QI-Core Implementation Guide: STU 3.2 (v3.2.0 for FHIR 3.0.1)
This page is part of the Quality Improvement Core Framework (v3.2.0: 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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<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="qicore-procedurerequest"/> <text> <status value="generated"/> <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-procedurerequest-definitions.html#ProcedureRequest">ProcedureRequest</a><a name="ProcedureRequest"> </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"/><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_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-procedurerequest-definitions.html#ProcedureRequest.extension:reasonRefused" title="Extension URL = http://hl7.org/fhir/StructureDefinition/procedurerequest-reasonRefused">procedurerequest-reasonRefused</a><a name="ProcedureRequest.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">0..1</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 for refusal<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/extension-procedurerequest-reasonrefused.html">http://hl7.org/fhir/StructureDefinition/procedurerequest-reasonRefused</a><br/><span style="font-weight:bold">Binding: </span><a href="http://hl7.org/fhir/STU3/valueset-procedure-not-performed-reason.html">Procedure Not Performed Reason (SNOMED-CT)</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_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-procedurerequest-definitions.html#ProcedureRequest.extension:approachBodySite" title="Extension URL = http://hl7.org/fhir/StructureDefinition/procedurerequest-approachBodySite">procedurerequest-approachBodySite</a><a name="ProcedureRequest.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">0..*</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="http://hl7.org/fhir/STU3/bodysite.html">BodySite</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The requested access point or points used for this procedure<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/extension-procedurerequest-approachbodysite.html">http://hl7.org/fhir/StructureDefinition/procedurerequest-approachBodySite</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_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-procedurerequest-definitions.html#ProcedureRequest.extension:appropriatenessScore" title="Slice appropriatenessScore: ">extension</a><a name="ProcedureRequest.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">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">?? [CanonicalType[http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurerequest-appropriatenessScore]]</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="font-weight:bold">URL: </span>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurerequest-appropriatenessScore<br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-qicore-appropriateness-score.html">RAND Appropriateness Scores</a> (<a href="http://hl7.org/fhir/STU3/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.subject">subject</a><a name="ProcedureRequest.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"/><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>)</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-procedurerequest-definitions.html#ProcedureRequest.code">code</a><a name="ProcedureRequest.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"><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"/><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="font-weight:bold">Binding: </span><a href="http://hl7.org/fhir/us/core/STU2/ValueSet-us-core-procedure-code.html">US Core Procedure Codes</a> (<a href="http://hl7.org/fhir/STU3/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</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-procedurerequest-definitions.html#ProcedureRequest.bodySite">bodySite</a><a name="ProcedureRequest.bodySite"> </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"/><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_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.reasonCode">reasonCode</a><a name="ProcedureRequest.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"/><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"/></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-procedurerequest-definitions.html#ProcedureRequest.occurrence[x]">occurrence[x]</a><a name="ProcedureRequest.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"/><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.context">context</a><a name="ProcedureRequest.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"/><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="http://hl7.org/fhir/STU3/encounter.html">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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.performer">performer</a><a name="ProcedureRequest.performer"> </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"/><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> | <a href="StructureDefinition-qicore-patient.html">QICore-Patient</a> | <a href="StructureDefinition-qicore-device.html">QICore-Device</a> | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson | <a href="http://hl7.org/fhir/STU3/healthcareservice.html">HealthcareService</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-procedurerequest-definitions.html#ProcedureRequest.status">status</a><a name="ProcedureRequest.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"/><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-procedurerequest-definitions.html#ProcedureRequest.asNeeded[x]" title="If a CodeableConcept is present, it indicates the pre-condition for performing the procedure. For example "pain", "on flare-up", etc.">asNeeded[x]</a><a name="ProcedureRequest.asNeeded_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"/><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-procedurerequest-definitions.html#ProcedureRequest.authoredOn">authoredOn</a><a name="ProcedureRequest.