Magentus Practice Management FHIR Implementation Guide
1.2.16 - ci-build

Magentus Practice Management FHIR Implementation Guide - Local Development build (v1.2.16) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : Pathology Request with Rule 3 Exemption - JSON Representation

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    {
      "resourceType" : "ServiceRequest",
      "id" : "Rule3Exemption",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.geniesolutions.io/StructureDefinition/eorders-pathologyrequest"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest Rule3Exemption</b></p><a name=\"Rule3Exemption\"> </a><a name=\"hcRule3Exemption\"> </a><a name=\"Rule3Exemption-en-US\"> </a><p><b>identifier</b>: Placer Number/PON-Genie-20231115100957-0655</p><p><b>requisition</b>: Placer Group Number/GEN69798-A0427</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>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 13070009}\">Hepatitis A virus antibody, IgG type</span></p><p><b>quantity</b>: 6</p><p><b>subject</b>: <a href=\"Patient-1078d551-7be2-49f7-a122-c230b8757f2f.html\">Mary Smith</a></p><p><b>encounter</b>: <a href=\"#hcRule3Exemption/patientEncounterInline\">Encounter</a></p><p><b>occurrence</b>: 2023-11-15 --&gt; 2024-05-15</p><p><b>authoredOn</b>: 2023-11-15 10:09:57+1000</p><p><b>requester</b>: <a href=\"PractitionerRole-570c1233-5361-453e-99a4-504c2045d27c.html\">Dr Jane Doe @ Small Family Trust</a></p><p><b>reasonCode</b>: <span title=\"Codes:\">A clinical note</span></p><p><b>insurance</b>: <a href=\"#hcRule3Exemption/billingCoverageInline\">Coverage</a></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"#hcRule3Exemption/pregnantInline\">Observation</a></li><li><a href=\"#hcRule3Exemption/LMPDateInline\">Observation</a></li><li><a href=\"#hcRule3Exemption/GestAgeInline\">Observation</a></li><li><a href=\"#hcRule3Exemption/EDDInline\">Observation</a></li></ul><p><b>patientInstruction</b>: Some patient instructions</p><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation  #pregnantInline</b></p><a name=\"Rule3Exemption/pregnantInline\"> </a><a name=\"hcRule3Exemption/pregnantInline\"> </a><a name=\"Rule3Exemption/pregnantInline-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-1078d551-7be2-49f7-a122-c230b8757f2f.html\">Mary Smith</a></p><p><b>effective</b>: 2023-11-15 10:10:00+1000</p><p><b>performer</b>: <a href=\"PractitionerRole-570c1233-5361-453e-99a4-504c2045d27c.html\">Dr Jane Doe @ Small Family Trust</a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA15173-0}\">Pregnant</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation  #LMPDateInline</b></p><a name=\"Rule3Exemption/LMPDateInline\"> </a><a name=\"hcRule3Exemption/LMPDateInline\"> </a><a name=\"Rule3Exemption/LMPDateInline-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></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-1078d551-7be2-49f7-a122-c230b8757f2f.html\">Mary Smith</a></p><p><b>effective</b>: 2023-11-15 10:10:00+1000</p><p><b>performer</b>: <a href=\"PractitionerRole-570c1233-5361-453e-99a4-504c2045d27c.html\">Dr Jane Doe @ Small Family Trust</a></p><p><b>value</b>: 2023-11-01</p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation  #GestAgeInline</b></p><a name=\"Rule3Exemption/GestAgeInline\"> </a><a name=\"hcRule3Exemption/GestAgeInline\"> </a><a name=\"Rule3Exemption/GestAgeInline-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 57036006}, {http://loinc.org 11885-1}\">Gestational Age</span></p><p><b>subject</b>: <a href=\"Patient-1078d551-7be2-49f7-a122-c230b8757f2f.html\">Mary Smith</a></p><p><b>focus</b>: Baby of Mary Smith</p><p><b>effective</b>: 2023-11-15 10:10:00+1000</p><p><b>performer</b>: <a href=\"PractitionerRole-570c1233-5361-453e-99a4-504c2045d27c.html\">Dr Jane Doe @ Small Family Trust</a></p><p><b>value</b>: 14 day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  coded = 'd')</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation  #EDDInline</b></p><a name=\"Rule3Exemption/EDDInline\"> </a><a name=\"hcRule3Exemption/EDDInline\"> </a><a name=\"Rule3Exemption/EDDInline-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}\">Imaging</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 161714006}, {http://loinc.org 11781-2}, {http://snomed.info/sct 161714006}\">Estimated date of delivery</span></p><p><b>subject</b>: <a href=\"Patient-1078d551-7be2-49f7-a122-c230b8757f2f.html\">Mary Smith</a></p><p><b>focus</b>: Baby of Mary Smith</p><p><b>effective</b>: 2023-11-15 10:10:00+1000</p><p><b>performer</b>: <a href=\"PractitionerRole-570c1233-5361-453e-99a4-504c2045d27c.html\">Dr Jane Doe @ Small Family Trust</a></p><p><b>value</b>: 2024-08-01</p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Coverage  #billingCoverageInline</b></p><a name=\"Rule3Exemption/billingCoverageInline\"> </a><a name=\"hcRule3Exemption/billingCoverageInline\"> </a><a name=\"Rule3Exemption/billingCoverageInline-en-US\"> </a><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode PUBLICPOL}\">Bulk Billed</span></p><p><b>beneficiary</b>: <a href=\"Patient-1078d551-7be2-49f7-a122-c230b8757f2f.html\">Mary Smith</a></p><p><b>payor</b>: Medicare Australia</p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Encounter  #patientEncounterInline</b></p><a name=\"Rule3Exemption/patientEncounterInline\"> </a><a name=\"hcRule3Exemption/patientEncounterInline\"> </a><a name=\"Rule3Exemption/patientEncounterInline-en-US\"> </a>Not done yet</blockquote></div>"
      },
      "contained" : [
        {
          "resourceType" : "Observation",
          "id" : "pregnantInline",
          "meta" : {
            "profile" : [
              🔗 "http://hl7.org.au/fhir/core/StructureDefinition/au-core-pregnancystatus"
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pregnant</div>"
          },
          "status" : "final",
          "category" : [
            {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                  "code" : "social-history",
                  "display" : "Social History"
                }
              ],
              "text" : "Social History"
            }
          ],
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "82810-3",
                "display" : "Pregnancy status"
              }
            ],
            "text" : "Pregnancy status"
          },
          "subject" : {
            🔗 "reference" : "Patient/1078d551-7be2-49f7-a122-c230b8757f2f",
            "display" : "Mary Smith"
          },
          "effectiveDateTime" : "2023-11-15T10:10:00+10:00",
          "performer" : [
            {
              🔗 "reference" : "PractitionerRole/570c1233-5361-453e-99a4-504c2045d27c",
              "display" : "Dr Jane Doe @ Small Family Trust"
            }
          ],
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "LA15173-0",
                "display" : "Pregnant"
              }
            ],
            "text" : "Pregnant"
          }
        },
        {
          "resourceType" : "Observation",
          "id" : "LMPDateInline",
          "meta" : {
            "profile" : [
              🔗 "http://hl7.org.au/fhir/core/StructureDefinition/au-core-lastmenstrualperiod"
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">LMP: 2023-11-01</div>"
          },
          "status" : "final",
          "category" : [
            {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                  "code" : "survey",
                  "display" : "Survey"
                }
              ],
              "text" : "Survey"
            }
          ],
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "21840007",
                "display" : "Date of last menstrual period"
              },
              {
                "system" : "http://loinc.org",
                "code" : "8665-2",
                "display" : "Last menstrual period start date"
              }
            ],
            "text" : "Date of last menstrual period"
          },
          "subject" : {
            🔗 "reference" : "Patient/1078d551-7be2-49f7-a122-c230b8757f2f",
            "display" : "Mary Smith"
          },
          "effectiveDateTime" : "2023-11-15T10:10:00+10:00",
          "performer" : [
            {
              🔗 "reference" : "PractitionerRole/570c1233-5361-453e-99a4-504c2045d27c",
              "display" : "Dr Jane Doe @ Small Family Trust"
            }
          ],
          "valueDateTime" : "2023-11-01"
        },
        {
          "resourceType" : "Observation",
          "id" : "GestAgeInline",
          "meta" : {
            "profile" : [
              🔗 "http://hl7.org.au/fhir/core/StructureDefinition/au-core-gestationalage"
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Gestational Age: 14 days</div>"
