Release 4B Ballot #1
WorkflowThis page is part of the FHIR Specification (v4.1.0: Release 4B Ballot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
. Page versions: R4B R4
| Orders and Observations Work Group | Maturity Level: 0 | Trial Use | Use Context: Any |
ServiceRequest-Genetics
<?xml version="1.0" encoding="UTF-8"?> <StructureDefinition xmlns="http://hl7.org/fhir"> <id value="servicerequest-genetics"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">to do</div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"> <valueInteger value="2"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"> <valueCode value="oo"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <url value="http://hl7.org/fhir/StructureDefinition/servicerequest-genetics"/> <version value="4.1.0"/> <name value="ServiceRequest-Genetics"/> <status value="draft"/> <experimental value="false"/> <date value="2015-10-20"/> <publisher value="Health Level Seven International (Clinical Genomics)"/> <contact> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/clingenomics"/> </telecom> </contact> <description value="Describes how the ServiceRequest resource is used to for genetics"/> <fhirVersion value="4.1.0"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </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/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <mapping> <identity value="quick"/> <uri value="http://siframework.org/cqf"/> <name value="Quality Improvement and Clinical Knowledge (QUICK)"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="ServiceRequest"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/> <derivation value="constraint"/> <snapshot> <element id="ServiceRequest"> <path value="ServiceRequest"/> <short value="A request for a service to be performed"/> <definition value="A record of a request for service such as diagnostic investigations, treatments, or operations to be performed."/> <alias value="diagnostic request"/> <alias value="referral"/> <alias value="referral request"/> <alias value="transfer of care request"/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest"/> <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="http://hl7.org/fhir/StructureDefinition/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 or SHALL refer to the containing resource"/> <expression value="contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descenda nts().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()"/> <xpath value="not(exists(for $resource in . return (for $contained in $resource/f:contained return $contained[not( descendant::f:*/@value='#' or (exists(f:id) and $resource//f:*/@*=concat('#', $contained/*/f:id/@valu e)))])))"/> <source value="http://hl7.org/fhir/StructureDefinition/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="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <xpath value="exists(f:text/h:div)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="prr-1"/> <severity value="error"/> <human value="orderDetail SHALL only be present if code is present"/> <expression value="orderDetail.empty() or code.exists()"/> <xpath value="exists(f:code) or not(exists(f:orderDetail))"/> <source value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary 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> </element> <element id="ServiceRequest.id"> <path value="ServiceRequest.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> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUri value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="ServiceRequest.meta"> <path value="ServiceRequest.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 might 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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="ServiceRequest.implicitRules"> <path value="ServiceRequest.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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/> <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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/> <isSummary value="true"/> </element> <element id="ServiceRequest.language"> <path value="ServiceRequest.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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/definition"> <valueString value="A human language."/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> </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="preferred"/> <description value="IETF language tag"/> <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> </binding> </element> <element id="ServiceRequest.text"> <path value="ServiceRequest.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 can 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 information 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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="ServiceRequest.contained"> <path value="ServiceRequest.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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/> <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> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="ServiceRequest.extension"> <path value="ServiceRequest.extension"/> <slicing> <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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/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="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="ServiceRequest.extension:Item"> <path value="ServiceRequest.extension"/> <sliceName value="Item"/> <short value="The items the orderer requested"/> <definition value="The specific diagnostic investigations that are requested as part of this request. Sometimes, there can only be one item per request, but in most contexts, more than one investigation can be requested."/> <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/servicerequest-geneticsItem"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children unless an empty Parameters resource"/> <expression value="hasValue() or (children().count() > id.count()) or $this is Parameters"/> <xpath value="@value|f:*|h:div|self::f:Parameters"/> <source value="http://hl7.org/fhir/StructureDefinition/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="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="ServiceRequest.modifierExtension"> <path value="ServiceRequest.