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Packagehl7.fhir.uv.xver-r5.r3
Resource TypeStructureDefinition
IdStructureDefinition-profile-ServiceRequest-for-ProcedureRequest.json
FHIR VersionR3
Sourcehttp://hl7.org/fhir/uv/xver-r5.r3/0.1.0/StructureDefinition-profile-ServiceRequest-for-ProcedureRequest.html
URLhttp://hl7.org/fhir/5.0/StructureDefinition/profile-ServiceRequest-for-ProcedureRequest
Version0.1.0
Statusactive
Date2026-03-17T16:05:13.1445858-05:00
NameProfile_R5_ServiceRequest_R3_ProcedureRequest
TitleCross-version Profile for R5.ServiceRequest for use in FHIR STU3
Realmuv
Authorityhl7
DescriptionThis cross-version profile allows R5 ServiceRequest content to be represented via FHIR STU3 ProcedureRequest resources.
TypeProcedureRequest
Kindresource

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ServiceRequest.codeCross-version Extension for R5.ServiceRequest.code for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ServiceRequest.focusCross-version Extension for R5.ServiceRequest.focus for use in FHIR R4
hl7.fhir.uv.xver-r5.r3#0.1.0extension-ServiceRequest.instantiatesCanonicalR5: Instantiates FHIR protocol or definition additional types
hl7.fhir.uv.xver-r5.r3#0.1.0extension-ServiceRequest.instantiatesUriR5: Instantiates external protocol or definition (new)
hl7.fhir.uv.xver-r5.r3#0.1.0extension-ServiceRequest.insuranceR5: Associated insurance coverage (new)
hl7.fhir.uv.xver-r5.r3#0.1.0extension-ServiceRequest.intentR5: proposal | plan | directive | order +
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ServiceRequest.locationCross-version Extension for R5.ServiceRequest.location for use in FHIR R4
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ServiceRequest.orderDetail.parameterR5: The parameter details for the service being requested (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ServiceRequest.orderDetail.parameterFocusR5: The context of the order details by reference (new)
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ServiceRequest.patientInstructionCross-version Extension for R5.ServiceRequest.patientInstruction for use in FHIR R4
hl7.fhir.uv.xver-r5.r3#0.1.0extension-ServiceRequest.quantityR5: Service amount (new)
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ServiceRequest.reasonCross-version Extension for R5.ServiceRequest.reason for use in FHIR R4
hl7.fhir.uv.xver-r5.r4.r4#0.0.1-snapshot-2extension-ServiceRequest.supportingInfoCross-version Extension for R5.ServiceRequest.supportingInfo for use in FHIR R4

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition profile-ServiceRequest-for-ProcedureRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ProcedureRequest 0..*ProcedureRequestA request for a procedure or diagnostic to be performed
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:instantiatesUri 0..*uriR5: Instantiates external protocol or definition (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.instantiatesUri
.... extension:parameterFocus 0..1(Complex)R5: The context of the order details by reference (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.orderDetail.parameterFocus
.... extension:parameter 1..*(Complex)R5: The parameter details for the service being requested (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.orderDetail.parameter
.... extension:quantity 0..1Quantity, Ratio, RangeR5: Service amount (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.quantity
.... extension:focus 0..*Reference(Cross-version Profile for R5.Resource for use in FHIR STU3(0.1.0) | Resource)R5: What the service request is about, when it is not about the subject of record (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.focus
.... extension:location 0..*(Complex)R5: Requested location (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.location
.... extension:reason 0..*(Complex)R5: Explanation/Justification for procedure or service additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason
.... extension:insurance 0..*Reference(Cross-version Profile for R5.Coverage for use in FHIR STU3(0.1.0) | Coverage | Cross-version Profile for R5.ClaimResponse for use in FHIR STU3(0.1.0) | ClaimResponse)R5: Associated insurance coverage (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.insurance
.... extension:bodyStructure 0..1?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure]]R5: BodyStructure-based location on the body (new)
URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
.... extension:patientInstruction 0..*(Complex)R5: Patient or consumer-oriented instructions (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.patientInstruction
... definition
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:instantiatesCanonical 0..*uriR5: Instantiates FHIR protocol or definition additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.instantiatesCanonical
... basedOn
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:basedOn 0..*?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]R5: What request fulfills
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... replaces
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:replaces 0..*?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]R5: What request replaces additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... intent
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:intent 0..1codeR5: proposal | plan | directive | order +
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.intent
Binding: RequestIntent (required): The kind of service request.
... code
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:code 0..1Reference(Cross-version Profile for R5.ActivityDefinition for use in FHIR STU3(0.1.0) | ActivityDefinition | Cross-version Profile for R5.PlanDefinition for use in FHIR STU3(0.1.0) | PlanDefinition)R5: What is being requested/ordered additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.code
... subject
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:subject 0..1?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]R5: Individual or Entity the service is ordered for
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... context
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:encounter 0..1?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]R5: Encounter in which the request was created additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... performer
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:performer 0..*?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]R5: Requested performer
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... supportingInfo
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:supportingInfo 0..*CodeableConceptR5: Additional clinical information additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo
... specimen
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:specimen 0..*?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]R5: specimen additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
... relevantHistory
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... extension:relevantHistory 0..*?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]R5: Request provenance additional types
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "profile-ServiceRequest-for-ProcedureRequest",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r5.r3"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/5.0/StructureDefinition/profile-ServiceRequest-for-ProcedureRequest",
  "version": "0.1.0",
  "name": "Profile_R5_ServiceRequest_R3_ProcedureRequest",
  "title": "Cross-version Profile for R5.ServiceRequest for use in FHIR STU3",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:05:13.1445858-05:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This cross-version profile allows R5 ServiceRequest content to be represented via FHIR STU3 ProcedureRequest resources.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/w5",
      "name": "W5 Mapping"
    },
    {
      "identity": "quick",
      "uri": "http://wiki.siframework.org/CQF",
      "name": "Quality Improvement and Clinical Knowledge (QUICK)"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "ProcedureRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "ProcedureRequest",
        "path": "ProcedureRequest",
        "short": "A request for a procedure or diagnostic to be performed",
        "definition": "A record of a request for diagnostic investigations, treatments, or operations to be performed.",
        "alias": [
          "diagnostic request"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "ProcedureRequest",
          "min": 0,
          "max": "*"
        },
        "constraint": [
          {
            "key": "dom-2",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression": "contained.contained.empty()",
            "xpath": "not(parent::f:contained and f:contained)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-1",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
            "expression": "contained.text.empty()",
            "xpath": "not(parent::f:contained and f:text)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-4",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-3",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
            "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
            "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "Entity. Role, or Act"
          },
          {
            "identity": "workflow",
            "map": "Request"
          },
          {
            "identity": "v2",
            "map": "ORC"
          },
          {
            "identity": "rim",
            "map": "Act[moodCode<=INT]"
          },
          {
            "identity": "w5",
            "map": "clinical.general"
          }
        ]
      },
      {
        "id": "ProcedureRequest.id",
        "path": "ProcedureRequest.id",
        "short": "Logical id of this artifact",
        "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "id"
          }
        ],
        "isSummary": true
      },
      {
        "id": "ProcedureRequest.meta",
        "path": "ProcedureRequest.meta",
        "short": "Metadata about the resource",
        "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.meta",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Meta"
          }
        ],
        "isSummary": true
      },
      {
        "id": "ProcedureRequest.implicitRules",
        "path": "ProcedureRequest.implicitRules",
        "short": "A set of rules under which this content was created",
        "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
        "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.implicitRules",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "isModifier": true,
        "isSummary": true
      },
      {
        "id": "ProcedureRequest.language",
        "path": "ProcedureRequest.language",
        "short": "Language of the resource content",
        "definition": "The base language in which the resource is written.",
        "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.language",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueReference": {
                "reference": "http://hl7.org/fhir/ValueSet/all-languages|3.0.2"
              }
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "Language"
            }
          ],
          "strength": "extensible",
          "description": "A human language.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/languages|3.0.2"
          }
        }
      },
      {
        "id": "ProcedureRequest.text",
        "path": "ProcedureRequest.text",
        "short": "Text summary of the resource, for human interpretation",
        "definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
        "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
        "alias": [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "condition": [
          "dom-1"
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "Act.text?"
