MediRecords FHIR Implementation Guide
1.4.1 - release


Resource Profile: MR DiagnosticRequest

Defining URL:https://fhir.medirecords.com/StructureDefinition/mr-diagnosticrequest
Version:1.4.1
Name:MRDiagnosticRequest
Title:MR DiagnosticRequest
Status:Active as of 2025-02-03 04:29:41+0000
Definition:

MediRecords Diagnostic Request profile to record diagnostic request for a patient

Source Resource:XML / JSON / Turtle

The official URL for this profile is:

https://fhir.medirecords.com/StructureDefinition/mr-diagnosticrequest

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from AUDiagnosticRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest AUDiagnosticRequest
... id S 0..1 id Logical id of this artifact
... meta
.... lastUpdated S 0..1 instant When the resource version last changed
.... profile S 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security S 0..* Coding Security Labels applied to this resource
... Slices for contained 1..* Resource Contained, inline Resources
Slice: Unordered, Open by profile:$this
.... contained:pregnancyStatus S 0..1 AUCorePregnancyStatus This should only be provided if subject is pregnant
..... code 1..1 CodeableConcept loinc code for pregnancy status
..... value[x] 1..1 CodeableConcept Actual result
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77386006
..... hasMember 0..0
.... contained:estimatedDeliveryDate S 0..1 AUEstimatedDateOfDelivery This should only be provided if subject is pregnant
..... status S 1..1 code registered | preliminary | final | amended +
..... code S 1..1 CodeableConcept snomed code for estimated delivery date
..... subject S 1..1 Reference(Patient) The pregnant individual
..... focus 0..0
..... effective[x] S 1..1 dateTime Date, and optionally time, the observation was performed
..... value[x] S 1..1 dateTime Actual result
.... contained:lastMenstrualPeriod S 0..1 AULastMenstrualPeriod This should only be provided if subject is pregnant
..... status S 1..1 code registered | preliminary | final | amended +
..... code S 1..1 CodeableConcept snomed or loinc code for last menstrual period
..... subject S 1..1 Reference(Patient) Who and/or what the observation is about
..... effective[x] S 1..1 dateTime Date, and optionally time, the observation was performed
..... value[x] S 1..1 dateTime Actual result
.... contained:billingInformation S 1..1 MRCoverage Insurance or medical plan or a payment agreement
..... status S 1..1 code Must be active only
..... type
...... coding S 0..1 Coding Code defined by a terminology system
..... beneficiary S 1..1 Reference(MR Patient) Plan beneficiary
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... payor S 1..1 Reference(Organization | Patient | RelatedPerson) Issuer of the policy
...... display 1..1 string Text alternative for the resource
.... contained:specimenCollection S 0..1 AUBaseSpecimen A specimen in an Australian healthcare context
..... collection 1..1 BackboneElement Collection details
...... Slices for collected[x] 1..1 dateTime Collection time
Slice: Unordered, Open by type:$this
....... collected[x]:collectedDateTime S 1..1 dateTime Collection time
.... resultCopiesTo S 0..* (Complex) Copies of results sent to these recpients
URL: http://hl7.org.au/fhir/StructureDefinition/result-copies-to
..... value[x] 1..1 Reference(MR PractitionerRole Contact | MR Patient) Result copies to
.... serviceRequestFasting S 0..1 CodeableConcept Patient fasting precondition
URL: http://hl7.org/fhir/StructureDefinition/servicerequest-precondition profiled by https://fhir.medirecords.com/StructureDefinition/mr-service-request-fasting
... requisition S 0..1 AULocalOrderIdentifier Local Order Identifier
... status S 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent S 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: order
... category S 1..1 CodeableConcept Code representing 'Laboratory procedure' or 'Imaging' service
Binding: MediRecords Diagnostic Request Categories (required)
... priority S 0..1 code routine | urgent | asap | stat
... code S 1..1 CodeableConcept What is being requested/ordered
.... coding 0..1 Coding Code defined by a terminology system
.... text 1..1 string Plain text representation of the concept
... subject S 1..1 Reference(MR Patient) Individual or Entity the service is ordered for
... authoredOn S 1..1 dateTime Date request signed
... requester S 1..1 Reference(MR PractitionerRole) Authorising individual, organisation or program (e.g. National Bowel Cancer Screening Program)
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
.... display 1..1 string Text alternative for the resource
... reasonCode S 0..* CodeableConcept Explanation/Justification for procedure or service
.... coding 0..1 Coding Code defined by a terminology system
..... system 0..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
.... text 1..1 string Plain text representation of the concept
... insurance S 1..1 Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo S 0..* Reference(AU Core Pregnancy Status | AU Estimated Date of Delivery | AU Last Menstrual Period | MR Coverage | Specimen) Additional clinical information
... bodySite S 0..1 CodeableConcept Location on Body
Binding: MediRecords Diagnostic Request BodySite ValueSet (required)
... note S 0..* Annotation Comments

