{ "resourceType" : "ServiceRequest", "id" : "Rule3Exemption", "meta" : { "profile" : ["http://fhir.geniesolutions.io/StructureDefinition/eorders-pathologyrequest"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: ServiceRequest Rule3Exemption

Profile: EOrders Pathology Request

Diagnostic Request Rule 3 Exemption: true

ServiceRequest Precondition: Fasting

Result Copies To: Trevor Wright

identifier: Placer Number/PON-Genie-20231115100957-0655

requisition: Placer Group Number/GEN69798-A0427

status: Active

intent: Order

category: Laboratory procedure

priority: Routine

code: Hepatitis A virus antibody, IgG type

quantity: 6

subject: Mary Smith

encounter: Encounter

occurrence: 2023-11-15 --> 2024-05-15

authoredOn: 2023-11-15 10:09:57+1000

requester: Dr Jane Doe @ Small Family Trust

reasonCode: A clinical note, Follow-up investigation

insurance: Coverage

supportingInfo:

patientInstruction: Some patient instructions

Generated Narrative: Observation #pregnantInline

Profile: AU Core Pregnancy Status

status: Final

category: Social History

code: Pregnancy status

subject: Mary Smith

effective: 2023-11-15 10:10:00+1000

performer: Dr Jane Doe @ Small Family Trust

value: Pregnant

Generated Narrative: Observation #LMPDateInline

Profile: AU Core Last Menstrual Period

status: Final

category: Survey

code: Date of last menstrual period

subject: Mary Smith

effective: 2023-11-15 10:10:00+1000

performer: Dr Jane Doe @ Small Family Trust

value: 2023-11-01

Generated Narrative: Observation #GestAgeInline

Profile: AU Core Gestational Age

status: Final

category: Survey

code: Gestational Age

subject: Mary Smith

focus: Baby of Mary Smith

effective: 2023-11-15 10:10:00+1000

performer: Dr Jane Doe @ Small Family Trust

value: 14 day (Details: UCUM coded = 'd')

Generated Narrative: Observation #EDDInline

Profile: AU Core Estimated Date of Delivery

status: Final

category: Imaging

code: Estimated date of delivery

subject: Mary Smith

focus: Baby of Mary Smith

effective: 2023-11-15 10:10:00+1000

performer: Dr Jane Doe @ Small Family Trust

value: 2024-08-01

Generated Narrative: Coverage #billingCoverageInline

Profile: EOrders Coverage

status: Active

type: Bulk Billed

beneficiary: Mary Smith

payor: Medicare Australia

Generated Narrative: Encounter #patientEncounterInline

Profile: EOrders Encounter

status: Finished

class: ActCode: AMB (ambulatory)

" }, "contained" : [{ "resourceType" : "Observation", "id" : "pregnantInline", "meta" : { "profile" : ["http://hl7.org.au/fhir/core/StructureDefinition/au-core-pregnancystatus"] }, "text" : { "status" : "generated", "div" : "
Pregnant
" }, "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" : "
LMP: 2023-11-01
" }, "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" : "
Gestational Age: 14 days
" }, "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" : "
EDD: 2024-08-01
" }, "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", "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", "assigner" : { "reference" : "Organization/fdcca47c-e554-46e5-a71f-91ec855faa29", "display" : "Small Family Trust" } }], "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" }, { "text" : "Follow-up investigation" }], "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" }