          },
          "status" : "final",
          "category" : [
            {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                  "code" : "survey",
                  "display" : "Survey"
                }
              ],
              "text" : "Survey"
            }
          ],
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "57036006",
                "display" : "Fetal gestational age"
              },
              {
                "system" : "http://loinc.org",
                "code" : "11885-1",
                "display" : "Gestational age Estimated from last menstrual period"
              }
            ],
            "text" : "Gestational Age"
          },
          "subject" : {
            🔗 "reference" : "Patient/1078d551-7be2-49f7-a122-c230b8757f2f",
            "display" : "Mary Smith"
          },
          "focus" : [
            {
              "display" : "Baby of Mary Smith"
            }
          ],
          "effectiveDateTime" : "2023-11-15T10:10:00+10:00",
          "performer" : [
            {
              🔗 "reference" : "PractitionerRole/570c1233-5361-453e-99a4-504c2045d27c",
              "display" : "Dr Jane Doe @ Small Family Trust"
            }
          ],
          "valueQuantity" : {
            "value" : 14,
            "unit" : "day",
            "system" : "http://unitsofmeasure.org",
            "code" : "d"
          }
        },
        {
          "resourceType" : "Observation",
          "id" : "EDDInline",
          "meta" : {
            "profile" : [
              🔗 "http://hl7.org.au/fhir/core/StructureDefinition/au-core-estimateddateofdelivery"
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Estimated Date of Delivery: 2024-08-01</div>"
          },
          "status" : "final",
          "category" : [
            {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                  "code" : "imaging",
                  "display" : "Imaging"
                }
              ]
            }
          ],
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "161714006"
              },
              {
                "system" : "http://loinc.org",
                "code" : "11781-2",
                "display" : "Delivery date US composite estimate"
              },
              {
                "system" : "http://snomed.info/sct",
                "code" : "161714006",
                "display" : "Estimated date of delivery"
              }
            ],
            "text" : "Estimated date of delivery"
          },
          "subject" : {
            🔗 "reference" : "Patient/1078d551-7be2-49f7-a122-c230b8757f2f",
            "display" : "Mary Smith"
          },
          "focus" : [
            {
              "display" : "Baby of Mary Smith"
            }
          ],
          "effectiveDateTime" : "2023-11-15T10:10:00+10:00",
          "performer" : [
            {
              🔗 "reference" : "PractitionerRole/570c1233-5361-453e-99a4-504c2045d27c",
              "display" : "Dr Jane Doe @ Small Family Trust"
            }
          ],
          "valueDateTime" : "2024-08-01"
        },
        {
          "resourceType" : "Coverage",
          "id" : "billingCoverageInline",
          "meta" : {
            "profile" : [
              🔗 "http://fhir.geniesolutions.io/StructureDefinition/eorders-coverage"
            ]
          },
          "status" : "active",
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "version" : "2018-08-12",
                "code" : "PUBLICPOL",
                "display" : "public healthcare"
              }
            ],
            "text" : "Bulk Billed"
          },
          "beneficiary" : {
            🔗 "reference" : "Patient/1078d551-7be2-49f7-a122-c230b8757f2f",
            "display" : "Mary Smith"
          },
          "payor" : [
            {
              "type" : "Organization",
              "display" : "Medicare Australia"
            }
          ]
        },
        {
          "resourceType" : "Encounter",
          "id" : "patientEncounterInline",
          "meta" : {
            "profile" : [
              🔗 "http://fhir.geniesolutions.io/StructureDefinition/eorders-encounter"
            ]
          },
          "status" : "finished",
          "class" : {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code" : "AMB",