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"/><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_bck01.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_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.requester">requester</a><a name="ProcedureRequest.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"/><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"><a 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_bck000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.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-procedurerequest-definitions.html#ProcedureRequest.requester.agent">agent</a><a name="ProcedureRequest.requester.agent"> </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"/><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-device.html">QICore-Device</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><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> </text> <url value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurerequest"/> <version value="3.2.0"/> <name value="QICore-ProcedureRequest"/> <status value="draft"/> <experimental value="false"/> <date value="2018-08-22T00:00:00+10:00"/> <publisher value="Health Level Seven, Inc. - CQI WG"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org/special/committees/CQI"/> </telecom> </contact> <description value="Profile of ProcedureRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="us"/> </coding> </jurisdiction> <fhirVersion value="3.0.1"/> <mapping> <identity value="qdm"/> <uri value="http://www.healthit.gov/quality-data-model"/> <name value="Quality Data Model"/> </mapping> <mapping> <identity value="qidam"/> <uri value="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=378"/> <name value="Quality Improvement Domain Analysis Model"/> </mapping> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Mapping"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2 Mapping"/> </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="quick"/> <uri value="http://wiki.siframework.org/CQF"/> <name value="Quality Improvement and Clinical Knowledge (QUICK)"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="ProcedureRequest"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/> <derivation value="constraint"/> <snapshot> <element id="ProcedureRequest"> <path value="ProcedureRequest"/> <short value="A request for a procedure or diagnostic to be performed"/> <definition value="A record of a request for diagnostic investigations, treatments, or operations to be performed."/> <alias value="diagnostic request"/> <min value="0"/> <max value="*"/> <base> <path value="ProcedureRequest"/> <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)"/> <source value="DomainResource"/> </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)"/> <source value="DomainResource"/> </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))"/> <source value="DomainResource"/> </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))]))"/> <source value="DomainResource"/> </constraint> <mustSupport value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC"/> </mapping> <mapping> <identity value="rim"/> <map value="Act[moodCode<=INT]"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.general"/> </mapping> <mapping> <identity value="qdm"/> <map value="(“Assessment, Order”, “Procedure, Order”, “Laboratory Test, Order”, “Diagnostic Study, Order”, “Physical Exam, Order”) (when ProcedureRequest.intent=order) (“Assessment, Recommended”, “Procedure, Recommended”, “Laboratory Test, Recommended”, “Diagnostic Study, Recommended”, “Physical Exam, Recommended”) (when ProcedureRequest.intent=plan) Note – QDM includes the attribute “ordinality” in “Procedure, Order” and “Procedure, Recommended”. FHIR does not address ordinality with respect to procedure requests."/> </mapping> </element> <element id="ProcedureRequest.id"> <path value="ProcedureRequest.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."/> <comment 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="1"/> </base> <type> <code value="id"/> </type> <isSummary value="true"/> </element> <element id="ProcedureRequest.meta"> <path value="ProcedureRequest.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="1"/> </base> <type> <code value="Meta"/> </type> <isSummary value="true"/> </element> <element id="ProcedureRequest.implicitRules"> <path value="ProcedureRequest.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."/> <comment 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. 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 value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <isModifier value="true"/> <isSummary value="true"/> </element> <element id="ProcedureRequest.language"> <path value="ProcedureRequest.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment 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="1"/> </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> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <description value="A human language."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/languages"/> </valueSetReference> </binding> </element> <element id="ProcedureRequest.text"> <path value="ProcedureRequest.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."/> <comment 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="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-1"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="ProcedureRequest.contained"> <path value="ProcedureRequest.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."/> <comment 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="ProcedureRequest.extension"> <path value="ProcedureRequest.extension"/> <slicing id="13"> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="ProcedureRequest.extension:reasonRefused"> <path value="ProcedureRequest.extension"/> <sliceName value="reasonRefused"/> <short value="Reason for refusal"/> <definition value="The reason the request was refused. Applies only if the status is refused."