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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <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."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.ht ml#modifierExtension)."/> <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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/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="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="ServiceRequest.identifier"> <path value="ServiceRequest.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="ServiceRequest.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC.2, ORC.3, RF1-6 / RF1-11,"/> </mapping> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> <mapping> <identity value="quick"/> <map value="ClinicalStatement.identifier"/> </mapping> </element> <element id="ServiceRequest.instantiatesCanonical"> <path value="ServiceRequest.instantiatesCanonical"/> <short value="Instantiates FHIR protocol or definition"/> <definition value="The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest."/> <comment value="Note: This is a business identifier, not a resource identifier (see [discussion](resource.html#ident ifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number."/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest.instantiatesCanonical"/> <min value="0"/> <max value="*"/> </base> <type> <code value="canonical"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.instantiatesCanonical"/> </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="ServiceRequest.instantiatesUri"> <path value="ServiceRequest.instantiatesUri"/> <short value="Instantiates external protocol or definition"/> <definition value="The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest."/> <comment value="This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest.instantiatesUri"/> <min value="0"/> <max value="*"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.instantiatesUri"/> </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="ServiceRequest.basedOn"> <path value="ServiceRequest.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="ServiceRequest.basedOn"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <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="ServiceRequest.replaces"> <path value="ServiceRequest.replaces"/> <short value="What request replaces"/> <definition value="The request takes the place of the referenced completed or terminated request(s)."/> <alias value="supersedes"/> <alias value="prior"/> <alias value="renewed order"/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest.replaces"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <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="ServiceRequest.requisition"> <path value="ServiceRequest.requisition"/> <short value="Composite Request ID"/> <definition value="A shared identifier common to all service 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="ServiceRequest.requisition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.groupIdentifier"/> </mapping> <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="ServiceRequest.status"> <path value="ServiceRequest.status"/> <short value="draft | active | on-hold | revoked | completed | entered-in-error | unknown"/> <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](event.html) for general discussion) or using the [Task](task.html) resource."/> <min value="1"/> <max value="1"/> <base> <path value="ServiceRequest.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/definition"> <valueString value="The status of a service order."/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestStatus"/> </extension> <strength value="required"/> <description value="The status of a service order."/> <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"/> </binding> <mapping> <identity value="workflow"/> <map value="Request.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC.5,RF1-1"/> </mapping> <mapping> <identity value="rim"/> <map value=".status"/> </mapping> <mapping> <identity value="quick"/> <map value="Action.currentStatus"/> </mapping> </element> <element id="ServiceRequest.intent"> <path value="ServiceRequest.intent"/> <short value="proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option"/> <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="ServiceRequest.intent"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/definition"> <valueString value="The kind of service request."/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestIntent"/> </extension> <strength value="required"/> <description value="The kind of service request."/> <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.1.0"/> </binding> <mapping> <identity value="workflow"/> <map value="Request.intent"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </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> </element> <element id="ServiceRequest.category"> <path value="ServiceRequest.category"/> <short value="Classification of service"/> <definition value="A code that classifies the service 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 service request are retrieved and displayed."/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest.category"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/definition"> <valueString value="Classification of the requested service."/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestCategory"/> </extension> <strength value="example"/> <description value="Classification of the requested service."/> <valueSet value="http://hl7.org/fhir/ValueSet/servicerequest-category"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="v2"/> <map value="RF1-5"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT&quo t;].code"/> </mapping> </element> <element id="ServiceRequest.priority"> <path value="ServiceRequest.priority"/> <short value="routine | urgent | asap | stat"/> <definition value="Indicates how quickly the ServiceRequest should be addressed with respect to other requests."