DSTU2 QA Preview
This page is part of the FHIR Specification (v1.0.0: DSTU 2 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
QICore-ReferralRequest
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="qicore-referralrequest"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">to do</div> </text> <url value="http://hl7.org/fhir/StructureDefinition/qicore-referralrequest"/> <name value="QICore-ReferralRequest"/> <status value="draft"/> <publisher value="Health Level Seven International (Clinical Quality Information - QICore)"/> <contact> <telecom> <system value="other"/> <value value="http://hl7.org/special/committees/CQI"/> </telecom> </contact> <date value="2015-02-27"/> <description value="Profile of ReferralRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors."/> <mapping> <identity value="qdm"/> <uri value="http://www.healthit.gov/quality-data-model"/> <name value="Quality Data Model"/> </mapping> <kind value="resource"/> <constrainedType value="ReferralRequest"/> <abstract value="false"/> <base value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/> <snapshot> <element> <path value="ReferralRequest"/> <name value="QICore-ReferralRequest"/> <short value="A request for referral or transfer of care"/> <definition value="Used to record and send details about a request for referral service or transfer of a patient to the care of another provider or provider organisation."/> <alias value="ReferralRequest TransferOfCare Request"/> <min value="0"/> <max value="*"/> <base> <path value="ReferralRequest"/> <min value="0"/> <max value="*"/> </base> <type> <code value="ReferralRequest"/> </type> <mapping> <identity value="w5"/> <map value="clinical.careprovision"/> </mapping> <mapping> <identity value="qdm"/> <map value=""Encounter, Order"; "Encounter, Recommended""/> </mapping> </element> <element> <path value="ReferralRequest.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the url for the resource. Once assigned, this value never changes."/> <comments value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID."/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <isSummary value="true"/> </element> <element> <path value="ReferralRequest.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <isSummary value="true"/> </element> <element> <path value="ReferralRequest.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/> <comments value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible."/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <isModifier value="true"/> <isSummary value="true"/> </element> <element> <path value="ReferralRequest.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comments value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A human language"/> <valueSetUri value="http://tools.ietf.org/html/bcp47"/> </binding> </element> <element> <path value="ReferralRequest.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-1"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element> <path value="ReferralRequest.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comments value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="ReferralRequest.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="ReferralRequest.extension"/> <name value="ReferralRequest.refusalReason"/> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/referralrequest-reasonRefused"/> </type> <binding> <strength value="preferred"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v3-ActReason"/> </valueSetReference> </binding> <mapping> <identity value="qdm"/> <map value="negation rationale (when ReferralRequest.status="refused")"/> </mapping> </element> <element> <path value="ReferralRequest.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="ReferralRequest.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="ReferralRequest.status"/> <short value="draft | requested | active | cancelled | accepted | rejected | completed"/> <definition value="The workflow status of the referral or transfer of care request."/> <min value="1"/> <max value="1"/> <base> <path value="ReferralRequest.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mustSupport value="true"/> <isModifier value="true"/> <isSummary value="true"/> <binding> <strength value="required"/> <description value="The status of the referral"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/referralstatus"/> </valueSetReference> </binding> <mapping> <identity value="w5"/> <map value="status"/> </mapping> </element> <element> <path value="ReferralRequest.identifier"/> <short value="Business Identifier"/> <definition value="Business Id that uniquely identifies the referral/care transfer request instance."/> <min value="0"/> <max value="*"/> <base> <path value="ReferralRequest.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <isModifier value="false"/> <mapping> <identity value="w5"/> <map value="id"/> </mapping> </element> <element> <path value="ReferralRequest.date"/> <short value="Date of creation/activation"/> <definition value="Date/DateTime of creation for draft requests and date of activation for active requests."/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.date"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="when.init"/> </mapping> </element> <element> <path value="ReferralRequest.type"/> <short value="Referral/Transition of care request type"/> <definition value="An indication of the type of referral (or where applicable the type of transfer of care) request."/> <comments value="Examples of referral type: - consultation; second opinion; third opinion - Assume management - Request for procedure(s) HL7 v2.8 Example - Table 0336: S = second opinion p = patient preference o = provider ordered w = work load."