This page is part of the Data Access Framework (v1.6.0: STU 2 Ballot 1) based on FHIR v1.6.0. . For a full list of available versions, see the Directory of published versions
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="daf-diagnosticrequest"/>
<url
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-diagnosticrequest"/>
<name value="Profile daf-diagnosticrequest"/>
<status value="draft"/>
<publisher
value="Health Level Seven International (Infrastructure and Messaging - Data Access Framework)"/>
<contact>
<telecom>
<system value="other"/>
<value value="http://www.healthit.gov"/>
</telecom>
</contact>
<date value="2014-08-21"/>
<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:dafdiagnosticorder">
<path value="DiagnosticRequest"/>
<name value="DAF Diagnostic Order"/>
<short value="A request for a diagnostic service"/>
<definition
value="A record of a request for a diagnostic investigation service to be performed."/>
<alias value="DO"/>
<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>
<mustSupport value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Entity. Role, or Act"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="Observation[classCode=OBS, moodCode=RQO, code<"diagnostic order"]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="clinical.diagnostics"/>
</mapping>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.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:dafdiagnosticorder.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:dafdiagnosticorder.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:dafdiagnosticorder.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:dafdiagnosticorder.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 "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
<comments
value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. 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 "text blob" 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:dafdiagnosticorder.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:dafdiagnosticorder.extension">
<path value="DiagnosticRequest.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="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.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:dafdiagnosticorder.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."/>
<requirements
value="Limit to Globally unique IDs using a URI ( could be a URL)."/>
<alias value="Placer ID"/>
<alias value="Filler ID"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiagnosticRequest.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value=".id"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="id"/>
</mapping>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.identifier.id">
<path value="DiagnosticRequest.identifier.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). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.identifier.extension">
<path value="DiagnosticRequest.identifier.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="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.identifier.use">
<path value="DiagnosticRequest.identifier.use"/>
<short value="usual | official | temp | secondary (If known)"/>
<definition value="The purpose of this identifier."/>
<comments
value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary."/>
<requirements
value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Identifier.use"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<fixedCode value="official"/>
<mustSupport value="true"/>
<isModifier value="true"/>
<isSummary value="false"/>
<binding>
<strength value="required"/>
<description
value="Identifies the purpose for this identifier, if known ."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/identifier-use"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Role.code or implied by context"/>
</mapping>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.identifier.type">
<path value="DiagnosticRequest.identifier.type"/>
<short value="Description of identifier"/>
<definition
value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose."/>
<comments
value="This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type."/>
<requirements
value="Allows users to make use of identifiers when the identifier system is not known."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<isSummary value="true"/>
<binding>
<strength value="extensible"/>
<description
value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/identifier-type"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="CX.5"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Role.code or implied by context"/>
</mapping>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.identifier.system">
<path value="DiagnosticRequest.identifier.system"/>
<short value="The namespace for the identifier"/>
<definition
value="Establishes the namespace in which set of possible id values is unique."/>
<requirements
value="There are many sequences of identifiers. To perform matching, we need to know what sequence we're dealing with. The system identifies a particular sequence or set of unique identifiers."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Identifier.system"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<exampleUri
value="http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri"/>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="CX.4 / EI-2-4"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="II.root or Role.id.root"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./IdentifierType"/>
</mapping>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.identifier.value">
<path value="DiagnosticRequest.identifier.value"/>
<short value="The value that is unique"/>
<definition
value="The portion of the identifier typically relevant to the user and which is unique within the context of the system."/>
<comments
value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Identifier.value"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<exampleString value="123456"/>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="CX.1 / EI.1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./Value"/>
</mapping>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.identifier.period">
<path value="DiagnosticRequest.identifier.period"/>
<short value="Time period when id is/was valid for use"/>
<definition
value="Time period during which identifier is/was valid for use."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.period"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.7 + CX.8"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Role.effectiveTime or implied by context"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./StartDate and ./EndDate"/>
</mapping>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.identifier.assigner">
<path value="DiagnosticRequest.identifier.assigner"/>
<short value="Organization that issued id (may be just text)"/>
<definition value="Organization that issued/manages the identifier."/>
<comments
value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Identifier.assigner"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
</type>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="CX.4 / (CX.4,CX.9,CX.10)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./IdentifierIssuingAuthority"/>
