<status value="draft" /> <date value="2022-10-17T09:09:13.9562003+00:00" /> <publisher value="Healthdata.be (Sciensano)" /> <contact> <name value="Service portal – healthdata.be" /> <telecom> <system value="url" /> <value value="https://sciensano.service-now.com/sp" /> <use value="work" /> </telecom> </contact> <description value="Therapeutic or diagnostic procedure the patient will undergo (the complementary profile HdBe-Procedure-request can be used for therapeutic or diagnostics procedures that the has undergone). A procedure can be a simple blood pressure measurement, but also a complex heart surgery. In some care settings, the term treatment is used instead of the term procedure." /> <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <uri value="https://zibs.nl/wiki/Procedure-v5.2(2020EN)" /> <name value="zib Procedure-v5.2(2020EN)" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <uri value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Procedure" /> <name value="HdBe logical model Procedure" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="ServiceRequest" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" /> <derivation value="constraint" /> <snapshot> <element id="ServiceRequest"> <path value="ServiceRequest" /> <short value="Procedure" /> <definition value="A record of a request for service such as diagnostic investigations, treatments, or operations to be performed." /> <comment value="The CBB Procedure is mapped both to this ServiceRequest profile and a profile on Procedure (<https://fhir.healthdata.be/StructureDefinition/HdBe-Procedure-event>) to align with the intention of FHIR. All past procedures are covered using this Procedure resource, while all future procedures, including the advised procedures, are covered in the ServiceRequest resource. Both resources contain the CBB mappings. The planned and performed procedures can be linked using `Procedure.basedOn`." /> <alias value="diagnostic request" /> <alias value="referral" /> <alias value="referral request" /> <alias value="transfer of care request" /> <alias value="Verrichting" /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest" /> <min value="0" /> <max value="*" /> </base> <constraint> <key value="dom-2" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" /> <expression value="contained.contained.empty()" /> <xpath value="not(parent::f:contained and f:contained)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-1" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative" /> <expression value="contained.text.empty()" /> <xpath value="not(parent::f:contained and f:text)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-4" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" /> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-3" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource" /> <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()" /> <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="prr-1" /> <severity value="error" /> <human value="orderDetail SHALL only be present if code is present" /> <expression value="orderDetail.empty() or code.exists()" /> <xpath value="exists(f:code) or not(exists(f:orderDetail))" /> <source value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" /> </constraint> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request" /> </mapping> <mapping> <identity value="v2" /> <map value="ORC" /> </mapping> <mapping> <identity value="rim" /> <map value="Act[moodCode<=INT]" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.1" /> <comment value="Procedure" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="Procedure" /> </mapping> </element> <element id="ServiceRequest.id"> <path value="ServiceRequest.id" /> <short value="Logical id of this artifact" /> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." /> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.id" /> <min value="0" /> <max value="1" /> </base> <type> <code value="id" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ServiceRequest.meta"> <path value="ServiceRequest.meta" /> <short value="Metadata about the resource" /> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.meta" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Meta" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ServiceRequest.implicitRules"> <path value="ServiceRequest.implicitRules" /> <short value="A set of rules under which this content was created" /> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content." /> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.implicitRules" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ServiceRequest.language"> <path value="ServiceRequest.language" /> <short value="Language of the resource content" /> <definition value="The base language in which the resource is written." /> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.language" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueReference> <reference value="http://hl7.org/fhir/ValueSet/all-languages" /> </valueReference> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language" /> </extension> <strength value="extensible" /> <description value="A human language." /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ServiceRequest.text"> <path value="ServiceRequest.text" /> <short value="Text summary of the resource, for human interpretation" /> <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." /> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later." /> <alias value="narrative" /> <alias value="html" /> <alias value="xhtml" /> <alias value="display" /> <min value="0" /> <max value="1" /> <base> <path value="DomainResource.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Narrative" /> </type> <condition value="ele-1" /> <condition value="dom-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Act.text?" /> </mapping> </element> <element id="ServiceRequest.contained"> <path value="ServiceRequest.contained" /> <short value="Contained, inline Resources" /> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." /> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again." /> <alias value="inline resources" /> <alias value="anonymous resources" /> <alias value="contained resources" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.contained" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Resource" /> </type> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ServiceRequest.extension"> <path value="ServiceRequest.