/> <min value="0"/> <max value="1"/> <base> <path value="ServiceRequest.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"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/definition"> <valueString value="Identifies the level of importance to be assigned to actioning the request."/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestPriority"/> </extension> <strength value="required"/> <description value="Identifies the level of importance to be assigned to actioning the request."/> <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"/> </binding> <mapping> <identity value="workflow"/> <map value="Request.priority"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.grade"/> </mapping> <mapping> <identity value="v2"/> <map value="TQ1.9, RF1-2"/> </mapping> <mapping> <identity value="rim"/> <map value=".priorityCode"/> </mapping> </element> <element id="ServiceRequest.doNotPerform"> <path value="ServiceRequest.doNotPerform"/> <short value="True if service/procedure should not be performed"/> <definition value="Set this to true if the record is saying that the service/procedure should NOT be performed."/> <comment value="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 ServiceRequest.code and ServiceRequest.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="ServiceRequest.doNotPerform"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <meaningWhenMissing value="If missing, the request is a positive request e.g. "do perform""/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur."/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.doNotPerform"/> </mapping> <mapping> <identity value="rim"/> <map value=".actionNegationInd"/> </mapping> </element> <element id="ServiceRequest.code"> <path value="ServiceRequest.code"/> <short value="What is being requested/ordered"/> <definition value="A code that identifies a particular service (i.e., 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 order name, for example, serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code."/> <alias value="service requested"/> <min value="0"/> <max value="1"/> <base> <path value="ServiceRequest.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/definition"> <valueString value="Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.ht ml#preferred] and a valueset using LOINC Order codes is available."/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestCode"/> </extension> <strength value="example"/> <description value="Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.ht ml#preferred] and a valueset using LOINC Order codes is available."/> <valueSet value="http://hl7.org/fhir/ValueSet/procedure-code"/> </binding> <mapping> <identity value="workflow"/> <map value="Request.code"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.what[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="PR1-3 / OBR-4 (varies by domain)"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> <mapping> <identity value="quick"/> <map value="Procedure.procedureCode"/> </mapping> </element> <element id="ServiceRequest.orderDetail"> <path value="ServiceRequest.orderDetail"/> <short value="Additional order information"/> <definition value="Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied."/> <comment value="For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element."/> <alias value="detailed instructions"/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest.orderDetail"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="prr-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/definition"> <valueString value="Codified order entry details which are based on order context."/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="OrderDetail"/> </extension> <strength value="example"/> <description value="Codified order entry details which are based on order context."/> <valueSet value="http://hl7.org/fhir/ValueSet/servicerequest-orderdetail"/> </binding> <mapping> <identity value="v2"/> <map value="NTE"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> <mapping> <identity value="quick"/> <map value="Procedure.procedureCode"/> </mapping> </element> <element id="ServiceRequest.quantity[x]"> <path value="ServiceRequest.quantity[x]"/> <short value="Service amount"/> <definition value="An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction)."/> <requirements value="When ordering a service the number of service items may need to be specified separately from the the service item."/> <min value="0"/> <max value="1"/> <base> <path value="ServiceRequest.quantity[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> </type> <type> <code value="Ratio"/> </type> <type> <code value="Range"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="NTE"/> </mapping> <mapping> <identity value="rim"/> <map value=".quantity"/> </mapping> </element> <element id="ServiceRequest.subject"> <path value="ServiceRequest.subject"/> <short value="Individual or Entity the service is ordered for"/> <definition value="On whom or what the service 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="ServiceRequest.subject"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="PID"/> </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="FiveWs.subject"/> </mapping> </element> <element id="ServiceRequest.encounter"> <path value="ServiceRequest.encounter"/> <short value="Encounter in which the request was created"/> <definition value="An encounter that provides additional information about the healthcare context in which this request is made."/> <alias value="context"/> <min value="0"/> <max value="1"/> <base> <path value="ServiceRequest.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.encounter"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="v2"/> <map value="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> </element> <element id="ServiceRequest.occurrence[x]"> <path value="ServiceRequest.occurrence[x]"/> <short value="When service should occur"/> <definition value="The date/time at which the requested service should occur."