/> <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/procedurerequest-reasonRefused"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="negationRationale (when procedureRequest.status="refused")"/> </mapping> </element> <element id="ProcedureRequest.extension:approachBodySite"> <path value="ProcedureRequest.extension"/> <sliceName value="approachBodySite"/> <short value="The requested access point or points used for this procedure"/> <definition value="The requested approach body site used for this procedure. Multiple locations are allowed."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/procedurerequest-approachBodySite"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="qidam"/> <map value="Not in QIDAM, but should have been included because the procedure request might include a requested approach, for example, to distinguish between urethral and supra-pubic urinary catheterization."/> </mapping> <mapping> <identity value="qdm"/> <map value="anatomical approach site"/> </mapping> </element> <element id="ProcedureRequest.extension:appropriatenessScore"> <path value="ProcedureRequest.extension"/> <sliceName value="appropriatenessScore"/> <short value="Extension"/> <definition value="An Extension"/> <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/us/qicore/StructureDefinition/qicore-procedurerequest-appropriatenessScore"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="qidam"/> <map value="Not in QIDAM, but added because of a persuasive ballot comment (May 2015)."/> </mapping> </element> <element id="ProcedureRequest.modifierExtension"> <path value="ProcedureRequest.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."/> <comment 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="ProcedureRequest.identifier"> <path value="ProcedureRequest.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."/> <comment 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 resource notes section below."/> <min value="0"/> <max value="*"/> <base> <path value="ProcedureRequest.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.identifier"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC.2, ORC.3"/> </mapping> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> <mapping> <identity value="quick"/> <map value="ClinicalStatement.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="id"/> </mapping> </element> <element id="ProcedureRequest.definition"> <path value="ProcedureRequest.definition"/> <short value="Protocol or definition"/> <definition value="Protocol or definition followed by this request."/> <alias value="protocol"/> <min value="0"/> <max value="*"/> <base> <path value="ProcedureRequest.definition"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.definition"/> </mapping> <mapping> <identity value="v2"/> <map value="Varies by domain"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target"/> </mapping> </element> <element id="ProcedureRequest.basedOn"> <path value="ProcedureRequest.basedOn"/> <short value="What request fulfills"/> <definition value="Plan/proposal/order fulfilled by this request."/> <alias value="fulfills"/> <min value="0"/> <max value="*"/> <base> <path value="ProcedureRequest.basedOn"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.basedOn"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC.8 (plus others)"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=FLFS].target"/> </mapping> </element> <element id="ProcedureRequest.replaces"> <path value="ProcedureRequest.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="ProcedureRequest.replaces"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.replaces"/> </mapping> <mapping> <identity value="v2"/> <map value="Handled by message location of ORC (ORC.1=RO or RU)"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=RPLC].target"/> </mapping> </element> <element id="ProcedureRequest.requisition"> <path value="ProcedureRequest.requisition"/> <short value="Composite Request ID"/> <definition value="A shared identifier common to all procedure or diagnostic requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier."/> <comment value="Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation."/> <requirements value="Some business processes need to know if multiple items were ordered as part of the same "requisition" for billing or other purposes."/> <alias value="grouperId"/> <alias value="groupIdentifier"/> <min value="0"/> <max value="1"/> <base> <path value="ProcedureRequest.requisition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="ORC.4"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"/> </mapping> </element> <element id="ProcedureRequest.status"> <path value="ProcedureRequest.status"/> <short value="draft | active | suspended | completed | entered-in-error | cancelled"/> <definition value="The status of the order."/> <comment value="The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](http://hl7.org/fhir/STU3/event.html) for general discussion) or using the [Task](http://hl7.org/fhir/STU3/task.html) resource. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/> <min value="1"/> <max value="1"/> <base> <path value="ProcedureRequest.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mustSupport value="true"/> <isModifier value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureRequestStatus"/> </extension> <strength value="required"/> <description value="The status of a procedure or diagnostic order."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/request-status"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Request.status"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC.5"/> </mapping> <mapping> <identity value="rim"/> <map value=".status"/> </mapping> <mapping> <identity value="quick"/> <map value="Action.currentStatus"/> </mapping> <mapping> <identity value="w5"/> <map value="status"/> </mapping> <mapping> <identity value="qdm"/> <map value="negationRationale (when ProcedureRequest.status="refused")"/> </mapping> </element> <element id="ProcedureRequest.intent"> <path value="ProcedureRequest.intent"/> <short value="proposal | plan | order +"/> <definition value="Whether the request is a proposal, plan, an original order or a reflex order."