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{
"resourceType": "StructureDefinition",
"id": "CA-eReC-ServiceRequest",
"url": "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ServiceRequest",
"name": "ServiceRequest",
"title": "ServiceRequest",
"status": "draft",
"description": "ServiceRequest is the main resource used to send all referral related information to the destination system.",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "ServiceRequest",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "ServiceRequest.extension",
"path": "ServiceRequest.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "ServiceRequest.extension:PatientPresentLocation",
"path": "ServiceRequest.extension",
"sliceName": "PatientPresentLocation",
"short": "USE CASE SUPPORT: Systems deployed in Ontario SHALL support",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Patient-Present-Location-EXT"
]
}
]
},
{
"id": "ServiceRequest.extension:DARC",
"path": "ServiceRequest.extension",
"sliceName": "DARC",
"short": "USE CASE SUPPORT: Systems deployed in Ontario SHALL support",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/DARC-EXT"
]
}
]
},
{
"id": "ServiceRequest.extension:DART",
"path": "ServiceRequest.extension",
"sliceName": "DART",
"short": "USE CASE SUPPORT: Systems deployed in Ontario SHALL support",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/DART-ext"
]
}
]
},
{
"id": "ServiceRequest.extension:RoutingOptions",
"path": "ServiceRequest.extension",
"sliceName": "RoutingOptions",
"short": "USE CASE SUPPORT: Systems deployed in Ontario SHALL support",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/Routing-Options-EXT"
]
}
]
},
{
"id": "ServiceRequest.extension:CopiedParticipants",
"path": "ServiceRequest.extension",
"sliceName": "CopiedParticipants",
"short": "USE CASE SUPPORT: Systems deployed in Ontario SHALL support",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-copied-participants-EXT"
]
}
]
},
{
"id": "ServiceRequest.identifier",
"path": "ServiceRequest.identifier",
"mustSupport": true
},
{
"id": "ServiceRequest.identifier.system",
"path": "ServiceRequest.identifier.system",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.identifier.value",
"path": "ServiceRequest.identifier.value",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.basedOn",
"path": "ServiceRequest.basedOn",
"short": "𝗨𝗦𝗘 𝗖𝗔𝗦𝗘 𝗦𝗨𝗣𝗣𝗢𝗥𝗧: Systems that support routing/chaining/splitting SHALL support",
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ServiceRequest"
],
"aggregation": [
"referenced"
]
}
]
},
{
"id": "ServiceRequest.basedOn.reference",
"path": "ServiceRequest.basedOn.reference",
"mustSupport": true
},
{
"id": "ServiceRequest.basedOn.identifier",
"path": "ServiceRequest.basedOn.identifier",
"mustSupport": true
},
{
"id": "ServiceRequest.basedOn.identifier.system",
"path": "ServiceRequest.basedOn.identifier.system",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.basedOn.identifier.value",
"path": "ServiceRequest.basedOn.identifier.value",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.replaces",
"path": "ServiceRequest.replaces",
"short": "𝗨𝗦𝗘 𝗖𝗔𝗦𝗘 𝗦𝗨𝗣𝗣𝗢𝗥𝗧: Systems that support routing/chaining/splitting SHALL support",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ServiceRequest"
]
}
]
},
{
"id": "ServiceRequest.replaces.reference",
"path": "ServiceRequest.replaces.reference",
"mustSupport": true
},
{
"id": "ServiceRequest.replaces.identifier",
"path": "ServiceRequest.replaces.identifier",
"mustSupport": true
},
{
"id": "ServiceRequest.replaces.identifier.system",
"path": "ServiceRequest.replaces.identifier.system",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.replaces.identifier.value",
"path": "ServiceRequest.replaces.identifier.value",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.requisition",
"path": "ServiceRequest.requisition",
"short": "𝗨𝗦𝗘 𝗖𝗔𝗦𝗘 𝗦𝗨𝗣𝗣𝗢𝗥𝗧: Systems that support routing/chaining/splitting SHALL support"
},
{
"id": "ServiceRequest.requisition.system",
"path": "ServiceRequest.requisition.system",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.requisition.value",
"path": "ServiceRequest.requisition.value",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.status",
"path": "ServiceRequest.status",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/request-status"
}
},
{
"id": "ServiceRequest.intent",
"path": "ServiceRequest.intent",
"fixedCode": "proposal",
"mustSupport": true
},
{
"id": "ServiceRequest.category",
"path": "ServiceRequest.category",
"mustSupport": true,
"binding": {
"strength": "extensible",
"valueSet": "http://fhir.infoway-inforoute.ca/ValueSet/interventioncodesubsetcare"
}
},
{
"id": "ServiceRequest.code",
"path": "ServiceRequest.code",
"short": "Note that the meaning of this field is to be used in conjunction with ServiceRequest.performer pointing to a HealthCareservice, and .code further specifies the service, for example code could be a specific procedure under the specificed HealthcareService (e.g., HealthcareService = Orthopaedic Surgeon, code=Knee Surgery)",
"mustSupport": true,
"binding": {
"strength": "extensible",
"valueSet": "http://fhir.infoway-inforoute.ca/ValueSet/interventioncodesubsetcare"
}
},
{
"id": "ServiceRequest.subject",
"path": "ServiceRequest.subject",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Patient"
],
"aggregation": [
"referenced"
]
}
],
"mustSupport": true
},
{
"id": "ServiceRequest.subject.reference",
"path": "ServiceRequest.subject.reference",
