StructureDefinition: OrderForGenetics - XML

OrderForGenetics

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="orderforgenetics"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/orderforgenetics"/>
  <name value="Diagnostic Request for Genetics"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Clinical Genomics)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.hl7.org/Special/committees/clingenomics"/>
    </telecom>
  </contact>
  <date value="2015-10-20"/>
  <description value="Describes how the DiagnosticRequest resource is used to for genetics"/>
  <fhirVersion value="1.6.0"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2 Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="DiagnosticRequest"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DiagnosticRequest"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="DiagnosticRequest:orderforgenetics">
      <path value="DiagnosticRequest"/>
      <name value="OrderForGenetics"/>
      <short value="A request for a diagnostic service"/>
      <definition value="A record of a request for a diagnostic investigation service to be performed."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticRequest"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated"/>
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere
         in the resource"/>
        <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
        <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f
        :reference/@value=concat('#', $id))]))"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Observation[classCode=OBS, moodCode=RQO, code&lt;&quot;diagnostic order&quot;]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.diagnostics"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.id">
      <path value="DiagnosticRequest.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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.meta">
      <path value="DiagnosticRequest.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="Resource.meta"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.implicitRules">
      <path value="DiagnosticRequest.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="Resource.implicitRules"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.language">
      <path value="DiagnosticRequest.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="Resource.language"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.text">
      <path value="DiagnosticRequest.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. In some cases, a resource may only have text with little or no additional
       discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary
       for data from legacy systems where information is captured as a &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded in formation is added
       later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.contained">
      <path value="DiagnosticRequest.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="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.extension:item$diagnosticrequest-geneticsItem">
      <path value="DiagnosticRequest.extension"/>
      <name value="Item"/>
      <short value="The items the orderer requested"/>
      <definition value="The specific diagnostic investigations that are requested as part of this request. Sometimes,
       there can only be one item per request, but in most contexts, more than one investigation
       can be requested."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/diagnosticrequest-geneticsItem"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() &gt; id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.modifierExtension">
      <path value="DiagnosticRequest.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="DomainResource.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 id="DiagnosticRequest:orderforgenetics.identifier">
      <path value="DiagnosticRequest.identifier"/>
      <short value="Identifiers assigned to this order"/>
      <definition value="Identifiers assigned to this order instance by the orderer and/or  the receiver and/or
       order fulfiller."/>
      <comments value="The identifier.type element is used to distinguish between the identifiers assigned by
       the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in
       response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples
       see the [notes section](diagnosticrequest.html#4.22.4) below."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticRequest.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 id="DiagnosticRequest:orderforgenetics.definition">
      <path value="DiagnosticRequest.definition"/>
      <short value="Protocol or definition"/>
      <definition value="Protocol or definition followed by this request."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticRequest.definition"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.basedOn">
      <path value="DiagnosticRequest.basedOn"/>
      <short value="What request fulfills"/>
      <definition value="Plan/proposal/order fulfilled by this request."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticRequest.basedOn"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.replaces">
      <path value="DiagnosticRequest.replaces"/>
      <short value="What request replaces"/>
      <definition value="The request takes the place of the referenced completed or terminated request(s)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticRequest.replaces"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.requisition">
      <path value="DiagnosticRequest.requisition"/>
      <short value="Identifier of composite request"/>
      <definition value="Composite request this is part of."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticRequest.requisition"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.status">
      <path value="DiagnosticRequest.status"/>
      <short value="draft | active | suspended | completed | entered-in-error | cancelled"/>
      <definition value="The status of the order."/>
      <comments value="Typically the system placing the order sets the status to &quot;requested&quot;. Thereafter,
       the order is maintained by the receiver that updates the status as the request is handled."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticRequest.status"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The status of a diagnostic order."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/request-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".statusCode also influenced by whether a ControlAct fulfillment requeste exists, whether
         a promise exists, status of the review component, whether a fulfilling observation exists,
         whether a refusal exists"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.stage">
      <path value="DiagnosticRequest.stage"/>
      <short value="proposal | plan | original-order | reflex-order"/>
      <definition value="Whether the request is a proposal, plan, an original order or a reflex order."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticRequest.stage"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="extensible"/>
        <description value="The kind of diagnostic request"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/diagnostic-request-stage"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.code">
      <path value="DiagnosticRequest.code"/>
      <short value="What’s being requested/ordered"/>
      <definition value="A code that identifies a particular diagnostic investigation, or panel of investigations,
       that have been requested."/>
      <comments value="Many laboratory tests and radiology tests embed the specimen/organ system in the test
       name, for example,  serum or serum/plasma glucose, or a chest xray. The specimen may not
       be recorded separately from the test code."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticRequest.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="preferred"/>
        <description value="Codes for tests/services that can be performed by diagnostic services."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/diagnostic-requests"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-4"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.subject">
      <path value="DiagnosticRequest.subject"/>
      <short value="Individual the test is ordered for"/>
