{
  "resourceType": "StructureDefinition",
  "id": "path-Request",
  "text": {
    "status": "empty",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div>"
  },
  "url": "http://medmij.nl/fhir/StructureDefinition/path-Request",
  "name": "PathRequest",
  "title": "path Request",
  "status": "draft",
  "publisher": "MedMij",
  "contact": [
    {
      "name": "MedMij",
      "telecom": [
        {
          "system": "email",
          "value": "info@medmij.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Request for a pathology study to be performed by a certain laboratory.",
  "purpose": "This ServiceRequest resource represents the Request building block for patient use cases in the context of the information standard Pathology (Pathologie).",
  "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "mercurius-core-dataset-2-0",
      "name": "Mercurius Core Dataset 2.0"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "ServiceRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ServiceRequest",
        "path": "ServiceRequest",
        "short": "Request",
        "definition": "Request for a pathology study to be performed by a certain laboratory.",
        "alias": [
          "Aanvraag",
          "referral",
          "referral request",
          "transfer of care request"
        ],
        "constraint": [
          {
            "key": "path-Request-1",
            "severity": "error",
            "human": "Either a code for cytology or histology is present.",
            "expression": "code.coding.where(system = 'http://snomed.info/sct' and code = '1348332002').exists() xor code.coding.where(system = 'http://snomed.info/sct' and code = '252416005').exists()",
            "source": "http://medmij.nl/fhir/StructureDefinition/path-Request"
          }
        ]
      },
      {
        "id": "ServiceRequest.status",
        "path": "ServiceRequest.status",
        "patternCode": "completed"
      },
      {
        "id": "ServiceRequest.intent",
        "path": "ServiceRequest.intent",
        "patternCode": "order"
      },
      {
        "id": "ServiceRequest.category",
        "path": "ServiceRequest.category",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 3
      },
      {
        "id": "ServiceRequest.category:pathology",
        "path": "ServiceRequest.category",
        "sliceName": "pathology",
        "min": 1,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "108257001",
              "system": "http://snomed.info/sct"
            }
          ]
        }
      },
      {
        "id": "ServiceRequest.category:requestType",
        "path": "ServiceRequest.category",
        "sliceName": "requestType",
        "short": "RequestType",
        "definition": "This typing of the examination provides additional context for the request.",
        "comment": "When the RequestType concept has an empty value, _normaal_ SHALL be used as default value.",
        "alias": [
          "SoortAanvraag"
        ],
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "http://medmij.nl/fhir/ValueSet/MercuriusRequestType"
        },
        "mapping": [
          {
            "identity": "mercurius-core-dataset-2-0",
            "map": "mercurius-core-rubriek-89",
            "comment": "soortaanvraag"
          }
        ]
      },
      {
        "id": "ServiceRequest.category:healthScreeningType",
        "path": "ServiceRequest.category",
        "sliceName": "healthScreeningType",
        "short": "HealthScreeningType",
        "definition": "Type of national trial for this request.",
        "comment": "When the HealthScreeningType concept has an empty value, _0_ SHALL be used as default value.",
        "alias": [
          "BVOSoort"
        ],
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "http://medmij.nl/fhir/ValueSet/MercuriusHealthScreeningType"
        },
        "mapping": [
          {
            "identity": "mercurius-core-dataset-2-0",
            "map": "mercurius-core-rubriek-97",
            "comment": "bvosoort"
          }
        ]
      },
      {
        "id": "ServiceRequest.code",
        "path": "ServiceRequest.code",
        "comment": "If the requested pathology study is of type cytology (which means that the ReportIdentifier (i.e. _rapnaam_, mercurius-core-rubriek-3) starts with either _B_ or _C_, corresponding to cervical cytology and other cytology, respectively), SNOMED code _1348332002_ SHALL be used as `.code`. Likewise, if the study is of type histology (in which case the ReportIdentifier starts with _T_), SNOMED code _252416005_ SHALL be used instead. Studies for which the ReportIdentifier starts with _S_ (i.e. autopsies) are out of scope.",
        "min": 1
      },
      {
        "id": "ServiceRequest.code.coding",
        "path": "ServiceRequest.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "ServiceRequest.code.coding:cytology",
        "path": "ServiceRequest.code.coding",
        "sliceName": "cytology",
        "min": 0,
        "max": "1",
        "patternCoding": {
          "code": "1348332002",
          "system": "http://snomed.info/sct"
        },
        "condition": [
          "path-Request-1"
        ]
      },
      {
        "id": "ServiceRequest.code.coding:histology",
        "path": "ServiceRequest.code.coding",
        "sliceName": "histology",
        "min": 0,
        "max": "1",
        "patternCoding": {
          "code": "252416005",
          "system": "http://snomed.info/sct"
        },
        "condition": [
          "path-Request-1"
        ]
      },
      {
        "id": "ServiceRequest.subject",
        "path": "ServiceRequest.subject",
        "short": "Patient",
        "alias": [
          "Patiënt"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://medmij.nl/fhir/StructureDefinition/path-Patient"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.requester",
        "path": "ServiceRequest.requester",
        "short": "Requester",
        "definition": "Requester of the pathology study.",
        "alias": [
          "Aanvrager",
          "orderer"
        ],
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://medmij.nl/fhir/StructureDefinition/path-Request.Requester"
            ]
          }
        ]
      },
      {
        "id": "ServiceRequest.reasonCode",
        "path": "ServiceRequest.reasonCode",
        "min": 1,
        "max": "1"
      },
      {
        "id": "ServiceRequest.reasonCode.text",
        "path": "ServiceRequest.reasonCode.text",
        "short": "ClinicalQuestion",
        "definition": "Clinical request information.",
        "alias": [
          "KlinischeVraag"
        ],
        "min": 1,
        "mapping": [
          {
            "identity": "mercurius-core-dataset-2-0",
            "map": "mercurius-core-rubriek-139",
            "comment": "klinischevraag"
          }
        ]
      },
      {
        "id": "ServiceRequest.specimen",
        "path": "ServiceRequest.specimen",
        "short": "Specimen",
        "definition": "Specimen that will be examined by a laboratory.",
        "comment": "Both the primary specimen as well as the individual samples taken from that specimen are referenced here. If only a single sample is taken (i.e. the NumberOfSamples concept is equal to _1_), precisely one Specimen is referenced here, as the primary specimen and sample coincide in that case. If multiple samples have been taken from the primary specimen, the `.specimen` element contains _NumberOfSamples + 1_ references, one for the primary specimen and one for each sample.",
        "alias": [
          "Monster"
        ],
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Specimen",
              "http://medmij.nl/fhir/StructureDefinition/path-Request.Specimen"
            ]
          }
        ]
      }
    ]
  }
}