"mustSupport": true
},
{
"id": "ServiceRequest.subject.identifier",
"path": "ServiceRequest.subject.identifier",
"mustSupport": true
},
{
"id": "ServiceRequest.subject.identifier.system",
"path": "ServiceRequest.subject.identifier.system",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.subject.identifier.value",
"path": "ServiceRequest.subject.identifier.value",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.authoredOn",
"path": "ServiceRequest.authoredOn",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.requester",
"path": "ServiceRequest.requester",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-PractitionerRole",
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Patient"
],
"aggregation": [
"referenced"
]
}
],
"mustSupport": true
},
{
"id": "ServiceRequest.requester.reference",
"path": "ServiceRequest.requester.reference",
"mustSupport": true
},
{
"id": "ServiceRequest.requester.identifier",
"path": "ServiceRequest.requester.identifier",
"mustSupport": true
},
{
"id": "ServiceRequest.requester.identifier.system",
"path": "ServiceRequest.requester.identifier.system",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.requester.identifier.value",
"path": "ServiceRequest.requester.identifier.value",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.performer",
"path": "ServiceRequest.performer",
"min": 1,
"max": "*",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-PractitionerRole",
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-HealthcareService"
],
"aggregation": [
"referenced"
]
}
],
"mustSupport": true
},
{
"id": "ServiceRequest.performer.reference",
"path": "ServiceRequest.performer.reference",
"mustSupport": true
},
{
"id": "ServiceRequest.performer.identifier",
"path": "ServiceRequest.performer.identifier",
"mustSupport": true
},
{
"id": "ServiceRequest.performer.identifier.system",
"path": "ServiceRequest.performer.identifier.system",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.performer.identifier.value",
"path": "ServiceRequest.performer.identifier.value",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.reasonCode",
"path": "ServiceRequest.reasonCode",
"mustSupport": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ServiceRequestReason"
}
],
"strength": "preferred",
"description": "Diagnosis or problem codes justifying the reason for requesting the service investigation.",
"valueSet": "http://hl7.org/fhir/ValueSet/procedure-reason"
}
},
{
"id": "ServiceRequest.supportingInfo",
"path": "ServiceRequest.supportingInfo",
"definition": "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": "To represent information about how the services are to be delivered use the `instructions` element. This element can be used to provide a Patient Summary as well.",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource",
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-DocumentReference",
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Communication",
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-QuestionnaireResponse",
"http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/condition-ca-ps",
"http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/allergyintolerance-ca-ps"
],
"_targetProfile": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
"valueBoolean": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
"valueBoolean": true
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
"valueBoolean": true
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
"valueBoolean": true
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
"valueBoolean": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
"valueBoolean": false
}
]
}
]
}
],
"mustSupport": true
},
{
"id": "ServiceRequest.supportingInfo.reference",
"path": "ServiceRequest.supportingInfo.reference",
"mustSupport": true
},
{
"id": "ServiceRequest.supportingInfo.identifier",
"path": "ServiceRequest.supportingInfo.identifier",
"mustSupport": true
},
{
"id": "ServiceRequest.supportingInfo.identifier.system",
"path": "ServiceRequest.supportingInfo.identifier.system",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.supportingInfo.identifier.value",
"path": "ServiceRequest.supportingInfo.identifier.value",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.note",
"path": "ServiceRequest.note",
"mustSupport": true
},
{
"id": "ServiceRequest.note.author[x]",
"path": "ServiceRequest.note.author[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "ServiceRequest.note.author[x]:authorReference",
"path": "ServiceRequest.note.author[x]",
"sliceName": "authorReference",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Practitioner",
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Organization",
"http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Patient"
]
}
]
},
{
"id": "ServiceRequest.note.author[x]:authorReference.reference",
"path": "ServiceRequest.note.author[x].reference",
"mustSupport": true
},
{
"id": "ServiceRequest.note.author[x]:authorReference.identifier",
"path": "ServiceRequest.note.author[x].identifier",
"mustSupport": true
},
{
"id": "ServiceRequest.note.author[x]:authorReference.identifier.system",
"path": "ServiceRequest.note.author[x].identifier.system",
"min": 1,
"mustSupport": true
},
{
"id": "ServiceRequest.note.author[x]:authorReference.identifier.value",
"path": "ServiceRequest.note.author[x].identifier.value",
"min": 1,
"mustSupport": true
}
]
}
}
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