This page is part of a downloaded copy of this specification. This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR v3.5.0. . For a full list of available versions, see the Directory of published versions

This is a pre-release version (Ballot 1) of Coverage Requirements Discovery (CRD) R1/STU. There is no current official version.
For a full list of available versions, see the Directory of published versions .

## StructureDefinition: CRD ProcedureRequest

The official URL for this profile is:

    http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/profile-procedurerequest-stu3

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Text Summary
- Differential Table
- Snapshot Table
- All

This structure is derived from ProcedureRequest

Summary

Mandatory: 8 elements
Must-Support: 15 elements
Fixed Value: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/profile-patient-stu3
- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/profile-encounter-stu3
- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/profile-practitioner-stu3
- http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-insurance

This structure is derived from ProcedureRequest

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ProcedureRequest |  | 0..* |  |
ext-insurance | S | 0..* | Reference(CRD Coverage) | Insurance URL: http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-insurance
identifier | S | 0..* | Identifier |
definition | S | 1..1 | Reference(ActivityDefinition | PlanDefinition) |
basedOn | S | 1..1 | Reference(Resource) |
replaces |  | 0..* | Reference(Resource) |
requisition |  | 0..1 | Identifier |
status | S | 1..1 | code | Fixed Value: draft
intent |  | 1..1 | code |
priority |  | 0..1 | code |
doNotPerform |  | 0..0 |  |
category | S | 0..* | CodeableConcept |
code | S | 1..1 | CodeableConcept |
subject | S | 1..1 | Reference(CRD Patient) |
context |  | 0..1 | Reference(CRD Encounter) |
occurrence[x] | S | 0..1 | dateTime, Period, Timing |
asNeeded[x] |  | 0..1 | boolean, CodeableConcept |
authoredOn | S | 1..1 | dateTime |
requester | S | 1..1 | BackboneElement |
agent | S | 1..1 | Reference(CRD Practitioner) |
onBehalfOf |  | 0..1 | Reference(Organization) |
performerType |  | 0..1 | CodeableConcept |
performer | S | 0..1 | Reference(CRD Practitioner) |
reasonCode | S | 0..* | CodeableConcept |
reasonReference | S | 0..* | Reference(US Core Condition Profile | US Core Result Observation) |
supportingInfo |  | 0..* | Reference(Resource) |
specimen |  | 0..* | Reference(Specimen) |
bodySite |  | 0..* | CodeableConcept |
note |  | 0..* | Annotation |
relevantHistory |  | 0..* | Reference(Provenance) |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ProcedureRequest | I | 0..* |  | A request for a procedure or diagnostic to be performed
id | Î£ | 0..1 | id | Logical id of this artifact
meta | Î£ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Î£ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: Common Languages (extensible)
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
ext-insurance | S I | 0..* | Reference(CRD Coverage) | Extension URL: http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-insurance
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Î£ | 0..* | Identifier | Identifiers assigned to this order
definition | S Î£ | 1..1 | Reference(ActivityDefinition | PlanDefinition) | Protocol or definition
basedOn | S Î£ | 1..1 | Reference(Resource) | What request fulfills
replaces | Î£ | 0..* | Reference(Resource) | What request replaces
requisition | Î£ | 0..1 | Identifier | Composite Request ID
status | ?!S Î£ | 1..1 | code | draft | active | suspended | completed | entered-in-error | cancelled Binding: RequestStatus (required) Fixed Value: draft
intent | ?!Î£ | 1..1 | code | proposal | plan | order + Binding: RequestIntent (required)
priority | Î£ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required)
category | S Î£ | 0..* | CodeableConcept | Classification of procedure Binding: Procedure Category Codes (SNOMED CT) (example)
code | S Î£ | 1..1 | CodeableConcept | What is being requested/ordered Binding: Procedure Codes (SNOMED CT) (example)
subject | S Î£ | 1..1 | Reference(CRD Patient) | Individual the service is ordered for
context | Î£ | 0..1 | Reference(CRD Encounter) | Encounter or Episode during which request was created
occurrence[x] | S Î£ | 0..1 | dateTime, Period, Timing | When procedure should occur
asNeeded[x] | Î£ | 0..1 | boolean, CodeableConcept | Preconditions for procedure or diagnostic Binding: SNOMED CT Medication As Needed Reason Codes (example)
authoredOn | S Î£ | 1..1 | dateTime | Date request signed
requester | S Î£I | 1..1 | BackboneElement | Who/what is requesting procedure or diagnostic
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional Content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored
agent | S Î£ | 1..1 | Reference(CRD Practitioner) | Individual making the request
onBehalfOf | Î£ | 0..1 | Reference(Organization) | Organization agent is acting for
performerType | Î£ | 0..1 | CodeableConcept | Performer role Binding: Participant Roles (example)
performer | S Î£ | 0..1 | Reference(CRD Practitioner) | Requested perfomer
reasonCode | S Î£ | 0..* | CodeableConcept | Explanation/Justification for test Binding: Procedure Reason Codes (example)
reasonReference | S Î£ | 0..* | Reference(US Core Condition Profile | US Core Result Observation) | Explanation/Justification for test
supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information
specimen | Î£ | 0..* | Reference(Specimen) | Procedure Samples
bodySite | Î£ | 0..* | CodeableConcept | Location on Body Binding: SNOMED CT Body Structures (example)
note |  | 0..* | Annotation | Comments
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

