MediRecords FHIR Implementation Guide
1.4.1 - release
{
"resourceType" : "ServiceRequest",
"id" : "ccc2a954-d39a-4296-af39-f7510a2e51fa",
"meta" : {
"profile" : [
🔗 "https://fhir.medirecords.com/StructureDefinition/mr-diagnosticrequest"🔗 ,
"http://hl7.org.au/fhir/StructureDefinition/au-diagnosticrequest"
],
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "U",
"display" : "Unrestricted"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ccc2a954-d39a-4296-af39-f7510a2e51fa</b></p><a name=\"ccc2a954-d39a-4296-af39-f7510a2e51fa\"> </a><a name=\"hcccc2a954-d39a-4296-af39-f7510a2e51fa\"> </a><a name=\"ccc2a954-d39a-4296-af39-f7510a2e51fa-en-US\"> </a><p><b>Result Copies To</b>: <a href=\"PractitionerRole-b27fc609-efcb-4c43-a296-5908787de413.html\">PractitionerRole General practitioner</a></p><p><b>Result Copies To</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Mila Female, DoB: 1990-11-29 ( Medicare Number:\u00a032788511952\u00a0(,\u00a0period:\u00a0(?) --> 2025-02))</a></p><p><b>ServiceRequest Precondition</b>: <span title=\"Codes:{http://snomed.info/sct 726054005}\">After fasting</span></p><p><b>requisition</b>: Placer Group Number/ORD0999-B177</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 108252007}\">Laboratory procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 41668001}\">17 OH Progesterone</span></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Mila Female, DoB: 1990-11-29 ( Medicare Number:\u00a032788511952\u00a0(,\u00a0period:\u00a0(?) --> 2025-02))</a></p><p><b>authoredOn</b>: 2019-09-23</p><p><b>requester</b>: <a href=\"PractitionerRole-b27fc609-efcb-4c43-a296-5908787de413.html\">John Smith</a></p><p><b>reasonCode</b>: <span title=\"Codes:\">Hepatitis B surface antibody status</span>, <span title=\"Codes:{http://snomed.info/sct 21522001}\">Abdominal pain</span></p><p><b>insurance</b>: <a href=\"#hcccc2a954-d39a-4296-af39-f7510a2e51fa/4\">Coverage: status = active; type = Pay</a></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"#hcccc2a954-d39a-4296-af39-f7510a2e51fa/1\">Observation Pregnancy status</a></li><li><a href=\"#hcccc2a954-d39a-4296-af39-f7510a2e51fa/2\">Observation Estimated date of delivery</a></li><li><a href=\"#hcccc2a954-d39a-4296-af39-f7510a2e51fa/3\">Observation Date of last menstrual period</a></li><li><a href=\"#hcccc2a954-d39a-4296-af39-f7510a2e51fa/4\">Coverage: status = active; type = Pay</a></li><li><a href=\"#hcccc2a954-d39a-4296-af39-f7510a2e51fa/5\">Specimen</a></li></ul><p><b>note</b>: Patient condition is stable</p><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #1</b></p><a name=\"ccc2a954-d39a-4296-af39-f7510a2e51fa/1\"> </a><a name=\"hcccc2a954-d39a-4296-af39-f7510a2e51fa/1\"> </a><a name=\"ccc2a954-d39a-4296-af39-f7510a2e51fa/1-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 82810-3}\">Pregnancy status</span></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Mila Female, DoB: 1990-11-29 ( Medicare Number:\u00a032788511952\u00a0(,\u00a0period:\u00a0(?) --> 2025-02))</a></p><p><b>effective</b>: 2020-01-10</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 77386006}\">Pregnant</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #2</b></p><a name=\"ccc2a954-d39a-4296-af39-f7510a2e51fa/2\"> </a><a name=\"hcccc2a954-d39a-4296-af39-f7510a2e51fa/2\"> </a><a name=\"ccc2a954-d39a-4296-af39-f7510a2e51fa/2-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 161714006}\">Estimated date of delivery</span></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Mila Female, DoB: 1990-11-29 ( Medicare Number:\u00a032788511952\u00a0(,\u00a0period:\u00a0(?) --> 2025-02))</a></p><p><b>effective</b>: 2020-01-10</p><p><b>value</b>: 2022-03-12</p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #3</b></p><a name=\"ccc2a954-d39a-4296-af39-f7510a2e51fa/3\"> </a><a name=\"hcccc2a954-d39a-4296-af39-f7510a2e51fa/3\"> </a><a name=\"ccc2a954-d39a-4296-af39-f7510a2e51fa/3-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 21840007}, {http://loinc.org 8665-2}\">Date of last menstrual period</span></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Mila Female, DoB: 1990-11-29 ( Medicare Number:\u00a032788511952\u00a0(,\u00a0period:\u00a0(?) --> 2025-02))</a></p><p><b>effective</b>: 2020-01-10</p><p><b>value</b>: 2021-06-11</p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Coverage #4</b></p><a name=\"ccc2a954-d39a-4296-af39-f7510a2e51fa/4\"> </a><a name=\"hcccc2a954-d39a-4296-af39-f7510a2e51fa/4\"> </a><a