This page is part of the Quality Improvement Core Framework (v3.1.0: STU 3) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions 
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Raw json
{
"resourceType" : "StructureDefinition",
"id" : "qicore-referralrequest",
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/STU3/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest">ReferralRequest</a><a name="ReferralRequest"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest.id">id</a><a name="ReferralRequest.id"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#id">id</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest.extension:refusalReason" title="Extension URL = http://hl7.org/fhir/StructureDefinition/referralrequest-reasonRefused">referralrequest-reasonRefused</a><a name="ReferralRequest.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reason referral was refused<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/extension-referralrequest-reasonrefused.html">http://hl7.org/fhir/StructureDefinition/referralrequest-reasonRefused</a><br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-qicore-referralrequest-reason-rejected.html">Reasons for rejecting a referral request</a> (<a href="http://hl7.org/fhir/STU3/terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">example</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest.status">status</a><a name="ReferralRequest.status"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest.type">type</a><a name="ReferralRequest.type"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest.priority">priority</a><a name="ReferralRequest.priority"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest.serviceRequested">serviceRequested</a><a name="ReferralRequest.serviceRequested"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest.subject">subject</a><a name="ReferralRequest.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-qicore-patient.html">QICore-Patient</a> | <a href="http://hl7.org/fhir/STU3/group.html">Group</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest.context">context</a><a name="ReferralRequest.context"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-qicore-encounter.html">QICore-Encounter</a> | <a href="http://hl7.org/fhir/STU3/episodeofcare.html">EpisodeOfCare</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest.occurrence[x]">occurrence[x]</a><a name="ReferralRequest.occurrence_x_"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#dateTime">dateTime</a><span style="opacity: 0.4">, </span><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#Period">Period</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest.authoredOn">authoredOn</a><a name="ReferralRequest.authoredOn"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest.requester">requester</a><a name="ReferralRequest.requester"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest.specialty">specialty</a><a name="ReferralRequest.specialty"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest.recipient">recipient</a><a name="ReferralRequest.recipient"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-qicore-practitioner.html">QICore-Practitioner</a> | <a href="StructureDefinition-qicore-organization.html">QICore-Organization</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-qicore-referralrequest-definitions.html#ReferralRequest.reasonCode">reasonCode</a><a name="ReferralRequest.reasonCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/STU3/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>"
},
"url" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-referralrequest",
"version" : "3.1.0",
"name" : "QICore-ReferralRequest",
"status" : "draft",
"date" : "2018-08-22T00:00:00+10:00",
"publisher" : "Health Level Seven, Inc. - CQI WG",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org/special/committees/CQI"
}
]
}
],
"description" : "Profile of ReferralRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.",
"fhirVersion" : "3.0.1",
"mapping" : [
{
"identity" : "qdm",
"uri" : "http://www.healthit.gov/quality-data-model",
"name" : "Quality Data Model"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/w5",
"name" : "W5 Mapping"
},
{
"identity" : "v2",
"uri" : "http://hl7.org/v2",
"name" : "HL7 v2 Mapping"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "ReferralRequest",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/ReferralRequest",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "ReferralRequest",
"path" : "ReferralRequest",
"short" : "A request for referral or transfer of care",
"definition" : "Used to record and send details about a request for referral service or transfer of a patient to the care of another provider or provider organization.",
"alias" : [
"ReferralRequest TransferOfCare Request"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "ReferralRequest",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "DomainResource"
},
{
"key" : "dom-1",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"expression" : "contained.text.empty()",
"xpath" : "not(parent::f:contained and f:text)",
"source" : "DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"expression" : "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
"xpath" : "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"source" : "DomainResource"
}
],
"mustSupport" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "w5",
"map" : "clinical.careprovision"
},
{
"identity" : "qdm",
"map" : "“Encounter, Order” (when ReferralRequest.intent="order")| “Encounter, Recommended” (when ReferralRequest.intent="plan")"
}
]
},
{
"id" : "ReferralRequest.id",
"path" : "ReferralRequest.id",
"short" : "Logical id of this artifact",
"definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment" : "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" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "id"
}
],
"mustSupport" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "qdm",
"map" : "id"
}
]
},
{
"id" : "ReferralRequest.meta",
"path" : "ReferralRequest.meta",
"short" : "Metadata about the resource",
"definition" : "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" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Meta"
}
],
"isSummary" : true
},
{
"id" : "ReferralRequest.implicitRules",
"path" : "ReferralRequest.implicitRules",
"short" : "A set of rules under which this content was created",
"definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"comment" : "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.