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional Content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ServiceRequest.modifierExtension"> <path value="ServiceRequest.modifierExtension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Extensions that cannot be ignored" /> <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ServiceRequest.identifier"> <path value="ServiceRequest.identifier" /> <short value="Identifiers assigned to this order" /> <definition value="Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller." /> <comment value="The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below." /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.identifier" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Identifier" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" /> </mapping> <mapping> <identity value="rim" /> <map value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" /> </mapping> <mapping> <identity value="servd" /> <map value="Identifier" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.identifier" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.identifier" /> </mapping> <mapping> <identity value="v2" /> <map value="ORC.2, ORC.3, RF1-6 / RF1-11," /> </mapping> <mapping> <identity value="rim" /> <map value=".identifier" /> </mapping> <mapping> <identity value="quick" /> <map value="ClinicalStatement.identifier" /> </mapping> </element> <element id="ServiceRequest.instantiatesCanonical"> <path value="ServiceRequest.instantiatesCanonical" /> <short value="Instantiates FHIR protocol or definition" /> <definition value="The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest." /> <comment value="Note: This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number." /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.instantiatesCanonical" /> <min value="0" /> <max value="*" /> </base> <type> <code value="canonical" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.instantiatesCanonical" /> </mapping> <mapping> <identity value="v2" /> <map value="Varies by domain" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=DEFN].target" /> </mapping> </element> <element id="ServiceRequest.instantiatesUri"> <path value="ServiceRequest.instantiatesUri" /> <short value="Instantiates external protocol or definition" /> <definition value="The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest." /> <comment value="This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier." /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.instantiatesUri" /> <min value="0" /> <max value="*" /> </base> <type> <code value="uri" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.instantiatesUri" /> </mapping> <mapping> <identity value="v2" /> <map value="Varies by domain" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=DEFN].target" /> </mapping> </element> <element id="ServiceRequest.basedOn"> <path value="ServiceRequest.basedOn" /> <short value="What request fulfills" /> <definition value="Plan/proposal/order fulfilled by this request." /> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." /> <alias value="fulfills" /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.basedOn" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.basedOn" /> </mapping> <mapping> <identity value="v2" /> <map value="ORC.8 (plus others)" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=FLFS].target" /> </mapping> </element> <element id="ServiceRequest.replaces"> <path value="ServiceRequest.replaces" /> <short value="What request replaces" /> <definition value="The request takes the place of the referenced completed or terminated request(s)." /> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." /> <alias value="supersedes" /> <alias value="prior" /> <alias value="renewed order" /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.replaces" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.replaces" /> </mapping> <mapping> <identity value="v2" /> <map value="Handled by message location of ORC (ORC.1=RO or RU)" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=RPLC].target" /> </mapping> </element> <element id="ServiceRequest.requisition"> <path value="ServiceRequest.requisition" /> <short value="Composite Request ID" /> <definition value="A shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier." /> <comment value="Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation." /> <requirements value="Some business processes need to know if multiple items were ordered as part of the same "requisition" for billing or other purposes." /> <alias value="grouperId" /> <alias value="groupIdentifier" /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.requisition" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Identifier" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" /> </mapping> <mapping> <identity value="rim" /> <map value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" /> </mapping> <mapping> <identity value="servd" /> <map value="Identifier" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.groupIdentifier" /> </mapping> <mapping> <identity value="v2" /> <map value="ORC.4" /> </mapping> <mapping> <identity value="rim" /> <map value=".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier" /> </mapping> </element> <element id="ServiceRequest.status"> <path value="ServiceRequest.status" /> <short value="draft | active | on-hold | revoked | completed | entered-in-error | unknown" /> <definition value="This element is implictly mapped to the concepts ProcedureStartDate (NL-CM:14.1.2) and ProcedureEndDate (NL-CM:14.1.3). Unless the status is explicitly recorded, the following guidance applies: * When the ProcedureStartDate is in the future, `.status` will usually be set to _active_. * When the ProcedureStartDate is in the past, `.status` will usually be set to _completed_. * When ProcedureEndDate is in the past, `.status` will usually be set to _completed_. * When a system is unable to infer the status from the ProcedureStartDate and ProcedureEndDate , `.status` will be set to _unknown_. The _unknown_ code is not to be used to convey other statuses. The _unknown_ code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the ProcedureRequest." /> <comment value="The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](event.html) for general discussion) or using the [Task](task.html) resource." /> <min value="1" /> <max value="1" /> <base> <path value="ServiceRequest.status" /> <min value="1" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" /> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestStatus" /> </extension> <strength value="required" /> <description value="The status of a service order." /> <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.0.1" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.status" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.status" /> </mapping> <mapping> <identity value="v2" /> <map value="ORC.5,RF1-1" /> </mapping> <mapping> <identity value="rim" /> <map value=".status" /> </mapping> <mapping> <identity value="quick" /> <map value="Action.currentStatus" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.2" /> <comment value="ProcedureStartDate (implicit, main mapping is on ServiceRequest.occurencePeriod.start and ServiceRequest.occurenceDateTime)" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureStartDate (implicit, main mapping is on ServiceRequest.OccurencePeriod.Start and ServiceRequest.OccurenceDateTime)" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.3" /> <comment value="ProcedureEndDate (implicit, main mapping is on ServiceRequest.occurencePeriod.end)" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureEndDate (implicit, main mapping is on