/> <comment value="This element is labeled as a modifier because the intent alters when and how the resource is actually applicable."/> <min value="1"/> <max value="1"/> <base> <path value="ProcedureRequest.intent"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <isModifier value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureRequestIntent"/> </extension> <strength value="required"/> <description value="The kind of procedure or diagnostic request"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/request-intent"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Request.intent"/> </mapping> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value=".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"/> </mapping> <mapping> <identity value="w5"/> <map value="class"/> </mapping> </element> <element id="ProcedureRequest.priority"> <path value="ProcedureRequest.priority"/> <short value="routine | urgent | asap | stat"/> <definition value="Indicates how quickly the ProcedureRequest should be addressed with respect to other requests."/> <min value="0"/> <max value="1"/> <base> <path value="ProcedureRequest.priority"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <meaningWhenMissing value="If missing, this task should be performed with normal priority"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureRequestPriority"/> </extension> <strength value="required"/> <description value="Identifies the level of importance to be assigned to actioning the request"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/request-priority"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Request.priority"/> </mapping> <mapping> <identity value="v2"/> <map value="TQ1.9"/> </mapping> <mapping> <identity value="rim"/> <map value=".priorityCode"/> </mapping> <mapping> <identity value="w5"/> <map value="class"/> </mapping> </element> <element id="ProcedureRequest.doNotPerform"> <path value="ProcedureRequest.doNotPerform"/> <short value="True if procedure should not be performed"/> <definition value="Set this to true if the record is saying that the procedure should NOT be performed."/> <comment value="This element is labeled as a [modifier](http://hl7.org/fhir/STU3/conformance-rules.html#isModifier.html) because it indicates that a procedure shouldn't happen, instead of a request for it to happen. In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ProcedureRequest.code and ProcedureRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation."/> <requirements value="Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc."/> <min value="0"/> <max value="1"/> <base> <path value="ProcedureRequest.doNotPerform"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <defaultValueBoolean value="false"/> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".actionNegationInd"/> </mapping> </element> <element id="ProcedureRequest.category"> <path value="ProcedureRequest.category"/> <short value="Classification of procedure"/> <definition value="A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure")."/> <comment value="There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set."/> <requirements value="Used for filtering what procedure request are retrieved and displayed."/> <min value="0"/> <max value="*"/> <base> <path value="ProcedureRequest.category"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureRequestCategory"/> </extension> <strength value="example"/> <description value="Classification of the procedure"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/procedure-category"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code"/> </mapping> <mapping> <identity value="w5"/> <map value="class"/> </mapping> </element> <element id="ProcedureRequest.code"> <path value="ProcedureRequest.code"/> <short value="What is being requested/ordered"/> <definition value="A code that identifies a particular procedure, diagnostic investigation, or panel of investigations, that have been requested."/> <comment value="Many laboratory and radiology procedure codes embed the specimen/organ system in the test ordeer 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="ProcedureRequest.code"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <binding> <strength value="preferred"/> <description value="Codes describing the Procedure Type"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Request.code"/> </mapping> <mapping> <identity value="v2"/> <map value="Varies by domain"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> <mapping> <identity value="quick"/> <map value="Procedure.procedureCode"/> </mapping> <mapping> <identity value="w5"/> <map value="what"/> </mapping> <mapping> <identity value="qdm"/> <map value="code"/> </mapping> </element> <element id="ProcedureRequest.subject"> <path value="ProcedureRequest.subject"/> <short value="Individual the service is ordered for"/> <definition value="On whom or what the procedure or diagnostic is to be performed. This is usually a human patient, but 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="ProcedureRequest.subject"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.subject"/> </mapping> <mapping> <identity value="v2"/> <map value="Accompanying PID segment"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role"/> </mapping> <mapping> <identity value="quick"/> <map value="ClinicalStatement.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="who.focus"/> </mapping> </element> <element id="ProcedureRequest.context"> <path value="ProcedureRequest.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."