This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"isModifier" : true,
"isSummary" : true
},
{
"id" : "ReferralRequest.language",
"path" : "ReferralRequest.language",
"short" : "Language of the resource content",
"definition" : "The base language in which the resource is written.",
"comment" : "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" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/all-languages"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}
],
"strength" : "extensible",
"description" : "A human language.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/languages"
}
}
},
{
"id" : "ReferralRequest.text",
"path" : "ReferralRequest.text",
"short" : "Text summary of the resource, for human interpretation",
"definition" : "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.",
"comment" : "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" : [
"narrative",
"html",
"xhtml",
"display"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
],
"condition" : [
"dom-1"
],
"mapping" : [
{
"identity" : "rim",
"map" : "Act.text?"
}
]
},
{
"id" : "ReferralRequest.contained",
"path" : "ReferralRequest.contained",
"short" : "Contained, inline Resources",
"definition" : "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.",
"comment" : "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" : [
"inline resources",
"anonymous resources",
"contained resources"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Resource"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "ReferralRequest.extension",
"path" : "ReferralRequest.extension",
"slicing" : {
"id" : "14",
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "Extension",
"definition" : "An Extension",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
]
},
{
"id" : "ReferralRequest.extension:refusalReason",
"path" : "ReferralRequest.extension",
"sliceName" : "refusalReason",
"short" : "Extension",
"definition" : "An Extension",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/referralrequest-reasonRefused"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() | (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "Extension"
}
],
"mustSupport" : false,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "negationRationale (when referralRequest.status="refused")"
}
]
},
{
"id" : "ReferralRequest.modifierExtension",
"path" : "ReferralRequest.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"isModifier" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "ReferralRequest.identifier",
"path" : "ReferralRequest.identifier",
"short" : "Business identifier",
"definition" : "Business identifier that uniquely identifies the referral/care transfer request instance.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ReferralRequest.identifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "RF1-6 / RF1-11"
},
{
"identity" : "w5",
"map" : "id"
}
]
},
{
"id" : "ReferralRequest.definition",
"path" : "ReferralRequest.definition",
"short" : "Instantiates protocol or definition",
"definition" : "A protocol, guideline, orderset or other definition that is adhered to in whole or in part by this request.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ReferralRequest.definition",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/ActivityDefinition"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/PlanDefinition"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=DEFN].target"
}
]
},
{
"id" : "ReferralRequest.basedOn",
"path" : "ReferralRequest.basedOn",
"short" : "Request fulfilled by this request",
"definition" : "Indicates any plans, proposals or orders that this request is intended to satisfy - in whole or in part.",
"alias" : [
"fulfills"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "ReferralRequest.basedOn",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/ReferralRequest"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/CarePlan"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/ProcedureRequest"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ReferralRequest.replaces",
"path" : "ReferralRequest.replaces",
"short" : "Request(s) replaced by this request",
"definition" : "Completed or terminated request(s) whose function is taken by this new request.",
"comment" : "The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing.",
"requirements" : "Allows tracing the continuation of a therapy or administrative process instantiated through multiple requests.",
"alias" : [
"supersedes",
"prior",
"renewed order"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "ReferralRequest.replaces",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/ReferralRequest"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=RPLC].target"
}
]
},
{
"id" : "ReferralRequest.groupIdentifier",
"path" : "ReferralRequest.groupIdentifier",
"short" : "Composite request this is part of",
"definition" : "The business identifier of the logical "grouping" request/order that this referral is a part of.",
"requirements" : "Allows multiple orders to be collected as part of a single requisition.",
"alias" : [
"grouperId",
"requisition"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ReferralRequest.groupIdentifier",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ReferralRequest.status",
"path" : "ReferralRequest.status",
"short" : "draft | active | suspended | cancelled | completed | entered-in-error | unknown",
"definition" : "The status of the authorization/intention reflected by the referral request record.",
"comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
"requirements" : "Workflow status is handled by the Task resource.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ReferralRequest.status",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mustSupport" : true,