          }
        ]
      },
      {
        "id": "ProcedureRequest.contained",
        "path": "ProcedureRequest.contained",
        "short": "Contained, inline Resources",
        "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
        "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
        "alias": [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.contained",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Resource"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.extension",
        "path": "ProcedureRequest.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 1,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "ProcedureRequest.extension:instantiatesUri",
        "path": "ProcedureRequest.extension",
        "sliceName": "instantiatesUri",
        "short": "R5: Instantiates external protocol or definition (new)",
        "definition": "R5: `ServiceRequest.instantiatesUri` (new:uri)",
        "comment": "Element `ServiceRequest.instantiatesUri` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.instantiatesUri` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.instantiatesUri` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nThis might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.instantiatesUri|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "ProcedureRequest.extension:parameterFocus",
        "path": "ProcedureRequest.extension",
        "sliceName": "parameterFocus",
        "short": "R5: The context of the order details by reference (new)",
        "definition": "R5: `ServiceRequest.orderDetail.parameterFocus` (new:CodeableReference(Device,DeviceDefinition,DeviceRequest,SupplyRequest,Medication,MedicationRequest,BiologicallyDerivedProduct,Substance))",
        "comment": "Element `ServiceRequest.orderDetail.parameterFocus` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.orderDetail.parameterFocus` has a context of ReferralRequest.serviceRequested based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.orderDetail.parameterFocus` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.orderDetail.parameterFocus|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "ProcedureRequest.extension:parameter",
        "path": "ProcedureRequest.extension",
        "sliceName": "parameter",
        "short": "R5: The parameter details for the service being requested (new)",
        "definition": "R5: `ServiceRequest.orderDetail.parameter` (new:BackboneElement)",
        "comment": "Element `ServiceRequest.orderDetail.parameter` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.orderDetail.parameter` has a context of ReferralRequest.serviceRequested based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.orderDetail.parameter` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.orderDetail.parameter|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "ProcedureRequest.extension:quantity",
        "path": "ProcedureRequest.extension",
        "sliceName": "quantity",
        "short": "R5: Service amount (new)",
        "definition": "R5: `ServiceRequest.quantity[x]` (new:Quantity, Range, Ratio)",
        "comment": "Element `ServiceRequest.quantity[x]` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.quantity[x]` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.quantity[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.quantity|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "ProcedureRequest.extension:focus",
        "path": "ProcedureRequest.extension",
        "sliceName": "focus",
        "short": "R5: What the service request is about, when it is not about the subject of record (new)",
        "definition": "R5: `ServiceRequest.focus` (new:Reference(Resource))",
        "comment": "Element `ServiceRequest.focus` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.focus` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.focus` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.focus|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "ProcedureRequest.extension:location",
        "path": "ProcedureRequest.extension",
        "sliceName": "location",
        "short": "R5: Requested location (new)",
        "definition": "R5: `ServiceRequest.location` (new:CodeableReference(Location))",
        "comment": "Element `ServiceRequest.location` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.location` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.location` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.location|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "ProcedureRequest.extension:reason",
        "path": "ProcedureRequest.extension",
        "sliceName": "reason",
        "short": "R5: Explanation/Justification for procedure or service additional types",
        "definition": "R5: `ServiceRequest.reason` additional types (CodeableReference(http://hl7.org/fhir/StructureDefinition/Condition), CodeableReference(http://hl7.org/fhir/StructureDefinition/Observation), CodeableReference(http://hl7.org/fhir/StructureDefinition/DiagnosticReport), CodeableReference(http://hl7.org/fhir/StructureDefinition/DocumentReference), CodeableReference(http://hl7.org/fhir/StructureDefinition/DetectedIssue))",
        "comment": "Element `ServiceRequest.reason` is mapped to FHIR STU3 element `ProcedureRequest.reasonCode` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.reason` is mapped to FHIR STU3 element `ProcedureRequest.reasonReference` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.reason` is mapped to FHIR STU3 element `ReferralRequest.reasonCode` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.reason` is mapped to FHIR STU3 element `ReferralRequest.reasonReference` as `SourceIsBroaderThanTarget`.\nThe mappings for `ServiceRequest.reason` do not cover the following types: CodeableReference.\nThis 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, use `concept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](https://hl7.org/fhir/servicerequest-example-di.html).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "ProcedureRequest.extension:insurance",
        "path": "ProcedureRequest.extension",
        "sliceName": "insurance",
        "short": "R5: Associated insurance coverage (new)",
        "definition": "R5: `ServiceRequest.insurance` (new:Reference(Coverage,ClaimResponse))",
        "comment": "Element `ServiceRequest.insurance` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.insurance` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.insurance` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.insurance|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "ProcedureRequest.extension:bodyStructure",
        "path": "ProcedureRequest.extension",
        "sliceName": "bodyStructure",
        "short": "R5: BodyStructure-based location on the body (new)",
        "definition": "R5: `ServiceRequest.bodyStructure` (new:Reference(BodyStructure))",
        "comment": "Element `ServiceRequest.bodyStructure` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.bodyStructure` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.bodyStructure` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ServiceRequest.bodyStructure`: `http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure`.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"
          }
        ]
      },
      {
        "id": "ProcedureRequest.extension:patientInstruction",
        "path": "ProcedureRequest.extension",
        "sliceName": "patientInstruction",
        "short": "R5: Patient or consumer-oriented instructions (new)",
        "definition": "R5: `ServiceRequest.patientInstruction` (new:BackboneElement)",
        "comment": "Element `ServiceRequest.patientInstruction` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.patientInstruction` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.patientInstruction` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.patientInstruction|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "ProcedureRequest.modifierExtension",
        "path": "ProcedureRequest.modifierExtension",
        "short": "Extensions that cannot be ignored",
        "definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.identifier",
        "path": "ProcedureRequest.identifier",
        "short": "Identifiers assigned to this order",
        "definition": "Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller.",
        "comment": "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": 0,
        "max": "*",
        "base": {
          "path": "ProcedureRequest.identifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.identifier"
          },
          {
            "identity": "v2",
            "map": "ORC.2, ORC.3"
          },
          {
            "identity": "rim",
            "map": ".identifier"
          },
          {
            "identity": "quick",
            "map": "ClinicalStatement.identifier"
          },
          {
            "identity": "w5",
            "map": "id"
          }
        ]
      },
      {
        "id": "ProcedureRequest.definition",
        "path": "ProcedureRequest.definition",
        "short": "Protocol or definition",
        "definition": "Protocol or definition followed by this request.",
        "alias": [
          "protocol"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "ProcedureRequest.definition",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/PlanDefinition"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.definition"
          },
          {
            "identity": "v2",
            "map": "Varies by domain"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target"
          }
        ]
      },
      {
        "id": "ProcedureRequest.definition.id",
        "path": "ProcedureRequest.definition.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ProcedureRequest.definition.extension",
        "path": "ProcedureRequest.definition.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "ProcedureRequest.definition.extension:instantiatesCanonical",
        "path": "ProcedureRequest.definition.extension",
        "sliceName": "instantiatesCanonical",
        "short": "R5: Instantiates FHIR protocol or definition additional types",
        "definition": "R5: `ServiceRequest.instantiatesCanonical` additional types (canonical(http://hl7.org/fhir/StructureDefinition/ActivityDefinition), canonical(http://hl7.org/fhir/StructureDefinition/PlanDefinition)) additional types from child elements (value)",