This structure is derived from ProcedureRequest

Summary

Mandatory: 8 elements
Must-Support: 15 elements
Fixed Value: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/profile-patient-stu3
- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/profile-encounter-stu3
- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/profile-practitioner-stu3
- http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-insurance

Differential View

This structure is derived from ProcedureRequest

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ProcedureRequest |  | 0..* |  |
ext-insurance | S | 0..* | Reference(CRD Coverage) | Insurance URL: http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-insurance
identifier | S | 0..* | Identifier |
definition | S | 1..1 | Reference(ActivityDefinition | PlanDefinition) |
basedOn | S | 1..1 | Reference(Resource) |
replaces |  | 0..* | Reference(Resource) |
requisition |  | 0..1 | Identifier |
status | S | 1..1 | code | Fixed Value: draft
intent |  | 1..1 | code |
priority |  | 0..1 | code |
doNotPerform |  | 0..0 |  |
category | S | 0..* | CodeableConcept |
code | S | 1..1 | CodeableConcept |
subject | S | 1..1 | Reference(CRD Patient) |
context |  | 0..1 | Reference(CRD Encounter) |
occurrence[x] | S | 0..1 | dateTime, Period, Timing |
asNeeded[x] |  | 0..1 | boolean, CodeableConcept |
authoredOn | S | 1..1 | dateTime |
requester | S | 1..1 | BackboneElement |
agent | S | 1..1 | Reference(CRD Practitioner) |
onBehalfOf |  | 0..1 | Reference(Organization) |
performerType |  | 0..1 | CodeableConcept |
performer | S | 0..1 | Reference(CRD Practitioner) |
reasonCode | S | 0..* | CodeableConcept |
reasonReference | S | 0..* | Reference(US Core Condition Profile | US Core Result Observation) |
supportingInfo |  | 0..* | Reference(Resource) |
specimen |  | 0..* | Reference(Specimen) |
bodySite |  | 0..* | CodeableConcept |
note |  | 0..* | Annotation |
relevantHistory |  | 0..* | Reference(Provenance) |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ProcedureRequest | I | 0..* |  | A request for a procedure or diagnostic to be performed
id | Î£ | 0..1 | id | Logical id of this artifact
meta | Î£ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Î£ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: Common Languages (extensible)
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
ext-insurance | S I | 0..* | Reference(CRD Coverage) | Extension URL: http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-insurance
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Î£ | 0..* | Identifier | Identifiers assigned to this order
definition | S Î£ | 1..1 | Reference(ActivityDefinition | PlanDefinition) | Protocol or definition
basedOn | S Î£ | 1..1 | Reference(Resource) | What request fulfills
replaces | Î£ | 0..* | Reference(Resource) | What request replaces
requisition | Î£ | 0..1 | Identifier | Composite Request ID
status | ?!S Î£ | 1..1 | code | draft | active | suspended | completed | entered-in-error | cancelled Binding: RequestStatus (required) Fixed Value: draft
intent | ?!Î£ | 1..1 | code | proposal | plan | order + Binding: RequestIntent (required)
priority | Î£ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required)
category | S Î£ | 0..* | CodeableConcept | Classification of procedure Binding: Procedure Category Codes (SNOMED CT) (example)
code | S Î£ | 1..1 | CodeableConcept | What is being requested/ordered Binding: Procedure Codes (SNOMED CT) (example)