name=\"ccc2a954-d39a-4296-af39-f7510a2e51fa/4-en-US\"> </a><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-selfpay pay}\">Private</span></p><p><b>beneficiary</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Mila Female, DoB: 1990-11-29 ( Medicare Number:\u00a032788511952\u00a0(,\u00a0period:\u00a0(?) --> 2025-02))</a></p><p><b>payor</b>: Private</p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Specimen #5</b></p><a name=\"ccc2a954-d39a-4296-af39-f7510a2e51fa/5\"> </a><a name=\"hcccc2a954-d39a-4296-af39-f7510a2e51fa/5\"> </a><a name=\"ccc2a954-d39a-4296-af39-f7510a2e51fa/5-en-US\"> </a><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2022-09-24</td></tr></table></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Observation",
"id" : "1",
"meta" : {
"profile" : [
🔗 "http://hl7.org.au/fhir/core/StructureDefinition/au-core-pregnancystatus"
]
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "social-history",
"display" : "Social History"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "82810-3",
"display" : "Pregnancy status"
}
]
},
"subject" : {
🔗 "reference" : "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"
},
"effectiveDateTime" : "2020-01-10",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "77386006",
"display" : "Pregnant"
}
]
}
},
{
"resourceType" : "Observation",
"id" : "2",
"meta" : {
"profile" : [
🔗 "http://hl7.org.au/fhir/StructureDefinition/au-estimateddateofdelivery"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "161714006",
"display" : "Estimated date of delivery"
}
]
},
"subject" : {
🔗 "reference" : "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"
},
"effectiveDateTime" : "2020-01-10",
"valueDateTime" : "2022-03-12"
},
{
"resourceType" : "Observation",
"id" : "3",
"meta" : {
"profile" : [
🔗 "http://hl7.org.au/fhir/StructureDefinition/au-lastmenstrualperiod"
]
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "21840007",
"display" : "Date of last menstrual period"
},
{
"system" : "http://loinc.org",
"code" : "8665-2",
"display" : "Last menstrual period start date"
}
]
},
"subject" : {
🔗 "reference" : "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"
},
"effectiveDateTime" : "2020-01-10",
"valueDateTime" : "2021-06-11"
},
{
"resourceType" : "Coverage",
"id" : "4",
"meta" : {
"profile" : [
🔗 "https://fhir.medirecords.com/StructureDefinition/mr-coverage"
]
},
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-selfpay",
"code" : "pay",
"display" : "Pay"
}
],
"text" : "Private"
},
"beneficiary" : {
🔗 "reference" : "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"
},
"payor" : [
{
"display" : "Private"
}
]
},
{
"resourceType" : "Specimen",
"id" : "5",
"meta" : {
"profile" : [
🔗 "http://hl7.org.au/fhir/StructureDefinition/au-specimen"
]
},
"collection" : {
"collectedDateTime" : "2022-09-24"
}
}
],
"extension" : [
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/result-copies-to",
"valueReference" : {
🔗 "reference" : "PractitionerRole/b27fc609-efcb-4c43-a296-5908787de413"
}
},
{
"url" : "http://hl7.org.au/fhir/StructureDefinition/result-copies-to",
"valueReference" : {
🔗 "reference" : "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/servicerequest-precondition",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "726054005",
"display" : "After fasting"
}
]
}
}
],
"requisition" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PGN",
"display" : "Placer Group Number"
}
]
},
"system" : "urn:uuid:c388353b-cf5e-4269-8c25-928f430fd01c",
"value" : "ORD0999-B177",
"assigner" : {
"display" : "FHIR Tenant"
}
},
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "108252007",
"display" : "Laboratory procedure"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "41668001",
"display" : "17 OH Progesterone"
}
],
"text" : "17 OH Progesterone"
},
"subject" : {
🔗 "reference" : "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c"
},
"authoredOn" : "2019-09-23",
"requester" : {
🔗 "reference" : "PractitionerRole/b27fc609-efcb-4c43-a296-5908787de413",
"display" : "John Smith"
},
"reasonCode" : [
{
"text" : "Hepatitis B surface antibody status"
},
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "21522001",
"display" : "Abdominal pain"
}
],
"text" : "Abdominal pain"
}
],
"insurance" : [
{
"reference" : "#4"
}
],
"supportingInfo" : [
{
"reference" : "#1"
},
{
"reference" : "#2"
},
{
"reference" : "#3"
},
{
"reference" : "#4"
},
{
"reference" : "#5"
}
],
"note" : [
{
"text" : "Patient condition is stable"
}
]
}