/> <alias value="encounter"/> <min value="0"/> <max value="1"/> <base> <path value="ProcedureRequest.context"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.context"/> </mapping> <mapping> <identity value="v2"/> <map value="Accompanying PV1"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"/> </mapping> <mapping> <identity value="quick"/> <map value="ClinicalStatement.encounter"/> </mapping> <mapping> <identity value="w5"/> <map value="context"/> </mapping> </element> <element id="ProcedureRequest.occurrence[x]"> <path value="ProcedureRequest.occurrence[x]"/> <short value="When procedure should occur"/> <definition value="The date/time at which the diagnostic testing should occur."/> <alias value="schedule"/> <min value="0"/> <max value="1"/> <base> <path value="ProcedureRequest.occurrence[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <type> <code value="Period"/> </type> <type> <code value="Timing"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.occurrence[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="Accompanying TQ1/TQ2 segments"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> <mapping> <identity value="quick"/> <map value="Procedure.procedureSchedule"/> </mapping> <mapping> <identity value="w5"/> <map value="when.planned"/> </mapping> </element> <element id="ProcedureRequest.asNeeded[x]"> <path value="ProcedureRequest.asNeeded[x]"/> <short value="Preconditions for procedure or diagnostic"/> <definition value="If a CodeableConcept is present, it indicates the pre-condition for performing the procedure. For example "pain", "on flare-up", etc."/> <min value="0"/> <max value="1"/> <base> <path value="ProcedureRequest.asNeeded[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureAsNeededReason"/> </extension> <strength value="example"/> <description value="A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/medication-as-needed-reason"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code="Assertion"].value"/> </mapping> <mapping> <identity value="quick"/> <map value="Proposal.prnReason.reason"/> </mapping> </element> <element id="ProcedureRequest.authoredOn"> <path value="ProcedureRequest.authoredOn"/> <short value="Date request signed"/> <definition value="When the request transitioned to being actionable."/> <alias value="orderedOn"/> <min value="0"/> <max value="1"/> <base> <path value="ProcedureRequest.authoredOn"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.authoredOn"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC.9"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].time"/> </mapping> <mapping> <identity value="quick"/> <map value="Proposal.proposedAtTime"/> </mapping> <mapping> <identity value="w5"/> <map value="when.recorded"/> </mapping> <mapping> <identity value="qdm"/> <map value="Author Datetime"/> </mapping> </element> <element id="ProcedureRequest.requester"> <path value="ProcedureRequest.requester"/> <short value="Who/what is requesting procedure or diagnostic"/> <definition value="The individual who initiated the request and has responsibility for its activation."/> <comment value="This not the dispatcher, but rather who is the authorizer."/> <alias value="author"/> <alias value="orderer"/> <min value="0"/> <max value="1"/> <base> <path value="ProcedureRequest.requester"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.requester"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC.12"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].role"/> </mapping> <mapping> <identity value="quick"/> <map value="ClinicalStatement.statementAuthor"/> </mapping> <mapping> <identity value="qdm"/> <map value="source"/> </mapping> </element> <element id="ProcedureRequest.requester.id"> <path value="ProcedureRequest.requester.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="ProcedureRequest.requester.extension"> <path value="ProcedureRequest.requester.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="ProcedureRequest.requester.modifierExtension"> <path value="ProcedureRequest.requester.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 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 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"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="ProcedureRequest.requester.agent"> <path value="ProcedureRequest.requester.agent"/> <short value="Individual making the request"/> <definition value="The device, practitioner or organization who initiated the request."/> <min value="1"/> <max value="1"/> <base> <path value="ProcedureRequest.requester.agent"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/> </type> <mustSupport value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.requester.agent"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC.12"/> </mapping> <mapping> <identity value="rim"/> <map value=".player"/> </mapping> <mapping> <identity value="quick"/> <map value="ClinicalStatement.statementAuthor"/> </mapping> <mapping> <identity value="w5"/> <map value="who.author"/> </mapping> </element> <element id="ProcedureRequest.requester.onBehalfOf"> <path value="ProcedureRequest.requester.onBehalfOf"/> <short value="Organization agent is acting for"/> <definition value="The organization the device or practitioner was acting on behalf of."/> <requirements value="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 value="0"/> <max value="1"/> <base> <path value="ProcedureRequest.requester.onBehalfOf"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.requester.onBehalfOf"/> </mapping> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value=".scoper"/> </mapping> </element> <element id="ProcedureRequest.performerType"> <path value="ProcedureRequest.performerType"/> <short value="Performer role"/> <definition value="Desired type of performer for doing the diagnostic testing."/> <comment value="this is a role, not a participation type. I.e. does not describe the task, but describes the capacity. For example, “compounding pharmacy” or “psychiatrist” or “internal referral”."