subject | S Î£ | 1..1 | Reference(CRD Patient) | Individual the service is ordered for
context | Î£ | 0..1 | Reference(CRD Encounter) | Encounter or Episode during which request was created
occurrence[x] | S Î£ | 0..1 | dateTime, Period, Timing | When procedure should occur
asNeeded[x] | Î£ | 0..1 | boolean, CodeableConcept | Preconditions for procedure or diagnostic Binding: SNOMED CT Medication As Needed Reason Codes (example)
authoredOn | S Î£ | 1..1 | dateTime | Date request signed
requester | S Î£I | 1..1 | BackboneElement | Who/what is requesting procedure or diagnostic
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional Content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored
agent | S Î£ | 1..1 | Reference(CRD Practitioner) | Individual making the request
onBehalfOf | Î£ | 0..1 | Reference(Organization) | Organization agent is acting for
performerType | Î£ | 0..1 | CodeableConcept | Performer role Binding: Participant Roles (example)
performer | S Î£ | 0..1 | Reference(CRD Practitioner) | Requested perfomer
reasonCode | S Î£ | 0..* | CodeableConcept | Explanation/Justification for test Binding: Procedure Reason Codes (example)
reasonReference | S Î£ | 0..* | Reference(US Core Condition Profile | US Core Result Observation) | Explanation/Justification for test
supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information
specimen | Î£ | 0..* | Reference(Specimen) | Procedure Samples
bodySite | Î£ | 0..* | CodeableConcept | Location on Body Binding: SNOMED CT Body Structures (example)
note |  | 0..* | Annotation | Comments
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

Other representations of profile: Schematron

### Terminology Bindings

Path | Name | Conformance | ValueSet
ProcedureRequest.language | Common Languages | extensible | Common Languages
ProcedureRequest.status | RequestStatus | required | RequestStatus
ProcedureRequest.intent | RequestIntent | required | RequestIntent
ProcedureRequest.priority | RequestPriority | required | RequestPriority
ProcedureRequest.category | Procedure Category Codes (SNOMED CT) | example | Procedure Category Codes (SNOMED CT)
ProcedureRequest.code | Procedure Codes (SNOMED CT) | example | Procedure Codes (SNOMED CT)
ProcedureRequest.asNeeded[x] | SNOMED CT Medication As Needed Reason Codes | example | SNOMED CT Medication As Needed Reason Codes
ProcedureRequest.performerType | Participant Roles | example | Participant Roles
ProcedureRequest.reasonCode | Procedure Reason Codes | example | Procedure Reason Codes
ProcedureRequest.bodySite | SNOMED CT Body Structures | example | SNOMED CT Body Structures

### Constraints

Id | Path | Details | Requirements
dom-2 | ProcedureRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-1 | ProcedureRequest | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() |
dom-4 | ProcedureRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-3 | ProcedureRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() |
ele-1 | ProcedureRequest.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |
ext-1 | ProcedureRequest.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | ProcedureRequest.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |
ext-1 | ProcedureRequest.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | ProcedureRequest.requester | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |