{ "resourceType": "StructureDefinition", "id": "digidot-ServiceRequest-no", "url": "https://novari.no/fhir/digidot/StructureDefinition/digidot-ServiceRequest-no", "version": "0.4.2-test", "name": "DigidotServiceRequestNo", "title": "DigiDOT ServiceRequest (NO)", "status": "draft", "date": "2026-09-08", "publisher": "Novari AS - DigiDOT", "description": "A planned dental service or a general dental recall plan. General recall may omit code and specify a recurring interval. When code is supplied it carries one or two compatible planned-Situation codings.", "purpose": "Use for clinical treatment requests and general recall plans. General recall is identified by category dental-recall and requested timing; no artificial SNOMED procedure code is required. Specific treatment, diagnostic and follow-up requests require a planned service code. Appointment schedules individual attendance; an ongoing recurring recall plan is not completed by one appointment.", "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "ServiceRequest", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "derivation": "constraint", "snapshot": { "element": [ { "id": "ServiceRequest", "path": "ServiceRequest", "short": "Planned, proposed or ordered dental service", "definition": "One planned, proposed or ordered dental service, including a specialist referral. Appointment schedules it, Encounter records care that actually happened, and Procedure or Observation records clinical actions/results. These resources retain independent identities and lifecycle states.", "alias": [ "diagnostic request", "referral", "referral request", "transfer of care request" ], "min": 0, "max": "*", "base": { "path": "ServiceRequest", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-3", "severity": "error", "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource", "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()", "xpath": "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." } ], "key": "dom-6", "severity": "warning", "human": "A resource should have narrative for robust management", "expression": "text.div.exists()", "xpath": "exists(f:text/h:div)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-5", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a security label", "expression": "contained.meta.security.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:security))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "prr-1", "severity": "error", "human": "orderDetail SHALL only be present if code is present", "expression": "orderDetail.empty() or code.exists()", "xpath": "exists(f:code) or not(exists(f:orderDetail))", "source": "http://hl7.org/fhir/StructureDefinition/ServiceRequest" }, { "key": "digidot-sr-recall-occurrence", "severity": "error", "human": "A ServiceRequest with category dental-recall SHALL have occurrence[x] to express the recall due date, due window or cadence. The exact booked time belongs on Appointment.", "expression": "category.coding.where(system = 'https://novari.no/fhir/digidot/CodeSystem/digidot-service-request-category' and code = 'dental-recall').empty() or occurrence.exists()", "source": "https://novari.no/fhir/digidot/StructureDefinition/digidot-ServiceRequest-no" }, { "key": "digidot-sr-recall-plan", "severity": "warning", "human": "A ServiceRequest with category dental-recall SHOULD normally use intent = plan.", "expression": "category.coding.where(system = 'https://novari.no/fhir/digidot/CodeSystem/digidot-service-request-category' and code = 'dental-recall').empty() or intent = 'plan'", "source": "https://novari.no/fhir/digidot/StructureDefinition/digidot-ServiceRequest-no" }, { "key": "servicerequest-anatomy-same-release", "severity": "error", "human": "When bodySite is populated, SNOMED CT clinical codings use the same release as the inline anatomical value.", "expression": "bodySite.empty() or code.coding.where(system = 'http://snomed.info/sct').all(version = 'http://snomed.info/sct/51000202101/version/20260715')", "source": "https://novari.no/fhir/digidot/StructureDefinition/digidot-ServiceRequest-no" }, { "key": "digidot-sr-specific-service-code", "severity": "error", "human": "Only general dental recall may omit the clinical service code. Treatment, diagnostic and specific follow-up requests require code.", "expression": "category.coding.where(system = 'https://novari.no/fhir/digidot/CodeSystem/digidot-service-request-category' and code = 'dental-recall').exists() or code.exists()", "source": "https://novari.no/fhir/digidot/StructureDefinition/digidot-ServiceRequest-no" }, { "key": "digidot-sr-uncoded-recall-anatomy", "severity": "error", "human": "An uncoded general recall does not specify a tooth or anatomical target; targeted services require code.", "expression": "code.exists() or bodySite.empty()", "source": "https://novari.no/fhir/digidot/StructureDefinition/digidot-ServiceRequest-no" }, { "key": "digidot-sr-recall-cadence", "severity": "error", "human": "A recurring recall Timing must identify its first due date and recurrence frequency, period and unit.", "expression": "category.coding.where(system = 'https://novari.no/fhir/digidot/CodeSystem/digidot-service-request-category' and code = 'dental-recall').empty() or occurrence.ofType(Timing).empty() or (occurrence.ofType(Timing).repeat.bounds.ofType(Period).start.exists() and occurrence.ofType(Timing).repeat.frequency.exists() and occurrence.ofType(Timing).repeat.period.exists() and occurrence.ofType(Timing).repeat.periodUnit.exists())", "source": "https://novari.no/fhir/digidot/StructureDefinition/digidot-ServiceRequest-no" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "workflow", "map": "Request" }, { "identity": "v2", "map": "ORC" }, { "identity": "rim", "map": "Act[moodCode<=INT]" } ] }, { "id": "ServiceRequest.id", "path": "ServiceRequest.id", "short": "Logical id of this artifact", "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "code": "id" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ServiceRequest.meta", "path": "ServiceRequest.meta", "short": "Metadata about the resource", "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.implicitRules", "path": "ServiceRequest.implicitRules", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "The Central Storage representation follows the published DigiDOT profile, terminology release and exchange documentation. It does not use resource-specific implicit rules.", "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.", "min": 0, "max": "0", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ServiceRequest.language", "path": "ServiceRequest.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" } ], "strength": "preferred", "description": "A human language.", "valueSet": "http://hl7.org/fhir/ValueSet/languages" }, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ServiceRequest.text", "path": "ServiceRequest.text", "short": "Text summary of the resource, for human interpretation", "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "Act.text?" } ] }, { "id": "ServiceRequest.contained", "path": "ServiceRequest.contained", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "Relevant resources must have their own FHIR identity, provenance, version history and searchable references in Central Storage.", "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "0", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.extension", "path": "ServiceRequest.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "No root extensions in the current draft", "definition": "No named and governed ServiceRequest extension is in scope. A future extension requires a documented dental use case, a named and governed definition, and an explicit profile change.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "0", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.modifierExtension", "path": "ServiceRequest.modifierExtension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "No modifier extensions in the current draft", "definition": "Modifier extensions can alter the meaning of a ServiceRequest. None is defined for the current DigiDOT scope.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content" ], "min": 0, "max": "0", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.identifier", "path": "ServiceRequest.identifier", "short": "Stable source business identifiers", "definition": "At least one stable, complete business identifier for this request. Use the source namespace and value, or a governed integration-assigned identity when the source has none. Preserve the mapping across re-imports. Different organisations and different requests retain distinct identities; do not use one shared episode identifier as their resource identity.", "comment": "The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.", "min": 1, "max": "*", "base": { "path": "ServiceRequest.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - 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]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "workflow", "map": "Request.identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "ORC.2, ORC.3, RF1-6 / RF1-11," }, { "identity": "rim", "map": ".identifier" }, { "identity": "quick", "map": "ClinicalStatement.identifier" } ] }, { "id": "ServiceRequest.identifier.id", "path": "ServiceRequest.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "_code": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type", "valueString": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type", "valueString": "xsd:string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type", "valueString": "xsd:string" } ] } } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ServiceRequest.identifier.extension", "path": "ServiceRequest.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.identifier.use", "path": "ServiceRequest.