        "comment": "Element `ServiceRequest.instantiatesCanonical` is mapped to FHIR STU3 element `ProcedureRequest.definition` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.instantiatesCanonical` is mapped to FHIR STU3 element `ReferralRequest.definition` as `SourceIsBroaderThanTarget`.\nThe mappings for `ServiceRequest.instantiatesCanonical` do not cover the following types: canonical.\nThe mappings for `ServiceRequest.instantiatesCanonical` do not cover the following types based on type expansion: value.\nThe PlanDefinition resource is used to describe series, sequences, or groups of actions to be taken, while the ActivityDefinition resource is used to define each specific step or activity to be performed. More information can be found in the [Boundaries and Relationships](https://hl7.org/fhir/plandefi.html#12.23.2) section for PlanDefinition.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.instantiatesCanonical|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.definition.reference",
        "path": "ProcedureRequest.definition.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.definition.identifier",
        "path": "ProcedureRequest.definition.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "ProcedureRequest.definition.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ProcedureRequest.definition.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.basedOn",
        "path": "ProcedureRequest.basedOn",
        "short": "What request fulfills",
        "definition": "Plan/proposal/order fulfilled by this request.",
        "alias": [
          "fulfills"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "ProcedureRequest.basedOn",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.basedOn"
          },
          {
            "identity": "v2",
            "map": "ORC.8 (plus others)"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=FLFS].target"
          }
        ]
      },
      {
        "id": "ProcedureRequest.basedOn.id",
        "path": "ProcedureRequest.basedOn.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ProcedureRequest.basedOn.extension",
        "path": "ProcedureRequest.basedOn.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "ProcedureRequest.basedOn.extension:basedOn",
        "path": "ProcedureRequest.basedOn.extension",
        "sliceName": "basedOn",
        "short": "R5: What request fulfills",
        "definition": "R5: `ServiceRequest.basedOn`",
        "comment": "Element `ServiceRequest.basedOn` is mapped to FHIR STU3 element `ProcedureRequest.basedOn` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.basedOn` is mapped to FHIR STU3 element `ReferralRequest.basedOn` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ServiceRequest.basedOn` with unmapped reference targets: CarePlan, MedicationRequest, ServiceRequest.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "ProcedureRequest.basedOn.reference",
        "path": "ProcedureRequest.basedOn.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.basedOn.identifier",
        "path": "ProcedureRequest.basedOn.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "ProcedureRequest.basedOn.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ProcedureRequest.basedOn.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.replaces",
        "path": "ProcedureRequest.replaces",
        "short": "What request replaces",
        "definition": "The request takes the place of the referenced completed or terminated request(s).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ProcedureRequest.replaces",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.replaces"
          },
          {
            "identity": "v2",
            "map": "Handled by message location of ORC (ORC.1=RO or RU)"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=RPLC].target"
          }
        ]
      },
      {
        "id": "ProcedureRequest.replaces.id",
        "path": "ProcedureRequest.replaces.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ProcedureRequest.replaces.extension",
        "path": "ProcedureRequest.replaces.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "ProcedureRequest.replaces.extension:replaces",
        "path": "ProcedureRequest.replaces.extension",
        "sliceName": "replaces",
        "short": "R5: What request replaces additional types",
        "definition": "R5: `ServiceRequest.replaces` additional types from child elements (display, identifier, reference, type)",
        "comment": "Element `ServiceRequest.replaces` is mapped to FHIR STU3 element `ProcedureRequest.replaces` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.replaces` is mapped to FHIR STU3 element `ReferralRequest.replaces` as `SourceIsBroaderThanTarget`.\nThe mappings for `ServiceRequest.replaces` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ServiceRequest.replaces` with unmapped reference targets: ServiceRequest.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "ProcedureRequest.replaces.reference",
        "path": "ProcedureRequest.replaces.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.replaces.identifier",
        "path": "ProcedureRequest.replaces.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "ProcedureRequest.replaces.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ProcedureRequest.replaces.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.requisition",
        "path": "ProcedureRequest.requisition",
        "short": "Composite Request ID",
        "definition": "A shared identifier common to all procedure or diagnostic requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier.",
        "comment": "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": "Some business processes need to know if multiple items were ordered as part of the same \"requisition\" for billing or other purposes.",
        "alias": [
          "grouperId",
          "groupIdentifier"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.requisition",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "ORC.4"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"
          }
        ]
      },
      {
        "id": "ProcedureRequest.status",
        "path": "ProcedureRequest.status",
        "short": "draft | active | suspended | completed | entered-in-error | cancelled",
        "definition": "The status of the order.",
        "comment": "The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](http://hl7.org/fhir/STU3/event.html) for general discussion) or using the [Task](http://hl7.org/fhir/STU3/task.html) resource.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.status",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ProcedureRequestStatus"
            }
          ],
          "strength": "required",
          "description": "The status of a procedure or diagnostic order.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/request-status|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.status"
          },
          {
            "identity": "v2",
            "map": "ORC.5"
          },
          {
            "identity": "rim",
            "map": ".status"
          },
          {
            "identity": "quick",
            "map": "Action.currentStatus"
          },
          {
            "identity": "w5",
            "map": "status"
          }
        ]
      },
      {
        "id": "ProcedureRequest.intent",
        "path": "ProcedureRequest.intent",
        "short": "proposal | plan | order +",
        "definition": "Whether the request is a proposal, plan, an original order or a reflex order.",
        "comment": "This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.intent",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ProcedureRequestIntent"
            }
          ],
          "strength": "required",
          "description": "The kind of procedure or diagnostic request",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/request-intent|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.intent"
          },
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"
          },
          {
            "identity": "w5",
            "map": "class"
          }
        ]
      },
      {
        "id": "ProcedureRequest.intent.id",
        "path": "ProcedureRequest.intent.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "ProcedureRequest.intent.extension",
        "path": "ProcedureRequest.intent.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "ProcedureRequest.intent.extension:intent",
        "path": "ProcedureRequest.intent.extension",
        "sliceName": "intent",
        "short": "R5: proposal | plan | directive | order +",
        "definition": "R5: `ServiceRequest.intent`",
        "comment": "Element `ServiceRequest.intent` is mapped to FHIR STU3 element `ProcedureRequest.intent` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.intent` is mapped to FHIR STU3 element `ReferralRequest.intent` as `SourceIsBroaderThanTarget`.\nThe target context `ProcedureRequest.intent` is a modifier element, so this extension does not need to be defined as a modifier.\nThis element is labeled as a modifier because the intent alters when and how the resource is actually applicable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.intent|0.1.0"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "ProcedureRequest.intent.value",
        "path": "ProcedureRequest.intent.value",
        "representation": [
          "xmlAttr"
        ],
        "short": "Primitive value for code",
        "definition": "Primitive value for code",
        "min": 0,
        "max": "1",
        "base": {
          "path": "string.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-regex",
                "valueString": "[^\\s]+([\\s]?[^\\s]+)*"
              }
            ],
            "_code": {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
                  "valueString": "string"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
                  "valueString": "xsd:token"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
                  "valueString": "xsd:token"
                }
              ]
            }
          }
        ]
      },
      {
        "id": "ProcedureRequest.priority",
        "path": "ProcedureRequest.priority",
        "short": "routine | urgent | asap | stat",
        "definition": "Indicates how quickly the ProcedureRequest should be addressed with respect to other requests.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.priority",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "meaningWhenMissing": "If missing, this task should be performed with normal priority",
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ProcedureRequestPriority"
            }
          ],
          "strength": "required",
          "description": "Identifies the level of importance to be assigned to actioning the request",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/request-priority|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.priority"
          },
          {
            "identity": "v2",
            "map": "TQ1.9"
          },
