StructureDefinition: Guideline Appropriate Order - XML

Guideline Appropriate Order

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="gao-order"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">

      <h2>Guideline Appropriate Order</h2>

      <p>The Order resource references the request being evaluated (for diagnostic tests, medications,
         procedures, referrals).</p>

      <h3>Requirements</h3>

      <p>This resource is profiled to link the order details to the reason(s), date, patient and
         provider placing the order. </p>

    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/gao-order"/>
  <name value="Guideline Appropriate Order"/>
  <display value="Guideline Appropriate Order"/>
  <status value="draft"/>
  <publisher value="HL7"/>
  <date value="2015-09-22T20:02:49+10:00"/>
  <description value="The Order resource references the request being evaluated (for diagnostic tests, medications,
   procedures, referrals)."/>
  <requirements value="This resource is profiled to link the order details to the reason(s), date, patient and
   provider placing the order. "/>
  <fhirVersion value="1.1.0"/>
  <kind value="resource"/>
  <constrainedType value="Order"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Order"/>
  <snapshot>
    <element>
      <path value="Order"/>
      <short value="A request to perform an action"/>
      <definition value="A request to perform an action."/>
      <alias value="Request"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Order"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Order"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="ControlAct[classCode=ACTN, moodCode=RQO]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="workflow.order"/>
      </mapping>
    </element>
    <element>
      <path value="Order.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="Order.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Order.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="Order.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Order.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="Order.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Order.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="Order.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="Order.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 &quot;clinically
       safe&quot; 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="Order.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="Order.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="Order.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="Order.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. 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."/>
      <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="Order.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Order.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="Order.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="Order.identifier"/>
      <short value="Identifiers assigned to this order by the orderer or by the receiver"/>
      <definition value="Identifiers assigned to this order by the orderer or by the receiver."/>
      <comments value="The placer order identifier associated with the order shall be provided."/>
      <requirements value="The placer order identifier is provided so that the receiver of the evaluation can verify
       that the order being placed was the same as an order that was authorized."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Order.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="Order.date"/>
      <short value="When the order was made"/>
      <definition value="When the order was made."/>
      <comments value="The date associated with the order SHALL be provided."/>
      <requirements value="The date of the order is provided so that the receiver of the evaluation can verify that
       the order was produced within a reasonable time period for accepting the evaluation according
       to local policies, and to enable the Decision Support Service to apply relevant guidelines.
        The value shall be precise to the day."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Order.date"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-9"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].time"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
    </element>
    <element>
      <path value="Order.subject"/>
      <short value="Patient this order is about"/>
      <definition value="Patient this order is about."/>
      <comments value="The patient for whom the order is being placed SHALL be provided."/>
      <requirements value="The patient is provided so that relevant demographics, such as age and gender can be used
       to evaluate appropriateness."/>
      <alias value="Patient"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Order.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/gao-patient"/>
        <aggregation value="contained"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element>
      <path value="Order.source"/>
      <short value="Who initiated the order"/>
      <definition value="Who initiated the order."/>
      <comments value="The identifier of the provider SHALL be provided."/>
      <requirements value="The identifier of the provider is provided in order for the receiver of the evaluation
       to verify that the evaluation given is associated with the correct order. "/>
      <alias value="Author"/>
      <alias value="Practitioner"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Order.source"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/gao-practitioner"/>
        <aggregation value="contained"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-12 / OBR-16 / RXO-14 / RXE-13 / PRT-5 (PRT-4-Participation='OP')"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.cause"/>
      </mapping>
    </element>
    <element>
      <path value="Order.target"/>
      <short value="Who is intended to fulfill the order"/>
      <definition value="Who is intended to fulfill the order."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Order.target"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="Unclear: MSH-5 / IPC-7 / BPO-8 / RXO-32 / RXE-40 / RXD-30 / RXG-11 / RXG-27 / PRT-8 (PRT-4-participa
        tion in { 'AP', 'DP', 'PO', 'RT' })"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PFM].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.actor"/>
      </mapping>
    </element>
    <element>
      <path value="Order.reason[x]"/>
      <short value="Text - why the order was made"/>
      <definition value="Text - why the order was made."/>
      <comments value="This field contains either a code or a contained resource that gives the reason (a.k.a.
       indication) for the order. This could include screening, signs or symptoms, diagnoses,
       diagnostic results, medications or procedures , or other resources. This information must
       be supported and SHALL be provided."/>
      <requirements value="The reason is required to support evaluation of the appropriateness of the order."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Order.reason[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
        <aggregation value="contained"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Indicates the reason for seeking fulfillment of the order."/>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-16.2 / OBR-31.2 / BPO-13.2-BP / RXO-20.2 / RXE-27.2 / RXD-21.2 / RXG-22.2 / RXA-19.2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".reasonCode or .outboundRelationship[typeCode=RSON].target"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element>
      <path value="Order.when"/>
      <short value="When order should be fulfilled"/>
      <definition value="When order should be fulfilled."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Order.when"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="code.empty() or schedule.empty()"/>