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "The purpose of this identifier.", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.0" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ServiceRequest.identifier.type", "path": "ServiceRequest.identifier.type", "short": "Description of identifier", "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ServiceRequest.identifier.system", "path": "ServiceRequest.identifier.system", "short": "The namespace for the identifier value", "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.", "comment": "Identifier.system is always case sensitive.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 1, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "ServiceRequest.identifier.value", "path": "ServiceRequest.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 1, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "ServiceRequest.identifier.period", "path": "ServiceRequest.identifier.period", "short": "Time period when id is/was valid for use", "definition": "Time period during which identifier is/was valid for use.", "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "ServiceRequest.identifier.assigner", "path": "ServiceRequest.identifier.assigner", "short": "Organization that issued id (may be just text)", "definition": "Organization that issued/manages the identifier.", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "ServiceRequest.instantiatesCanonical", "path": "ServiceRequest.instantiatesCanonical", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No ActivityDefinition or PlanDefinition instantiation model is agreed for the current dental planning scope.", "comment": "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": 0, "max": "0", "base": { "path": "ServiceRequest.instantiatesCanonical", "min": 0, "max": "*" }, "type": [ { "code": "canonical", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ActivityDefinition", "http://hl7.org/fhir/StructureDefinition/PlanDefinition" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Request.instantiatesCanonical" }, { "identity": "v2", "map": "Varies by domain" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target" } ] }, { "id": "ServiceRequest.instantiatesUri", "path": "ServiceRequest.instantiatesUri", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No external protocol-instantiation model is agreed for the current dental planning scope.", "comment": "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.", "min": 0, "max": "0", "base": { "path": "ServiceRequest.instantiatesUri", "min": 0, "max": "*" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Request.instantiatesUri" }, { "identity": "v2", "map": "Varies by domain" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target" } ] }, { "id": "ServiceRequest.basedOn", "path": "ServiceRequest.basedOn", "short": "Higher-level dental request that this request fulfils or refines", "definition": "Use basedOn only when this ServiceRequest fulfils or refines another DigiDOT ServiceRequest. Do not use it to link a performed procedure; the Procedure points back with Procedure.basedOn. If the source records this request relationship, it shall be populated.", "comment": "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": [ "fulfills" ], "min": 0, "max": "*", "base": { "path": "ServiceRequest.basedOn", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-ServiceRequest-no" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Request.basedOn" }, { "identity": "v2", "map": "ORC.8 (plus others)" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=FLFS].target" } ] }, { "id": "ServiceRequest.replaces", "path": "ServiceRequest.replaces", "short": "Previous dental request that this request replaces", "definition": "A previous request superseded by this request. Preserve the old identity and history. A superseded unfulfilled request is normally revoked; completed means its requested service was actually fulfilled. Do not mark it completed merely because a replacement exists.", "comment": "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": [ "supersedes", "prior", "renewed order" ], "min": 0, "max": "*", "base": { "path": "ServiceRequest.replaces", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-ServiceRequest-no" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Request.replaces" }, { "identity": "v2", "map": "Handled by message location of ORC (ORC.1=RO or RU)" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=RPLC].target" } ] }, { "id": "ServiceRequest.requisition", "path": "ServiceRequest.requisition", "short": "Composite source request identifier when available", "definition": "Use requisition only when the source EHR has a stable composite identifier that groups related requested services. It does not replace the individual ServiceRequest.identifier and does not create an additional clinical-plan model.", "comment": "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.", "requirements": "Some business processes need to know if multiple items were ordered as part of the same \"requisition\" for billing or other purposes.", "alias": [ "grouperId", "groupIdentifier" ], "min": 0, "max": "1", "base": { "path": "ServiceRequest.requisition", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - 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]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "workflow", "map": "Request.groupIdentifier" }, { "identity": "v2", "map": "ORC.4" }, { "identity": "rim", "map": ".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier" } ] }, { "id": "ServiceRequest.status", "path": "ServiceRequest.status", "short": "Lifecycle status of the plan or request", "definition": "Lifecycle of this request. Use completed when the requested service has been fulfilled; sending a referral, booking a time, administrative closure or finishing one contact does not by itself fulfil it. Use revoked for withdrawal/cancellation before fulfilment and on-hold for a paused request. Define fulfilment against the requested scope; assessment-only and assessment-plus-treatment requests may complete at different stages.", "comment": "The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](event.html) for general discussion) or using the [Task](task.html) resource.", "min": 1, "max": "1", "base": { "path": "ServiceRequest.status", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": true, "isModifierReason": "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": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ServiceRequestStatus" } ], "strength": "required", "description": "The status of a service order.", "valueSet": "http://hl7.org/fhir/ValueSet/request-status|4.0.0" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Request.status" }, { "identity": "w5", "map": "FiveWs.status" }, { "identity": "v2", "map": "ORC.5,RF1-1" }, { "identity": "rim", "map": ".status" }, { "identity": "quick", "map": "Action.currentStatus" } ] }, { "id": "ServiceRequest.intent", "path": "ServiceRequest.intent", "short": "Request intent", "definition": "Use intent to distinguish a proposal, plan or order. Use proposal for a suggested service that has not yet become an agreed plan or order. For a normal local dental care plan, use plan. A dental-recall ServiceRequest normally uses plan. Use order only when the source represents an actual order to another performer or service. Technical FHIR ordering intents are not used in the current DigiDOT draft.", "comment": "This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.", "min": 1, "max": "1", "base": { "path": "ServiceRequest.intent", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": true, "isModifierReason": "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": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ServiceRequestIntent" } ], "strength": "required", "description": "Use proposal, plan or order according to the DigiDOT ServiceRequest intent ValueSet.", "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-service-request-intent" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Request.intent" }, { "identity": "w5", "map": "FiveWs.class" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)" } ] }, { "id": "ServiceRequest.category", "path": "ServiceRequest.category", "short": "DigiDOT workflow category for the planned service", "definition": "Required request category. dental-recall identifies general periodic dental examinations, for which code is optional. dental-treatment, dental-diagnostic and dental-follow-up identify specific services and require code. Do not label targeted treatment as recall to omit its clinical code.", "comment": "There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set.", "requirements": "Used for filtering what service request are retrieved and displayed.", "min": 1, "max": "1", "base": { "path": "ServiceRequest.category", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ServiceRequestCategory" } ], "strength": "required", "description": "Classification of the requested service.", "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-service-request-category" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "w5", "map": "FiveWs.class" }, { "identity": "v2", "map": "RF1-5" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"INT\"].code" } ] }, { "id": "ServiceRequest.category.id", "path": "ServiceRequest.category.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "_code": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type", "valueString": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type", "valueString": "xsd:string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type", "valueString": "xsd:string" } ] } } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ServiceRequest.category.extension", "path": "ServiceRequest.category.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "No extensions on the workflow category", "definition": "The category is represented by one canonical coding from the DigiDOT ServiceRequest Category ValueSet. Extensions are not used in the current draft.