          {
            "identity": "rim",
            "map": ".priorityCode"
          },
          {
            "identity": "w5",
            "map": "class"
          }
        ]
      },
      {
        "id": "ProcedureRequest.doNotPerform",
        "path": "ProcedureRequest.doNotPerform",
        "short": "True if procedure should not be performed",
        "definition": "Set this to true if the record is saying that the procedure should NOT be performed.",
        "comment": "This element is labeled as a [modifier](http://hl7.org/fhir/STU3/conformance-rules.html#isModifier.html) because it indicates that a procedure shouldn't happen, instead of a request for it to happen.  In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition.  If the ProcedureRequest.code and ProcedureRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation.",
        "requirements": "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": 0,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.doNotPerform",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": false,
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".actionNegationInd"
          }
        ]
      },
      {
        "id": "ProcedureRequest.category",
        "path": "ProcedureRequest.category",
        "short": "Classification of procedure",
        "definition": "A code that classifies the procedure for searching, sorting and display purposes (e.g. \"Surgical Procedure\").",
        "comment": "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": "Used for filtering what procedure request are retrieved and displayed.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ProcedureRequest.category",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ProcedureRequestCategory"
            }
          ],
          "strength": "example",
          "description": "Classification of the procedure",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/procedure-category|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"INT\"].code"
          },
          {
            "identity": "w5",
            "map": "class"
          }
        ]
      },
      {
        "id": "ProcedureRequest.code",
        "path": "ProcedureRequest.code",
        "short": "What is being requested/ordered",
        "definition": "A code that identifies a particular procedure, diagnostic investigation, or panel of investigations, that have been requested.",
        "comment": "Many laboratory and radiology procedure codes embed the specimen/organ system in the test ordeer name, for example,  serum or serum/plasma glucose, or a chest xray. The specimen may not be recorded separately from the test code.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.code",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ProcedureRequestCode"
            }
          ],
          "strength": "example",
          "description": "Codes for tests/services that can be performed by procedure or diagnostic services.  For laboratory, LOINC is  (preferred)[http://hl7.org/fhir/STU3/terminologies.html#preferred] and a valueset using LOINC Order codes is available [here](http://hl7.org/fhir/STU3/valueset-diagnostic-requests.html).",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/procedure-code|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.code"
          },
          {
            "identity": "v2",
            "map": "Varies by domain"
          },
          {
            "identity": "rim",
            "map": ".code"
          },
          {
            "identity": "quick",
            "map": "Procedure.procedureCode"
          },
          {
            "identity": "w5",
            "map": "what"
          }
        ]
      },
      {
        "id": "ProcedureRequest.code.id",
        "path": "ProcedureRequest.code.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ProcedureRequest.code.extension",
        "path": "ProcedureRequest.code.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "ProcedureRequest.code.extension:code",
        "path": "ProcedureRequest.code.extension",
        "sliceName": "code",
        "short": "R5: What is being requested/ordered additional types",
        "definition": "R5: `ServiceRequest.code` additional types (CodeableReference(http://hl7.org/fhir/StructureDefinition/ActivityDefinition), CodeableReference(http://hl7.org/fhir/StructureDefinition/PlanDefinition)) additional types from child elements (reference)",
        "comment": "Element `ServiceRequest.code` is mapped to FHIR STU3 element `ProcedureRequest.code` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.code` is mapped to FHIR STU3 element `ReferralRequest.type` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.code` is mapped to FHIR STU3 element `ReferralRequest.serviceRequested` as `RelatedTo`.\nThe mappings for `ServiceRequest.code` do not cover the following types: CodeableReference.\nThe mappings for `ServiceRequest.code` do not cover the following types based on type expansion: reference.\nMany 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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.code|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.code.coding",
        "path": "ProcedureRequest.code.coding",
        "short": "Code defined by a terminology system",
        "definition": "A reference to a code defined by a terminology system.",
        "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
        "requirements": "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "CodeableConcept.coding",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Coding"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.1-8, C*E.10-22"
          },
          {
            "identity": "rim",
            "map": "union(., ./translation)"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
          }
        ]
      },
      {
        "id": "ProcedureRequest.code.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ProcedureRequest.code.text",
        "short": "Plain text representation of the concept",
        "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
        "comment": "Very often the text is the same as a displayName of one of the codings.",
        "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "CodeableConcept.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.9. But note many systems use C*E.2 for this"
          },
          {
            "identity": "rim",
            "map": "./originalText[mediaType/code=\"text/plain\"]/data"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
          }
        ]
      },
      {
        "id": "ProcedureRequest.subject",
        "path": "ProcedureRequest.subject",
        "short": "Individual the service is ordered for",
        "definition": "On whom or what the procedure or diagnostic is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.subject",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Location"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.subject"
          },
          {
            "identity": "v2",
            "map": "Accompanying PID segment"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=SBJ].role"
          },
          {
            "identity": "quick",
            "map": "ClinicalStatement.subject"
          },
          {
            "identity": "w5",
            "map": "who.focus"
          }
        ]
      },
      {
        "id": "ProcedureRequest.subject.id",
        "path": "ProcedureRequest.subject.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ProcedureRequest.subject.extension",
        "path": "ProcedureRequest.subject.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "ProcedureRequest.subject.extension:subject",
        "path": "ProcedureRequest.subject.extension",
        "sliceName": "subject",
        "short": "R5: Individual or Entity the service is ordered for",
        "definition": "R5: `ServiceRequest.subject`",
        "comment": "Element `ServiceRequest.subject` is mapped to FHIR STU3 element `ProcedureRequest.subject` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.subject` is mapped to FHIR STU3 element `ReferralRequest.subject` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ServiceRequest.subject` with unmapped reference targets: Device, Group, Location, Patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "ProcedureRequest.subject.reference",
        "path": "ProcedureRequest.subject.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.subject.identifier",
        "path": "ProcedureRequest.subject.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "ProcedureRequest.subject.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ProcedureRequest.subject.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.context",
        "path": "ProcedureRequest.context",
        "short": "Encounter or Episode during which request was created",
        "definition": "An encounter or episode of care that provides additional information about the healthcare context in which this request is made.",
        "alias": [
          "encounter"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.context",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Encounter"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.context"
          },
          {
            "identity": "v2",
            "map": "Accompanying PV1"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          },
          {
            "identity": "quick",
            "map": "ClinicalStatement.encounter"
          },
          {
            "identity": "w5",
            "map": "context"
          }
        ]
      },
      {
        "id": "ProcedureRequest.context.id",
        "path": "ProcedureRequest.context.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ProcedureRequest.context.extension",
        "path": "ProcedureRequest.context.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "ProcedureRequest.context.extension:encounter",
        "path": "ProcedureRequest.context.extension",
        "sliceName": "encounter",
        "short": "R5: Encounter in which the request was created additional types",
        "definition": "R5: `ServiceRequest.encounter` additional types from child elements (display, identifier, reference, type)",
        "comment": "Element `ServiceRequest.encounter` is mapped to FHIR STU3 element `ProcedureRequest.context` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.encounter` is mapped to FHIR STU3 element `ReferralRequest.context` as `SourceIsBroaderThanTarget`.\nThe mappings for `ServiceRequest.encounter` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ServiceRequest.encounter` with unmapped reference targets: Encounter.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "ProcedureRequest.context.reference",
