Magentus Practice Management FHIR Implementation Guide
1.2.60 - ci-build

Magentus Practice Management FHIR Implementation Guide - Local Development build (v1.2.60) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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

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    <ServiceRequest xmlns="http://hl7.org/fhir">
      <id value="Rule3Exemption"/>
      <meta>
        <profile
                 value="http://fhir.geniesolutions.io/StructureDefinition/eorders-pathologyrequest"/>
      </meta>
      <text>
        <status value="extensions"/>
        <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><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-eorders-pathologyrequest.html">EOrders Pathology Request</a></p></div><p><b>Diagnostic Request Rule 3 Exemption</b>: true</p><p><b>ServiceRequest Precondition</b>: <span title="Codes:{http://snomed.info/sct 726054005}">Fasting</span></p><p><b>Result Copies To</b>: <a href="PractitionerRole-6d408eeb-e31a-40c4-aece-0122d9ba2c1d.html">Trevor Wright</a></p><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>, <span title="Codes:">Follow-up investigation</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><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"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org.au/fhir/core/0.2.2-preview/StructureDefinition-au-core-pregnancystatus.html">AU Core Pregnancy Status</a></p></div><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><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"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org.au/fhir/core/0.2.2-preview/StructureDefinition-au-core-lastmenstrualperiod.html">AU Core Last Menstrual Period</a></p></div><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><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"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org.au/fhir/core/0.2.2-preview/StructureDefinition-au-core-gestationalage.html">AU Core Gestational Age</a></p></div><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><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"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org.au/fhir/core/0.2.2-preview/StructureDefinition-au-core-estimateddateofdelivery.html">AU Core Estimated Date of Delivery</a></p></div><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><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-eorders-coverage.html">EOrders Coverage</a></p></div><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><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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-eorders-encounter.html">EOrders Encounter</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB">ActCode: AMB</a> (ambulatory)</p></blockquote></div>
      </text>
      <contained>
        <Observation>
          <id value="pregnantInline"/>
          <meta>
            <profile
                     value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-pregnancystatus"/>
          </meta>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml">Pregnant</div>
          </text>
          <status value="final"/>
          <category>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/observation-category"/>
              <code value="social-history"/>
              <display value="Social History"/>
            </coding>
            <text value="Social History"/>
          </category>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="82810-3"/>
              <display value="Pregnancy status"/>
            </coding>
            <text value="Pregnancy status"/>
          </code>
          <subject>🔗
            <reference value="Patient/1078d551-7be2-49f7-a122-c230b8757f2f"/>
            <display value="Mary Smith"/>
          </subject>
          <effectiveDateTime value="2023-11-15T10:10:00+10:00"/>
          <performer>🔗
            <reference
                       value="PractitionerRole/570c1233-5361-453e-99a4-504c2045d27c"/>
            <display value="Dr Jane Doe @ Small Family Trust"/>
          </performer>
          <valueCodeableConcept>
            <coding>
              <system value="http://loinc.org"/>
              <code value="LA15173-0"/>
              <display value="Pregnant"/>
            </coding>
            <text value="Pregnant"/>
          </valueCodeableConcept>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="LMPDateInline"/>
          <meta>
            <profile
                     value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-lastmenstrualperiod"/>
          </meta>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml">LMP: 2023-11-01</div>
          </text>
          <status value="final"/>
          <category>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/observation-category"/>
              <code value="survey"/>
              <display value="Survey"/>
            </coding>
            <text value="Survey"/>
          </category>