ServiceRequest.OccurencePeriod.End)" /> </mapping> </element> <element id="ServiceRequest.intent"> <path value="ServiceRequest.intent" /> <short value="proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option" /> <definition value="Unless intent is explicitly recorded and a more appropriate code is known, the value can be set to _order_ because a Procedure should authorize an action for a patient, pharmacist, professional administrator et cetera." /> <comment value="This element is labeled as a modifier because the intent alters when and how the resource is actually applicable." /> <min value="1" /> <max value="1" /> <base> <path value="ServiceRequest.intent" /> <min value="1" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request" /> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestIntent" /> </extension> <strength value="required" /> <description value="The kind of service request." /> <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.0.1" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.intent" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.class" /> </mapping> <mapping> <identity value="v2" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value=".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)" /> </mapping> </element> <element id="ServiceRequest.category"> <path value="ServiceRequest.category" /> <short value="Classification of service" /> <definition value="A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure")." /> <comment value="There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set." /> <requirements value="Used for filtering what service request are retrieved and displayed." /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.category" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestCategory" /> </extension> <strength value="example" /> <description value="Classification of the requested service." /> <valueSet value="http://hl7.org/fhir/ValueSet/servicerequest-category" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.class" /> </mapping> <mapping> <identity value="v2" /> <map value="RF1-5" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code" /> </mapping> </element> <element id="ServiceRequest.priority"> <path value="ServiceRequest.priority" /> <short value="routine | urgent | asap | stat" /> <definition value="Indicates how quickly the ServiceRequest should be addressed with respect to other requests." /> <comment value="Note that FHIR strings may not exceed 1MB in size" /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.priority" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <meaningWhenMissing value="If missing, this task should be performed with normal priority" /> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestPriority" /> </extension> <strength value="required" /> <description value="Identifies the level of importance to be assigned to actioning the request." /> <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.0.1" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.priority" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.grade" /> </mapping> <mapping> <identity value="v2" /> <map value="TQ1.9, RF1-2" /> </mapping> <mapping> <identity value="rim" /> <map value=".priorityCode" /> </mapping> </element> <element id="ServiceRequest.doNotPerform"> <path value="ServiceRequest.doNotPerform" /> <short value="True if service/procedure should not be performed" /> <definition value="Set this to true if the record is saying that the service/procedure should NOT be performed." /> <comment value="In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation." /> <requirements value="Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc." /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.doNotPerform" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <meaningWhenMissing value="If missing, the request is a positive request e.g. "do perform"" /> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur." /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.doNotPerform" /> </mapping> <mapping> <identity value="rim" /> <map value=".actionNegationInd" /> </mapping> </element> <element id="ServiceRequest.code"> <path value="ServiceRequest.code" /> <short value="ProcedureType" /> <definition value="The name of the procedure." /> <comment value="Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example, serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code." /> <alias value="service requested" /> <alias value="VerrichtingType" /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.code" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestCode" /> </extension> <strength value="extensible" /> <description value="Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available [here](valueset-diagnostic-requests.html)." /> <valueSet value="https://fhir.healthdata.be/ValueSet/ProcedureType" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.code" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.what[x]" /> </mapping> <mapping> <identity value="v2" /> <map value="PR1-3 / OBR-4 (varies by domain)" /> </mapping> <mapping> <identity value="rim" /> <map value=".code" /> </mapping> <mapping> <identity value="quick" /> <map value="Procedure.procedureCode" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.4" /> <comment value="ProcedureType" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureType" /> </mapping> </element> <element id="ServiceRequest.orderDetail"> <path value="ServiceRequest.orderDetail" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <short value="Additional order information" /> <definition value="Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied." /> <comment value="For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element." /> <alias value="detailed instructions" /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.orderDetail" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <condition value="prr-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="OrderDetail" /> </extension> <strength value="example" /> <description value="Codified order entry details which are based on order context." /> <valueSet value="http://hl7.org/fhir/ValueSet/servicerequest-orderdetail" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="NTE" /> </mapping> <mapping> <identity value="rim" /> <map value=".code" /> </mapping> <mapping> <identity value="quick" /> <map value="Procedure.procedureCode" /> </mapping> </element> <element id="ServiceRequest.orderDetail:procedureMethod"> <path value="ServiceRequest.orderDetail" /> <sliceName value="procedureMethod" /> <short value="ProcedureMethod" /> <definition value="The method or technique that will be used to perform the procedure, e.g. approach, lavage, pressuring, ets." /> <comment value="For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element." /> <alias value="detailed instructions" /> <alias value="VerrichtingMethode" /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.orderDetail" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <condition value="prr-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="OrderDetail" /> </extension> <strength