"isModifier" : true,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ReferralRequestStatus"
}
],
"strength" : "required",
"description" : "The status of the referral.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/request-status"
}
},
"mapping" : [
{
"identity" : "v2",
"map" : "RF1-1"
},
{
"identity" : "w5",
"map" : "status"
}
]
},
{
"id" : "ReferralRequest.intent",
"path" : "ReferralRequest.intent",
"short" : "proposal | plan | order",
"definition" : "Distinguishes the "level" of authorization/demand implicit in this request.",
"requirements" : "The same resource structure is used when capturing proposals/recommendations, plans and actual requests.",
"alias" : [
"category"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "ReferralRequest.intent",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"isModifier" : true,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ReferralCategory"
}
],
"strength" : "required",
"description" : "Codes identifying the stage lifecycle stage of a request",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/request-intent"
}
},
"mapping" : [
{
"identity" : "w5",
"map" : "class"
}
]
},
{
"id" : "ReferralRequest.type",
"path" : "ReferralRequest.type",
"short" : "Referral/Transition of care request type",
"definition" : "An indication of the type of referral (or where applicable the type of transfer of care) request.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ReferralRequest.type",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ReferralType"
}
],
"strength" : "example",
"description" : "Codes for types of referral; e.g. consult, transfer, temporary transfer.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/referral-type"
}
},
"mapping" : [
{
"identity" : "v2",
"map" : "RF1-10"
},
{
"identity" : "w5",
"map" : "class"
},
{
"identity" : "qdm",
"map" : "code"
}
]
},
{
"id" : "ReferralRequest.priority",
"path" : "ReferralRequest.priority",
"short" : "Urgency of referral / transfer of care request",
"definition" : "An indication of the urgency of referral (or where applicable the type of transfer of care) request.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ReferralRequest.priority",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ReferralPriority"
}
],
"strength" : "required",
"description" : "Codes indicating the relative priority of the referral.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/request-priority"
}
},
"mapping" : [
{
"identity" : "v2",
"map" : "RF1-2"
},
{
"identity" : "w5",
"map" : "grade"
}
]
},
{
"id" : "ReferralRequest.serviceRequested",
"path" : "ReferralRequest.serviceRequested",
"short" : "Actions requested as part of the referral",
"definition" : "The service(s) that is/are requested to be provided to the patient. For example: cardiac pacemaker insertion.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ReferralRequest.serviceRequested",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "RequestedService"
}
],
"strength" : "example",
"description" : "Codes indicating the types of services that might be requested as part of a referral.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
}
},
"mapping" : [
{
"identity" : "v2",
"map" : "PR1-3 / OBR-4"
},
{
"identity" : "w5",
"map" : "what"
}
]
},
{
"id" : "ReferralRequest.subject",
"path" : "ReferralRequest.subject",
"short" : "Patient referred to care or transfer",
"definition" : "The patient who is the subject of a referral or transfer of care request.",
"comment" : "Referral of family, group or community is to be catered for by profiles.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ReferralRequest.subject",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Group"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "PID-3"
},
{
"identity" : "w5",
"map" : "who.focus"
}
]
},
{
"id" : "ReferralRequest.context",
"path" : "ReferralRequest.context",
"short" : "Originating encounter",
"definition" : "The encounter at which the request for referral or transfer of care is initiated.",
"alias" : [
"encounter"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ReferralRequest.context",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "PV1-19"
},
{
"identity" : "w5",
"map" : "context"
},
{
"identity" : "qdm",
"map" : "facilityLocation"
}
]
},
{
"id" : "ReferralRequest.occurrence[x]",
"path" : "ReferralRequest.occurrence[x]",
"short" : "When the service(s) requested in the referral should occur",
"definition" : "The period of time within which the services identified in the referral/transfer of care is specified or required to occur.",
"comment" : "When the occurrenceDateTime is used, then it is indicating that the requested service must happen before the specified date.",
"requirements" : "Use cases: (1) to indicate that the requested service is not to happen before a specified date, and saving the start date in Period.start; (2) to indicate that the requested service must happen before a specified date, and saving the end date in Period.end; (3) to indicate that the requested service must happen during the specified dates ("start" and "end" values).",
"alias" : [
"timing"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ReferralRequest.occurrence[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
},
{
"code" : "Period"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "OBR-7/OBR-8"
},
{
"identity" : "w5",
"map" : "when.planned"
}
]
},
{
"id" : "ReferralRequest.authoredOn",
"path" : "ReferralRequest.authoredOn",
"short" : "Date of creation/activation",
"definition" : "Date/DateTime of creation for draft requests and date of activation for active requests.",
"alias" : [
"createdOn"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ReferralRequest.authoredOn",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "RF1-7 / RF1-9?"
