Referralrequest.profile.xml

StructureDefinition for referralrequest

Raw XML

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ReferralRequest"/>
  <meta>
    <lastUpdated value="2015-03-27T00:13:00.999+11:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/>
  <name value="ReferralRequest"/>
  <publisher value="HL7 FHIR Project (Patient Care)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/patientcare/index.cfm"/>
    </telecom>
  </contact>
  <description value="Base StructureDefinition for ReferralRequest Resource"/>
  <status value="draft"/>
  <date value="2015-03-27T00:13:00+11:00"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <type value="resource"/>
  <abstract value="true"/>
  <snapshot>
    <element>
      <path value="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="1"/>
      <max value="1"/>
      <type>
        <code value="ReferralRequest"/>
      </type>
    </element>
    <element>
      <path value="ReferralRequest.id"/>
      <short value="Logical id of this artefact"/>
      <definition value="The logical id of the resource, as used in the url for the resoure. 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"/>
      <type>
        <code value="id"/>
      </type>
    </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"/>
      <type>
        <code value="Meta"/>
      </type>
    </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"/>
      <type>
        <code value="uri"/>
      </type>
      <isModifier 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"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <name value="Language"/>
        <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 &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"/>
      <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="*"/>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="ReferralRequest.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="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </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="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="ReferralRequest.status"/>
      <short value="draft | sent | active | cancelled | rejected | completed"/>
      <definition value="The workflow status of the referral or transfer of care request."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <name value="ReferralStatus"/>
        <strength value="required"/>
        <description value="The status of the referral"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/referralstatus"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="ReferralRequest.identifier"/>
      <short value="Identifier of request"/>
      <definition value="Business Id that uniquely identifies the referral/care transfer request instance."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isModifier value="false"/>
    </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"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </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"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isModifier value="false"/>
    </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"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </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"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </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"/>
      <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>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </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 &quot;copied
       to&quot; providers or organisations."/>
      <min value="0"/>
      <max value="*"/>
      <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>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="ReferralRequest.encounter"/>
      <short value="Encounter"/>
      <definition value="The encounter at which the request for referral or transfer of care is initiated."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <isModifier value="false"/>
    </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"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </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: &quot;2nd degree AV block&quot;  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"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </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"/>
      <type>
        <code value="string"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element>
      <path value="ReferralRequest.serviceRequested"/>
      <short value="Service(s) requested"/>
      <definition value="The service(s) that is/are requested to be provided to the patient."/>
      <comments value="Examples: &quot;cardiac pacemaker insertion&quot;  HL7 v3 Concept domain - ReferralReasonCode
       examples: - Specialized medical assistance - Other care requirement."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </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="*"/>
      <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 (2) to indicate that the requested service must happen before a specified date (3)
       to indicate that the requested service must happen during the specified dates (&quot;low&quot;
       and &quot;high&quot; values)."/>
      <alias value="EffectiveTime"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="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="1"/>
      <max value="1"/>
      <type>
        <code value="DomainResource"/>
      </type>
    </element>
    <element>
      <path value="ReferralRequest.status"/>
      <short value="draft | sent | active | cancelled | rejected | completed"/>
      <definition value="The workflow status of the referral or transfer of care request."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <name value="ReferralStatus"/>
        <strength value="required"/>
        <description value="The status of the referral"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/referralstatus"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="ReferralRequest.identifier"/>
      <short value="Identifier of request"/>
      <definition value="Business Id that uniquely identifies the referral/care transfer request instance."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isModifier value="false"/>
    </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"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </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"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isModifier value="false"/>
    </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"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </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"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </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"/>
      <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>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </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 &quot;copied
       to&quot; providers or organisations."/>
      <min value="0"/>
      <max value="*"/>
      <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>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="ReferralRequest.encounter"/>
      <short value="Encounter"/>
      <definition value="The encounter at which the request for referral or transfer of care is initiated."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <isModifier value="false"/>
    </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"/>
      <type>
        <code value="dateTime"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </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: &quot;2nd degree AV block&quot;  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"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </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"/>
      <type>
        <code value="string"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element>
      <path value="ReferralRequest.serviceRequested"/>
      <short value="Service(s) requested"/>
      <definition value="The service(s) that is/are requested to be provided to the patient."/>
      <comments value="Examples: &quot;cardiac pacemaker insertion&quot;  HL7 v3 Concept domain - ReferralReasonCode
       examples: - Specialized medical assistance - Other care requirement."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </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="*"/>
      <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 (2) to indicate that the requested service must happen before a specified date (3)
       to indicate that the requested service must happen during the specified dates (&quot;low&quot;
       and &quot;high&quot; values)."/>
      <alias value="EffectiveTime"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </element>
  </differential>
</StructureDefinition>