        "path": "ProcedureRequest.context.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.context.identifier",
        "path": "ProcedureRequest.context.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "ProcedureRequest.context.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ProcedureRequest.context.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.occurrence[x]",
        "path": "ProcedureRequest.occurrence[x]",
        "short": "When procedure should occur",
        "definition": "The date/time at which the diagnostic testing should occur.",
        "alias": [
          "schedule"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.occurrence[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Period"
          },
          {
            "code": "Timing"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.occurrence[x]"
          },
          {
            "identity": "v2",
            "map": "Accompanying TQ1/TQ2 segments"
          },
          {
            "identity": "rim",
            "map": ".effectiveTime"
          },
          {
            "identity": "quick",
            "map": "Procedure.procedureSchedule"
          },
          {
            "identity": "w5",
            "map": "when.planned"
          }
        ]
      },
      {
        "id": "ProcedureRequest.asNeeded[x]",
        "path": "ProcedureRequest.asNeeded[x]",
        "short": "Preconditions for procedure or diagnostic",
        "definition": "If a CodeableConcept is present, it indicates the pre-condition for performing the procedure.  For example \"pain\", \"on flare-up\", etc.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.asNeeded[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          },
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ProcedureAsNeededReason"
            }
          ],
          "strength": "example",
          "description": "A coded concept identifying the pre-condition that should hold prior to performing a procedure.  For example \"pain\", \"on flare-up\", etc.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/medication-as-needed-reason|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code=\"Assertion\"].value"
          },
          {
            "identity": "quick",
            "map": "Proposal.prnReason.reason"
          }
        ]
      },
      {
        "id": "ProcedureRequest.authoredOn",
        "path": "ProcedureRequest.authoredOn",
        "short": "Date request signed",
        "definition": "When the request transitioned to being actionable.",
        "alias": [
          "orderedOn"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.authoredOn",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.authoredOn"
          },
          {
            "identity": "v2",
            "map": "ORC.9"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=AUT].time"
          },
          {
            "identity": "quick",
            "map": "Proposal.proposedAtTime"
          },
          {
            "identity": "w5",
            "map": "when.recorded"
          }
        ]
      },
      {
        "id": "ProcedureRequest.requester",
        "path": "ProcedureRequest.requester",
        "short": "Who/what is requesting procedure or diagnostic",
        "definition": "The individual who initiated the request and has responsibility for its activation.",
        "comment": "This not the dispatcher, but rather who is the authorizer.",
        "alias": [
          "author",
          "orderer"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.requester",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.requester"
          },
          {
            "identity": "v2",
            "map": "ORC.12"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=AUT].role"
          },
          {
            "identity": "quick",
            "map": "ClinicalStatement.statementAuthor"
          }
        ]
      },
      {
        "id": "ProcedureRequest.requester.id",
        "path": "ProcedureRequest.requester.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ProcedureRequest.requester.extension",
        "path": "ProcedureRequest.requester.extension",
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ProcedureRequest.requester.modifierExtension",
        "path": "ProcedureRequest.requester.modifierExtension",
        "short": "Extensions that cannot be ignored",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.requester.agent",
        "path": "ProcedureRequest.requester.agent",
        "short": "Individual making the request",
        "definition": "The device, practitioner or organization who initiated the request.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.requester.agent",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.requester.agent"
          },
          {
            "identity": "v2",
            "map": "ORC.12"
          },
          {
            "identity": "rim",
            "map": ".player"
          },
          {
            "identity": "quick",
            "map": "ClinicalStatement.statementAuthor"
          },
          {
            "identity": "w5",
            "map": "who.author"
          }
        ]
      },
      {
        "id": "ProcedureRequest.requester.onBehalfOf",
        "path": "ProcedureRequest.requester.onBehalfOf",
        "short": "Organization agent is acting for",
        "definition": "The organization the device or practitioner was acting on behalf of.",
        "requirements": "Practitioners and Devices can be associated with multiple organizations.  This element indicates which organization they were acting on behalf of when authoring the request.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.requester.onBehalfOf",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.requester.onBehalfOf"
          },
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": ".scoper"
          }
        ]
      },
      {
        "id": "ProcedureRequest.performerType",
        "path": "ProcedureRequest.performerType",
        "short": "Performer role",
        "definition": "Desired type of performer for doing the diagnostic testing.",
        "comment": "this is a  role, not  a participation type.  I.e. does not describe the task, but describes the capacity.  For example, “compounding pharmacy” or “psychiatrist” or “internal referral”.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.performerType",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ProcedureRequestParticipantRole"
            }
          ],
          "strength": "example",
          "description": "Indicates specific responsibility of an individual within the care team, such as \"Primary physician\", \"Team coordinator\", \"Caregiver\", etc.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/participant-role|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.performerType"
          },
          {
            "identity": "v2",
            "map": "PRT"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"
          },
          {
            "identity": "w5",
            "map": "who.actor"
          }
        ]
      },
      {
        "id": "ProcedureRequest.performer",
        "path": "ProcedureRequest.performer",
        "short": "Requested perfomer",
        "definition": "The desired perfomer for doing the diagnostic testing.  For example, the surgeon, dermatopathologist, endoscopist, etc.",
        "comment": "If needed, use an [extension](http://hl7.org/fhir/STU3/extensibility.html) for listing alternative performers and/or roles and/or preference.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "ProcedureRequest.performer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/HealthcareService"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.Performer"
          },
          {
            "identity": "v2",
            "map": "PRT"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          },
          {
            "identity": "w5",
            "map": "who.actor"
          }
        ]
      },
      {
        "id": "ProcedureRequest.performer.id",
        "path": "ProcedureRequest.performer.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ProcedureRequest.performer.extension",
        "path": "ProcedureRequest.performer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "ProcedureRequest.performer.extension:performer",
        "path": "ProcedureRequest.performer.extension",
        "sliceName": "performer",
        "short": "R5: Requested performer",
        "definition": "R5: `ServiceRequest.performer`",
        "comment": "Element `ServiceRequest.performer` is mapped to FHIR STU3 element `ProcedureRequest.performer` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.performer` is mapped to FHIR STU3 element `ReferralRequest.recipient` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ServiceRequest.performer` with unmapped reference targets: CareTeam, Device, HealthcareService, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson.\nIf 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 [http://hl7.org/fhir/StructureDefinition/request-performerOrder](http://hl7.org/fhir/extensions/StructureDefinition-request-performerOrder.html).  Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "ProcedureRequest.performer.reference",
        "path": "ProcedureRequest.performer.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.performer.identifier",
        "path": "ProcedureRequest.performer.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "ProcedureRequest.performer.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ProcedureRequest.performer.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.reasonCode",
        "path": "ProcedureRequest.reasonCode",
        "short": "Explanation/Justification for test",
        "definition": "An explanation or justification for why this diagnostic investigation is being requested in coded or textual form.   This is often for billing purposes.  May relate to the resources referred to in supportingInformation.",
        "comment": "This may be used to decide how the diagnostic investigation will be performed, or even if it will be performed at all.   Use CodeableConcept text element if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/STU3/procedurerequest-example-di.html).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ProcedureRequest.reasonCode",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ProcedureRequestReason"
            }
          ],
          "strength": "example",
          "description": "Diagnosis or problem codes justifying the reason for requesting the procedure or diagnostic investigation.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/procedure-reason|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.reasonCod"
          },
          {
            "identity": "v2",
