A record of a request for diagnostic investigations, treatments, or operations to be performed.
= Must Support, = Is Modifier, = QiCore defined extension
Field | Card. | Type | Description |
---|---|---|---|
reasonRefused | 0..1 | Extension | An Extension Binding: The RAND appropriateness score for the requested procedure. (example) |
approachBodySite | 0..1 | Extension | An Extension |
appropriatenessScore | 0..1 | Extension | An Extension Binding: The RAND scoring for appropriateness of the procedure. (preferred) |
status | 1..1 | String | The status of the order. Binding: The status of a procedure or diagnostic order. (required) |
code | 1..1 | Concept | A code that identifies a particular procedure, diagnostic investigation, or panel of investigations, that have been requested. Binding: Codes describing the Procedure Type (preferred) |
subject | 1..1 | Patient | Group | 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). |
context | 0..1 | Encounter | EpisodeOfCare | An encounter or episode of care that provides additional information about the healthcare context in which this request is made. |
occurrence[x] | 0..1 | DateTime | Interval<DateTime> | Timing | The date/time at which the diagnostic testing should occur. |
asNeeded[x] | 0..1 | Boolean | Concept | If a CodeableConcept is present, it indicates the pre-condition for performing the procedure. For example "pain", "on flare-up", etc. Binding: A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. (example) |
authoredOn | 0..1 | DateTime | When the request transitioned to being actionable. |
requester | 0..1 | requester | The individual who initiated the request and has responsibility for its activation. |
performer | 0..1 | Practitioner | Organization | Patient | Device | RelatedPerson | HealthcareService | The desired perfomer for doing the diagnostic testing. For example, the surgeon, dermatopathologist, endoscopist, etc. |
reasonCode | 0..* | List<Concept> | 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. Binding: Diagnosis or problem codes justifying the reason for requesting the procedure or diagnostic investigation. (example) |
bodySite | 0..* | List<Concept> | Anatomic location where the procedure should be performed. This is the target site. Binding: Codes describing anatomical locations. May include laterality. (example) |