# Pathology Request with Rule 3 Exemption - Magentus Practice Management FHIR Implementation Guide v1.2.60

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Pathology Request with Rule 3 Exemption**

## Example ServiceRequest: Pathology Request with Rule 3 Exemption



## Resource Content

```json
{
  "resourceType" : "ServiceRequest",
  "id" : "Rule3Exemption",
  "meta" : {
    "profile" : ["http://fhir.geniesolutions.io/StructureDefinition/eorders-pathologyrequest"]
  },
  "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\">EDD: 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",
        "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"
}

```