/> <alias value="schedule"/> <min value="0"/> <max value="1"/> <base> <path value="ServiceRequest.occurrence[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <type> <code value="Period"/> </type> <type> <code value="Timing"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.occurrence[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.planned"/> </mapping> <mapping> <identity value="v2"/> <map value="TQ1/TQ2, OBR-7/OBR-8"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> <mapping> <identity value="quick"/> <map value="Procedure.procedureSchedule"/> </mapping> </element> <element id="ServiceRequest.asNeeded[x]"> <path value="ServiceRequest.asNeeded[x]"/> <short value="Preconditions for service"/> <definition value="If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc."/> <min value="0"/> <max value="1"/> <base> <path value="ServiceRequest.asNeeded[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/definition"> <valueString value="A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc."/> </extension> <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."/> <valueSet value="http://hl7.org/fhir/ValueSet/medication-as-needed-reason"/> </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="ServiceRequest.authoredOn"> <path value="ServiceRequest.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="ServiceRequest.authoredOn"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.authoredOn"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.recorded"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC.9, RF1-7 / RF1-9"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].time"/> </mapping> <mapping> <identity value="quick"/> <map value="Proposal.proposedAtTime"/> </mapping> </element> <element id="ServiceRequest.requester"> <path value="ServiceRequest.requester"/> <short value="Who/what is requesting service"/> <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. This element is not intended to handle delegation which would generally be managed through the Provenance resource."/> <alias value="author"/> <alias value="orderer"/> <min value="0"/> <max value="1"/> <base> <path value="ServiceRequest.requester"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.requester"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.author"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC.12, PRT"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].role"/> </mapping> <mapping> <identity value="quick"/> <map value="ClinicalStatement.statementAuthor"/> </mapping> </element> <element id="ServiceRequest.performerType"> <path value="ServiceRequest.performerType"/> <short value="Performer role"/> <definition value="Desired type of performer for doing the requested service."/> <comment value="This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”."/> <alias value="specialty"/> <min value="0"/> <max value="1"/> <base> <path value="ServiceRequest.performerType"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/definition"> <valueString value="Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc."/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestParticipantRole"/> </extension> <strength value="example"/> <description value="Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc."/> <valueSet value="http://hl7.org/fhir/ValueSet/participant-role"/> </binding> <mapping> <identity value="workflow"/> <map value="Request.performerType"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.actor"/> </mapping> <mapping> <identity value="v2"/> <map value="PRT, RF!-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"/> </mapping> </element> <element id="ServiceRequest.performer"> <path value="ServiceRequest.performer"/> <short value="Requested performer"/> <definition value="The desired performer for doing the requested service. For example, the surgeon, dermatopathologist , endoscopist, etc."/> <comment value="If multiple performers are present, it is interpreted as a list of *alternative* performers without any preference regardless of order. If order of preference is needed use the [request-performerOrder extension](extension-request-performerorder.html). Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B)."/> <alias value="request recipient"/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest.performer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.performer"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.actor"/> </mapping> <mapping> <identity value="v2"/> <map value="PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/> </mapping> </element> <element id="ServiceRequest.locationCode"> <path value="ServiceRequest.locationCode"/> <short value="Requested location"/> <definition value="The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center."/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest.locationCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/definition"> <valueString value="A location type where services are delivered."/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestLocation"/> </extension> <strength value="example"/> <description value="A location type where services are delivered."/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.actor"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=LOC].role[scoper.determinerCode=KIND].code"/> </mapping> </element> <element id="ServiceRequest.locationReference"> <path value="ServiceRequest.locationReference"/> <short value="Requested location"/> <definition value="A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center."/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest.locationReference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.actor"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]"/> </mapping> </element> <element id="ServiceRequest.reasonCode"> <path value="ServiceRequest.reasonCode"/> <short value="Explanation/Justification for procedure or service"/> <definition value="An explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in `supportingInfo`."/> <comment value="This element represents why the referral is being made and may be used to decide how the service 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](servicerequest-example- di.html)."