
"reference": "Practitioner/primary-care-doctor-id",
"display": "Dr. Marcus Welby"
},
"content": [
{
"attachment": {
"contentType": "application/pdf",
"language": "en-US",
"data": "JVBERi0xLjMKJcTl8uXrp...", // Base64 encoded PDF content (truncated)
"title": "Cardiology Referral - John Smith",
"creation": "2023-05-28T14:45:00Z"
}
}
],
"context": {
"related": [
{
"reference": "ServiceRequest/cardiology-referral-example"
}
]
}
}