/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="class"/> </mapping> <mapping> <identity value="qdm"/> <map value="primary code"/> </mapping> </element> <element> <path value="ReferralRequest.specialty"/> <short value="The clinical specialty (discipline) that the referral is requested for"/> <definition value="Indication of the clinical domain or discipline to which the referral or transfer of care request is sent."/> <comments value="Examples: Cardiology Gastroenterology Diabetology."/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.specialty"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="example"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/practitioner-specialty"/> </valueSetReference> </binding> <mapping> <identity value="qdm"/> <map value="primary code"/> </mapping> </element> <element> <path value="ReferralRequest.priority"/> <short value="Urgency of referral / transfer of care request"/> <definition value="An indication of the urgency of referral (or where applicable the type of transfer of care) request."/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.priority"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="preferred"/> <description value="The priority of the referral (e.g., Urgent, Normal, etc.)"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/qicore-priority"/> </valueSetReference> </binding> <mapping> <identity value="w5"/> <map value="grade"/> </mapping> </element> <element> <path value="ReferralRequest.patient"/> <short value="Patient referred to care or transfer"/> <definition value="The patient who is the subject of a referral or transfer of care request."/> <comments value="Referral of family, group or community is to be catered for by profiles."/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.patient"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="who.focus"/> </mapping> </element> <element> <path value="ReferralRequest.requester"/> <short value="Requester of referral / transfer of care"/> <definition value="The healthcare provider or provider organization who/which initaited the referral/transfer of care request. Can also be Patient (a self referral)."/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.requester"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/> </type> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/qicore-organization"/> </type> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="who.author"/> </mapping> </element> <element> <path value="ReferralRequest.recipient"/> <short value="Receiver of referral / transfer of care request"/> <definition value="The healthcare provider(s) or provider organization(s) who/which is to receive the referral/transfer of care request."/> <comments value="There will be a primary receiver. But the request can be received by any number of "copied to" providers or organisations."/> <min value="0"/> <max value="*"/> <base> <path value="ReferralRequest.recipient"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/> </type> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/qicore-organization"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="who.actor"/> </mapping> <mapping> <identity value="qdm"/> <map value="facility location"/> </mapping> </element> <element> <path value="ReferralRequest.encounter"/> <short value="Originating encounter"/> <definition value="The encounter at which the request for referral or transfer of care is initiated."/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/qicore-encounter"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="w5"/> <map value="context"/> </mapping> </element> <element> <path value="ReferralRequest.dateSent"/> <short value="Date referral/transfer of care request is sent"/> <definition value="Date/DateTime the request for referral or transfer of care is sent by the author."/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.dateSent"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="when.init"/> </mapping> <mapping> <identity value="qdm"/> <map value="start datetime"/> </mapping> </element> <element> <path value="ReferralRequest.reason"/> <short value="Reason for referral / Transfer of care request"/> <definition value="Description of clinical condition indicating why referral/transfer of care is requested."/> <comments value="Examples: "2nd degree AV block" Oral Health example ReferralReasonCode: 01 = Pathological Anomalies 02 = Disabled (physical or mental) 03 = Complexity of Treatment 04 = Seizure Disorders 05 = Extensive Surgery 06 = Surgical Complexity 07 = Rampant decay 08 = Medical History (to provide details upon request) 09 = Temporal Mandibular Joint Anomalies 10 = Accidental Injury 11 = Anaesthesia complications (local or general) 12 = Developmental Anomalies 13 = Behavioral Management."/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.reason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="preferred"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v3-ActReason"/> </valueSetReference> </binding> <mapping> <identity value="w5"/> <map value="why"/> </mapping> <mapping> <identity value="qdm"/> <map value="reason"/> </mapping> </element> <element> <path value="ReferralRequest.description"/> <short value="A textual description of the referral"/> <definition value="The reason gives a short description of why the referral is being made, the description expands on this to support a more complete clinical summary."/> <comments value="This would be a good candidate for a 'markdown' data type."