            "map": "ORC.16"
          },
          {
            "identity": "rim",
            "map": ".reasonCode"
          },
          {
            "identity": "w5",
            "map": "why"
          }
        ]
      },
      {
        "id": "ProcedureRequest.reasonReference",
        "path": "ProcedureRequest.reasonReference",
        "short": "Explanation/Justification for test",
        "definition": "Indicates another resource that provides a justification for why this diagnostic investigation is being requested.   May relate to the resources referred to in supportingInformation.",
        "comment": "This may be used to decide how the diagnostic investigation will be performed, or even if it will be performed at all.   Use CodeableConcept text element if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/STU3/procedurerequest-example-di.html).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ProcedureRequest.reasonReference",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Condition"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.reasonReference"
          },
          {
            "identity": "v2",
            "map": "ORC.16"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=RSON].target"
          },
          {
            "identity": "w5",
            "map": "why"
          }
        ]
      },
      {
        "id": "ProcedureRequest.supportingInfo",
        "path": "ProcedureRequest.supportingInfo",
        "short": "Additional clinical information",
        "definition": "Additional clinical information about the patient or specimen that may influence the procedure or diagnostics or their interpretations.     This information includes diagnosis, clinical findings and other observations.  In laboratory ordering these are typically referred to as \"ask at order entry questions (AOEs)\".  This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example,  reporting the amount of inspired oxygen for blood gas measurements.",
        "alias": [
          "Ask at order entry question",
          "AOE"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "ProcedureRequest.supportingInfo",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          }
        ],
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.supportingInformation"
          },
          {
            "identity": "v2",
            "map": "Accompanying segments"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=PERT].target"
          }
        ]
      },
      {
        "id": "ProcedureRequest.supportingInfo.id",
        "path": "ProcedureRequest.supportingInfo.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ProcedureRequest.supportingInfo.extension",
        "path": "ProcedureRequest.supportingInfo.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "ProcedureRequest.supportingInfo.extension:supportingInfo",
        "path": "ProcedureRequest.supportingInfo.extension",
        "sliceName": "supportingInfo",
        "short": "R5: Additional clinical information additional types",
        "definition": "R5: `ServiceRequest.supportingInfo` additional types (CodeableReference(http://hl7.org/fhir/StructureDefinition/Resource)) additional types from child elements (concept)",
        "comment": "Element `ServiceRequest.supportingInfo` is mapped to FHIR STU3 element `ProcedureRequest.supportingInfo` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.supportingInfo` is mapped to FHIR STU3 element `ReferralRequest.supportingInfo` as `SourceIsBroaderThanTarget`.\nThe mappings for `ServiceRequest.supportingInfo` do not cover the following types: CodeableReference.\nThe mappings for `ServiceRequest.supportingInfo` do not cover the following types based on type expansion: concept.\nTo represent information about how the services are to be delivered use the `instructions` element.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.supportingInfo.reference",
        "path": "ProcedureRequest.supportingInfo.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.supportingInfo.identifier",
        "path": "ProcedureRequest.supportingInfo.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "ProcedureRequest.supportingInfo.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ProcedureRequest.supportingInfo.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.specimen",
        "path": "ProcedureRequest.specimen",
        "short": "Procedure Samples",
        "definition": "One or more specimens that the laboratory procedure will use.",
        "comment": "Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to.    Conversely, If the request is entered first with an unknown specimen, The [Specimen](http://hl7.org/fhir/STU3/specimen.html) resource references to the ProcedureRequest.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ProcedureRequest.specimen",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Specimen"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "SPM"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=SPC].role"
          }
        ]
      },
      {
        "id": "ProcedureRequest.specimen.id",
        "path": "ProcedureRequest.specimen.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ProcedureRequest.specimen.extension",
        "path": "ProcedureRequest.specimen.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "ProcedureRequest.specimen.extension:specimen",
        "path": "ProcedureRequest.specimen.extension",
        "sliceName": "specimen",
        "short": "R5: specimen additional types",
        "definition": "R5: `ServiceRequest.specimen` additional types from child elements (display, identifier, reference, type)",
        "comment": "Element `ServiceRequest.specimen` is mapped to FHIR STU3 element `ProcedureRequest.specimen` as `SourceIsBroaderThanTarget`.\nThe mappings for `ServiceRequest.specimen` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ServiceRequest.specimen` with unmapped reference targets: Specimen.\nThe purpose of the ServiceRequest.specimen is to reflect the actual specimen that the requested test/procedure is asked to be performed on, whether the lab already has it or not.  References to specimens for purposes other than to perform a test/procedure on should be made using the ServiceRequest.supportingInfo or the Specimen.parent where the Specimen.parent would enable descendency and ServiceRequest.supportingInfo a general reference for context.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "ProcedureRequest.specimen.reference",
        "path": "ProcedureRequest.specimen.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.specimen.identifier",
        "path": "ProcedureRequest.specimen.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "ProcedureRequest.specimen.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ProcedureRequest.specimen.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.bodySite",
        "path": "ProcedureRequest.bodySite",
        "short": "Location on Body",
        "definition": "Anatomic location where the procedure should be performed. This is the target site.",
        "comment": "Only used if not implicit in the code found in ProcedureRequest.type.  If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately)  then use the standard extension [procedurerequest-targetBodySite](http://hl7.org/fhir/STU3/extension-procedurerequest-targetbodysite.html).",
        "requirements": "Knowing where the procedure is performed is important for tracking if multiple sites are possible.",
        "alias": [
          "location"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "ProcedureRequest.bodySite",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "BodySite"
            }
          ],
          "strength": "example",
          "description": "Codes describing anatomical locations. May include laterality.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/body-site|3.0.2"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "SPM"
          },
          {
            "identity": "rim",
            "map": "targetSiteCode"
          },
          {
            "identity": "quick",
            "map": "Procedure.targetBodySite"
          }
        ]
      },
      {
        "id": "ProcedureRequest.note",
        "path": "ProcedureRequest.note",
        "short": "Comments",
        "definition": "Any other notes and comments made about the service request. For example, letting provider know that \"patient hates needles\" or other provider instructions.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ProcedureRequest.note",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Annotation"
          }
        ],
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.note"
          },
          {
            "identity": "v2",
            "map": "NTE"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          },
          {
            "identity": "quick",
            "map": "ClinicalStatement.additionalText"
          }
        ]
      },
      {
        "id": "ProcedureRequest.relevantHistory",
        "path": "ProcedureRequest.relevantHistory",
        "short": "Request provenance",
        "definition": "Key events in the history of the request.",
        "comment": "This may not include provenances for all versions of the request – only those deemed “relevant” or important.\rThis 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\rAll Provenances should have some historical version of this Request as their subject.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "ProcedureRequest.relevantHistory",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Provenance"
          }
        ],
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.relevantHistory"
          },
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "ProcedureRequest.relevantHistory.id",
        "path": "ProcedureRequest.relevantHistory.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "ProcedureRequest.relevantHistory.extension",
        "path": "ProcedureRequest.relevantHistory.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "ProcedureRequest.relevantHistory.extension:relevantHistory",
        "path": "ProcedureRequest.relevantHistory.extension",
        "sliceName": "relevantHistory",
        "short": "R5: Request provenance additional types",
        "definition": "R5: `ServiceRequest.relevantHistory` additional types from child elements (display, identifier, reference, type)",