value="required" /> <description value="Codified order entry details which are based on order context." /> <valueSet value="https://fhir.healthdata.be/ValueSet/ProcedureMethod" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="NTE" /> </mapping> <mapping> <identity value="rim" /> <map value=".code" /> </mapping> <mapping> <identity value="quick" /> <map value="Procedure.procedureCode" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.12" /> <comment value="ProcedureMethod" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureMethod" /> </mapping> </element> <element id="ServiceRequest.quantity[x]"> <path value="ServiceRequest.quantity[x]" /> <short value="Service amount" /> <definition value="An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction)." /> <requirements value="When ordering a service the number of service items may need to be specified separately from the the service item." /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.quantity[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Quantity" /> </type> <type> <code value="Ratio" /> </type> <type> <code value="Range" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="NTE" /> </mapping> <mapping> <identity value="rim" /> <map value=".quantity" /> </mapping> </element> <element id="ServiceRequest.subject"> <path value="ServiceRequest.subject" /> <short value="Individual or Entity the service is ordered for" /> <definition value="On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans)." /> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." /> <min value="1" /> <max value="1" /> <base> <path value="ServiceRequest.subject" /> <min value="1" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.subject" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.subject[x]" /> </mapping> <mapping> <identity value="v2" /> <map value="PID" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=SBJ].role" /> </mapping> <mapping> <identity value="quick" /> <map value="ClinicalStatement.subject" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.subject" /> </mapping> </element> <element id="ServiceRequest.encounter"> <path value="ServiceRequest.encounter" /> <short value="Encounter in which the request was created" /> <definition value="An encounter that provides additional information about the healthcare context in which this request is made." /> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." /> <alias value="context" /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.encounter" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.encounter" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.context" /> </mapping> <mapping> <identity value="v2" /> <map value="PV1" /> </mapping> <mapping> <identity value="rim" /> <map value=".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]" /> </mapping> <mapping> <identity value="quick" /> <map value="ClinicalStatement.encounter" /> </mapping> </element> <element id="ServiceRequest.occurrence[x]"> <path value="ServiceRequest.occurrence[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <short value="ProcedureStartDate / ProcedureEndDate" /> <definition value="* The (desired) start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the start of the period of a series of related procedures. * The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the end of the period of a series of related procedures. The end date element is only used for a procedures that takes some time and is then always applied. If the procedure still continues, the value is left empty. For instantaneous or very short lasting procedures the element is omitted." /> <comment value="The `.occurrencePeriod.start` and `.occurrencePeriod.end` are used for ProcedureStartDate and ProcedureEndDate if the zib Procedure concerns a period. For instantaneous or very short lasting procedures the `.occurrenceDateTime` is used." /> <alias value="schedule" /> <alias value="VerrichtingStartDatum" /> <alias value="VerrichtingEindDatum" /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.occurrence[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <type> <code value="Period" /> </type> <type> <code value="Timing" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.occurrence[x]" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.planned" /> </mapping> <mapping> <identity value="v2" /> <map value="TQ1/TQ2, OBR-7/OBR-8" /> </mapping> <mapping> <identity value="rim" /> <map value=".effectiveTime" /> </mapping> <mapping> <identity value="quick" /> <map value="Procedure.procedureSchedule" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.2" /> <comment value="ProcedureStartDate" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureStartDate" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.3" /> <comment value="ProcedureEndDate" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureEndDate" /> </mapping> </element> <element id="ServiceRequest.occurrence[x]:occurrencePeriod"> <path value="ServiceRequest.occurrence[x]" /> <sliceName value="occurrencePeriod" /> <short value="When service should occur" /> <definition value="The date/time at which the requested service should occur." /> <alias value="schedule" /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.occurrence[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Period" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.occurrence[x]" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.planned" /> </mapping> <mapping> <identity value="v2" /> <map value="TQ1/TQ2, OBR-7/OBR-8" /> </mapping> <mapping> <identity value="rim" /> <map value=".effectiveTime" /> </mapping> <mapping> <identity value="quick" /> <map value="Procedure.procedureSchedule" /> </mapping> </element> <element id="ServiceRequest.occurrence[x]:occurrencePeriod.id"> <path value="ServiceRequest.occurrence[x].id" /> <representation value="xmlAttr" /> <short value="xml:id (or equivalent in JSON)" /> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <comment value="Note that FHIR strings may not exceed 1MB in size" /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="ServiceRequest.occurrence[x]:occurrencePeriod.extension"> <path value="ServiceRequest.occurrence[x].extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional Content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="ServiceRequest.occurrence[x]:occurrencePeriod.start"> <path value="ServiceRequest.occurrence[x].start" /> <short value="ProcedureStartDate" /> <definition value="The (desired) start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the start of the period of a series of related procedures." /> <comment value="If the low element is missing, the meaning is that the low boundary is not known." /> <alias value="VerrichtingStartDatum" /> <min value="0" /> <max value="1" /> <base> <path value="Period.start" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <condition value="ele-1" /> <condition value="per-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="DR.1" /> </mapping> <mapping> <identity value="rim" /> <map