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 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: 32788511952 (, period: (?) --> 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: 32788511952 (, period: (?) --> 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: 32788511952 (, period: (?) --> 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: 32788511952 (, period: (?) --> 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: 32788511952 (, period: (?) --> 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: 32788511952 (, period: (?) --> 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>
</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>