</mapping>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.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:dafdiagnosticorder.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:dafdiagnosticorder.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:dafdiagnosticorder.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:dafdiagnosticorder.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 "requested". Thereafter, the order is maintained by the receiver that updates the status as the request is handled."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DiagnosticRequest.status"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mustSupport value="true"/>
<isModifier value="true"/>
<isSummary value="false"/>
<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:dafdiagnosticorder.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:dafdiagnosticorder.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:dafdiagnosticorder.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)."/>
<requirements
value="Limited to single patient per Diagnostic Order (Requisition)."/>
<alias value="Patient"/>
<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/us/daf/StructureDefinition/daf-patient"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=SBJ].role"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="who.focus"/>
</mapping>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.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/us/daf/StructureDefinition/daf-encounter"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<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:dafdiagnosticorder.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:dafdiagnosticorder.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:dafdiagnosticorder.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."/>
<requirements
value="Limited to single orderer per Diagnostic Order (Requisition)."/>
<alias value="Ordering Provider"/>
<alias value="OP"/>
<alias value="Submitter"/>
<alias value="Placer"/>
<min value="1"/>
<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/us/daf/StructureDefinition/daf-pract"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=AUT].role"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="who.author"/>
</mapping>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.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 "Primary physician", "Team coordinator", "Caregiver", 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:dafdiagnosticorder.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:dafdiagnosticorder.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 supportingInformation."/>
<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>
<mustSupport value="true"/>
<isSummary value="false"/>
<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:dafdiagnosticorder.supportingInformation">
<path value="DiagnosticRequest.supportingInformation"/>
<slicing>
<discriminator value="@Profile"/>
<discriminator value="@type"/>
<rules value="open"/>
</slicing>
<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 "ask at order entry questions (AOEs)". 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:dafdiagnosticorder.supportingInformation:dafsupportinginformation">
<path value="DiagnosticRequest.supportingInformation"/>
<name value="DAFSupportingInformation"/>
<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="AOES are captured in the USLabObservation resource and Reasons for the testing in USLabCondition."/>
<requirements
value="AOES are captured in the USLabObservation resource and Reasons for the testing in USLabCondition."/>
<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/us/daf/StructureDefinition/daf-resultobs"/>
</type>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-condition"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<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:dafdiagnosticorder.note">
<path value="DiagnosticRequest.note"/>
<short value="Comments"/>
<definition
value="Any other notes and comments made about the service request. (e.g. "patient hates needles")."/>
<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="annotation"].value"/>
</mapping>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.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:dafdiagnosticorder">
<path value="DiagnosticRequest"/>
<name value="DAF Diagnostic Order"/>
<alias value="DO"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.identifier">
<path value="DiagnosticRequest.identifier"/>
<requirements
value="Limit to Globally unique IDs using a URI ( could be a URL)."/>
<alias value="Placer ID"/>
<alias value="Filler ID"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Identifier"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.identifier.use">
<path value="DiagnosticRequest.identifier.use"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<fixedCode value="official"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.identifier.system">
<path value="DiagnosticRequest.identifier.system"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="uri"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.identifier.value">
<path value="DiagnosticRequest.identifier.value"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.status">
<path value="DiagnosticRequest.status"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.subject">
<path value="DiagnosticRequest.subject"/>
<requirements
value="Limited to single patient per Diagnostic Order (Requisition)."/>
<alias value="Patient"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-patient"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.context">
<path value="DiagnosticRequest.context"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-encounter"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.requester">
<path value="DiagnosticRequest.requester"/>
<requirements
value="Limited to single orderer per Diagnostic Order (Requisition)."/>
<alias value="Ordering Provider"/>
<alias value="OP"/>
<alias value="Submitter"/>
<alias value="Placer"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-pract"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticRequest:dafdiagnosticorder.reason">
<path value="DiagnosticRequest.reason"/>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element
id="DiagnosticRequest:dafdiagnosticorder.supportingInformation:dafsupportinginformation">
<path value="DiagnosticRequest.supportingInformation"/>
<name value="DAFSupportingInformation"/>
<slicing>
<discriminator value="@Profile"/>
<discriminator value="@type"/>
<rules value="open"/>
</slicing>
<comments
value="AOES are captured in the USLabObservation resource and Reasons for the testing in USLabCondition."/>
<requirements
value="AOES are captured in the USLabObservation resource and Reasons for the testing in USLabCondition."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-resultobs"/>
</type>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-condition"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
</differential>
</StructureDefinition>
© HL7.org 2011+. DAF STU 2 Ballot (v1.6.0-9635) generated on Thu, Aug 11, 2016 20:06+1000. QA Page
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