MediRecords FHIR Implementation Guide
1.4.1 - release


: Diagnostic Request Pathology - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ServiceRequest ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ccc2a954-d39a-4296-af39-f7510a2e51fa"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://fhir.medirecords.com/StructureDefinition/mr-diagnosticrequest"^^xsd:anyURI ;
fhir:link <https://fhir.medirecords.com/StructureDefinition/mr-diagnosticrequest>     ] [
fhir:v "http://hl7.org.au/fhir/StructureDefinition/au-diagnosticrequest"^^xsd:anyURI ;
fhir:link <http://hl7.org.au/fhir/StructureDefinition/au-diagnosticrequest>     ] ) ;
    ( fhir:security [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
fhir:code [ fhir:v "U" ] ;
fhir:display [ fhir:v "Unrestricted" ]     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir: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 &quot;ccc2a954-d39a-4296-af39-f7510a2e51fa&quot; </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> &quot; GREY&quot;</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> &quot; GREY&quot;</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 &quot;Pay&quot;)</span></p><p><b>beneficiary</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> &quot; GREY&quot;</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> &quot; GREY&quot;</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> &quot; GREY&quot;</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 &quot;Last menstrual period start date&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> &quot; GREY&quot;</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 &quot;Pay&quot;)</span></p><p><b>beneficiary</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> &quot; GREY&quot;</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> &quot; GREY&quot;</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> &quot; GREY&quot;</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 &quot;Last menstrual period start date&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> &quot; GREY&quot;</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 &quot;Pay&quot;)</span></p><p><b>beneficiary</b>: <a href=\"Patient-1e5cae20-85bf-11e8-b401-ffccd711ad9c.html\">Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c</a> &quot; GREY&quot;</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>"
  ] ; # 
  fhir:contained ( [
a fhir:Observation ;
fhir:id [ fhir:v "1" ] ;
fhir:meta [
      ( fhir:profile [
fhir:v "http://hl7.org.au/fhir/core/StructureDefinition/au-core-pregnancystatus"^^xsd:anyURI ;
fhir:link <http://hl7.org.au/fhir/core/StructureDefinition/au-core-pregnancystatus>       ] )     ] ;
fhir:status [ fhir:v "final" ] ;
    ( fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "social-history" ] ;
fhir:display [ fhir:v "Social History" ]       ] )     ] ) ;
fhir:code [
      ( fhir:coding [
a loinc:82810-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "82810-3" ] ;
fhir:display [ fhir:v "Pregnancy status" ]       ] )     ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c" ]     ] ;
fhir:effective [ fhir:v "2020-01-10"^^xsd:date ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:77386006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "77386006" ] ;
fhir:display [ fhir:v "Pregnant" ]       ] )     ]
  ] [
a fhir:Observation ;
fhir:id [ fhir:v "2" ] ;
fhir:meta [
      ( fhir:profile [
fhir:v "http://hl7.org.au/fhir/StructureDefinition/au-estimateddateofdelivery"^^xsd:anyURI ;
fhir:link <http://hl7.org.au/fhir/StructureDefinition/au-estimateddateofdelivery>       ] )     ] ;
fhir:status [ fhir:v "final" ] ;
fhir:code [
      ( fhir:coding [
a sct:161714006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "161714006" ] ;
fhir:display [ fhir:v "Estimated date of delivery" ]       ] )     ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c" ]     ] ;
fhir:effective [ fhir:v "2020-01-10"^^xsd:date ] ;
fhir:value [ fhir:v "2022-03-12"^^xsd:date ]
  ] [
a fhir:Observation ;
fhir:id [ fhir:v "3" ] ;
fhir:meta [