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* AUDiagnosticRequest A diagnostic service request in an Australian healthcare context
prr-1: orderDetail SHALL only be present if code is present
... id SΣ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security SΣ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for contained 1..* Resource Contained, inline Resources
Slice: Unordered, Open by profile:$this
.... contained:pregnancyStatus S 0..1 AUCorePregnancyStatus This should only be provided if subject is pregnant
..... id Σ 0..1 id Logical id of this artifact
..... meta Σ 0..1 Meta Metadata about the resource
..... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
..... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
..... text 0..1 Narrative Text summary of the resource, for human interpretation
..... contained 0..* Resource Contained, inline Resources
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
..... identifier Σ 0..* Identifier Business Identifier for observation
..... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
..... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
..... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


Fixed Value: final
..... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


...... category:socialHistory 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: social-history
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
....... text 0..1 string Plain text representation of the concept
..... code SΣ 1..1 CodeableConcept loinc code for pregnancy status
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 82810-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... subject SΣ 1..1 Reference(AU Base Patient) Who and/or what the observation is about
..... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
..... encounter SΣ 0..1 Reference(AU Base Encounter) Healthcare event during which this observation is made
..... effective[x] SΣC 1..1 dateTime Date, and optionally time, the observation was performed
au-core-obs-01: Date shall be at least to day
..... issued Σ 0..1 instant Date/Time this version was made available
..... performer SΣ 0..* Reference(AU Base Practitioner | AU Base Practitioner Role | AU Base Organisation | AU Base Patient | AU Base Related Person) Who is responsible for the observation
..... value[x] SΣC 1..1 CodeableConcept Actual result
Binding: Pregnancy Status (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77386006
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... note 0..* Annotation Comments about the observation
..... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

..... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

..... specimen 0..1 Reference(Specimen) Specimen used for this observation
..... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
..... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... low C 0..1 SimpleQuantity Low Range, if relevant
...... high C 0..1 SimpleQuantity High Range, if relevant
...... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

...... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


...... age 0..1 Range Applicable age range, if relevant
...... text 0..1 string Text based reference range in an observation
..... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
..... component Σ 0..* BackboneElement Component results
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

...... value[x] Σ 0..1 Actual component result
....... valueQuantity Quantity
....... valueCodeableConcept CodeableConcept
....... valueString string
....... valueBoolean boolean
....... valueInteger integer
....... valueRange Range
....... valueRatio Ratio
....... valueSampledData SampledData
....... valueTime time
....... valueDateTime dateTime
....... valuePeriod Period
...... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

...... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


...... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... contained:estimatedDeliveryDate S 0..1 AUEstimatedDateOfDelivery This should only be provided if subject is pregnant
..... id Σ 0..1 string Logical id of this artifact
..... meta Σ 0..1 Meta Metadata about the resource
..... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
..... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
..... text 0..1 Narrative Text summary of the resource, for human interpretation
..... contained 0..* Resource Contained, inline Resources
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
..... identifier Σ 0..* Identifier Business Identifier for observation
..... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
..... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
..... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


Fixed Value: final
..... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... code SΣ 1..1 CodeableConcept snomed code for estimated delivery date
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 161714006
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:snomedEDD Σ 0..* Coding SNOMED CT Estimated Date of Delivery
Binding: Estimated Date Of Delivery . (extensible)
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:loincEDD Σ 0..* Coding LOINC Estimated Date of Delivery
Binding: Estimated Date Of Delivery LOINC . (extensible)
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... subject SΣ 1..1 Reference(Patient) The pregnant individual
..... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
..... effective[x] SΣ 1..1 dateTime Date, and optionally time, the observation was performed
..... issued Σ 0..1 instant Date/Time this version was made available
..... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
..... value[x] SΣC 1..1 dateTime Actual result
..... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... note 0..* Annotation Comments about the observation
..... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

..... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

..... specimen 0..1 Reference(Specimen) Specimen used for this observation
..... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
..... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... low C 0..1 SimpleQuantity Low Range, if relevant
...... high C 0..1 SimpleQuantity High Range, if relevant
...... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

...... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


...... age 0..1 Range Applicable age range, if relevant
...... text 0..1 string Text based reference range in an observation
..... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
..... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
..... component Σ 0..* BackboneElement Component results
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

...... value[x] Σ 0..1 Actual component result
....... valueQuantity Quantity
....... valueCodeableConcept CodeableConcept
....... valueString string
....... valueBoolean boolean
....... valueInteger integer
....... valueRange Range
....... valueRatio Ratio
....... valueSampledData SampledData
....... valueTime time
....... valueDateTime dateTime
....... valuePeriod Period
...... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

...... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


...... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... contained:lastMenstrualPeriod S 0..1 AULastMenstrualPeriod This should only be provided if subject is pregnant
..... id Σ 0..1 string Logical id of this artifact
..... meta Σ 0..1 Meta Metadata about the resource
..... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
..... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
..... text 0..1 Narrative Text summary of the resource, for human interpretation
..... contained 0..* Resource Contained, inline Resources
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
..... identifier Σ 0..* Identifier Business Identifier for observation
..... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
..... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
..... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


Fixed Value: final
..... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... code SΣ 1..1 CodeableConcept snomed or loinc code for last menstrual period
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 21840007
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
....... coding:loincLastMenstrualPeriod Σ 0..1 Coding LOINC Last Menstrual Period
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8665-2
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
..... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
..... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
..... effective[x] SΣ 1..1 dateTime Date, and optionally time, the observation was performed
..... issued Σ 0..1 instant Date/Time this version was made available
..... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
..... value[x] SΣC 1..1 dateTime Actual result
..... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... note 0..* Annotation Comments about the observation
..... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

..... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

..... specimen 0..1 Reference(Specimen) Specimen used for this observation
..... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
..... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... low C 0..1 SimpleQuantity Low Range, if relevant
...... high C 0..1 SimpleQuantity High Range, if relevant
...... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

...... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


...... age 0..1 Range Applicable age range, if relevant
...... text 0..1 string Text based reference range in an observation
..... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
..... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
..... component Σ 0..* BackboneElement Component results
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

...... value[x] Σ 0..1 Actual component result
....... valueQuantity Quantity
....... valueCodeableConcept CodeableConcept
....... valueString string
....... valueBoolean boolean
....... valueInteger integer
....... valueRange Range
....... valueRatio Ratio
....... valueSampledData SampledData
....... valueTime time
....... valueDateTime dateTime
....... valuePeriod Period
...... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

...... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


...... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... contained:billingInformation S 1..1 MRCoverage Insurance or medical plan or a payment agreement
..... id Σ 0..1 id Logical id of this artifact
..... meta Σ 0..1 Meta Metadata about the resource
..... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
..... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
..... text 0..1 Narrative Text summary of the resource, for human interpretation
..... contained 0..* Resource Contained, inline Resources
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
..... identifier Σ 0..* Identifier Business Identifier for the coverage
..... status ?!SΣ 1..1 code Must be active only
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.

..... type SΣ 0..1 CodeableConcept Coverage Type and Self Payment code
Binding: MediRecords Coverage Type ValueSet (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding SΣ 0..1 Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code pay | PUBLICPOL
....... display Σ 0..1 string Pay | public healthcare
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 1..1 string Private | Direct Bill | Concessional
..... policyHolder Σ 0..1 Reference(Patient | RelatedPerson | Organization) Owner of the policy
..... subscriber Σ 0..1 Reference(Patient | RelatedPerson) Subscriber to the policy
..... subscriberId Σ 0..1 string ID assigned to the subscriber
..... beneficiary SΣ 1..1 Reference(MR Patient) Plan beneficiary
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... dependent Σ 0..1 string Dependent number
..... relationship 0..1 CodeableConcept Beneficiary relationship to the subscriber
Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).

..... period Σ 0..1 Period Coverage start and end dates
..... payor SΣ 1..1 Reference(Organization | Patient | RelatedPerson) Issuer of the policy
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 1..1 string Text alternative for the resource
..... class 0..* BackboneElement Additional coverage classifications
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... type Σ 1..1 CodeableConcept Type of class such as 'group' or 'plan'
Binding: CoverageClassCodes (extensible): The policy classifications, eg. Group, Plan, Class, etc.

