<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="profile-transfusion-order-submission" />
  <url value="http://ontariohealth.ca/fhir/bdp/StructureDefinition/profile-transfusion-order-submission" />
  <version value="1.0.0" />
  <name value="BDPTransfusionOrderSubmission" />
  <title value="BDP Transfusion Order" />
  <status value="draft" />
  <description value="BDP submission profile for the supporting order associated with an administered blood product transfusion. This profile captures transfusion order/request context when available." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="ServiceRequest" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
  <derivation value="constraint" />
  <differential>
    <element id="ServiceRequest.meta.source">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHOULD:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHOULD:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHOULD:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.meta.source" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.extension">
      <path value="ServiceRequest.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
    </element>
    <element id="ServiceRequest.extension:orderedVolume">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.extension" />
      <sliceName value="orderedVolume" />
      <short value="Ordered volume detail. Supports source expressions such as 2 bags of 100 mL." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://ontariohealth.ca/fhir/bdp/StructureDefinition/extension-volume-detail-bdp" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.identifier">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.identifier" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.status">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.status" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.intent">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.intent" />
      <patternCode value="order" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.code">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.code" />
      <short value="Standard transfusion code with an optional localized order name in text." />
      <min value="1" />
      <patternCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="116859006" />
          <display value="Transfusion of blood product" />
        </coding>
      </patternCodeableConcept>
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.code.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.code.text" />
      <short value="Localized name or description for the ordered blood-product transfusion, when available." />
      <comment value="The standard SNOMED CT coding remains required for this release. If the source has a localized name or description for the blood-product transfusion order, map that wording to CodeableConcept.text. Local terminology codes are not supported in this release and must not replace the required standard coding; support for local code systems will be assessed for a future release." />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.quantity[x]">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.quantity[x]" />
      <short value="Total ordered amount/volume." />
      <min value="1" />
      <type>
        <code value="Quantity" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.quantity[x].value">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.quantity[x].value" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.quantity[x].unit">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.quantity[x].unit" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.quantity[x].system">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.quantity[x].system" />
      <min value="1" />
      <fixedUri value="http://unitsofmeasure.org" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.quantity[x].code">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.quantity[x].code" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.subject">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://ontariohealth.ca/fhir/bdp/StructureDefinition/profile-patient-submission" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.authoredOn">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.authoredOn" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.requester">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.requester" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.performer">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:persist" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository" />
        </extension>
      </extension>
      <path value="ServiceRequest.performer" />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>