},
{
"identity" : "w5",
"map" : "when.recorded"
},
{
"identity" : "qdm",
"map" : "authorDatetime"
}
]
},
{
"id" : "ReferralRequest.requester",
"path" : "ReferralRequest.requester",
"short" : "Who/what is requesting service",
"definition" : "The individual who initiated the request and has responsibility for its activation.",
"alias" : [
"author"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ReferralRequest.requester",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() | (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "Element"
},
{
"key" : "rfr-1",
"severity" : "error",
"human" : "onBehalfOf can only be specified if agent is practitioner or device",
"expression" : "(agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not()",
"xpath" : "contains(f:agent/f:reference/@value, '/Practitioner/') or contains(f:agent/f:reference/@value, '/Device/') or not(exists(f:onBehalfOf))",
"source" : "ReferralRequest.requester"
}
],
"mustSupport" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".participation[typeCode=AUT].role"
},
{
"identity" : "qdm",
"map" : "source"
}
]
},
{
"id" : "ReferralRequest.requester.id",
"path" : "ReferralRequest.requester.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "ReferralRequest.requester.extension",
"path" : "ReferralRequest.requester.extension",
"short" : "Additional Content defined by implementations",
"definition" : "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.",
"comment" : "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" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "ReferralRequest.requester.modifierExtension",
"path" : "ReferralRequest.requester.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, 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.",
"comment" : "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" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "ReferralRequest.requester.agent",
"path" : "ReferralRequest.requester.agent",
"short" : "Individual making the request",
"definition" : "The device, practitioner, etc. who initiated the request.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ReferralRequest.requester.agent",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Practitioner"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Organization"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Patient"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Device"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".player"
},
{
"identity" : "w5",
"map" : "who.author"
}
]
},
{
"id" : "ReferralRequest.requester.onBehalfOf",
"path" : "ReferralRequest.requester.onBehalfOf",
"short" : "Organization agent is acting for",
"definition" : "The organization the device or practitioner was acting on behalf of.",
"requirements" : "Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when authoring the request.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ReferralRequest.requester.onBehalfOf",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Organization"
}
],
"condition" : [
"rfr-1"
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".scoper"
}
]
},
{
"id" : "ReferralRequest.specialty",
"path" : "ReferralRequest.specialty",
"short" : "The clinical specialty (discipline) that the referral is requested for",
"definition" : "Indication of the clinical domain or discipline to which the referral or transfer of care request is sent. For example: Cardiology Gastroenterology Diabetology.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ReferralRequest.specialty",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ReferralSpecialty"
}
],
"strength" : "example",
"description" : "Codes indicating the types of capability the referred to service provider must have.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/practitioner-specialty"
}
},
"mapping" : [
{
"identity" : "v2",
"map" : "RF1-3"
}
]
},
{
"id" : "ReferralRequest.recipient",
"path" : "ReferralRequest.recipient",
"short" : "Receiver of referral / transfer of care request",
"definition" : "The healthcare provider(s) or provider organization(s) who/which is to receive the referral/transfer of care request.",
"comment" : "There will be a primary receiver. But the request can be received by any number of "copied to" providers or organizations.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ReferralRequest.recipient",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT"
},
{
"identity" : "w5",
"map" : "who.actor"
}
]
},
{
"id" : "ReferralRequest.reasonCode",
"path" : "ReferralRequest.reasonCode",
"short" : "Reason for referral / transfer of care request",
"definition" : "Description of clinical condition indicating why referral/transfer of care is requested. For example: Pathological Anomalies, Disabled (physical or mental), Behavioral Management.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ReferralRequest.reasonCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ReferralReason"
}
],
"strength" : "example",
"description" : "Codes indicating why the referral is being requested.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/clinical-findings"
}
},
"mapping" : [
{
"identity" : "v2",
"map" : "RF1-10"
},
{
"identity" : "w5",
"map" : "why"
},
{
"identity" : "qdm",
"map" : "reason"
}
]
},
{
"id" : "ReferralRequest.reasonReference",
"path" : "ReferralRequest.reasonReference",
"short" : "Why is service needed?",