...... value Σ 1..1 string Value associated with the type
...... name Σ 0..1 string Human readable description of the type and value
..... order Σ 0..1 positiveInt Relative order of the coverage
..... network Σ 0..1 string Insurer network
..... costToBeneficiary 0..* BackboneElement Patient payments for services/products
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... type Σ 0..1 CodeableConcept Cost category
Binding: CoverageCopayTypeCodes (extensible): The types of services to which patient copayments are specified.

...... value[x] Σ 1..1 The amount or percentage due from the beneficiary
....... valueQuantity Quantity(SimpleQuantity)
....... valueMoney Money
...... exception 0..* BackboneElement Exceptions for patient payments
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... type Σ 1..1 CodeableConcept Exception category
Binding: ExampleCoverageFinancialExceptionCodes (example): The types of exceptions from the part or full value of financial obligations such as copays.

....... period Σ 0..1 Period The effective period of the exception
..... subrogation 0..1 boolean Reimbursement to insurer
..... contract 0..* Reference(Contract) Contract details
.... contained:specimenCollection S 0..1 AUBaseSpecimen A specimen in an Australian healthcare context
..... id Σ 0..1 string Logical id of this artifact
..... meta Σ 0..1 Meta Metadata about the resource
..... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
..... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
..... text 0..1 Narrative Text summary of the resource, for human interpretation
..... contained 0..* Resource Contained, inline Resources
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
..... identifier Σ 0..* Identifier External Identifier
..... accessionIdentifier Σ 0..1 Identifier Identifier assigned by the lab
..... status ?!Σ 0..1 code available | unavailable | unsatisfactory | entered-in-error
Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.

..... type Σ 0..1 CodeableConcept Kind of material that forms the specimen
Binding: Specimen Type . (preferred)
..... subject Σ 0..1 Reference(Patient | Group | Device | Substance | Location) Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
..... receivedTime Σ 0..1 dateTime The time when specimen was received for processing
..... parent 0..* Reference(AU Base Specimen) Specimen from which this specimen originated
..... request 0..* Reference(ServiceRequest) Why the specimen was collected
..... collection 1..1 BackboneElement Collection details
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... collector Σ 0..1 Reference(Practitioner | PractitionerRole) Who collected the specimen
...... Slices for collected[x] Σ 1..1 dateTime Collection time
Slice: Unordered, Closed by type:$this
....... collected[x]:collectedDateTime SΣ 1..1 dateTime Collection time
...... duration Σ 0..1 Duration How long it took to collect specimen
...... quantity 0..1 SimpleQuantity The quantity of specimen collected
...... method 0..1 CodeableConcept Technique used to perform collection
Binding: Specimen Collection Procedure . (preferred)
...... bodySite 0..1 CodeableConcept Anatomical collection site
Binding: Body Site . (preferred)
...... fastingStatus[x] Σ 0..1 Whether or how long patient abstained from food and/or drink
Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.

....... fastingStatusCodeableConcept CodeableConcept
....... fastingStatusDuration Duration
..... processing 0..* BackboneElement Processing and processing step details
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... description 0..1 string Textual description of procedure
...... procedure 0..1 CodeableConcept Indicates the treatment step applied to the specimen
Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.

...... additive 0..* Reference(Substance) Material used in the processing step
...... time[x] 0..1 Date and time of specimen processing
....... timeDateTime dateTime
....... timePeriod Period
..... container 0..* BackboneElement Direct container of specimen (tube/slide, etc.)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... identifier Σ 0..* Identifier Id for the container
...... description 0..1 string Textual description of the container
...... type 0..1 CodeableConcept Kind of container directly associated with specimen
Binding: SpecimenContainerType (example): Type of specimen container.

...... capacity 0..1 SimpleQuantity Container volume or size
...... specimenQuantity 0..1 SimpleQuantity Quantity of specimen within container
...... additive[x] 0..1 Additive associated with container
Binding: hl7VS-additivePreservative (example): Substance added to specimen container.

....... additiveCodeableConcept CodeableConcept
....... additiveReference Reference(Substance)
..... condition Σ 0..* CodeableConcept State of the specimen
Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.


..... note 0..* Annotation Comments
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... targetBodyStructure 0..* Reference(BodyStructure) The target point for this procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
.... resultCopiesTo