          <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>
            <text value="Date of last menstrual period"/>
          </code>
          <subject>🔗
            <reference value="Patient/1078d551-7be2-49f7-a122-c230b8757f2f"/>
            <display value="Mary Smith"/>
          </subject>
          <effectiveDateTime value="2023-11-15T10:10:00+10:00"/>
          <performer>🔗
            <reference
                       value="PractitionerRole/570c1233-5361-453e-99a4-504c2045d27c"/>
            <display value="Dr Jane Doe @ Small Family Trust"/>
          </performer>
          <valueDateTime value="2023-11-01"/>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="GestAgeInline"/>
          <meta>
            <profile
                     value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-gestationalage"/>
          </meta>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml">Gestational Age: 14 days</div>
          </text>
          <status value="final"/>
          <category>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/observation-category"/>
              <code value="survey"/>
              <display value="Survey"/>
            </coding>
            <text value="Survey"/>
          </category>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="57036006"/>
              <display value="Fetal gestational age"/>
            </coding>
            <coding>
              <system value="http://loinc.org"/>
              <code value="11885-1"/>
              <display
                       value="Gestational age Estimated from last menstrual period"/>
            </coding>
            <text value="Gestational Age"/>
          </code>
          <subject>🔗
            <reference value="Patient/1078d551-7be2-49f7-a122-c230b8757f2f"/>
            <display value="Mary Smith"/>
          </subject>
          <focus>
            <display value="Baby of Mary Smith"/>
          </focus>
          <effectiveDateTime value="2023-11-15T10:10:00+10:00"/>
          <performer>🔗
            <reference
                       value="PractitionerRole/570c1233-5361-453e-99a4-504c2045d27c"/>
            <display value="Dr Jane Doe @ Small Family Trust"/>
          </performer>
          <valueQuantity>
            <value value="14"/>
            <unit value="day"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="d"/>
          </valueQuantity>
        </Observation>
      </contained>
      <contained>
        <Observation>
          <id value="EDDInline"/>
          <meta>
            <profile
                     value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-estimateddateofdelivery"/>
          </meta>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml">EDD: 2024-08-01</div>
          </text>
          <status value="final"/>
          <category>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/observation-category"/>
              <code value="imaging"/>
              <display value="Imaging"/>
            </coding>
          </category>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="161714006"/>
            </coding>
            <coding>
              <system value="http://loinc.org"/>
              <code value="11781-2"/>
              <display value="Delivery date US composite estimate"/>
            </coding>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="161714006"/>
              <display value="Estimated date of delivery"/>
            </coding>
            <text value="Estimated date of delivery"/>
          </code>
          <subject>🔗
            <reference value="Patient/1078d551-7be2-49f7-a122-c230b8757f2f"/>
            <display value="Mary Smith"/>
          </subject>
          <focus>
            <display value="Baby of Mary Smith"/>
          </focus>
          <effectiveDateTime value="2023-11-15T10:10:00+10:00"/>
          <performer>🔗
            <reference
                       value="PractitionerRole/570c1233-5361-453e-99a4-504c2045d27c"/>
            <display value="Dr Jane Doe @ Small Family Trust"/>
          </performer>
          <valueDateTime value="2024-08-01"/>
        </Observation>
      </contained>
      <contained>
        <Coverage>
          <id value="billingCoverageInline"/>
          <meta>
            <profile
                     value="http://fhir.geniesolutions.io/StructureDefinition/eorders-coverage"/>
          </meta>
          <status value="active"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="PUBLICPOL"/>
              <display value="public healthcare"/>
            </coding>
            <text value="Bulk Billed"/>
          </type>
          <beneficiary>🔗
            <reference value="Patient/1078d551-7be2-49f7-a122-c230b8757f2f"/>
            <display value="Mary Smith"/>
          </beneficiary>
          <payor>
            <type value="Organization"/>
            <display value="Medicare Australia"/>
          </payor>
        </Coverage>
      </contained>
      <contained>
        <Encounter>
          <id value="patientEncounterInline"/>