"definition" : "Indicates another resource whose existence justifies this request.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ReferralRequest.reasonReference",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Condition"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Observation"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=RSON].target"
},
{
"identity" : "w5",
"map" : "why"
}
]
},
{
"id" : "ReferralRequest.description",
"path" : "ReferralRequest.description",
"short" : "A textual description of the referral",
"definition" : "The reason element gives a short description of why the referral is being made, the description expands on this to support a more complete clinical summary.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ReferralRequest.description",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"isModifier" : false
},
{
"id" : "ReferralRequest.supportingInfo",
"path" : "ReferralRequest.supportingInfo",
"short" : "Additonal information to support referral or transfer of care request",
"definition" : "Any additional (administrative, financial or clinical) information required to support request for referral or transfer of care. For example: Presenting problems/chief complaints Medical History Family History Alerts Allergy/Intolerance and Adverse Reactions Medications Observations/Assessments (may include cognitive and fundtional assessments) Diagnostic Reports Care Plan.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ReferralRequest.supportingInfo",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
],
"isModifier" : false
},
{
"id" : "ReferralRequest.note",
"path" : "ReferralRequest.note",
"short" : "Comments made about referral request",
"definition" : "Comments made about the referral request by any of the participants.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ReferralRequest.note",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Annotation"
}
]
},
{
"id" : "ReferralRequest.relevantHistory",
"path" : "ReferralRequest.relevantHistory",
"short" : "Key events in history of request",
"definition" : "Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.",
"comment" : "This element does not point to the Provenance associated with the *current* version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a _revinclude.",
"alias" : [
"eventHistory"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "ReferralRequest.relevantHistory",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Provenance"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "ReferralRequest",
"path" : "ReferralRequest",
"mustSupport" : false,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "“Encounter, Order” (when ReferralRequest.intent="order")| “Encounter, Recommended” (when ReferralRequest.intent="plan")"
}
]
},
{
"id" : "ReferralRequest.id",
"path" : "ReferralRequest.id",
"mustSupport" : false,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "id"
}
]
},
{
"id" : "ReferralRequest.extension:refusalReason",
"path" : "ReferralRequest.extension",
"sliceName" : "refusalReason",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/referralrequest-reasonRefused"
}
],
"mustSupport" : false,
"isModifier" : false,
"binding" : {
"strength" : "example",
"description" : "The value set to instantiate this attribute should be drawn from a terminologically robust code system for reasons of rejecting or canceling a referral request. This value set is provided as a suggestive example.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/us/qicore/ValueSet/qicore-referralrequest-reason-rejected"
}
},
"mapping" : [
{
"identity" : "qdm",
"map" : "negationRationale (when referralRequest.status="refused")"
}
]
},
{
"id" : "ReferralRequest.status",
"path" : "ReferralRequest.status",
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "ReferralRequest.type",
"path" : "ReferralRequest.type",
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "code"
}
]
},
{
"id" : "ReferralRequest.priority",
"path" : "ReferralRequest.priority",
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "ReferralRequest.serviceRequested",
"path" : "ReferralRequest.serviceRequested",
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "ReferralRequest.subject",
"path" : "ReferralRequest.subject",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Group"
}
],
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "ReferralRequest.context",
"path" : "ReferralRequest.context",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "facilityLocation"
}
]
},
{
"id" : "ReferralRequest.occurrence[x]",
"path" : "ReferralRequest.occurrence[x]",
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "ReferralRequest.authoredOn",
"path" : "ReferralRequest.authoredOn",
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "authorDatetime"
}
]
},
{
"id" : "ReferralRequest.requester",
"path" : "ReferralRequest.requester",
"type" : [
{
"code" : "BackboneElement"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "source"
}
]
},
{
"id" : "ReferralRequest.specialty",
"path" : "ReferralRequest.specialty",
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "ReferralRequest.recipient",
"path" : "ReferralRequest.recipient",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
}
],
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "ReferralRequest.reasonCode",
"path" : "ReferralRequest.reasonCode",
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "qdm",
"map" : "reason"
}
]
}
]
}
}
© HL7.org 2011+. QICore STU3 (v3.1.0) (for FHIR v3.0.1-11917) generated on Wed, Aug 22, 2018 23:31+1000. QA Page
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