        "comment": "Element `ServiceRequest.relevantHistory` is mapped to FHIR STU3 element `ProcedureRequest.relevantHistory` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.relevantHistory` is mapped to FHIR STU3 element `ReferralRequest.relevantHistory` as `SourceIsBroaderThanTarget`.\nThe mappings for `ServiceRequest.relevantHistory` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ServiceRequest.relevantHistory` with unmapped reference targets: Provenance.\nThis might not include provenances for all versions of the request – only those deemed “relevant” or important.\rThis 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\rAll Provenances should have some historical version of this Request as their subject.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "ProcedureRequest.relevantHistory.reference",
        "path": "ProcedureRequest.relevantHistory.reference",
        "short": "Literal reference, Relative, internal or absolute URL",
        "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.reference",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ref-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "ProcedureRequest.relevantHistory.identifier",
        "path": "ProcedureRequest.relevantHistory.identifier",
        "short": "Logical reference, when literal reference is not known",
        "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
        "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".identifier"
          }
        ]
      },
      {
        "id": "ProcedureRequest.relevantHistory.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ProcedureRequest.relevantHistory.display",
        "short": "Text alternative for the resource",
        "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
        "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Reference.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "ProcedureRequest",
        "path": "ProcedureRequest"
      },
      {
        "id": "ProcedureRequest.extension",
        "path": "ProcedureRequest.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "max": "*"
      },
      {
        "id": "ProcedureRequest.extension:instantiatesUri",
        "path": "ProcedureRequest.extension",
        "sliceName": "instantiatesUri",
        "short": "R5: Instantiates external protocol or definition (new)",
        "definition": "R5: `ServiceRequest.instantiatesUri` (new:uri)",
        "comment": "Element `ServiceRequest.instantiatesUri` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.instantiatesUri` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.instantiatesUri` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nThis might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.instantiatesUri|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.extension:parameterFocus",
        "path": "ProcedureRequest.extension",
        "sliceName": "parameterFocus",
        "short": "R5: The context of the order details by reference (new)",
        "definition": "R5: `ServiceRequest.orderDetail.parameterFocus` (new:CodeableReference(Device,DeviceDefinition,DeviceRequest,SupplyRequest,Medication,MedicationRequest,BiologicallyDerivedProduct,Substance))",
        "comment": "Element `ServiceRequest.orderDetail.parameterFocus` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.orderDetail.parameterFocus` has a context of ReferralRequest.serviceRequested based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.orderDetail.parameterFocus` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.orderDetail.parameterFocus|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.extension:parameter",
        "path": "ProcedureRequest.extension",
        "sliceName": "parameter",
        "short": "R5: The parameter details for the service being requested (new)",
        "definition": "R5: `ServiceRequest.orderDetail.parameter` (new:BackboneElement)",
        "comment": "Element `ServiceRequest.orderDetail.parameter` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.orderDetail.parameter` has a context of ReferralRequest.serviceRequested based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.orderDetail.parameter` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 1,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.orderDetail.parameter|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.extension:quantity",
        "path": "ProcedureRequest.extension",
        "sliceName": "quantity",
        "short": "R5: Service amount (new)",
        "definition": "R5: `ServiceRequest.quantity[x]` (new:Quantity, Range, Ratio)",
        "comment": "Element `ServiceRequest.quantity[x]` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.quantity[x]` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.quantity[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.quantity|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.extension:focus",
        "path": "ProcedureRequest.extension",
        "sliceName": "focus",
        "short": "R5: What the service request is about, when it is not about the subject of record (new)",
        "definition": "R5: `ServiceRequest.focus` (new:Reference(Resource))",
        "comment": "Element `ServiceRequest.focus` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.focus` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.focus` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.focus|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.extension:location",
        "path": "ProcedureRequest.extension",
        "sliceName": "location",
        "short": "R5: Requested location (new)",
        "definition": "R5: `ServiceRequest.location` (new:CodeableReference(Location))",
        "comment": "Element `ServiceRequest.location` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.location` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.location` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.location|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.extension:reason",
        "path": "ProcedureRequest.extension",
        "sliceName": "reason",
        "short": "R5: Explanation/Justification for procedure or service additional types",
        "definition": "R5: `ServiceRequest.reason` additional types (CodeableReference(http://hl7.org/fhir/StructureDefinition/Condition), CodeableReference(http://hl7.org/fhir/StructureDefinition/Observation), CodeableReference(http://hl7.org/fhir/StructureDefinition/DiagnosticReport), CodeableReference(http://hl7.org/fhir/StructureDefinition/DocumentReference), CodeableReference(http://hl7.org/fhir/StructureDefinition/DetectedIssue))",
        "comment": "Element `ServiceRequest.reason` is mapped to FHIR STU3 element `ProcedureRequest.reasonCode` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.reason` is mapped to FHIR STU3 element `ProcedureRequest.reasonReference` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.reason` is mapped to FHIR STU3 element `ReferralRequest.reasonCode` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.reason` is mapped to FHIR STU3 element `ReferralRequest.reasonReference` as `SourceIsBroaderThanTarget`.\nThe mappings for `ServiceRequest.reason` do not cover the following types: CodeableReference.\nThis 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, use `concept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](https://hl7.org/fhir/servicerequest-example-di.html).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.extension:insurance",
        "path": "ProcedureRequest.extension",
        "sliceName": "insurance",
        "short": "R5: Associated insurance coverage (new)",
        "definition": "R5: `ServiceRequest.insurance` (new:Reference(Coverage,ClaimResponse))",
        "comment": "Element `ServiceRequest.insurance` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.insurance` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.insurance` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.insurance|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.extension:bodyStructure",
        "path": "ProcedureRequest.extension",
        "sliceName": "bodyStructure",
        "short": "R5: BodyStructure-based location on the body (new)",
        "definition": "R5: `ServiceRequest.bodyStructure` (new:Reference(BodyStructure))",
        "comment": "Element `ServiceRequest.bodyStructure` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.bodyStructure` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.bodyStructure` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nAn externally-defined extension that has been mapped as the representation of FHIR R5 element `ServiceRequest.bodyStructure`: `http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure`.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"
          }
        ]
      },
      {
        "id": "ProcedureRequest.extension:patientInstruction",
        "path": "ProcedureRequest.extension",
        "sliceName": "patientInstruction",
        "short": "R5: Patient or consumer-oriented instructions (new)",
        "definition": "R5: `ServiceRequest.patientInstruction` (new:BackboneElement)",
        "comment": "Element `ServiceRequest.patientInstruction` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`.\nElement `ServiceRequest.patientInstruction` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`.\nElement `ServiceRequest.patientInstruction` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.patientInstruction|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.definition.extension",
        "path": "ProcedureRequest.definition.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ProcedureRequest.definition.extension:instantiatesCanonical",
        "path": "ProcedureRequest.definition.extension",
        "sliceName": "instantiatesCanonical",
        "short": "R5: Instantiates FHIR protocol or definition additional types",
        "definition": "R5: `ServiceRequest.instantiatesCanonical` additional types (canonical(http://hl7.org/fhir/StructureDefinition/ActivityDefinition), canonical(http://hl7.org/fhir/StructureDefinition/PlanDefinition)) additional types from child elements (value)",
        "comment": "Element `ServiceRequest.instantiatesCanonical` is mapped to FHIR STU3 element `ProcedureRequest.definition` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.instantiatesCanonical` is mapped to FHIR STU3 element `ReferralRequest.definition` as `SourceIsBroaderThanTarget`.\nThe mappings for `ServiceRequest.instantiatesCanonical` do not cover the following types: canonical.\nThe mappings for `ServiceRequest.instantiatesCanonical` do not cover the following types based on type expansion: value.\nThe PlanDefinition resource is used to describe series, sequences, or groups of actions to be taken, while the ActivityDefinition resource is used to define each specific step or activity to be performed. More information can be found in the [Boundaries and Relationships](https://hl7.org/fhir/plandefi.html#12.23.2) section for PlanDefinition.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.instantiatesCanonical|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.basedOn.extension",