          <meta>
            <profile
                     value="http://fhir.geniesolutions.io/StructureDefinition/eorders-encounter"/>
          </meta>
          <status value="finished"/>
          <class>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
            <code value="AMB"/>
            <display value="ambulatory"/>
          </class>
        </Encounter>
      </contained>
      <extension
                 url="http://fhir.geniesolutions.io/StructureDefinition/erequest-servicerequest-rule3exemption">
        <valueBoolean value="true"/>
      </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>
          <text value="Fasting"/>
        </valueCodeableConcept>
      </extension>
      <extension
                 url="http://hl7.org.au/fhir/StructureDefinition/result-copies-to">
        <valueReference>🔗
          <reference
                     value="PractitionerRole/6d408eeb-e31a-40c4-aece-0122d9ba2c1d"/>
          <identifier>
            <type>
              <coding>
                <system value="http://terminology.hl7.org.au/CodeSystem/v2-0203"/>
                <code value="UPIN"/>
                <display value="Medicare Provider Number"/>
              </coding>
              <text value="Medicare Provider Number"/>
            </type>
            <system
                    value="http://ns.electronichealth.net.au/id/medicare-provider-number"/>
            <value value="9607545L"/>
          </identifier>
          <display value="Trevor Wright"/>
        </valueReference>
      </extension>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="PLAC"/>
            <display value="Placer Identifier"/>
          </coding>
          <text value="Placer Number"/>
        </type>
        <system
                value="http://ns.electronichealth.net.au/id/hpio-scoped/order/1.0/8003627796442929"/>
        <value value="PON-Genie-20231115100957-0655"/>
        <assigner>🔗
          <reference value="Organization/fdcca47c-e554-46e5-a71f-91ec855faa29"/>
          <display value="Small Family Trust"/>
        </assigner>
      </identifier>
      <requisition>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="PGN"/>
            <display value="Placer Group Number"/>
          </coding>
          <text value="Placer Group Number"/>
        </type>
        <system
                value="http://ns.electronichealth.net.au/id/hpio-scoped/order/1.0/8003627796442929"/>
        <value value="GEN69798-A0427"/>
        <assigner>🔗
          <reference value="Organization/fdcca47c-e554-46e5-a71f-91ec855faa29"/>
          <display value="Small Family Trust"/>
        </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>
      <priority value="routine"/>
      <code>
        <coding>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/valueset-reference">
            <valueUri
                      value="https://www.rcpa.edu.au/fhir/ValueSet/spia-requesting-refset-3|3.0.1"/>
          </extension>
          <system value="http://snomed.info/sct"/>
          <code value="13070009"/>
          <display value="Hepatitis A virus antibody, IgG type"/>
        </coding>
        <text value="Hepatitis A virus antibody, IgG type"/>
      </code>
      <quantityQuantity>
        <value value="6"/>
      </quantityQuantity>
      <subject>🔗
        <reference value="Patient/1078d551-7be2-49f7-a122-c230b8757f2f"/>
        <display value="Mary Smith"/>
      </subject>
      <encounter>
        <reference value="#patientEncounterInline"/>
        <type value="Encounter"/>
        <display value="Encounter"/>
      </encounter>
      <occurrencePeriod>
        <start value="2023-11-15"/>
        <end value="2024-05-15"/>
      </occurrencePeriod>
      <authoredOn value="2023-11-15T10:09:57.000001+10:00"/>
      <requester>🔗
        <reference value="PractitionerRole/570c1233-5361-453e-99a4-504c2045d27c"/>
        <display value="Dr Jane Doe @ Small Family Trust"/>
      </requester>
      <reasonCode>
        <text value="A clinical note"/>
      </reasonCode>
      <reasonCode>
        <text value="Follow-up investigation"/>
      </reasonCode>
      <insurance>
        <reference value="#billingCoverageInline"/>
        <type value="Coverage"/>
        <display value="Coverage"/>
      </insurance>
      <supportingInfo>
        <reference value="#pregnantInline"/>
        <type value="Observation"/>
        <display value="Observation"/>
      </supportingInfo>
      <supportingInfo>
        <reference value="#LMPDateInline"/>
        <type value="Observation"/>
        <display value="Observation"/>
      </supportingInfo>
      <supportingInfo>
        <reference value="#GestAgeInline"/>
        <type value="Observation"/>
        <display value="Observation"/>
      </supportingInfo>
      <supportingInfo>
        <reference value="#EDDInline"/>
        <type value="Observation"/>
        <display value="Observation"/>
      </supportingInfo>
      <patientInstruction value="Some patient instructions"/>
    </ServiceRequest>