/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest.reasonCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/definition"> <valueString value="Diagnosis or problem codes justifying the reason for requesting the service investigation."/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestReason"/> </extension> <strength value="example"/> <description value="SNOMED CT Condition/Problem/Diagnosis Codes"/> <valueSet value="http://hl7.org/fhir/ValueSet/procedure-reason"/> </binding> <mapping> <identity value="workflow"/> <map value="Request.reasonCode"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.why[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC.16, RF1-10"/> </mapping> <mapping> <identity value="rim"/> <map value=".reasonCode"/> </mapping> </element> <element id="ServiceRequest.reasonReference"> <path value="ServiceRequest.reasonReference"/> <short value="Explanation/Justification for service or service"/> <definition value="Indicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in `supportingInfo`."/> <comment value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to *Observation* or *Condition* should be used if available. Otherwise when referencing *DiagnosticReport* it should contain a finding in `DiagnosticReport.c onclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html) ."/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest.reasonReference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Request.reasonReference"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.why[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC.16"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=RSON].target"/> </mapping> </element> <element id="ServiceRequest.insurance"> <path value="ServiceRequest.insurance"/> <short value="Associated insurance coverage"/> <definition value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service."/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest.insurance"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Request.insurance"/> </mapping> <mapping> <identity value="v2"/> <map value="IN1/IN2"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COVBY].target"/> </mapping> </element> <element id="ServiceRequest.supportingInfo"> <path value="ServiceRequest.supportingInfo"/> <short value="Additional clinical information"/> <definition value="Additional clinical information about the patient or specimen that may influence the services 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."/> <comment value="To represent information about how the services are to be delivered use the `instructions` element."/> <alias value="Ask at order entry question"/> <alias value="AOE"/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest.supportingInfo"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Request.supportingInfo"/> </mapping> <mapping> <identity value="v2"/> <map value="Accompanying segments"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=PERT].target"/> </mapping> </element> <element id="ServiceRequest.specimen"> <path value="ServiceRequest.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, then the [Specimen](specimen.html) resource points to the ServiceRequest."/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest.specimen"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <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="ServiceRequest.bodySite"> <path value="ServiceRequest.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 ServiceRequest.code. 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 [procedure-targetBodyStructure](e xtension-procedure-targetbodystructure.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="ServiceRequest.bodySite"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/build/StructureDefinition/definition"> <valueString value="Codes describing anatomical locations. May include laterality."/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="BodySite"/> </extension> <strength value="example"/> <description value="SNOMED CT Body site concepts"/> <valueSet value="http://hl7.org/fhir/ValueSet/body-site"/> </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> </element> <element id="ServiceRequest.note"> <path value="ServiceRequest.note"/> <short value="Comments"/> <definition value="Any other notes and comments made about the service request. For example, internal billing notes."/> <min value="0"/> <max value="*"/> <base> <path value="ServiceRequest.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <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="ServiceRequest.patientInstruction"> <path value="ServiceRequest.patientInstruction"/> <short value="Patient or consumer-oriented instructions"/> <definition value="Instructions in terms that are understood by the patient or consumer."/> <min value="0"/> <max value="1"/> <base> <path value="ServiceRequest.patientInstruction"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="NTE"/> </mapping> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="ServiceRequest.relevantHistory"> <path value="ServiceRequest.relevantHistory"/> <short value="Request provenance"/> <definition value="Key events in the history of the request."/> <comment value="This might 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="ServiceRequest.relevantHistory"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <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="ServiceRequest"> <path value="ServiceRequest"/> <min value="0"/> <max value="*"/> </element> <element id="ServiceRequest.extension:Item"> <path value="ServiceRequest.extension"/> <sliceName value="Item"/> <short value="The items the orderer requested"/> <definition value="The specific diagnostic investigations that are requested as part of this request. Sometimes, there can only be one item per request, but in most contexts, more than one investigation can be requested."/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem"/> </type> </element> </differential> </StructureDefinition>
FHIR ®© HL7.org 2011+. FHIR R4B Ballot #1 hl7.fhir.core#4.1.0 generated on Thu, Mar 11, 2021 17:11+1100.
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