      ( fhir:profile [
fhir:v "http://hl7.org.au/fhir/StructureDefinition/au-lastmenstrualperiod"^^xsd:anyURI ;
fhir:link <http://hl7.org.au/fhir/StructureDefinition/au-lastmenstrualperiod>       ] )     ] ;
fhir:status [ fhir:v "final" ] ;
fhir:code [
      ( fhir:coding [
a sct:21840007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21840007" ] ;
fhir:display [ fhir:v "Date of last menstrual period" ]       ] [
a loinc:8665-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "8665-2" ] ;
fhir:display [ fhir:v "Last menstrual period start date" ]       ] )     ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c" ]     ] ;
fhir:effective [ fhir:v "2020-01-10"^^xsd:date ] ;
fhir:value [ fhir:v "2021-06-11"^^xsd:date ]
  ] [
a fhir:Coverage ;
fhir:id [ fhir:v "4" ] ;
fhir:meta [
      ( fhir:profile [
fhir:v "https://fhir.medirecords.com/StructureDefinition/mr-coverage"^^xsd:anyURI ;
fhir:link <https://fhir.medirecords.com/StructureDefinition/mr-coverage>       ] )     ] ;
fhir:status [ fhir:v "active" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-selfpay"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pay" ] ;
fhir:display [ fhir:v "Pay" ]       ] ) ;
fhir:text [ fhir:v "Private" ]     ] ;
fhir:beneficiary [
fhir:reference [ fhir:v "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c" ]     ] ;
    ( fhir:payor [
fhir:display [ fhir:v "Private" ]     ] )
  ] [
a fhir:Specimen ;
fhir:id [ fhir:v "5" ] ;
fhir:meta [
      ( fhir:profile [
fhir:v "http://hl7.org.au/fhir/StructureDefinition/au-specimen"^^xsd:anyURI ;
fhir:link <http://hl7.org.au/fhir/StructureDefinition/au-specimen>       ] )     ] ;
fhir:collection [
fhir:collected [ fhir:v "2022-09-24"^^xsd:date ]     ]
  ] ) ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org.au/fhir/StructureDefinition/result-copies-to"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "PractitionerRole/b27fc609-efcb-4c43-a296-5908787de413" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org.au/fhir/StructureDefinition/result-copies-to"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/servicerequest-precondition"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:726054005 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "726054005" ] ;
fhir:display [ fhir:v "After fasting" ]       ] )     ]
  ] ) ; # 
  fhir:requisition [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PGN" ] ;
fhir:display [ fhir:v "Placer Group Number" ]       ] )     ] ;
fhir:system [ fhir:v "urn:uuid:c388353b-cf5e-4269-8c25-928f430fd01c"^^xsd:anyURI ] ;
fhir:value [ fhir:v "ORD0999-B177" ] ;
fhir:assigner [
fhir:display [ fhir:v "FHIR Tenant" ]     ]
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:category ( [
    ( fhir:coding [
a sct:108252007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "108252007" ] ;
fhir:display [ fhir:v "Laboratory procedure" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a sct:41668001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "41668001" ] ;
fhir:display [ fhir:v "17 OH Progesterone" ]     ] ) ;
fhir:text [ fhir:v "17 OH Progesterone" ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/1e5cae20-85bf-11e8-b401-ffccd711ad9c" ]
  ] ; # 
  fhir:authoredOn [ fhir:v "2019-09-23"^^xsd:date] ; # 
  fhir:requester [
fhir:reference [ fhir:v "PractitionerRole/b27fc609-efcb-4c43-a296-5908787de413" ] ;
fhir:display [ fhir:v "John Smith" ]
  ] ; # 
  fhir:reasonCode ( [
fhir:text [ fhir:v "Hepatitis B surface antibody status" ]
  ] [
    ( fhir:coding [
a sct:21522001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21522001" ] ;
fhir:display [ fhir:v "Abdominal pain" ]     ] ) ;
fhir:text [ fhir:v "Abdominal pain" ]
  ] ) ; # 
  fhir:insurance ( [
fhir:reference [ fhir:v "#4" ]
  ] ) ; # 
  fhir:supportingInfo ( [
fhir:reference [ fhir:v "#1" ]
  ] [
fhir:reference [ fhir:v "#2" ]
  ] [
fhir:reference [ fhir:v "#3" ]
  ] [
fhir:reference [ fhir:v "#4" ]
  ] [
fhir:reference [ fhir:v "#5" ]
  ] ) ; # 
  fhir:note ( [
fhir:text [ fhir:v "Patient condition is stable" ]
  ] ) . #