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