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "0", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.category.coding", "path": "ServiceRequest.category.coding", "short": "Canonical DigiDOT workflow category coding", "definition": "Use exactly one coding with system https://novari.no/fhir/digidot/CodeSystem/digidot-service-request-category and one code from the DigiDOT ServiceRequest Category ValueSet. A display or source text may be included, but it is not the clinical planned-service name.", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 1, "max": "1", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ServiceRequest.category.coding.id", "path": "ServiceRequest.category.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "_code": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type", "valueString": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type", "valueString": "xsd:string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type", "valueString": "xsd:string" } ] } } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ServiceRequest.category.coding.extension", "path": "ServiceRequest.category.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "No extensions on the workflow category coding", "definition": "The workflow category is represented directly by the governed DigiDOT coding. Extensions are not used in the current draft.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "0", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.category.coding.system", "path": "ServiceRequest.category.coding.system", "short": "DigiDOT ServiceRequest Category CodeSystem", "definition": "Use the fixed DigiDOT ServiceRequest category CodeSystem. It distinguishes the workflow purpose of the request and is separate from the clinical SNOMED CT concept in ServiceRequest.code.", "comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 1, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "fixedUri": "https://novari.no/fhir/digidot/CodeSystem/digidot-service-request-category", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ServiceRequest.category.coding.version", "path": "ServiceRequest.category.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ServiceRequest.category.coding.code", "path": "ServiceRequest.category.coding.code", "short": "DigiDOT workflow category code", "definition": "Select one code from the DigiDOT ServiceRequest Category ValueSet: dental-recall, dental-treatment, dental-diagnostic or dental-follow-up. The category must match the request purpose and must not be used as the clinical procedure code.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 1, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ServiceRequest.category.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ServiceRequest.category.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "ServiceRequest.category.coding.userSelected", "path": "ServiceRequest.category.coding.userSelected", "short": "Not used for the workflow category", "definition": "The DigiDOT workflow category is the agreed exchange representation. userSelected is not used in the current draft.", "comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "0", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "ServiceRequest.category.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ServiceRequest.category.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ServiceRequest.priority", "path": "ServiceRequest.priority", "short": "Clinical priority of the requested service when known", "definition": "Use the standard FHIR priority when the source records a clinically relevant priority for the requested service. Do not infer priority from appointment availability or administrative scheduling.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "ServiceRequest.priority", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "meaningWhenMissing": "If missing, this task should be performed with normal priority", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ServiceRequestPriority" } ], "strength": "required", "description": "Identifies the level of importance to be assigned to actioning the request.", "valueSet": "http://hl7.org/fhir/ValueSet/request-priority|4.0.0" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Request.priority" }, { "identity": "w5", "map": "FiveWs.grade" }, { "identity": "v2", "map": "TQ1.9, RF1-2" }, { "identity": "rim", "map": ".priorityCode" } ] }, { "id": "ServiceRequest.doNotPerform", "path": "ServiceRequest.doNotPerform", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "The current dental planning model uses ServiceRequest.status = revoked for a cancelled request. No separate do-not-perform workflow has been agreed.", "comment": "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": "Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc.", "min": 0, "max": "0", "base": { "path": "ServiceRequest.doNotPerform", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "meaningWhenMissing": "If missing, the request is a positive request e.g. \"do perform\"", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "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": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Request.doNotPerform" }, { "identity": "rim", "map": ".actionNegationInd" } ] }, { "id": "ServiceRequest.code", "path": "ServiceRequest.code", "short": "Planned service; optional for general recall", "definition": "Optional for a general dental examination recall identified by category dental-recall and occurrence[x]. Required for specific treatment, diagnostic or follow-up services. When supplied, use a planned Situation as SCTpre, SCTpost or both compatible representations; the coding array remains 1..2 within this optional element.", "comment": "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": [ "service requested" ], "min": 0, "max": "1", "base": { "path": "ServiceRequest.code", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ServiceRequestCode" } ], "strength": "required", "description": "Both accepted coding paths must describe a planned procedure Situation. Membership and the specific associated procedure require terminology validation.", "valueSet": "https://novari.no/fhir/digidot/ValueSet/planned-procedure-situations" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Request.code" }, { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "v2", "map": "PR1-3 / OBR-4 (varies by domain)" }, { "identity": "rim", "map": ".code" }, { "identity": "quick", "map": "Procedure.procedureCode" } ] }, { "id": "ServiceRequest.code.id", "path": "ServiceRequest.code.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "_code": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type", "valueString": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type", "valueString": "xsd:string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type", "valueString": "xsd:string" } ] } } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ServiceRequest.code.extension", "path": "ServiceRequest.code.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "No extensions on the planned service code", "definition": "Additional clinical precision is represented by the agreed SCTpost coding in ServiceRequest.code.coding. Extensions on ServiceRequest.code are not used in the current DigiDOT draft.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "0", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.code.coding", "path": "ServiceRequest.code.coding", "slicing": { "discriminator": [ { "type": "profile", "path": "$this" } ], "rules": "closed" }, "short": "One planned pre coding, one planned post expression, or both", "definition": "At least one coding is required, with at most one SCTpre and at most one SCTpost. Both may be supplied. They must describe the same requested service and planned context without conflicting anatomy; a postcoordinated expression may supply additional compatible precision. Validate semantic consistency through the terminology contract.", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 1, "max": "2", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ServiceRequest.code.coding:SCTpre", "path": "ServiceRequest.code.coding", "sliceName": "SCTpre", "short": "Precoordinated planned Situation", "definition": "A numeric SNOMED CT Situation concept whose meaning includes both the requested procedure and Planned context. Generic Planned procedure alone is not specific enough. Any known anatomy must match the concept definition.", "comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding", "profile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-Coding-SCTpre-no" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "binding": { "strength": "required", "valueSet": "https://novari.no/fhir/digidot/ValueSet/planned-procedure-situations" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ServiceRequest.code.coding:SCTpost", "path": "ServiceRequest.code.coding", "sliceName": "SCTpost", "short": "Complete postcoordinated planned Situation", "definition": "A Situation expression with Procedure context = 397943006 |Planned| and the requested Procedure in Associated procedure. Use the approved Procedure-with-explicit-context template. Nest anatomical refinements inside Associated procedure, not on the outer Situation. Match all bodySite groups. Validate terminology, MRCM, procedure meaning and anatomical equivalence.", "comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding", "profile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-Coding-SCTpost-no" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "binding": { "strength": "required", "valueSet": "https://novari.no/fhir/digidot/ValueSet/planned-procedure-situations" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ServiceRequest.code.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ServiceRequest.code.