value="./low" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.2" /> <comment value="ProcedureStartDate" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureStartDate" /> </mapping> </element> <element id="ServiceRequest.occurrence[x]:occurrencePeriod.end"> <path value="ServiceRequest.occurrence[x].end" /> <short value="ProcedureEndDate" /> <definition value="The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the end of the period of a series of related procedures. The end date element is only used for a procedures that takes some time and is then always applied. If the procedure still continues, the value is left empty. For instantaneous or very short lasting procedures the `occurrenceDateTime` is used." /> <comment value="The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03." /> <alias value="VerrichtingEindDatum" /> <min value="0" /> <max value="1" /> <base> <path value="Period.end" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <meaningWhenMissing value="If the end of the period is missing, it means that the period is ongoing" /> <condition value="ele-1" /> <condition value="per-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="DR.2" /> </mapping> <mapping> <identity value="rim" /> <map value="./high" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.3" /> <comment value="ProcedureEndDate" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureEndDate" /> </mapping> </element> <element id="ServiceRequest.occurrence[x]:occurrenceDateTime"> <path value="ServiceRequest.occurrence[x]" /> <sliceName value="occurrenceDateTime" /> <short value="ProcedureStartDate" /> <definition value="The (desired) start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the start of the period of a series of related procedures." /> <alias value="schedule" /> <alias value="VerrichtingStartDatum" /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.occurrence[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.occurrence[x]" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.planned" /> </mapping> <mapping> <identity value="v2" /> <map value="TQ1/TQ2, OBR-7/OBR-8" /> </mapping> <mapping> <identity value="rim" /> <map value=".effectiveTime" /> </mapping> <mapping> <identity value="quick" /> <map value="Procedure.procedureSchedule" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.2" /> <comment value="ProcedureStartDate" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureStartDate" /> </mapping> </element> <element id="ServiceRequest.asNeeded[x]"> <path value="ServiceRequest.asNeeded[x]" /> <short value="Preconditions for service" /> <definition value="If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc." /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.asNeeded[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureAsNeededReason" /> </extension> <strength value="example" /> <description value="A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc." /> <valueSet value="http://hl7.org/fhir/ValueSet/medication-as-needed-reason" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code="Assertion"].value" /> </mapping> <mapping> <identity value="quick" /> <map value="Proposal.prnReason.reason" /> </mapping> </element> <element id="ServiceRequest.authoredOn"> <path value="ServiceRequest.authoredOn" /> <short value="Date request signed" /> <definition value="When the request transitioned to being actionable." /> <alias value="orderedOn" /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.authoredOn" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.authoredOn" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.recorded" /> </mapping> <mapping> <identity value="v2" /> <map value="ORC.9, RF1-7 / RF1-9" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=AUT].time" /> </mapping> <mapping> <identity value="quick" /> <map value="Proposal.proposedAtTime" /> </mapping> </element> <element id="ServiceRequest.requester"> <path value="ServiceRequest.requester" /> <short value="Requester" /> <definition value="The health professional who requested the procedure." /> <comment value="Each occurrence of the CBB HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [HdBe-HealthProfessional-PractitionerRole](https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [HdBe-HealthProfessional-Practitioner](https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance. In rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the HdBe-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile." /> <alias value="author" /> <alias value="orderer" /> <alias value="Aanvrager" /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.requester" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <profile value="https://fhir.healthdata.be/StructureDefinition/pattern-HealthProfessionalReference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-PractitionerRole" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.requester" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.author" /> </mapping> <mapping> <identity value="v2" /> <map value="ORC.12, PRT" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=AUT].role" /> </mapping> <mapping> <identity value="quick" /> <map value="ClinicalStatement.statementAuthor" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.10" /> <comment value="Requester" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="Requester" /> </mapping> </element> <element id="ServiceRequest.performerType"> <path value="ServiceRequest.performerType" /> <short value="Performer role" /> <definition value="Desired type of performer for doing the requested service." /> <comment value="This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”." /> <alias value="specialty" /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.performerType" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestParticipantRole" /> </extension> <strength value="example" /> <description value="Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc." /> <valueSet value="http://hl7.org/fhir/ValueSet/participant-role" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.performerType" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.actor" /> </mapping> <mapping> <identity value="v2" /> <map value="PRT, RF!-3" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code" /> </mapping> </element> <element id="ServiceRequest.performer"> <path value="ServiceRequest.performer" /> <short value="Performer" /> <definition value="The healthcare professional who carried out or will carry out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare professional." /> <comment value="If multiple performers are present, it is interpreted as a list of *alternative* performers without any preference regardless of order. This deviates from the CBB definition where multiple references to the Healthprofessional should be interperted as all the performers of the procedure. If order of preference is needed use the [request-performerOrder extension](extension-request-performerorder.html). Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B)." /> <alias value="request recipient" /> <alias value="Uitvoerder" /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.performer" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <profile value="https://fhir.healthdata.be/StructureDefinition/pattern-HealthProfessionalReference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-PractitionerRole" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-CareTeam" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.performer" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.actor" /> </mapping> <mapping> <identity value="v2" /> <map value="PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.6" /> <comment value="Performer" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="Performer" /> </mapping> </element> <element id="ServiceRequest.locationCode"> <path value="ServiceRequest.locationCode" /> <short value="Requested location" /> <definition value="The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center." /> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.locationCode" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestLocation" /> </extension> <strength value="example" /> <description value="A location type where services are delivered." /> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.actor" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=LOC].role[scoper.determinerCode=KIND].code" /> </mapping> </element> <element id="ServiceRequest.locationReference"> <path value="ServiceRequest.locationReference" /> <short value="Location" /> <definition value="The healthcare organization where the procedure was, is or will be carried out." /> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." /> <alias value="Locatie" /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.locationReference" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-HealthcareOrganization" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.actor" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.5" /> <comment value="Location" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="Location" /> </mapping> </element> <element id="ServiceRequest.reasonCode"> <path value="ServiceRequest.reasonCode" /> <short value="Explanation/Justification for procedure or service" /> <definition value="An explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in `supportingInfo`." /> <comment value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html)." /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.reasonCode" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ServiceRequestReason" /> </extension> <strength value="example" /> <description value="Diagnosis or problem codes justifying the reason for requesting the service investigation." /> <valueSet value="http://hl7.org/fhir/ValueSet/procedure-reason" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.reasonCode" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.why[x]" /> </mapping> <mapping> <identity value="v2" /> <map value="ORC.16, RF1-10" /> </mapping> <mapping> <identity value="rim" /> <map value=".reasonCode" /> </mapping> </element> <element id="ServiceRequest.reasonReference"> <path value="ServiceRequest.reasonReference" /> <short value="Indication" /> <definition value="The indication is the reason for the procedure." /> <comment value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to *Observation* or *Condition* should be used if available. Otherwise when referencing *DiagnosticReport* it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html)." /> <alias value="Indicatie" /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.reasonReference" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-Problem" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.reasonReference" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.why[x]" /> </mapping> <mapping> <identity value="v2" /> <map value="ORC.16" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=RSON].target" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.9" /> <comment value="Indication" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="Indication" /> </mapping> </element> <element id="ServiceRequest.insurance"> <path value="ServiceRequest.insurance" /> <short value="Associated insurance coverage" /> <definition value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service." /> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.insurance" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.insurance" /> </mapping> <mapping> <identity value="v2" /> <map value="IN1/IN2" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=COVBY].target" /> </mapping> </element> <element id="ServiceRequest.supportingInfo"> <path value="ServiceRequest.supportingInfo" /> <short value="MedicalDevice" /> <definition value="The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant." /> <comment value="To represent information about how the services are to be delivered use the `instructions` element." /> <alias value="Ask at order entry question" /> <alias value="AOE" /> <alias value="MedischHulpmiddel" /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.supportingInfo" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-MedicalDevice" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.supportingInfo" /> </mapping> <mapping> <identity value="v2" /> <map value="Accompanying segments" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=PERT].target" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.7" /> <comment value="MedicalDevice" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="MedicalDevice" /> </mapping> </element> <element id="ServiceRequest.specimen"> <path value="ServiceRequest.specimen" /> <short value="Procedure Samples" /> <definition value="One or more specimens that the laboratory procedure will use." /> <comment value="Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the [Specimen](specimen.html) resource points to the ServiceRequest." /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.specimen" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="v2" /> <map value="SPM" /> </mapping> <mapping> <identity value="rim" /> <map value=".participation[typeCode=SPC].role" /> </mapping> </element> <element id="ServiceRequest.bodySite"> <path value="ServiceRequest.bodySite" /> <short value="Location / ProcedureAnatomicalLocation" /> <definition value="Anatomical location which is the focus of the procedure." /> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <requirements value="Knowing where the procedure is performed is important for tracking if multiple sites are possible." /> <alias value="location" /> <alias value="Locatie" /> <alias value="VerrichtingAnatomischeLocatie" /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.bodySite" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> <profile value="https://fhir.healthdata.be/StructureDefinition/HdBe-AnatomicalLocation" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="BodySite" /> </extension> <strength value="required" /> <description value="Codes describing anatomical locations. May include laterality." /> <valueSet value="https://fhir.healthdata.be/ValueSet/Location" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="SPM" /> </mapping> <mapping> <identity