/> <min value="0"/> <max value="1"/> <base> <path value="ProcedureRequest.performerType"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureRequestParticipantRole"/> </extension> <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="workflow"/> <map value="Request.performerType"/> </mapping> <mapping> <identity value="v2"/> <map value="PRT"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"/> </mapping> <mapping> <identity value="w5"/> <map value="who.actor"/> </mapping> </element> <element id="ProcedureRequest.performer"> <path value="ProcedureRequest.performer"/> <short value="Requested perfomer"/> <definition value="The desired perfomer for doing the diagnostic testing. For example, the surgeon, dermatopathologist, endoscopist, etc."/> <comment value="If needed, use an [extension](http://hl7.org/fhir/STU3/extensibility.html) for listing alternative performers and/or roles and/or preference."/> <min value="0"/> <max value="1"/> <base> <path value="ProcedureRequest.performer"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/> </type> <mustSupport value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.Performer"/> </mapping> <mapping> <identity value="v2"/> <map value="PRT"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/> </mapping> <mapping> <identity value="w5"/> <map value="who.actor"/> </mapping> </element> <element id="ProcedureRequest.reasonCode"> <path value="ProcedureRequest.reasonCode"/> <short value="Explanation/Justification for test"/> <definition value="An explanation or justification for why this diagnostic investigation is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in supportingInformation."/> <comment 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](http://hl7.org/fhir/STU3/procedurerequest-example-di.html)."/> <min value="0"/> <max value="*"/> <base> <path value="ProcedureRequest.reasonCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureRequestReason"/> </extension> <strength value="example"/> <description value="Diagnosis or problem codes justifying the reason for requesting the procedure or diagnostic investigation."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/procedure-reason"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Request.reasonCod"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC.16"/> </mapping> <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="ProcedureRequest.reasonReference"> <path value="ProcedureRequest.reasonReference"/> <short value="Explanation/Justification for test"/> <definition value="Indicates another resource that provides a justification for why this diagnostic investigation is being requested. May relate to the resources referred to in supportingInformation."/> <comment 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](http://hl7.org/fhir/STU3/procedurerequest-example-di.html)."/> <min value="0"/> <max value="*"/> <base> <path value="ProcedureRequest.reasonReference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.reasonReference"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC.16"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=RSON].target"/> </mapping> <mapping> <identity value="w5"/> <map value="why"/> </mapping> </element> <element id="ProcedureRequest.supportingInfo"> <path value="ProcedureRequest.supportingInfo"/> <short value="Additional clinical information"/> <definition value="Additional clinical information about the patient or specimen that may influence the procedure or diagnostics or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as "ask at order entry questions (AOEs)". This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements."/> <alias value="Ask at order entry question"/> <alias value="AOE"/> <min value="0"/> <max value="*"/> <base> <path value="ProcedureRequest.supportingInfo"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <mapping> <identity value="workflow"/> <map value="Request.supportingInformation"/> </mapping> <mapping> <identity value="v2"/> <map value="Accompanying segments"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=PERT].target"/> </mapping> </element> <element id="ProcedureRequest.specimen"> <path value="ProcedureRequest.specimen"/> <short value="Procedure Samples"/> <definition value="One or more specimens that the laboratory procedure will use."/> <comment value="Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, If the request is entered first with an unknown specimen, The [Specimen](http://hl7.org/fhir/STU3/specimen.html) resource references to the ProcedureRequest."/> <min value="0"/> <max value="*"/> <base> <path value="ProcedureRequest.specimen"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="SPM"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SPC].role"/> </mapping> </element> <element id="ProcedureRequest.bodySite"> <path value="ProcedureRequest.bodySite"/> <short value="Location on Body"/> <definition value="Anatomic location where the procedure should be performed. This is the target site."/> <comment value="Only used if not implicit in the code found in ProcedureRequest.type. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension [procedurerequest-targetBodySite](http://hl7.org/fhir/STU3/extension-procedurerequest-targetbodysite.html)."/> <requirements value="Knowing where the procedure is performed is important for tracking if multiple sites are possible."/> <alias value="location"/> <min value="0"/> <max value="*"/> <base> <path value="ProcedureRequest.bodySite"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="BodySite"/> </extension> <strength value="example"/> <description value="Codes describing anatomical locations. May include laterality."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/body-site"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="SPM"/> </mapping> <mapping> <identity value="rim"/> <map value="targetSiteCode"/> </mapping> <mapping> <identity value="quick"/> <map value="Procedure.targetBodySite"/> </mapping> <mapping> <identity value="qdm"/> <map value="anatomicalLocation"/> </mapping> </element> <element id="ProcedureRequest.note"> <path value="ProcedureRequest.note"/> <short value="Comments"/> <definition value="Any other notes and comments made about the service request. For example, letting provider know that "patient hates needles" or other provider instructions."/> <min value="0"/> <max value="*"/> <base> <path value="ProcedureRequest.