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ServiceRequest.orderDetail", "path": "ServiceRequest.orderDetail", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No governed DigiDOT order-detail terminology or EHR mapping is agreed. Use the planned clinical service code, structured anatomy, linked reason and limited note instead.", "comment": "For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element.", "alias": [ "detailed instructions" ], "min": 0, "max": "0", "base": { "path": "ServiceRequest.orderDetail", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1", "prr-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "OrderDetail" } ], "strength": "example", "description": "Codified order entry details which are based on order context.", "valueSet": "http://hl7.org/fhir/ValueSet/servicerequest-orderdetail" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "NTE" }, { "identity": "rim", "map": ".code" }, { "identity": "quick", "map": "Procedure.procedureCode" } ] }, { "id": "ServiceRequest.quantity[x]", "path": "ServiceRequest.quantity[x]", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "One DigiDOT ServiceRequest represents one planned service. Multiple planned services should be represented by separate ServiceRequest resources with explicit relationships when needed. No quantity model is agreed for the current dental scope.", "requirements": "When ordering a service the number of service items may need to be specified separately from the the service item.", "min": 0, "max": "0", "base": { "path": "ServiceRequest.quantity[x]", "min": 0, "max": "1" }, "type": [ { "code": "Quantity" }, { "code": "Ratio" }, { "code": "Range" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "NTE" }, { "identity": "rim", "map": ".quantity" } ] }, { "id": "ServiceRequest.subject", "path": "ServiceRequest.subject", "short": "Patient the dental service is planned for", "definition": "Reference the no-basis Patient who is the subject of the planned or requested dental service. External data must be mapped to this agreed patient representation before it becomes a canonical DigiDOT ServiceRequest in Central Storage.", "comment": "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": 1, "max": "1", "base": { "path": "ServiceRequest.subject", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.no/fhir/StructureDefinition/no-basis-Patient" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Request.subject" }, { "identity": "w5", "map": "FiveWs.subject[x]" }, { "identity": "v2", "map": "PID" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role" }, { "identity": "quick", "map": "ClinicalStatement.subject" }, { "identity": "w5", "map": "FiveWs.subject" } ] }, { "id": "ServiceRequest.encounter", "path": "ServiceRequest.encounter", "short": "Dental contact in which the request was created", "definition": "The contact providing the context in which this request was made. Preserve this originating link. Later assessment, treatment and follow-up contacts reference the request through Encounter.basedOn; never overwrite this field with the most recent fulfilling contact.", "comment": "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": [ "context" ], "min": 0, "max": "1", "base": { "path": "ServiceRequest.encounter", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-Encounter-no" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Request.encounter" }, { "identity": "w5", "map": "FiveWs.context" }, { "identity": "v2", "map": "PV1" }, { "identity": "rim", "map": ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]" }, { "identity": "quick", "map": "ClinicalStatement.encounter" } ] }, { "id": "ServiceRequest.occurrence[x]", "path": "ServiceRequest.occurrence[x]", "short": "Requested timing, due window or cadence for the planned service.", "definition": "For ongoing general recall, use occurrenceTiming.repeat with frequency 1, period equal to the assessed interval, periodUnit (for example mo) and boundsPeriod.start identifying the first due date. Each Appointment schedules an occurrence and does not complete the ongoing plan. occurrenceDateTime or occurrencePeriod may represent an explicitly single recall request. Reassess or stop the plan when the clinical recall decision changes; do not create overlapping annual requests in addition to one recurring plan.", "alias": [ "schedule" ], "min": 0, "max": "1", "base": { "path": "ServiceRequest.occurrence[x]", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" }, { "code": "Period" }, { "code": "Timing" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Request.occurrence[x]" }, { "identity": "w5", "map": "FiveWs.planned" }, { "identity": "v2", "map": "TQ1/TQ2, OBR-7/OBR-8" }, { "identity": "rim", "map": ".effectiveTime" }, { "identity": "quick", "map": "Procedure.procedureSchedule" } ] }, { "id": "ServiceRequest.asNeeded[x]", "path": "ServiceRequest.asNeeded[x]", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No agreed dental as-needed planning model or terminology is defined. Use occurrence[x], linked clinical reason and ServiceRequest.status for the current request workflow.", "min": 0, "max": "0", "base": { "path": "ServiceRequest.asNeeded[x]", "min": 0, "max": "1" }, "type": [ { "code": "boolean" }, { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProcedureAsNeededReason" } ], "strength": "example", "description": "A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example \"pain\", \"on flare-up\", etc.", "valueSet": "http://hl7.org/fhir/ValueSet/medication-as-needed-reason" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code=\"Assertion\"].value" }, { "identity": "quick", "map": "Proposal.prnReason.reason" } ] }, { "id": "ServiceRequest.authoredOn", "path": "ServiceRequest.authoredOn", "short": "Date or time when the request was authored", "definition": "When the request became actionable (for example when an order was authorised). Preserve the source meaning and precision. Draft creation, later editing, import, booked time and digital attestation are separate facts; do not substitute their timestamps automatically.", "alias": [ "orderedOn" ], "min": 0, "max": "1", "base": { "path": "ServiceRequest.authoredOn", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Request.authoredOn" }, { "identity": "w5", "map": "FiveWs.recorded" }, { "identity": "v2", "map": "ORC.9, RF1-7 / RF1-9" }, { "identity": "rim", "map": ".participation[typeCode=AUT].time" }, { "identity": "quick", "map": "Proposal.proposedAtTime" } ] }, { "id": "ServiceRequest.requester", "path": "ServiceRequest.requester", "short": "Person or organisation that requested the dental service", "definition": "Use a literal reference to a no-basis Practitioner resource when the actor is an individual practitioner. Identifier-only HPR/FNR references are not permitted. Official practitioner identifiers belong on the referenced Practitioner resource. Other explicitly allowed resource target types retain their own clinical responsibility.", "comment": "This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource.", "alias": [ "author", "orderer" ], "min": 0, "max": "1", "base": { "path": "ServiceRequest.requester", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner", "http://hl7.no/fhir/StructureDefinition/no-basis-PractitionerRole", "http://hl7.no/fhir/StructureDefinition/no-basis-Organization", "http://hl7.no/fhir/StructureDefinition/no-basis-Patient", "http://hl7.no/fhir/StructureDefinition/no-basis-RelatedPerson" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Request.requester" }, { "identity": "w5", "map": "FiveWs.author" }, { "identity": "v2", "map": "ORC.12, PRT" }, { "identity": "rim", "map": ".participation[typeCode=AUT].role" }, { "identity": "quick", "map": "ClinicalStatement.statementAuthor" } ] }, { "id": "ServiceRequest.requester.id", "path": "ServiceRequest.requester.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "_code": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type", "valueString": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type", "valueString": "xsd:string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type", "valueString": "xsd:string" } ] } } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ServiceRequest.requester.extension", "path": "ServiceRequest.requester.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.requester.reference", "path": "ServiceRequest.requester.reference", "short": "Literal reference, Relative, internal or absolute URL", "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 1, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.requester.type", "path": "ServiceRequest.requester.type", "short": "Type the reference refers to (e.g. \"Patient\")", "definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.requester.identifier", "path": "ServiceRequest.requester.identifier", "short": "Logical reference, when literal reference is not known", "definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min": 0, "max": "0", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - 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]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "ServiceRequest.requester.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ServiceRequest.requester.display", "short": "Text alternative for the resource", "definition": "Plain text narrative that identifies the resource in addition to the resource reference.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.performerType", "path": "ServiceRequest.performerType", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "The current draft has no governed performer-type terminology. Use a constrained performer reference when a preferred individual, role, organisation or healthcare service is known.", "comment": "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": [ "specialty" ], "min": 0, "max": "0", "base": { "path": "ServiceRequest.performerType", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ServiceRequestParticipantRole" } ], "strength": "example", "description": "Indicates specific responsibility of an individual within the care team, such as \"Primary physician\", \"Team coordinator\", \"Caregiver\", etc.", "valueSet": "http://hl7.org/fhir/ValueSet/participant-role" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Request.performerType" }, { "identity": "w5", "map": "FiveWs.actor" }, { "identity": "v2", "map": "PRT, RF!