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><b>Generated Narrative: ServiceRequest</b><a name=\"ccc2a954-d39a-4296-af39-f7510a2e51fa\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ServiceRequest "ccc2a954-d39a-4296-af39-f7510a2e51fa" </p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-mr-diagnosticrequest.html\">MR DiagnosticRequest</a>, <a href=\"http://hl7.org.au/fhir/4.0.0/StructureDefinition-au-diagnosticrequest.html\">AU Diagnostic Request</a></p><p style=\"margin-bottom: 0px\">Security Labels: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-Confidentiality http://terminology.hl7.org/CodeSystem/v3-Confidentiality}\">http://terminology.hl7.org/CodeSystem/v3-Confidentiality</span></p></div><p><b>Result Copies To</b>: <a href=\"PractitionerRole-b27fc609-efcb-4c43-a296-5908787de413.html\">PractitionerRole/b27fc609-efcb-4c43-a296-5908787de413</a></p><p><b>Result Copies To</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> " GREY"</p><p><b>ServiceRequest Precondition</b>: After fasting <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#726054005)</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>: Laboratory procedure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#108252007)</span></p><p><b>code</b>: 17 OH Progesterone <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#41668001)</span></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> " GREY"</p><p><b>authoredOn</b>: 2019-09-23</p><p><b>requester</b>: <a href=\"PractitionerRole-b27fc609-efcb-4c43-a296-5908787de413.html\">PractitionerRole/b27fc609-efcb-4c43-a296-5908787de413: John Smith</a></p><p><b>reasonCode</b>: Hepatitis B surface antibody status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span>, Abdominal pain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#21522001)</span></p><p><b>insurance</b>: <a name=\"4\"> </a></p><blockquote><p/><p><a name=\"4\"> </a></p><p><b>status</b>: active</p><p><b>type</b>: Private <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-coverage-selfpay.html\">Coverage SelfPay Codes</a>#pay "Pay")</span></p><p><b>beneficiary</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> " GREY"</p><p><b>payor</b>: <span>: Private</span></p></blockquote><p><b>supportingInfo</b>: </p><ul><li><a name=\"1\"> </a></li><li><a name=\"2\"> </a></li><li><a name=\"3\"> </a></li><li><a name=\"4\"> </a></li><li><a name=\"5\"> </a></li></ul><blockquote><p/><p><a name=\"1\"> </a></p><p><b>status</b>: final</p><p><b>category</b>: Social History <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-observation-category.html\">Observation Category Codes</a>#social-history)</span></p><p><b>code</b>: Pregnancy status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#82810-3)</span></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> " GREY"</p><p><b>effective</b>: 2020-01-10</p><p><b>value</b>: Pregnant <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#77386006)</span></p></blockquote><blockquote><p/><p><a name=\"2\"> </a></p><p><b>status</b>: final</p><p><b>code</b>: Estimated date of delivery <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#161714006)</span></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> " GREY"</p><p><b>effective</b>: 2020-01-10</p><p><b>value</b>: 2022-03-12</p></blockquote><blockquote><p/><p><a name=\"3\"> </a></p><p><b>status</b>: final</p><p><b>code</b>: Date of last menstrual period <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#21840007; <a href=\"https://loinc.org/\">LOINC</a>#8665-2 "Last menstrual period start date")</span></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> " GREY"</p><p><b>effective</b>: 2020-01-10</p><p><b>value</b>: 2021-06-11</p></blockquote><blockquote><p/><p><a name=\"4\"> </a></p><p><b>status</b>: active</p><p><b>type</b>: Private <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-coverage-selfpay.html\">Coverage SelfPay Codes</a>#pay "Pay")</span></p><p><b>beneficiary</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> " GREY"</p><p><b>payor</b>: <span>: Private</span></p></blockquote><blockquote><p/><p><a name=\"5\"> </a></p><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><p><b>note</b>: Patient condition is stable</p><hr/><blockquote><p><b>Generated Narrative: Observation #1</b><a name=\"1\"> </a></p><p><b>status</b>: final</p><p><b>category</b>: Social History <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-observation-category.html\">Observation Category Codes</a>#social-history)</span></p><p><b>code</b>: Pregnancy status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#82810-3)</span></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> " GREY"</p><p><b>effective</b>: 2020-01-10</p><p><b>value</b>: Pregnant <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#77386006)</span></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #2</b><a name=\"2\"> </a></p><p><b>status</b>: final</p><p><b>code</b>: Estimated date of delivery <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#161714006)</span></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> " GREY"</p><p><b>effective</b>: 2020-01-10</p><p><b>value</b>: 2022-03-12</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #3</b><a name=\"3\"> </a></p><p><b>status</b>: final</p><p><b>code</b>: Date of last menstrual period <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#21840007; <a href=\"https://loinc.org/\">LOINC</a>#8665-2 "Last menstrual period start date")</span></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> " GREY"</p><p><b>effective</b>: 2020-01-10</p><p><b>value</b>: 2021-06-11</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Coverage #4</b><a name=\"4\"> </a></p><p><b>status</b>: active</p><p><b>type</b>: Private <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-coverage-selfpay.html\">Coverage SelfPay Codes</a>#pay "Pay")</span></p><p><b>beneficiary</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> " GREY"</p><p><b>payor</b>: <span>: Private</span></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Specimen #5</b><a name=\"5\"> </a></p><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"
}
]
}