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <mapping> <identity value="workflow"/> <map value="Request.note"/> </mapping> <mapping> <identity value="v2"/> <map value="NTE"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"/> </mapping> <mapping> <identity value="quick"/> <map value="ClinicalStatement.additionalText"/> </mapping> </element> <element id="ProcedureRequest.relevantHistory"> <path value="ProcedureRequest.relevantHistory"/> <short value="Request provenance"/> <definition value="Key events in the history of the request."/> <comment 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="ProcedureRequest.relevantHistory"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"/> </type> <mapping> <identity value="workflow"/> <map value="Request.relevantHistory"/> </mapping> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"/> </mapping> </element> </snapshot> <differential> <element id="ProcedureRequest"> <path value="ProcedureRequest"/> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="(“Assessment, Order”, “Procedure, Order”, “Laboratory Test, Order”, “Diagnostic Study, Order”, “Physical Exam, Order”) (when ProcedureRequest.intent=order) (“Assessment, Recommended”, “Procedure, Recommended”, “Laboratory Test, Recommended”, “Diagnostic Study, Recommended”, “Physical Exam, Recommended”) (when ProcedureRequest.intent=plan) Note – QDM includes the attribute “ordinality” in “Procedure, Order” and “Procedure, Recommended”. FHIR does not address ordinality with respect to procedure requests."/> </mapping> </element> <element id="ProcedureRequest.extension:reasonRefused"> <path value="ProcedureRequest.extension"/> <sliceName value="reasonRefused"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/procedurerequest-reasonRefused"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <binding> <strength value="example"/> <description value="The RAND appropriateness score for the requested procedure."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/procedure-not-performed-reason"/> </valueSetReference> </binding> <mapping> <identity value="qdm"/> <map value="negationRationale (when procedureRequest.status="refused")"/> </mapping> </element> <element id="ProcedureRequest.extension:approachBodySite"> <path value="ProcedureRequest.extension"/> <sliceName value="approachBodySite"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/procedurerequest-approachBodySite"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="qidam"/> <map value="Not in QIDAM, but should have been included because the procedure request might include a requested approach, for example, to distinguish between urethral and supra-pubic urinary catheterization."/> </mapping> <mapping> <identity value="qdm"/> <map value="anatomical approach site"/> </mapping> </element> <element id="ProcedureRequest.extension:appropriatenessScore"> <path value="ProcedureRequest.extension"/> <sliceName value="appropriatenessScore"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurerequest-appropriatenessScore"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <binding> <strength value="preferred"/> <description value="The RAND scoring for appropriateness of the procedure."/> <valueSetReference> <reference value="http://hl7.org/fhir/us/qicore/ValueSet/qicore-appropriateness-score"/> </valueSetReference> </binding> <mapping> <identity value="qidam"/> <map value="Not in QIDAM, but added because of a persuasive ballot comment (May 2015)."/> </mapping> </element> <element id="ProcedureRequest.status"> <path value="ProcedureRequest.status"/> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="negationRationale (when ProcedureRequest.status="refused")"/> </mapping> </element> <element id="ProcedureRequest.code"> <path value="ProcedureRequest.code"/> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="preferred"/> <description value="Codes describing the Procedure Type"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code"/> </valueSetReference> </binding> <mapping> <identity value="qdm"/> <map value="code"/> </mapping> </element> <element id="ProcedureRequest.subject"> <path value="ProcedureRequest.subject"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/> </type> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="ProcedureRequest.context"> <path value="ProcedureRequest.context"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> </type> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="ProcedureRequest.occurrence[x]"> <path value="ProcedureRequest.occurrence[x]"/> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="ProcedureRequest.asNeeded[x]"> <path value="ProcedureRequest.asNeeded[x]"/> <definition value="If a CodeableConcept is present, it indicates the pre-condition for performing the procedure. For example "pain", "on flare-up", etc."/> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="ProcedureRequest.authoredOn"> <path value="ProcedureRequest.authoredOn"/> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="Author Datetime"/> </mapping> </element> <element id="ProcedureRequest.requester"> <path value="ProcedureRequest.requester"/> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="source"/> </mapping> </element> <element id="ProcedureRequest.requester.agent"> <path value="ProcedureRequest.requester.agent"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="ProcedureRequest.performer"> <path value="ProcedureRequest.performer"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="ProcedureRequest.reasonCode"> <path value="ProcedureRequest.reasonCode"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="reason"/> </mapping> </element> <element id="ProcedureRequest.bodySite"> <path value="ProcedureRequest.bodySite"/> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="qdm"/> <map value="anatomicalLocation"/> </mapping> </element> </differential> </StructureDefinition>
© HL7.org 2011+. Package hl7.fhir.us.qicore#3.2.0 based on FHIR v3.0.1-11917. Generated on 14/04/2019
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