-3" }, { "identity": "rim", "map": ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code" } ] }, { "id": "ServiceRequest.performer", "path": "ServiceRequest.performer", "short": "Preferred performer or service for the planned dental work", "definition": "Use a literal reference to a no-basis Practitioner resource when the actor is an individual practitioner. Identifier-only HPR/FNR references are not permitted. Official practitioner identifiers belong on the referenced Practitioner resource. Other explicitly allowed resource target types retain their own clinical responsibility.", "comment": "If multiple performers are present, it is interpreted as a list of *alternative* performers without any preference regardless of order. If order of preference is needed use the [request-performerOrder extension](extension-request-performerorder.html). Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B).", "alias": [ "request recipient" ], "min": 0, "max": "*", "base": { "path": "ServiceRequest.performer", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner", "http://hl7.no/fhir/StructureDefinition/no-basis-PractitionerRole", "http://hl7.no/fhir/StructureDefinition/no-basis-Organization", "http://hl7.no/fhir/StructureDefinition/no-basis-HealthcareService" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Request.performer" }, { "identity": "w5", "map": "FiveWs.actor" }, { "identity": "v2", "map": "PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT" }, { "identity": "rim", "map": ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]" } ] }, { "id": "ServiceRequest.performer.id", "path": "ServiceRequest.performer.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "_code": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type", "valueString": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type", "valueString": "xsd:string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type", "valueString": "xsd:string" } ] } } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ServiceRequest.performer.extension", "path": "ServiceRequest.performer.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.performer.reference", "path": "ServiceRequest.performer.reference", "short": "Literal reference, Relative, internal or absolute URL", "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 1, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.performer.type", "path": "ServiceRequest.performer.type", "short": "Type the reference refers to (e.g. \"Patient\")", "definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.performer.identifier", "path": "ServiceRequest.performer.identifier", "short": "Logical reference, when literal reference is not known", "definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min": 0, "max": "0", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - 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]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "ServiceRequest.performer.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ServiceRequest.performer.display", "short": "Text alternative for the resource", "definition": "Plain text narrative that identifies the resource in addition to the resource reference.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ServiceRequest.locationCode", "path": "ServiceRequest.locationCode", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No governed DigiDOT location-code terminology is agreed. Use locationReference to the agreed no-basis Location when a requested place is known.", "comment": "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": 0, "max": "0", "base": { "path": "ServiceRequest.locationCode", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ServiceRequestLocation" } ], "strength": "example", "description": "A location type where services are delivered.", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "w5", "map": "FiveWs.actor" }, { "identity": "rim", "map": ".participation[typeCode=LOC].role[scoper.determinerCode=KIND].code" } ] }, { "id": "ServiceRequest.locationReference", "path": "ServiceRequest.locationReference", "short": "Requested location for the dental service", "definition": "Use locationReference when the request identifies a clinic, room or other Location where the service is expected to occur. Do not use it as a replacement for the actual Procedure.location or Encounter.location.", "comment": "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": 0, "max": "*", "base": { "path": "ServiceRequest.locationReference", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.no/fhir/StructureDefinition/no-basis-Location" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "w5", "map": "FiveWs.actor" }, { "identity": "rim", "map": ".participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]" } ] }, { "id": "ServiceRequest.reasonCode", "path": "ServiceRequest.reasonCode", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No governed DigiDOT coded-reason terminology is agreed. Use reasonReference to a relevant DigiDOT Condition or Observation when a structured clinical reason is needed.", "comment": "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": 0, "max": "0", "base": { "path": "ServiceRequest.reasonCode", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ServiceRequestReason" } ], "strength": "example", "description": "Diagnosis or problem codes justifying the reason for requesting the service investigation.", "valueSet": "http://hl7.org/fhir/ValueSet/procedure-reason" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Request.reasonCode" }, { "identity": "w5", "map": "FiveWs.why[x]" }, { "identity": "v2", "map": "ORC.16, RF1-10" }, { "identity": "rim", "map": ".reasonCode" } ] }, { "id": "ServiceRequest.reasonReference", "path": "ServiceRequest.reasonReference", "short": "Clinical finding or observation that justifies the request", "definition": "Use reasonReference when a clinically significant DigiDOT Condition or supporting DigiDOT Observation justifies the planned service. A routine recall may have no clinical reason reference. Do not use reasonReference to repeat general patient context that belongs in supportingInfo.", "comment": "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).", "min": 0, "max": "*", "base": { "path": "ServiceRequest.reasonReference", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-Condition-no", "https://novari.no/fhir/digidot/StructureDefinition/digidot-Observation-no" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Request.reasonReference" }, { "identity": "w5", "map": "FiveWs.why[x]" }, { "identity": "v2", "map": "ORC.16" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=RSON].target" } ] }, { "id": "ServiceRequest.insurance", "path": "ServiceRequest.insurance", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "Coverage, payment route, reimbursement and claim information belong in the financial model, not in the clinical planning request.", "comment": "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": 0, "max": "0", "base": { "path": "ServiceRequest.insurance", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Coverage", "http://hl7.org/fhir/StructureDefinition/ClaimResponse" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Request.insurance" }, { "identity": "v2", "map": "IN1/IN2" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COVBY].target" } ] }, { "id": "ServiceRequest.supportingInfo", "path": "ServiceRequest.supportingInfo", "short": "Selected context that directly affects the planned dental service", "definition": "Selected information relevant to this request. In DigiDOT, an EpisodeOfCare reference identifies a source care-responsibility episode from which this request arises; include the specifically selected episode(s), especially for referrals and when the originating contact has several episodes. Do not copy every episode on that contact or append the receiving organisation episode retrospectively. Other permitted resource types carry relevant clinical or patient-safety context, not a duplicate patient history. References must be resolved and checked for the same patient.", "comment": "To represent information about how the services are to be delivered use the `instructions` element.", "alias": [ "Ask at order entry question", "AOE" ], "min": 0, "max": "*", "base": { "path": "ServiceRequest.supportingInfo", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-EpisodeOfCare-no", "http://hl7.no/fhir/StructureDefinition/no-basis-AllergyIntolerance", "https://novari.no/fhir/digidot/StructureDefinition/digidot-Condition-no", "https://novari.no/fhir/digidot/StructureDefinition/digidot-Observation-no", "http://hl7.org/fhir/StructureDefinition/Flag", "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "http://ehelse.no/fhir/StructureDefinition/sfm-lib-List", "http://ehelse.no/fhir/StructureDefinition/sfm-MedicationStatement", "http://hl7.org/fhir/StructureDefinition/DeviceUseStatement", "http://hl7.org/fhir/StructureDefinition/Consent", "http://hl7.org/fhir/StructureDefinition/DocumentReference", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/ImagingStudy", "http://hl7.org/fhir/StructureDefinition/Composition" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Request.supportingInfo" }, { "identity": "v2", "map": "Accompanying segments" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=PERT].target" } ] }, { "id": "ServiceRequest.specimen", "path": "ServiceRequest.specimen", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No specimen workflow, terminology or EHR mapping is agreed for the current public dental-service scope.", "comment": "Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the [Specimen](specimen.html) resource points to the ServiceRequest.", "min": 0, "max": "0", "base": { "path": "ServiceRequest.specimen", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Specimen" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "SPM" }, { "identity": "rim", "map": ".participation[typeCode=SPC].role" } ] }, { "id": "ServiceRequest.bodySite", "path": "ServiceRequest.bodySite", "short": "Inline Xt-EHR anatomy group", "definition": "One