            "display" : "ambulatory"
          }
        }
      ],
      "extension" : [
        {
          "url" : "http://fhir.geniesolutions.io/StructureDefinition/erequest-servicerequest-rule3exemption",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/servicerequest-precondition",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "726054005",
                "display" : "After fasting"
              }
            ],
            "text" : "Fasting"
          }
        },
        {
          "url" : "http://hl7.org.au/fhir/StructureDefinition/result-copies-to",
          "valueReference" : {
            🔗 "reference" : "PractitionerRole/6d408eeb-e31a-40c4-aece-0122d9ba2c1d",
            "identifier" : {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org.au/CodeSystem/v2-0203",
                    "code" : "UPIN",
                    "display" : "Medicare Provider Number"
                  }
                ],
                "text" : "Medicare Provider Number"
              },
              "system" : "http://ns.electronichealth.net.au/id/medicare-provider-number",
              "value" : "9607545L"
            },
            "display" : "Trevor Wright"
          }
        }
      ],
      "identifier" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC",
                "display" : "Placer Identifier"
              }
            ],
            "text" : "Placer Number"
          },
          "system" : "http://ns.electronichealth.net.au/id/hpio-scoped/order/1.0/8003627796442929",
          "value" : "PON-Genie-20231115100957-0655"
        }
      ],
      "requisition" : {
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code" : "PGN",
              "display" : "Placer Group Number"
            }
          ],
          "text" : "Placer Group Number"
        },
        "system" : "http://ns.electronichealth.net.au/id/hpio-scoped/order/1.0/8003627796442929",
        "value" : "GEN69798-A0427",
        "assigner" : {
          🔗 "reference" : "Organization/fdcca47c-e554-46e5-a71f-91ec855faa29",
          "display" : "Small Family Trust"
        }
      },
      "status" : "active",
      "intent" : "order",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "108252007",
              "display" : "Laboratory procedure"
            }
          ]
        }
      ],
      "priority" : "routine",
      "code" : {
        "coding" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/valueset-reference",
                "valueUri" : "https://www.rcpa.edu.au/fhir/ValueSet/spia-requesting-refset-3|3.0.1"
              }
            ],
            "system" : "http://snomed.info/sct",
            "code" : "13070009",
            "display" : "Hepatitis A virus antibody, IgG type"
          }
        ],
        "text" : "Hepatitis A virus antibody, IgG type"
      },
      "quantityQuantity" : {
        "value" : 6
      },
      "subject" : {
        🔗 "reference" : "Patient/1078d551-7be2-49f7-a122-c230b8757f2f",
        "display" : "Mary Smith"
      },
      "encounter" : {
        "reference" : "#patientEncounterInline",
        "type" : "Encounter",
        "display" : "Encounter"
      },
      "occurrencePeriod" : {
        "start" : "2023-11-15",
        "end" : "2024-05-15"
      },
      "authoredOn" : "2023-11-15T10:09:57.000001+10:00",
      "requester" : {
        🔗 "reference" : "PractitionerRole/570c1233-5361-453e-99a4-504c2045d27c",
        "display" : "Dr Jane Doe @ Small Family Trust"
      },
      "reasonCode" : [
        {
          "text" : "A clinical note"
        }
      ],
      "insurance" : [
        {
          "reference" : "#billingCoverageInline",
          "type" : "Coverage",
          "display" : "Coverage"
        }
      ],
      "supportingInfo" : [
        {
          "reference" : "#pregnantInline",
          "type" : "Observation",
          "display" : "Observation"
        },
        {
          "reference" : "#LMPDateInline",
          "type" : "Observation",
          "display" : "Observation"
        },
        {
          "reference" : "#GestAgeInline",
          "type" : "Observation",
          "display" : "Observation"
        },
        {
          "reference" : "#EDDInline",
          "type" : "Observation",
          "display" : "Observation"
        }
      ],
      "patientInstruction" : "Some patient instructions"
    }