value="rim" /> <map value="targetSiteCode" /> </mapping> <mapping> <identity value="quick" /> <map value="Procedure.targetBodySite" /> </mapping> <mapping> <identity value="zib-anatomicallocation-v1.0-2020EN" /> <map value="NL-CM:20.7.4" /> <comment value="Location" /> </mapping> <mapping> <identity value="HdBe-AnatomicalLocation" /> <map value="Location" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.13" /> <comment value="ProcedureAnatomicalLocation" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureAnatomicalLocation" /> </mapping> </element> <element id="ServiceRequest.note"> <path value="ServiceRequest.note" /> <short value="Comments" /> <definition value="Any other notes and comments made about the service request. For example, internal billing notes." /> <comment value="For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. *Annotations SHOULD NOT* be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible)." /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.note" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Annotation" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Act" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.note" /> </mapping> <mapping> <identity value="v2" /> <map value="NTE" /> </mapping> <mapping> <identity value="rim" /> <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]" /> </mapping> <mapping> <identity value="quick" /> <map value="ClinicalStatement.additionalText" /> </mapping> </element> <element id="ServiceRequest.patientInstruction"> <path value="ServiceRequest.patientInstruction" /> <short value="Patient or consumer-oriented instructions" /> <definition value="Instructions in terms that are understood by the patient or consumer." /> <comment value="Note that FHIR strings may not exceed 1MB in size" /> <min value="0" /> <max value="1" /> <base> <path value="ServiceRequest.patientInstruction" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="NTE" /> </mapping> <mapping> <identity value="rim" /> <map value=".text" /> </mapping> </element> <element id="ServiceRequest.relevantHistory"> <path value="ServiceRequest.relevantHistory" /> <short value="Request provenance" /> <definition value="Key events in the history of the request." /> <comment value="This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject." /> <min value="0" /> <max value="*" /> <base> <path value="ServiceRequest.relevantHistory" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="workflow" /> <map value="Request.relevantHistory" /> </mapping> <mapping> <identity value="v2" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]" /> </mapping> </element> </snapshot> <differential> <element id="ServiceRequest"> <path value="ServiceRequest" /> <short value="Procedure" /> <comment value="The CBB Procedure is mapped both to this ServiceRequest profile and a profile on Procedure (<https://fhir.healthdata.be/StructureDefinition/HdBe-Procedure-event>) to align with the intention of FHIR. All past procedures are covered using this Procedure resource, while all future procedures, including the advised procedures, are covered in the ServiceRequest resource. Both resources contain the CBB mappings. The planned and performed procedures can be linked using `Procedure.basedOn`." /> <alias value="Verrichting" /> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.1" /> <comment value="Procedure" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="Procedure" /> </mapping> </element> <element id="ServiceRequest.status"> <path value="ServiceRequest.status" /> <definition value="This element is implictly mapped to the concepts ProcedureStartDate (NL-CM:14.1.2) and ProcedureEndDate (NL-CM:14.1.3). Unless the status is explicitly recorded, the following guidance applies: * When the ProcedureStartDate is in the future, `.status` will usually be set to _active_. * When the ProcedureStartDate is in the past, `.status` will usually be set to _completed_. * When ProcedureEndDate is in the past, `.status` will usually be set to _completed_. * When a system is unable to infer the status from the ProcedureStartDate and ProcedureEndDate , `.status` will be set to _unknown_. The _unknown_ code is not to be used to convey other statuses. The _unknown_ code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the ProcedureRequest." /> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.2" /> <comment value="ProcedureStartDate (implicit, main mapping is on ServiceRequest.occurencePeriod.start and ServiceRequest.occurenceDateTime)" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureStartDate (implicit, main mapping is on ServiceRequest.OccurencePeriod.Start and ServiceRequest.OccurenceDateTime)" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.3" /> <comment value="ProcedureEndDate (implicit, main mapping is on ServiceRequest.occurencePeriod.end)" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureEndDate (implicit, main mapping is on ServiceRequest.OccurencePeriod.End)" /> </mapping> </element> <element id="ServiceRequest.intent"> <path value="ServiceRequest.intent" /> <definition value="Unless intent is explicitly recorded and a more appropriate code is known, the value can be set to _order_ because a Procedure should authorize an action for a patient, pharmacist, professional administrator et cetera." /> </element> <element id="ServiceRequest.code"> <path value="ServiceRequest.code" /> <short value="ProcedureType" /> <definition value="The name of the procedure." /> <alias value="VerrichtingType" /> <binding> <strength value="extensible" /> <valueSet value="https://fhir.healthdata.be/ValueSet/ProcedureType" /> </binding> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.4" /> <comment value="ProcedureType" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureType" /> </mapping> </element> <element id="ServiceRequest.orderDetail"> <path value="ServiceRequest.orderDetail" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="ServiceRequest.orderDetail:procedureMethod"> <path value="ServiceRequest.orderDetail" /> <sliceName value="procedureMethod" /> <short value="ProcedureMethod" /> <definition value="The method or technique that will be used to perform the procedure, e.g. approach, lavage, pressuring, ets." /> <alias value="VerrichtingMethode" /> <binding> <strength value="required" /> <valueSet value="https://fhir.healthdata.be/ValueSet/ProcedureMethod" /> </binding> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.12" /> <comment value="ProcedureMethod" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureMethod" /> </mapping> </element> <element id="ServiceRequest.occurrence[x]"> <path value="ServiceRequest.occurrence[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <short value="ProcedureStartDate / ProcedureEndDate" /> <definition value="* The (desired) start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the start of the period of a series of related procedures. * The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the end of the period of a series of related procedures. The end