inline anatomical group in the shared DentalBodySite format: a complex extension containing location, repeated locationQualifier, laterality, morphology and description, matching the Xt-EHR logical field model. No independent BodyStructure resource is required. Clinical coding and dental workflow rules apply separately.", "comment": "The two inline qualifier extensions are explicitly defined DigiDOT R4 extensions. The FHIR structure stays directly coded; shared terminology tooling composes and compares the SCTpost anatomy. See DentalBodySite-use for the supplier contract.", "requirements": "Knowing where the procedure is performed is important for tracking if multiple sites are possible.", "alias": [ "location" ], "min": 0, "max": "*", "base": { "path": "ServiceRequest.bodySite", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept", "profile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-DentalBodySite-no" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "BodySite" } ], "strength": "example", "description": "Codes describing anatomical locations. May include laterality.", "valueSet": "http://hl7.org/fhir/ValueSet/body-site" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "SPM" }, { "identity": "rim", "map": "targetSiteCode" }, { "identity": "quick", "map": "Procedure.targetBodySite" } ] }, { "id": "ServiceRequest.note", "path": "ServiceRequest.note", "short": "Additional planning narrative", "definition": "Use note for clinically relevant planning narrative that cannot be represented in structured elements. Do not duplicate the planned-service code, category, request status, due time, anatomy or linked resources in free text.", "comment": "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": 0, "max": "*", "base": { "path": "ServiceRequest.note", "min": 0, "max": "*" }, "type": [ { "code": "Annotation" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act" }, { "identity": "workflow", "map": "Request.note" }, { "identity": "v2", "map": "NTE" }, { "identity": "rim", "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]" }, { "identity": "quick", "map": "ClinicalStatement.additionalText" } ] }, { "id": "ServiceRequest.patientInstruction", "path": "ServiceRequest.patientInstruction", "short": "Patient-facing instruction for the planned service", "definition": "Use patientInstruction only for patient-facing information that directly concerns this planned service. It does not replace the clinical plan, Appointment communication or general patient information.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "ServiceRequest.patientInstruction", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "NTE" }, { "identity": "rim", "map": ".text" } ] }, { "id": "ServiceRequest.relevantHistory", "path": "ServiceRequest.relevantHistory", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No ServiceRequest-specific Provenance linking policy is agreed. Source, import and update responsibility are handled by the Central Storage provenance and integration design.", "comment": "This might not include provenances for all versions of the request – only those deemed “relevant” or important.\rThis SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude\rAll Provenances should have some historical version of this Request as their subject.", "min": 0, "max": "0", "base": { "path": "ServiceRequest.relevantHistory", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Provenance" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "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": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Request.relevantHistory" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]" } ] } ] }, "differential": { "element": [ { "id": "ServiceRequest", "path": "ServiceRequest", "short": "Planned, proposed or ordered dental service", "definition": "One planned, proposed or ordered dental service, including a specialist referral. Appointment schedules it, Encounter records care that actually happened, and Procedure or Observation records clinical actions/results. These resources retain independent identities and lifecycle states.", "constraint": [ { "key": "digidot-sr-recall-occurrence", "severity": "error", "human": "A ServiceRequest with category dental-recall SHALL have occurrence[x] to express the recall due date, due window or cadence. The exact booked time belongs on Appointment.", "expression": "category.coding.where(system = 'https://novari.no/fhir/digidot/CodeSystem/digidot-service-request-category' and code = 'dental-recall').empty() or occurrence.exists()" }, { "key": "digidot-sr-recall-plan", "severity": "warning", "human": "A ServiceRequest with category dental-recall SHOULD normally use intent = plan.", "expression": "category.coding.where(system = 'https://novari.no/fhir/digidot/CodeSystem/digidot-service-request-category' and code = 'dental-recall').empty() or intent = 'plan'" }, { "key": "servicerequest-anatomy-same-release", "severity": "error", "human": "When bodySite is populated, SNOMED CT clinical codings use the same release as the inline anatomical value.", "expression": "bodySite.empty() or code.coding.where(system = 'http://snomed.info/sct').all(version = 'http://snomed.info/sct/51000202101/version/20260715')" }, { "key": "digidot-sr-specific-service-code", "severity": "error", "human": "Only general dental recall may omit the clinical service code. Treatment, diagnostic and specific follow-up requests require code.", "expression": "category.coding.where(system = 'https://novari.no/fhir/digidot/CodeSystem/digidot-service-request-category' and code = 'dental-recall').exists() or code.exists()" }, { "key": "digidot-sr-uncoded-recall-anatomy", "severity": "error", "human": "An uncoded general recall does not specify a tooth or anatomical target; targeted services require code.", "expression": "code.exists() or bodySite.empty()" }, { "key": "digidot-sr-recall-cadence", "severity": "error", "human": "A recurring recall Timing must identify its first due date and recurrence frequency, period and unit.", "expression": "category.coding.where(system = 'https://novari.no/fhir/digidot/CodeSystem/digidot-service-request-category' and code = 'dental-recall').empty() or occurrence.ofType(Timing).empty() or (occurrence.ofType(Timing).repeat.bounds.ofType(Period).start.exists() and occurrence.ofType(Timing).repeat.frequency.exists() and occurrence.ofType(Timing).repeat.period.exists() and occurrence.ofType(Timing).repeat.periodUnit.exists())" } ] }, { "id": "ServiceRequest.implicitRules", "path": "ServiceRequest.implicitRules", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "The Central Storage representation follows the published DigiDOT profile, terminology release and exchange documentation. It does not use resource-specific implicit rules.", "max": "0" }, { "id": "ServiceRequest.contained", "path": "ServiceRequest.contained", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "Relevant resources must have their own FHIR identity, provenance, version history and searchable references in Central Storage.", "max": "0" }, { "id": "ServiceRequest.extension", "path": "ServiceRequest.extension", "short": "No root extensions in the current draft", "definition": "No named and governed ServiceRequest extension is in scope. A future extension requires a documented dental use case, a named and governed definition, and an explicit profile change.", "max": "0" }, { "id": "ServiceRequest.modifierExtension", "path": "ServiceRequest.modifierExtension", "short": "No modifier extensions in the current draft", "definition": "Modifier extensions can alter the meaning of a ServiceRequest. None is defined for the current DigiDOT scope.", "max": "0" }, { "id": "ServiceRequest.identifier", "path": "ServiceRequest.identifier", "short": "Stable source business identifiers", "definition": "At least one stable, complete business identifier for this request. Use the source namespace and value, or a governed integration-assigned identity when the source has none. Preserve the mapping across re-imports. Different organisations and different requests retain distinct identities; do not use one shared episode identifier as their resource identity.", "min": 1, "max": "*", "mustSupport": true }, { "id": "ServiceRequest.identifier.system", "path": "ServiceRequest.identifier.system", "min": 1 }, { "id": "ServiceRequest.identifier.value", "path": "ServiceRequest.identifier.value", "min": 1 }, { "id": "ServiceRequest.instantiatesCanonical", "path": "ServiceRequest.instantiatesCanonical", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No ActivityDefinition or PlanDefinition instantiation model is agreed for the current dental planning scope.", "max": "0" }, { "id": "ServiceRequest.instantiatesUri", "path": "ServiceRequest.instantiatesUri", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No external protocol-instantiation model is agreed for the current dental planning scope.", "max": "0" }, { "id": "ServiceRequest.basedOn", "path": "ServiceRequest.basedOn", "short": "Higher-level dental request that this request fulfils or refines", "definition": "Use basedOn only when this ServiceRequest fulfils or refines another DigiDOT ServiceRequest. Do not use it to link a performed procedure; the Procedure points back with Procedure.basedOn. If the source records this request relationship, it shall be populated.", "type": [ { "code": "Reference", "targetProfile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-ServiceRequest-no" ] } ], "mustSupport": true }, { "id": "ServiceRequest.replaces", "path": "ServiceRequest.replaces", "short": "Previous dental request that this request replaces", "definition": "A previous request superseded by this request. Preserve the old identity and history. A superseded unfulfilled request is normally revoked; completed means its requested service was actually fulfilled. Do not mark it completed merely because a replacement exists.", "type": [ { "code": "Reference", "targetProfile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-ServiceRequest-no" ] } ], "mustSupport": true }, { "id": "ServiceRequest.requisition", "path": "ServiceRequest.requisition", "short": "Composite source request identifier when available", "definition": "Use requisition only when the source EHR has a stable composite identifier that groups related requested services. It does not replace the individual ServiceRequest.identifier and does not create an additional clinical-plan model." }, { "id": "ServiceRequest.status", "path": "ServiceRequest.status", "short": "Lifecycle status of the plan or request", "definition": "Lifecycle of this request. Use completed when the requested service has been fulfilled; sending a referral, booking a time, administrative closure or finishing one contact does not by itself fulfil it. Use revoked for withdrawal/cancellation before fulfilment and on-hold for a paused request. Define fulfilment against the requested scope; assessment-only and assessment-plus-treatment requests may complete at different stages.", "min": 1, "max": "1", "mustSupport": true }, { "id": "ServiceRequest.intent", "path": "ServiceRequest.intent", "short": "Request intent", "definition": "Use intent to distinguish a proposal, plan or order. Use proposal for a suggested service that has not yet become an agreed plan or order. For a normal local dental care plan, use plan. A dental-recall ServiceRequest normally uses plan. Use order only when the source represents an actual order to another performer or service. Technical FHIR ordering intents are not used in the current DigiDOT draft.", "min": 1, "max": "1", "mustSupport": true, "binding": { "strength": "required", "description": "Use proposal, plan or order according to the DigiDOT ServiceRequest intent ValueSet.", "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-service-request-intent" } }, { "id": "ServiceRequest.category", "path": "ServiceRequest.category", "short": "DigiDOT workflow category for the planned service", "definition": "Required request category. dental-recall identifies general periodic dental examinations, for which code is optional. dental-treatment, dental-diagnostic and dental-follow-up identify specific services and require code. Do not label targeted treatment as recall to omit its clinical code.", "min": 1, "max": "1", "mustSupport": true, "binding": { "strength": "required", "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-service-request-category" } }, { "id": "ServiceRequest.category.extension", "path": "ServiceRequest.category.extension", "short": "No extensions on the workflow category", "definition": "The category is represented by one canonical coding from the DigiDOT ServiceRequest Category ValueSet. Extensions are not used in the current draft.", "max": "0" }, { "id": "ServiceRequest.category.coding", "path": "ServiceRequest.category.coding", "short": "Canonical DigiDOT workflow category coding", "definition": "Use exactly one coding with system https://novari.no/fhir/digidot/CodeSystem/digidot-service-request-category and one code from the DigiDOT ServiceRequest Category ValueSet. A display or source text may be included, but it is not the clinical planned-service name.", "min": 1, "max": "1" }, { "id": "ServiceRequest.category.coding.extension", "path": "ServiceRequest.category.coding.extension", "short": "No extensions on the workflow category coding", "definition": "The workflow category is represented directly by the governed DigiDOT coding. Extensions are not used in the current draft.", "max": "0" }, { "id": "ServiceRequest.category.coding.system", "path": "ServiceRequest.category.coding.system", "short": "DigiDOT ServiceRequest Category CodeSystem", "definition": "Use the fixed DigiDOT ServiceRequest category CodeSystem. It distinguishes the workflow purpose of the request and is separate from the clinical SNOMED CT concept in ServiceRequest.code.", "min": 1, "fixedUri": "https://novari.no/fhir/digidot/CodeSystem/digidot-service-request-category" }, { "id": "ServiceRequest.category.coding.code", "path": "ServiceRequest.category.coding.code", "short": "DigiDOT workflow category code", "definition": "Select one code from the DigiDOT ServiceRequest Category ValueSet: dental-recall, dental-treatment, dental-diagnostic or dental-follow-up. The category must match the request purpose and must not be used as the clinical procedure code.", "min": 1 }, { "id": "ServiceRequest.category.coding.userSelected", "path": "ServiceRequest.category.coding.userSelected", "short": "Not used for the workflow category", "definition": "The DigiDOT workflow category is the agreed exchange representation. userSelected is not used in the current draft.", "max": "0" }, { "id": "ServiceRequest.priority", "path": "ServiceRequest.priority", "short": "Clinical priority of the requested service when known", "definition": "Use the standard FHIR priority when the source records a clinically relevant priority for the requested service. Do not infer priority from appointment availability or administrative scheduling.", "mustSupport": true }, { "id": "ServiceRequest.doNotPerform", "path": "ServiceRequest.doNotPerform", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "The current dental planning model uses ServiceRequest.status = revoked for a cancelled request. No separate do-not-perform workflow has been agreed.", "max": "0" }, { "id": "ServiceRequest.code", "path": "ServiceRequest.code", "short": "Planned service; optional for general recall", "definition": "Optional for a general dental examination recall identified by category dental-recall and occurrence[x]. Required for specific treatment, diagnostic or follow-up services. When supplied, use a planned Situation as SCTpre, SCTpost or both compatible representations; the coding array remains 1..2 within this optional element.", "min": 0, "mustSupport": true, "binding": { "strength": "required", "description": "Both accepted coding paths must describe a planned procedure Situation. Membership and the specific associated procedure require terminology validation.", "valueSet": "https://novari.no/fhir/digidot/ValueSet/planned-procedure-situations" } }, { "id": "ServiceRequest.code.extension", "path": "ServiceRequest.code.extension", "short": "No extensions on the planned service code", "definition": "Additional clinical precision is represented by the agreed SCTpost coding in ServiceRequest.code.coding. Extensions on ServiceRequest.code are not used in the current DigiDOT draft.", "max": "0" }, { "id": "ServiceRequest.code.coding", "path": "ServiceRequest.code.coding", "slicing": { "discriminator": [ { "type": "profile", "path": "$this" } ], "rules": "closed" }, "short": "One planned pre coding, one planned post expression, or both", "definition": "At least one coding is required, with at most one SCTpre and at most one SCTpost. Both may be supplied. They must describe the same requested service and planned context without conflicting anatomy; a postcoordinated expression may supply additional compatible precision. Validate semantic consistency through the terminology contract.", "min": 1, "max": "2" }, { "id": "ServiceRequest.code.coding:SCTpre", "path": "ServiceRequest.code.coding", "sliceName": "SCTpre", "short": "Precoordinated planned Situation", "definition": "A numeric SNOMED CT Situation concept whose meaning includes both the requested procedure and Planned context. Generic Planned procedure alone is not specific enough. Any known anatomy must match the concept definition.", "min": 0, "max": "1", "type": [ { "code": "Coding", "profile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-Coding-SCTpre-no" ] } ], "mustSupport": true, "binding": { "strength": "required", "valueSet": "https://novari.no/fhir/digidot/ValueSet/planned-procedure-situations" } }, { "id": "ServiceRequest.code.coding:SCTpost", "path": "ServiceRequest.code.coding", "sliceName": "SCTpost", "short": "Complete postcoordinated planned Situation", "definition": "A Situation expression with Procedure context = 397943006 |Planned| and the requested Procedure in Associated procedure. Use the approved Procedure-with-explicit-context template. Nest anatomical refinements inside Associated procedure, not on the outer Situation. Match all bodySite groups. Validate terminology, MRCM, procedure meaning and anatomical equivalence.", "min": 0, "max": "1", "type": [ { "code": "Coding", "profile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-Coding-SCTpost-no" ] } ], "mustSupport": true, "binding": { "strength": "required", "valueSet": "https://novari.no/fhir/digidot/ValueSet/planned-procedure-situations" } }, { "id": "ServiceRequest.orderDetail", "path": "ServiceRequest.orderDetail", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No governed DigiDOT order-detail terminology or EHR mapping is agreed. Use the planned clinical service code, structured anatomy, linked reason and limited note instead.", "max": "0" }, { "id": "ServiceRequest.quantity[x]", "path": "ServiceRequest.quantity[x]", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "One DigiDOT ServiceRequest represents one planned service. Multiple planned services should be represented by separate ServiceRequest resources with explicit relationships when needed. No quantity model is agreed for the current dental scope.", "max": "0" }, { "id": "ServiceRequest.subject", "path": "ServiceRequest.subject", "short": "Patient the dental service is planned for", "definition": "Reference the no-basis Patient who is the subject of the planned or requested dental service. External data must be mapped to this agreed patient representation before it becomes a canonical DigiDOT ServiceRequest in Central Storage.", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.no/fhir/StructureDefinition/no-basis-Patient" ] } ], "mustSupport": true }, { "id": "ServiceRequest.encounter", "path": "ServiceRequest.encounter", "short": "Dental contact in which the request was created", "definition": "The contact providing the context in which this request was made. Preserve this originating link. Later