/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isModifier value="false"/> </element> <element> <path value="ReferralRequest.serviceRequested"/> <short value="What actions are requested as part of referral?"/> <definition value="The service(s) that is/are requested to be provided to the patient."/> <comments value="Examples: "cardiac pacemaker insertion" HL7 v3 Concept domain - ReferralReasonCode examples: - Specialized medical assistance - Other care requirement."/> <min value="0"/> <max value="*"/> <base> <path value="ReferralRequest.serviceRequested"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="what"/> </mapping> <mapping> <identity value="qdm"/> <map value="primary code"/> </mapping> </element> <element> <path value="ReferralRequest.supportingInformation"/> <short value="Additonal information to support referral or transfer of care request"/> <definition value="Any additional (administrative, financial or clinical) information required to support request for referral or transfer of care."/> <comments value="Examples include: Presenting problems/chief complaints Medical History Family History Alerts Allergy/Intolerance and Adverse Reactions Medications Observations/Assessments (may include cognitive and fundtional assessments) Diagnostic Reports Care Plan."/> <min value="0"/> <max value="*"/> <base> <path value="ReferralRequest.supportingInformation"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element> <path value="ReferralRequest.fulfillmentTime"/> <short value="Requested service(s) fulfillment time"/> <definition value="The period of time within which the services identified in the referral/transfer of care is specified or required to occur."/> <requirements value="Use cases: (1) to indicate that the requested service is not to happen before a specified date, and saving the start date in Period.start (2) to indicate that the requested service must happen before a specified date, and saving the end date in Period.end (3) to indicate that the requested service must happen during the specified dates ("start" and "end" values)."/> <alias value="EffectiveTime"/> <min value="0"/> <max value="1"/> <base> <path value="ReferralRequest.fulfillmentTime"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="when.planned"/> </mapping> </element> </snapshot> <differential> <element> <path value="ReferralRequest"/> <name value="QICore-ReferralRequest"/> <min value="0"/> <max value="*"/> <type> <code value="ReferralRequest"/> </type> <mapping> <identity value="qdm"/> <map value=""Encounter, Order"; "Encounter, Recommended""/> </mapping> </element> <element> <path value="ReferralRequest.extension"/> <name value="ReferralRequest.refusalReason"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/referralrequest-reasonRefused"/> </type> <binding> <strength value="preferred"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v3-ActReason"/> </valueSetReference> </binding> <mapping> <identity value="qdm"/> <map value="negation rationale (when ReferralRequest.status="refused")"/> </mapping> </element> <element> <path value="ReferralRequest.status"/> <mustSupport value="true"/> </element> <element> <path value="ReferralRequest.type"/> <mustSupport value="true"/> <mapping> <identity value="qdm"/> <map value="primary code"/> </mapping> </element> <element> <path value="ReferralRequest.specialty"/> <mustSupport value="true"/> <binding> <strength value="example"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/practitioner-specialty"/> </valueSetReference> </binding> <mapping> <identity value="qdm"/> <map value="primary code"/> </mapping> </element> <element> <path value="ReferralRequest.priority"/> <mustSupport value="true"/> <binding> <strength value="preferred"/> <description value="The priority of the referral (e.g., Urgent, Normal, etc.)"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/qicore-priority"/> </valueSetReference> </binding> </element> <element> <path value="ReferralRequest.patient"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/> </type> <mustSupport value="true"/> </element> <element> <path value="ReferralRequest.requester"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/> </type> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/qicore-organization"/> </type> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/> </type> <mustSupport value="true"/> </element> <element> <path value="ReferralRequest.recipient"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner"/> </type> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/qicore-organization"/> </type> <mustSupport value="true"/> <mapping> <identity value="qdm"/> <map value="facility location"/> </mapping> </element> <element> <path value="ReferralRequest.encounter"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/qicore-encounter"/> </type> <mustSupport value="true"/> </element> <element> <path value="ReferralRequest.dateSent"/> <mustSupport value="true"/> <mapping> <identity value="qdm"/> <map value="start datetime"/> </mapping> </element> <element> <path value="ReferralRequest.reason"/> <mustSupport value="true"/> <binding> <strength value="preferred"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v3-ActReason"/> </valueSetReference> </binding> <mapping> <identity value="qdm"/> <map value="reason"/> </mapping> </element> <element> <path value="ReferralRequest.serviceRequested"/> <mustSupport value="true"/> <mapping> <identity value="qdm"/> <map value="primary code"/> </mapping> </element> <element> <path value="ReferralRequest.fulfillmentTime"/> <mustSupport value="true"/> </element> </differential> </StructureDefinition>
© HL7.org 2011+. FHIR DSTU2 (v1.0.0-6850) generated on Tue, Sep 1, 2015 14:42+1000.
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