        </extension>
        <key value="ord-1"/>
        <severity value="error"/>
        <human value="Provide a code or a schedule, but not both"/>
        <xpath value="exists(f:code) != exists(f:schedule)"/>
      </constraint>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="TQ1, TQ2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
    </element>
    <element>
      <path value="Order.when.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Order.when.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Order.when.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. 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."/>
      <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="Order.when.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Order.when.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 element, 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"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Order.when.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="Order.when.code"/>
      <short value="Code specifies when request should be done. The code may simply be a priority code"/>
      <definition value="Code specifies when request should be done. The code may simply be a priority code."/>
      <comments value="This is usually a local code agreed in the context of the ordering workflow."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Order.when.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="ord-1"/>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="When a requested action should be performed  (e.g. STAT, daily, evenings, etc.)."/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="GTS is a coded value"/>
      </mapping>
    </element>
    <element>
      <path value="Order.when.schedule"/>
      <short value="A formal schedule"/>
      <definition value="A formal schedule."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Order.when.schedule"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Timing"/>
      </type>
      <condition value="ord-1"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="GTS is a complex schedule"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.planned"/>
      </mapping>
    </element>
    <element>
      <path value="Order.detail"/>
      <short value="What action is being ordered"/>
      <definition value="What action is being ordered."/>
      <comments value="The details of the order (e.g., service performed) SHALL be provided in order to evaluate
       them for appropriateness."/>
      <requirements value="The service being provided must be described so that the order can be evaluated for appropriateness.
        Only one order can be evaluated at a time."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Order.detail"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/gao-diagnosticorder"/>
        <aggregation value="contained"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/gao-medicationorder"/>
        <aggregation value="contained"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/gao-procedurerequest"/>
        <aggregation value="contained"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/gao-referralrequest"/>
        <aggregation value="contained"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=SUBJ].target"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Order"/>
      <short value="A request to perform an action"/>
      <definition value="A request to perform an action."/>
      <alias value="Request"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Order"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Order.identifier"/>
      <short value="Identifiers assigned to this order by the orderer or by the receiver"/>
      <definition value="Identifiers assigned to this order by the orderer or by the receiver."/>
      <comments value="The placer order identifier associated with the order shall be provided."/>
      <requirements value="The placer order identifier is provided so that the receiver of the evaluation can verify
       that the order being placed was the same as an order that was authorized."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Order.date"/>
      <short value="When the order was made"/>
      <definition value="When the order was made."/>
      <comments value="The date associated with the order SHALL be provided."/>
      <requirements value="The date of the order is provided so that the receiver of the evaluation can verify that
       the order was produced within a reasonable time period for accepting the evaluation according
       to local policies, and to enable the Decision Support Service to apply relevant guidelines.
        The value shall be precise to the day."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Order.subject"/>
      <short value="Patient this order is about"/>
      <definition value="Patient this order is about."/>
      <comments value="The patient for whom the order is being placed SHALL be provided."/>
      <requirements value="The patient is provided so that relevant demographics, such as age and gender can be used
       to evaluate appropriateness."/>
      <alias value="Patient"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/gao-patient"/>
        <aggregation value="contained"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Order.source"/>
      <short value="Who initiated the order"/>
      <definition value="Who initiated the order."/>
      <comments value="The identifier of the provider SHALL be provided."/>
      <requirements value="The identifier of the provider is provided in order for the receiver of the evaluation
       to verify that the evaluation given is associated with the correct order. "/>
      <alias value="Author"/>
      <alias value="Practitioner"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/gao-practitioner"/>
        <aggregation value="contained"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Order.reason[x]"/>
      <short value="Text - why the order was made"/>
      <definition value="Text - why the order was made."/>
      <comments value="This field contains either a code or a contained resource that gives the reason (a.k.a.
       indication) for the order. This could include screening, signs or symptoms, diagnoses,
       diagnostic results, medications or procedures , or other resources. This information must
       be supported and SHALL be provided."/>
      <requirements value="The reason is required to support evaluation of the appropriateness of the order."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
        <aggregation value="contained"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Indicates the reason for seeking fulfillment of the order."/>
      </binding>
    </element>
    <element>
      <path value="Order.detail"/>
      <short value="What action is being ordered"/>
      <definition value="What action is being ordered."/>
      <comments value="The details of the order (e.g., service performed) SHALL be provided in order to evaluate
       them for appropriateness."/>
      <requirements value="The service being provided must be described so that the order can be evaluated for appropriateness.
        Only one order can be evaluated at a time."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/gao-diagnosticorder"/>
        <aggregation value="contained"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/gao-medicationorder"/>
        <aggregation value="contained"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/gao-procedurerequest"/>
        <aggregation value="contained"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/gao-referralrequest"/>
        <aggregation value="contained"/>
      </type>
      <isSummary value="true"/>
    </element>
  </differential>
</StructureDefinition>