assessment, treatment and follow-up contacts reference the request through Encounter.basedOn; never overwrite this field with the most recent fulfilling contact.", "type": [ { "code": "Reference", "targetProfile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-Encounter-no" ] } ], "mustSupport": true }, { "id": "ServiceRequest.occurrence[x]", "path": "ServiceRequest.occurrence[x]", "short": "Requested timing, due window or cadence for the planned service.", "definition": "For ongoing general recall, use occurrenceTiming.repeat with frequency 1, period equal to the assessed interval, periodUnit (for example mo) and boundsPeriod.start identifying the first due date. Each Appointment schedules an occurrence and does not complete the ongoing plan. occurrenceDateTime or occurrencePeriod may represent an explicitly single recall request. Reassess or stop the plan when the clinical recall decision changes; do not create overlapping annual requests in addition to one recurring plan.", "mustSupport": true }, { "id": "ServiceRequest.asNeeded[x]", "path": "ServiceRequest.asNeeded[x]", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No agreed dental as-needed planning model or terminology is defined. Use occurrence[x], linked clinical reason and ServiceRequest.status for the current request workflow.", "max": "0" }, { "id": "ServiceRequest.authoredOn", "path": "ServiceRequest.authoredOn", "short": "Date or time when the request was authored", "definition": "When the request became actionable (for example when an order was authorised). Preserve the source meaning and precision. Draft creation, later editing, import, booked time and digital attestation are separate facts; do not substitute their timestamps automatically.", "mustSupport": true }, { "id": "ServiceRequest.requester", "path": "ServiceRequest.requester", "short": "Person or organisation that requested the dental service", "definition": "Use a literal reference to a no-basis Practitioner resource when the actor is an individual practitioner. Identifier-only HPR/FNR references are not permitted. Official practitioner identifiers belong on the referenced Practitioner resource. Other explicitly allowed resource target types retain their own clinical responsibility.", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner", "http://hl7.no/fhir/StructureDefinition/no-basis-PractitionerRole", "http://hl7.no/fhir/StructureDefinition/no-basis-Organization", "http://hl7.no/fhir/StructureDefinition/no-basis-Patient", "http://hl7.no/fhir/StructureDefinition/no-basis-RelatedPerson" ] } ], "mustSupport": true }, { "id": "ServiceRequest.requester.reference", "path": "ServiceRequest.requester.reference", "min": 1, "max": "1" }, { "id": "ServiceRequest.requester.identifier", "path": "ServiceRequest.requester.identifier", "min": 0, "max": "0" }, { "id": "ServiceRequest.performerType", "path": "ServiceRequest.performerType", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "The current draft has no governed performer-type terminology. Use a constrained performer reference when a preferred individual, role, organisation or healthcare service is known.", "max": "0" }, { "id": "ServiceRequest.performer", "path": "ServiceRequest.performer", "short": "Preferred performer or service for the planned dental work", "definition": "Use a literal reference to a no-basis Practitioner resource when the actor is an individual practitioner. Identifier-only HPR/FNR references are not permitted. Official practitioner identifiers belong on the referenced Practitioner resource. Other explicitly allowed resource target types retain their own clinical responsibility.", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner", "http://hl7.no/fhir/StructureDefinition/no-basis-PractitionerRole", "http://hl7.no/fhir/StructureDefinition/no-basis-Organization", "http://hl7.no/fhir/StructureDefinition/no-basis-HealthcareService" ] } ], "mustSupport": true }, { "id": "ServiceRequest.performer.reference", "path": "ServiceRequest.performer.reference", "min": 1, "max": "1" }, { "id": "ServiceRequest.performer.identifier", "path": "ServiceRequest.performer.identifier", "min": 0, "max": "0" }, { "id": "ServiceRequest.locationCode", "path": "ServiceRequest.locationCode", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No governed DigiDOT location-code terminology is agreed. Use locationReference to the agreed no-basis Location when a requested place is known.", "max": "0" }, { "id": "ServiceRequest.locationReference", "path": "ServiceRequest.locationReference", "short": "Requested location for the dental service", "definition": "Use locationReference when the request identifies a clinic, room or other Location where the service is expected to occur. Do not use it as a replacement for the actual Procedure.location or Encounter.location.", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.no/fhir/StructureDefinition/no-basis-Location" ] } ], "mustSupport": true }, { "id": "ServiceRequest.reasonCode", "path": "ServiceRequest.reasonCode", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No governed DigiDOT coded-reason terminology is agreed. Use reasonReference to a relevant DigiDOT Condition or Observation when a structured clinical reason is needed.", "max": "0" }, { "id": "ServiceRequest.reasonReference", "path": "ServiceRequest.reasonReference", "short": "Clinical finding or observation that justifies the request", "definition": "Use reasonReference when a clinically significant DigiDOT Condition or supporting DigiDOT Observation justifies the planned service. A routine recall may have no clinical reason reference. Do not use reasonReference to repeat general patient context that belongs in supportingInfo.", "type": [ { "code": "Reference", "targetProfile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-Condition-no", "https://novari.no/fhir/digidot/StructureDefinition/digidot-Observation-no" ] } ], "mustSupport": true }, { "id": "ServiceRequest.insurance", "path": "ServiceRequest.insurance", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "Coverage, payment route, reimbursement and claim information belong in the financial model, not in the clinical planning request.", "max": "0" }, { "id": "ServiceRequest.supportingInfo", "path": "ServiceRequest.supportingInfo", "short": "Selected context that directly affects the planned dental service", "definition": "Selected information relevant to this request. In DigiDOT, an EpisodeOfCare reference identifies a source care-responsibility episode from which this request arises; include the specifically selected episode(s), especially for referrals and when the originating contact has several episodes. Do not copy every episode on that contact or append the receiving organisation episode retrospectively. Other permitted resource types carry relevant clinical or patient-safety context, not a duplicate patient history. References must be resolved and checked for the same patient.", "type": [ { "code": "Reference", "targetProfile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-EpisodeOfCare-no", "http://hl7.no/fhir/StructureDefinition/no-basis-AllergyIntolerance", "https://novari.no/fhir/digidot/StructureDefinition/digidot-Condition-no", "https://novari.no/fhir/digidot/StructureDefinition/digidot-Observation-no", "http://hl7.org/fhir/StructureDefinition/Flag", "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "http://ehelse.no/fhir/StructureDefinition/sfm-lib-List", "http://ehelse.no/fhir/StructureDefinition/sfm-MedicationStatement", "http://hl7.org/fhir/StructureDefinition/DeviceUseStatement", "http://hl7.org/fhir/StructureDefinition/Consent", "http://hl7.org/fhir/StructureDefinition/DocumentReference", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/ImagingStudy", "http://hl7.org/fhir/StructureDefinition/Composition" ] } ], "mustSupport": true }, { "id": "ServiceRequest.specimen", "path": "ServiceRequest.specimen", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No specimen workflow, terminology or EHR mapping is agreed for the current public dental-service scope.", "max": "0" }, { "id": "ServiceRequest.bodySite", "path": "ServiceRequest.bodySite", "short": "Inline Xt-EHR anatomy group", "definition": "One inline anatomical group in the shared DentalBodySite format: a complex extension containing location, repeated locationQualifier, laterality, morphology and description, matching the Xt-EHR logical field model. No independent BodyStructure resource is required. Clinical coding and dental workflow rules apply separately.", "comment": "The two inline qualifier extensions are explicitly defined DigiDOT R4 extensions. The FHIR structure stays directly coded; shared terminology tooling composes and compares the SCTpost anatomy. See DentalBodySite-use for the supplier contract.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept", "profile": [ "https://novari.no/fhir/digidot/StructureDefinition/digidot-DentalBodySite-no" ] } ], "mustSupport": true }, { "id": "ServiceRequest.note", "path": "ServiceRequest.note", "short": "Additional planning narrative", "definition": "Use note for clinically relevant planning narrative that cannot be represented in structured elements. Do not duplicate the planned-service code, category, request status, due time, anatomy or linked resources in free text." }, { "id": "ServiceRequest.patientInstruction", "path": "ServiceRequest.patientInstruction", "short": "Patient-facing instruction for the planned service", "definition": "Use patientInstruction only for patient-facing information that directly concerns this planned service. It does not replace the clinical plan, Appointment communication or general patient information." }, { "id": "ServiceRequest.relevantHistory", "path": "ServiceRequest.relevantHistory", "short": "Not used in the current DigiDOT ServiceRequest draft", "definition": "No ServiceRequest-specific Provenance linking policy is agreed. Source, import and update responsibility are handled by the Central Storage provenance and integration design.", "max": "0" } ] } }