date element is only used for a procedures that takes some time and is then always applied. If the procedure still continues, the value is left empty. For instantaneous or very short lasting procedures the element is omitted." /> <comment value="The `.occurrencePeriod.start` and `.occurrencePeriod.end` are used for ProcedureStartDate and ProcedureEndDate if the zib Procedure concerns a period. For instantaneous or very short lasting procedures the `.occurrenceDateTime` is used." /> <alias value="VerrichtingStartDatum" /> <alias value="VerrichtingEindDatum" /> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.2" /> <comment value="ProcedureStartDate" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureStartDate" /> </mapping> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.3" /> <comment value="ProcedureEndDate" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureEndDate" /> </mapping> </element> <element id="ServiceRequest.occurrence[x]:occurrencePeriod"> <path value="ServiceRequest.occurrence[x]" /> <sliceName value="occurrencePeriod" /> <type> <code value="Period" /> </type> </element> <element id="ServiceRequest.occurrence[x]:occurrencePeriod.start"> <path value="ServiceRequest.occurrence[x].start" /> <short value="ProcedureStartDate" /> <definition value="The (desired) start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the start of the period of a series of related procedures." /> <alias value="VerrichtingStartDatum" /> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.2" /> <comment value="ProcedureStartDate" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureStartDate" /> </mapping> </element> <element id="ServiceRequest.occurrence[x]:occurrencePeriod.end"> <path value="ServiceRequest.occurrence[x].end" /> <short value="ProcedureEndDate" /> <definition value="The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the end of the period of a series of related procedures. The end date element is only used for a procedures that takes some time and is then always applied. If the procedure still continues, the value is left empty. For instantaneous or very short lasting procedures the `occurrenceDateTime` is used." /> <alias value="VerrichtingEindDatum" /> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.3" /> <comment value="ProcedureEndDate" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureEndDate" /> </mapping> </element> <element id="ServiceRequest.occurrence[x]:occurrenceDateTime"> <path value="ServiceRequest.occurrence[x]" /> <sliceName value="occurrenceDateTime" /> <short value="ProcedureStartDate" /> <definition value="The (desired) start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the start of the period of a series of related procedures." /> <alias value="VerrichtingStartDatum" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.2" /> <comment value="ProcedureStartDate" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureStartDate" /> </mapping> </element> <element id="ServiceRequest.requester"> <path value="ServiceRequest.requester" /> <short value="Requester" /> <definition value="The health professional who requested the procedure." /> <alias value="Aanvrager" /> <type> <code value="Reference" /> <profile value="https://fhir.healthdata.be/StructureDefinition/pattern-HealthProfessionalReference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-PractitionerRole" /> </type> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.10" /> <comment value="Requester" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="Requester" /> </mapping> </element> <element id="ServiceRequest.performer"> <path value="ServiceRequest.performer" /> <short value="Performer" /> <definition value="The healthcare professional who carried out or will carry out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare professional." /> <comment value="If multiple performers are present, it is interpreted as a list of *alternative* performers without any preference regardless of order. This deviates from the CBB definition where multiple references to the Healthprofessional should be interperted as all the performers of the procedure. If order of preference is needed use the [request-performerOrder extension](extension-request-performerorder.html). Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B)." /> <alias value="Uitvoerder" /> <type> <code value="Reference" /> <profile value="https://fhir.healthdata.be/StructureDefinition/pattern-HealthProfessionalReference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-PractitionerRole" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-CareTeam" /> </type> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.6" /> <comment value="Performer" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="Performer" /> </mapping> </element> <element id="ServiceRequest.locationReference"> <path value="ServiceRequest.locationReference" /> <short value="Location" /> <definition value="The healthcare organization where the procedure was, is or will be carried out." /> <alias value="Locatie" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-HealthcareOrganization" /> </type> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.5" /> <comment value="Location" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="Location" /> </mapping> </element> <element id="ServiceRequest.reasonReference"> <path value="ServiceRequest.reasonReference" /> <short value="Indication" /> <definition value="The indication is the reason for the procedure." /> <alias value="Indicatie" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-Problem" /> </type> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.9" /> <comment value="Indication" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="Indication" /> </mapping> </element> <element id="ServiceRequest.supportingInfo"> <path value="ServiceRequest.supportingInfo" /> <short value="MedicalDevice" /> <definition value="The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant." /> <alias value="MedischHulpmiddel" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-MedicalDevice" /> </type> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.7" /> <comment value="MedicalDevice" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="MedicalDevice" /> </mapping> </element> <element id="ServiceRequest.bodySite"> <path value="ServiceRequest.bodySite" /> <short value="Location / ProcedureAnatomicalLocation" /> <definition value="Anatomical location which is the focus of the procedure." /> <alias value="VerrichtingAnatomischeLocatie" /> <max value="1" /> <type> <code value="CodeableConcept" /> <profile value="https://fhir.healthdata.be/StructureDefinition/HdBe-AnatomicalLocation" /> </type> <binding> <strength value="required" /> <valueSet value="https://fhir.healthdata.be/ValueSet/Location" /> </binding> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <map value="NL-CM:14.1.13" /> <comment value="ProcedureAnatomicalLocation" /> </mapping> <mapping> <identity value="HdBe-Procedure" /> <map value="ProcedureAnatomicalLocation" /> </mapping> </element> </differential> </StructureDefinition>