MediRecords FHIR Implementation Guide
1.3.0 - release


: Diagnostic Request Pathology - XML Representation

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<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 &quot;ccc2a954-d39a-4296-af39-f7510a2e51fa&quot; </p><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-mr-diagnosticrequest.html">MediRecords Diagnostic Request</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>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/5.3.0/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/5.3.0/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/5.3.0/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>-</td><td><b>Collected[x]</b></td></tr><tr><td>*</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/5.3.0/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/5.3.0/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>-</td><td><b>Collected[x]</b></td></tr><tr><td>*</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>