        "path": "ProcedureRequest.basedOn.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ProcedureRequest.basedOn.extension:basedOn",
        "path": "ProcedureRequest.basedOn.extension",
        "sliceName": "basedOn",
        "short": "R5: What request fulfills",
        "definition": "R5: `ServiceRequest.basedOn`",
        "comment": "Element `ServiceRequest.basedOn` is mapped to FHIR STU3 element `ProcedureRequest.basedOn` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.basedOn` is mapped to FHIR STU3 element `ReferralRequest.basedOn` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ServiceRequest.basedOn` with unmapped reference targets: CarePlan, MedicationRequest, ServiceRequest.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "ProcedureRequest.replaces.extension",
        "path": "ProcedureRequest.replaces.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ProcedureRequest.replaces.extension:replaces",
        "path": "ProcedureRequest.replaces.extension",
        "sliceName": "replaces",
        "short": "R5: What request replaces additional types",
        "definition": "R5: `ServiceRequest.replaces` additional types from child elements (display, identifier, reference, type)",
        "comment": "Element `ServiceRequest.replaces` is mapped to FHIR STU3 element `ProcedureRequest.replaces` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.replaces` is mapped to FHIR STU3 element `ReferralRequest.replaces` as `SourceIsBroaderThanTarget`.\nThe mappings for `ServiceRequest.replaces` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ServiceRequest.replaces` with unmapped reference targets: ServiceRequest.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "ProcedureRequest.intent.extension",
        "path": "ProcedureRequest.intent.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ProcedureRequest.intent.extension:intent",
        "path": "ProcedureRequest.intent.extension",
        "sliceName": "intent",
        "short": "R5: proposal | plan | directive | order +",
        "definition": "R5: `ServiceRequest.intent`",
        "comment": "Element `ServiceRequest.intent` is mapped to FHIR STU3 element `ProcedureRequest.intent` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.intent` is mapped to FHIR STU3 element `ReferralRequest.intent` as `SourceIsBroaderThanTarget`.\nThe target context `ProcedureRequest.intent` is a modifier element, so this extension does not need to be defined as a modifier.\nThis element is labeled as a modifier because the intent alters when and how the resource is actually applicable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.intent|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.code.extension",
        "path": "ProcedureRequest.code.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ProcedureRequest.code.extension:code",
        "path": "ProcedureRequest.code.extension",
        "sliceName": "code",
        "short": "R5: What is being requested/ordered additional types",
        "definition": "R5: `ServiceRequest.code` additional types (CodeableReference(http://hl7.org/fhir/StructureDefinition/ActivityDefinition), CodeableReference(http://hl7.org/fhir/StructureDefinition/PlanDefinition)) additional types from child elements (reference)",
        "comment": "Element `ServiceRequest.code` is mapped to FHIR STU3 element `ProcedureRequest.code` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.code` is mapped to FHIR STU3 element `ReferralRequest.type` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.code` is mapped to FHIR STU3 element `ReferralRequest.serviceRequested` as `RelatedTo`.\nThe mappings for `ServiceRequest.code` do not cover the following types: CodeableReference.\nThe mappings for `ServiceRequest.code` do not cover the following types based on type expansion: reference.\nMany 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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.code|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.subject.extension",
        "path": "ProcedureRequest.subject.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ProcedureRequest.subject.extension:subject",
        "path": "ProcedureRequest.subject.extension",
        "sliceName": "subject",
        "short": "R5: Individual or Entity the service is ordered for",
        "definition": "R5: `ServiceRequest.subject`",
        "comment": "Element `ServiceRequest.subject` is mapped to FHIR STU3 element `ProcedureRequest.subject` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.subject` is mapped to FHIR STU3 element `ReferralRequest.subject` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ServiceRequest.subject` with unmapped reference targets: Device, Group, Location, Patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "ProcedureRequest.context.extension",
        "path": "ProcedureRequest.context.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ProcedureRequest.context.extension:encounter",
        "path": "ProcedureRequest.context.extension",
        "sliceName": "encounter",
        "short": "R5: Encounter in which the request was created additional types",
        "definition": "R5: `ServiceRequest.encounter` additional types from child elements (display, identifier, reference, type)",
        "comment": "Element `ServiceRequest.encounter` is mapped to FHIR STU3 element `ProcedureRequest.context` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.encounter` is mapped to FHIR STU3 element `ReferralRequest.context` as `SourceIsBroaderThanTarget`.\nThe mappings for `ServiceRequest.encounter` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ServiceRequest.encounter` with unmapped reference targets: Encounter.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "ProcedureRequest.performer.extension",
        "path": "ProcedureRequest.performer.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ProcedureRequest.performer.extension:performer",
        "path": "ProcedureRequest.performer.extension",
        "sliceName": "performer",
        "short": "R5: Requested performer",
        "definition": "R5: `ServiceRequest.performer`",
        "comment": "Element `ServiceRequest.performer` is mapped to FHIR STU3 element `ProcedureRequest.performer` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.performer` is mapped to FHIR STU3 element `ReferralRequest.recipient` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ServiceRequest.performer` with unmapped reference targets: CareTeam, Device, HealthcareService, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson.\nIf 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 [http://hl7.org/fhir/StructureDefinition/request-performerOrder](http://hl7.org/fhir/extensions/StructureDefinition-request-performerOrder.html).  Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "ProcedureRequest.supportingInfo.extension",
        "path": "ProcedureRequest.supportingInfo.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ProcedureRequest.supportingInfo.extension:supportingInfo",
        "path": "ProcedureRequest.supportingInfo.extension",
        "sliceName": "supportingInfo",
        "short": "R5: Additional clinical information additional types",
        "definition": "R5: `ServiceRequest.supportingInfo` additional types (CodeableReference(http://hl7.org/fhir/StructureDefinition/Resource)) additional types from child elements (concept)",
        "comment": "Element `ServiceRequest.supportingInfo` is mapped to FHIR STU3 element `ProcedureRequest.supportingInfo` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.supportingInfo` is mapped to FHIR STU3 element `ReferralRequest.supportingInfo` as `SourceIsBroaderThanTarget`.\nThe mappings for `ServiceRequest.supportingInfo` do not cover the following types: CodeableReference.\nThe mappings for `ServiceRequest.supportingInfo` do not cover the following types based on type expansion: concept.\nTo represent information about how the services are to be delivered use the `instructions` element.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo|0.1.0"
          }
        ]
      },
      {
        "id": "ProcedureRequest.specimen.extension",
        "path": "ProcedureRequest.specimen.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ProcedureRequest.specimen.extension:specimen",
        "path": "ProcedureRequest.specimen.extension",
        "sliceName": "specimen",
        "short": "R5: specimen additional types",
        "definition": "R5: `ServiceRequest.specimen` additional types from child elements (display, identifier, reference, type)",
        "comment": "Element `ServiceRequest.specimen` is mapped to FHIR STU3 element `ProcedureRequest.specimen` as `SourceIsBroaderThanTarget`.\nThe mappings for `ServiceRequest.specimen` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ServiceRequest.specimen` with unmapped reference targets: Specimen.\nThe purpose of the ServiceRequest.specimen is to reflect the actual specimen that the requested test/procedure is asked to be performed on, whether the lab already has it or not.  References to specimens for purposes other than to perform a test/procedure on should be made using the ServiceRequest.supportingInfo or the Specimen.parent where the Specimen.parent would enable descendency and ServiceRequest.supportingInfo a general reference for context.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      },
      {
        "id": "ProcedureRequest.relevantHistory.extension",
        "path": "ProcedureRequest.relevantHistory.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "ProcedureRequest.relevantHistory.extension:relevantHistory",
        "path": "ProcedureRequest.relevantHistory.extension",
        "sliceName": "relevantHistory",
        "short": "R5: Request provenance additional types",
        "definition": "R5: `ServiceRequest.relevantHistory` additional types from child elements (display, identifier, reference, type)",
        "comment": "Element `ServiceRequest.relevantHistory` is mapped to FHIR STU3 element `ProcedureRequest.relevantHistory` as `SourceIsBroaderThanTarget`.\nElement `ServiceRequest.relevantHistory` is mapped to FHIR STU3 element `ReferralRequest.relevantHistory` as `SourceIsBroaderThanTarget`.\nThe mappings for `ServiceRequest.relevantHistory` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `ServiceRequest.relevantHistory` with unmapped reference targets: Provenance.\nThis might not include provenances for all versions of the request – only those deemed “relevant” or important.\rThis 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\rAll Provenances should have some historical version of this Request as their subject.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
          }
        ]
      }
    ]
  }
}