      <definition value="On whom or what the investigation is to be performed. This is usually a human patient,
       but diagnostic tests can also be requested on animals, groups of humans or animals, devices
       such as dialysis machines, or even locations (typically for environmental scans)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticRequest.subject"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Group"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=SBJ].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.context">
      <path value="DiagnosticRequest.context"/>
      <short value="Encounter or Episode during which request was created"/>
      <definition value="An encounter or episode of care that provides additional information about the healthcare
       context in which this request is made."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticRequest.context"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.occurrence[x]">
      <path value="DiagnosticRequest.occurrence[x]"/>
      <short value="When testing should occur"/>
      <definition value="The date/time at which the diagnostic testing should occur."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticRequest.occurrence[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <type>
        <code value="Timing"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.planned"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.authored">
      <path value="DiagnosticRequest.authored"/>
      <short value="Date request signed"/>
      <definition value="When the request transitioned to being actionable."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticRequest.authored"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.requester">
      <path value="DiagnosticRequest.requester"/>
      <short value="Who/what is requesting diagnostics"/>
      <definition value="Who/what is requesting diagnostics.  The practitioner that holds legal responsibility
       for ordering the investigation."/>
      <comments value="This not the dispatcher, but rather who is authorizing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticRequest.requester"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <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>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.author"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.performerType">
      <path value="DiagnosticRequest.performerType"/>
      <short value="Performer role"/>
      <definition value="Desired type of performer for doing the diagnostic testing. (."/>
      <comments value="this is a  role, not  aparticipation type.  I.e. doesn’t describe the task, describes
       the capacity.  Examples “compounding pharmacy” or “psychiatrist” or “internal referral”."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticRequest.performerType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Indicates specific responsibility of an individual within the care team, such as &quot;Primary
         physician&quot;, &quot;Team coordinator&quot;, &quot;Caregiver&quot;, etc."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/participant-role"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="who.actor"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.performer">
      <path value="DiagnosticRequest.performer"/>
      <short value="Requested perfomer"/>
      <definition value="The desired perfomer for doing the diagnostic testing."/>
      <comments value="Use an [extension] (extensibility.html) or listing alternative alternative performers
       and/or roles and/or preference."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticRequest.performer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </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/RelatedPerson"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[AUT or PFM]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.actor"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.reason">
      <path value="DiagnosticRequest.reason"/>
      <short value="Explanation/Justification for test"/>
      <definition value="An explanation or justification for why this diagnostic investigation is being requested.
         This is often for billing purposes.  May relate to the resources referred to in supportingInformat
      ion."/>
      <comments value="This may be used to decide how the diagnostic investigation will be performed, or even
       if it will be performed at all.   Use CodeableConcept text element if the data is free
       (uncoded) text as shown in the [CT Scan example](diagnosticrequest-example-di.html)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticRequest.reason"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Diagnosis or problem codes justifying the reason for requesting the diagnostic investigation."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-code"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".reasonCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.supportingInformation">
      <path value="DiagnosticRequest.supportingInformation"/>
      <short value="Additional clinical information"/>
      <definition value="Additional clinical information about the patient or specimen that may influence test
       interpretations.  This includes observations explicitly requested by the producer(filler)
       to provide context or supporting information needed to complete the order."/>
      <comments value="This information includes diagnosis, clinical findings and other observations.  In laboratory
       ordering these are typically referred to as &quot;ask at order entry questions (AOEs)&quot;.
       Examples include reporting the amount of inspired oxygen for blood gasses, the point in
       the menstrual cycle for cervical pap tests, and other conditions that influence test interpretations
      ."/>
      <alias value="Ask at order entry question"/>
      <alias value="AOE"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticRequest.supportingInformation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-13"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=SPRT]/target[classCode=ACT, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.note">
      <path value="DiagnosticRequest.note"/>
      <short value="Comments"/>
      <definition value="Any other notes and comments made about the service request. (e.g. &quot;patient hates
       needles&quot;)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticRequest.note"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Annotation"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;]
        .value"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.relevantHistory">
      <path value="DiagnosticRequest.relevantHistory"/>
      <short value="Request provenance"/>
      <definition value="Key events in the history of the request."/>
      <comments value="This may not include provenances for all versions of the request – only those deemed “relevant”
       or important. This SHALL NOT include the Provenance associated with this current version
       of the resource.  (If that provenance is deemed to be a “relevant” change, it will need
       to be added as part of a later update.  Until then, it can be queried directly as the
       Provenance that points to this version using _revinclude All Provenances should have some
       historical version of this Request as their subject."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticRequest.relevantHistory"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Provenance"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="DiagnosticRequest:orderforgenetics">
      <path value="DiagnosticRequest"/>
      <name value="OrderForGenetics"/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element id="DiagnosticRequest:orderforgenetics.extension:item$diagnosticrequest-geneticsItem">
      <path value="DiagnosticRequest.extension"/>
      <name value="Item"/>
      <short value="The items the orderer requested"/>
      <definition value="The specific diagnostic investigations that are requested as part of this request. Sometimes,
       there can only be one item per request, but in most contexts, more than one investigation
       can be requested."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/diagnosticrequest-geneticsItem"/>
      </type>
    </element>
  </differential>
</StructureDefinition>