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Packagetelus.dw.emr.extract-1-1-21
Resource TypeServiceRequest
IdServiceRequest-ma-ma-schema-1-ServiceRequest-9001.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ServiceRequest ma-ma-schema-1-ServiceRequest-9001

Last updated: 2023-12-18 23:07:47+0000;

Information Source: urn:telus:emr:ma:ma-schema-1

Security Label: normal (Details: Confidentiality code N = 'normal')

identifier: urn:telus:emr:ma:ma-schema-1:ServiceRequest/9001 (use: official, )

status: Completed

intent: Order

category: Laboratory procedure

priority: Routine

code: Fasting Glucose Test

subject: John Michael Smith

encounter: Encounter: identifier = urn:telus:emr:ma:ma-schema-1:Encounter#2001 (use: official, ); status = finished; class = ambulatory (ActCode#AMB); type = ; period = 2023-12-18 10:00:00+0000 --> 2023-12-18 10:45:00+0000; reasonCode =

occurrence: 2023-12-18 09:00:00+0000

authoredOn: 2023-12-18 10:25:00+0000

requester: Dr. Sarah Johnson

performerType: Medical laboratory

reasonCode: Routine monitoring for hypertension management

reasonReference: Essential Hypertension

supportingInfo: Previous Glucose Result

specimen: Fasting serum sample

bodySite: Blood vessel structure

note:

Patient to fast for 8 hours prior to blood draw. Morning appointment preferred.

patientInstruction: Please do not eat or drink anything except water for 8 hours before your appointment. Take your morning medications with water as usual.

relevantHistory: Previous glucose tests


Source1

{
  "resourceType": "ServiceRequest",
  "id": "ma-ma-schema-1-ServiceRequest-9001",
  "meta": {
    "lastUpdated": "2023-12-18T23:07:47Z",
    "source": "urn:telus:emr:ma:ma-schema-1",
    "security": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code": "N",
        "display": "normal"
      }
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "use": "official",
      "system": "urn:telus:emr:ma:ma-schema-1:ServiceRequest",
      "value": "9001"
    }
  ],
  "status": "completed",
  "intent": "order",
  "category": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "108252007",
          "display": "Laboratory procedure"
        }
      ]
    }
  ],
  "priority": "routine",
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "2345-7",
        "display": "Glucose [Mass/volume] in Serum or Plasma"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "33747003",
        "display": "Glucose measurement"
      }
    ],
    "text": "Fasting Glucose Test"
  },
  "subject": {
    "reference": "Patient/ma-ma-schema-1-Patient-12345",
    "type": "Patient",
    "display": "John Michael Smith"
  },
  "encounter": {
    "reference": "Encounter/ma-ma-schema-1-Encounter-2001",
    "type": "Encounter"
  },
  "occurrenceDateTime": "2023-12-18T09:00:00Z",
  "authoredOn": "2023-12-18T10:25:00Z",
  "requester": {
    "reference": "Practitioner/ma-ma-schema-1-Practitioner-789",
    "type": "Practitioner",
    "display": "Dr. Sarah Johnson"
  },
  "performerType": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "159141008",
        "display": "Medical laboratory"
      }
    ]
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "410684002",
          "display": "Drug monitoring"
        }
      ],
      "text": "Routine monitoring for hypertension management"
    }
  ],
  "reasonReference": [
    {
      "reference": "Condition/ma-ma-schema-1-Condition-problem-list-3001",
      "type": "Condition",
      "display": "Essential Hypertension"
    }
  ],
  "supportingInfo": [
    {
      "reference": "Observation/ma-ma-schema-1-Observation-lab-results-5005",
      "type": "Observation",
      "display": "Previous Glucose Result"
    }
  ],
  "specimen": [
    {
      "display": "Fasting serum sample"
    }
  ],
  "bodySite": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "87342007",
          "display": "Blood vessel structure"
        }
      ]
    }
  ],
  "note": [
    {
      "text": "Patient to fast for 8 hours prior to blood draw. Morning appointment preferred."
    }
  ],
  "patientInstruction": "Please do not eat or drink anything except water for 8 hours before your appointment. Take your morning medications with water as usual.",
  "relevantHistory": [
    {
      "display": "Previous glucose tests"
    }
  ]
}