Profile qicore-diagnosticrequest

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="qicore-diagnosticrequest"/>
  <url
       value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-diagnosticrequest"/>
  <name value="Profile qicore-diagnosticrequest"/>
  <status value="draft"/>
  <publisher
             value="Health Level Seven International (Clinical Quality Information - QICore)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/special/committees/CQI"/>
    </telecom>
  </contact>
  <date value="2015-02-27"/>
  <mapping>
    <identity value="qdm"/>
    <uri value="http://www.healthit.gov/quality-data-model"/>
    <name value="Quality Data Model"/>
  </mapping>
  <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:qicore-diagnosticrequest">
      <path value="DiagnosticRequest"/>
      <name value="QICore-DiagnosticRequest"/>
      <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>
      <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>
      <mapping>
        <identity value="qdm"/>
        <map
             value=""Diagnostic Study, Order"; "Diagnostic Study, Recommended" (when DiagnosticRequest.status="recommended")"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.extension:diagnosticrequestreasonrejected$DiagnosticRequest-reasonRejected">
      <path value="DiagnosticRequest.extension"/>
      <name value="DiagnosticRequest.reasonRejected"/>
      <short value="Extension"/>
      <definition value="The coded reason why the order was rejected."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/DiagnosticRequest-reasonRejected"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/qicore/ValueSet/qicore-diagnosticrequest-reason-rejected"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map
             value="negation rationale (when DiagnosticRequest.status="rejected")"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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="0"/>
      <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>
      <mapping>
        <identity value="qdm"/>
        <map
             value="negation rationale (when DiagnosticRequest.status="rejected")"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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/qicore/StructureDefinition/qicore-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/qicore/StructureDefinition/qicore-location"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-device"/>
      </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:qicore-diagnosticrequest.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/qicore/StructureDefinition/qicore-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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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/qicore/StructureDefinition/qicore-practitioner"/>
      </type>
      <mustSupport value="false"/>
      <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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="The code for the condition"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/daf/ValueSet/daf-problem"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".reasonCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="reason"/>
      </mapping>
    </element>
    <element
             id="DiagnosticRequest:qicore-diagnosticrequest.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 "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/qicore/StructureDefinition/qicore-observation"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-condition"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>
      </type>
      <mustSupport value="false"/>
      <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:qicore-diagnosticrequest.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:qicore-diagnosticrequest.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:qicore-diagnosticrequest">
      <path value="DiagnosticRequest"/>
      <name value="QICore-DiagnosticRequest"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map
             value=""Diagnostic Study, Order"; "Diagnostic Study, Recommended" (when DiagnosticRequest.status="recommended")"/>
      </mapping>
    </element>
    <element
             id="DiagnosticRequest:qicore-diagnosticrequest.extension:diagnosticrequestreasonrejected$DiagnosticRequest-reasonRejected">
      <path value="DiagnosticRequest.extension"/>
      <name value="DiagnosticRequest.reasonRejected"/>
      <definition value="The coded reason why the order was rejected."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/DiagnosticRequest-reasonRejected"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/qicore/ValueSet/qicore-diagnosticrequest-reason-rejected"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map
             value="negation rationale (when DiagnosticRequest.status="rejected")"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:qicore-diagnosticrequest.status">
      <path value="DiagnosticRequest.status"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map
             value="negation rationale (when DiagnosticRequest.status="rejected")"/>
      </mapping>
    </element>
    <element id="DiagnosticRequest:qicore-diagnosticrequest.subject">
      <path value="DiagnosticRequest.subject"/>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-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/qicore/StructureDefinition/qicore-location"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-device"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="DiagnosticRequest:qicore-diagnosticrequest.context">
      <path value="DiagnosticRequest.context"/>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-encounter"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="DiagnosticRequest:qicore-diagnosticrequest.requester">
      <path value="DiagnosticRequest.requester"/>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-practitioner"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="DiagnosticRequest:qicore-diagnosticrequest.reason">
      <path value="DiagnosticRequest.reason"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="The code for the condition"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/daf/ValueSet/daf-problem"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map value="reason"/>
      </mapping>
    </element>
    <element
             id="DiagnosticRequest:qicore-diagnosticrequest.supportingInformation">
      <path value="DiagnosticRequest.supportingInformation"/>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-observation"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-condition"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </differential>
</StructureDefinition>