{ "resourceType": "StructureDefinition", "id": "e09dce4d-cc4f-4867-964f-4ade6d6fdf9a", "meta": { "lastUpdated": "2023-11-15T21:17:54.098+00:00" }, "url": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-provider-profile-ProcedureRequest", "name": "ProcedureRequest", "status": "draft", "date": "2023-11-15T15:30:23.9371616+00:00", "description": "A record of a request for diagnostic investigations, treatments, or operations to be performed.", "fhirVersion": "3.0.1", "mapping": [ { "identity": "OLIS-HL7-v2", "name": "OLIS HL7 v2" } ], "kind": "resource", "abstract": false, "type": "ProcedureRequest", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest", "derivation": "constraint", "differential": { "element": [ { "id": "ProcedureRequest.id", "path": "ProcedureRequest.id", "mustSupport": true }, { "id": "ProcedureRequest.extension", "path": "ProcedureRequest.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "ProcedureRequest.extension:organization-orderingFacility", "path": "ProcedureRequest.extension", "sliceName": "organization-orderingFacility", "max": "1", "type": [ { "code": "Extension", "profile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-ordering-facility" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ORC.21" } ] }, { "id": "ProcedureRequest.extension:organization-orderingFacility.value[x]", "path": "ProcedureRequest.extension.value[x]", "mustSupport": false }, { "id": "ProcedureRequest.extension:practitioner-copied", "path": "ProcedureRequest.extension", "sliceName": "practitioner-copied", "max": "10", "type": [ { "code": "Extension", "profile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-cc-list" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.28" } ] }, { "id": "ProcedureRequest.extension:organization-testPlacer", "path": "ProcedureRequest.extension", "sliceName": "organization-testPlacer", "max": "1", "type": [ { "code": "Extension", "profile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-trq-placer" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ZBR.2" } ] }, { "id": "ProcedureRequest.extension:organization-destinationLab", "path": "ProcedureRequest.extension", "sliceName": "organization-destinationLab", "max": "1", "type": [ { "code": "Extension", "profile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-dest-lab" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ZBR.8" } ] }, { "id": "ProcedureRequest.extension:request-block", "path": "ProcedureRequest.extension", "sliceName": "request-block", "type": [ { "code": "Extension", "profile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-record-block" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ZBR.1" } ] }, { "id": "ProcedureRequest.extension:request-pointOfCareTestID", "path": "ProcedureRequest.extension", "sliceName": "request-pointOfCareTestID", "type": [ { "code": "Extension", "profile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-poc-test-id" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.30" } ] }, { "id": "ProcedureRequest.extension:requets-replace", "path": "ProcedureRequest.extension", "sliceName": "requets-replace", "type": [ { "code": "Extension", "profile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-record-replace" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ZBR.14" } ] }, { "id": "ProcedureRequest.extension:request-sortKey", "path": "ProcedureRequest.extension", "sliceName": "request-sortKey", "type": [ { "code": "Extension", "profile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-trq-sort-key" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ZBR.11" } ] }, { "id": "ProcedureRequest.extension:note", "path": "ProcedureRequest.extension", "sliceName": "note", "max": "5", "type": [ { "code": "Extension", "profile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-note" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ZNT-NTE" } ] }, { "id": "ProcedureRequest.extension:request-eventTiming", "path": "ProcedureRequest.extension", "sliceName": "request-eventTiming", "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/observation-eventTiming" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR-27.6", "comment": "This extension is used when OBR-27.6 contains P or T values" } ] }, { "id": "ProcedureRequest.extension:ReportableTestIndicator", "path": "ProcedureRequest.extension", "sliceName": "ReportableTestIndicator", "max": "1", "type": [ { "code": "Extension", "profile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-ext-ReportableTestIndicator" } ], "mustSupport": true }, { "id": "ProcedureRequest.extension:ext-OrderDetail", "path": "ProcedureRequest.extension", "sliceName": "ext-OrderDetail", "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/4.0/StructureDefinition/extension-ServiceRequest.OrderDetail" } ], "mustSupport": true }, { "id": "ProcedureRequest.extension:ext-OrderDetail.valueCodeableConcept:valueCodeableConcept.coding.code", "path": "ProcedureRequest.extension.valueCodeableConcept.coding.code", "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.11" } ] }, { "id": "ProcedureRequest.identifier", "path": "ProcedureRequest.identifier", "definition": "Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller.\r\n\r\nMust contain a value assigned by the order-placing organization that uniquely identifies this test request among all test requests in OLIS.", "min": 1, "max": "1", "mustSupport": true }, { "id": "ProcedureRequest.identifier.system", "path": "ProcedureRequest.identifier.system", "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.\r\nOLIS: The source of the lab requests (example URL [id-system-local-base] /lab/test-request-id-[type]-license-[id])", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.2.3" } ] }, { "id": "ProcedureRequest.identifier.value", "path": "ProcedureRequest.identifier.value", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.2.1" } ] }, { "id": "ProcedureRequest.identifier.assigner", "path": "ProcedureRequest.identifier.assigner", "min": 1, "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-provider-profile-Organization-assigner", "aggregation": [ "contained" ] } ], "mustSupport": true }, { "id": "ProcedureRequest.identifier.assigner.reference", "path": "ProcedureRequest.identifier.assigner.reference", "definition": "A reference to a organization that issued id.", "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.2.3" } ] }, { "id": "ProcedureRequest.requisition", "path": "ProcedureRequest.requisition", "definition": "Must contain an identifier for the entire order. Requisition number assigned to all test requests in an order by an organization", "min": 1, "mustSupport": true }, { "id": "ProcedureRequest.requisition.system", "path": "ProcedureRequest.requisition.system", "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.\r\n\r\nOLIS: The source of the lab reports (example URL http://ehealthontario.ca/fhir/NamingSystem/lab/report-id-[type]-license-[id])", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ORC.4.3" } ] }, { "id": "ProcedureRequest.requisition.value", "path": "ProcedureRequest.requisition.value", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ORC.4.1" } ] }, { "id": "ProcedureRequest.requisition.assigner", "path": "ProcedureRequest.requisition.assigner", "min": 1, "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-provider-profile-Organization-assigner", "aggregation": [ "contained" ] } ], "mustSupport": true }, { "id": "ProcedureRequest.requisition.assigner.reference", "path": "ProcedureRequest.requisition.assigner.reference", "definition": "Organization that issued id", "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ORC.4.3" } ] }, { "id": "ProcedureRequest.status", "path": "ProcedureRequest.status", "short": "active | completed | cancelled", "mustSupport": true, "binding": { "strength": "required", "valueSetReference": { "reference": "http://ehealthontario.ca/fhir/ValueSet/lab/request-status" } }, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.25" } ] }, { "id": "ProcedureRequest.intent", "path": "ProcedureRequest.intent", "fixedCode": "order", "mustSupport": true }, { "id": "ProcedureRequest.priority", "path": "ProcedureRequest.priority", "short": "routine | asap | stat", "min": 1, "mustSupport": true, "binding": { "strength": "required", "valueSetUri": "http://ehealthontario.ca/fhir/ValueSet/lab/request-priority" }, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.27.6" } ] }, { "id": "ProcedureRequest.code", "path": "ProcedureRequest.code", "mustSupport": true }, { "id": "ProcedureRequest.code.coding", "path": "ProcedureRequest.code.coding", "mustSupport": true, "binding": { "strength": "extensible", "valueSetUri": "http://ehealthontario.ca/fhir/ValueSet/lab/procedure-request-codes" } }, { "id": "ProcedureRequest.code.coding.system", "path": "ProcedureRequest.code.coding.system", "fixedUri": "http://ehealthontario.ca/fhir/NamingSystem/lab/test-request-codes", "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.4.3" } ] }, { "id": "ProcedureRequest.code.coding.code", "path": "ProcedureRequest.code.coding.code", "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.4.1" } ] }, { "id": "ProcedureRequest.code.coding.display", "path": "ProcedureRequest.code.coding.display", "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.4.2" } ] }, { "id": "ProcedureRequest.subject", "path": "ProcedureRequest.subject", "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-provider-profile-Patient", "aggregation": [ "referenced" ] } ], "mustSupport": true }, { "id": "ProcedureRequest.subject.reference", "path": "ProcedureRequest.subject.reference", "min": 1, "mustSupport": true }, { "id": "ProcedureRequest.context", "path": "ProcedureRequest.context", "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-provider-profile-Encounter", "aggregation": [ "contained" ] } ], "mustSupport": true }, { "id": "ProcedureRequest.context.reference", "path": "ProcedureRequest.context.reference", "min": 1, "mustSupport": true }, { "id": "ProcedureRequest.occurrence[x]:occurrenceDateTime", "path": "ProcedureRequest.occurrenceDateTime", "sliceName": "occurrenceDateTime", "comment": "For routine orders, populate this field with the current date.\r\nFor timing-critical orders, populate this field with the date and time that the specimen is to be obtained.\r\nFor future-dated orders, populate this field with the scheduled future date (and time if applicable) when the laboratory test is to occur.", "min": 1, "type": [ { "code": "dateTime" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.27.4" } ] }, { "id": "ProcedureRequest.authoredOn", "path": "ProcedureRequest.authoredOn", "comment": "Populate this field with the date and time of the event that initiated the current transaction.", "min": 1, "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "ORC.9" } ] }, { "id": "ProcedureRequest.requester", "path": "ProcedureRequest.requester", "min": 1, "mustSupport": true }, { "id": "ProcedureRequest.requester.agent", "path": "ProcedureRequest.requester.agent", "slicing": { "discriminator": [ { "type": "profile", "path": "resolve()" } ], "rules": "open" }, "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-provider-profile-Practitioner-ordering" }, { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-provider-profile-Organization-requesting" } ], "mustSupport": true }, { "id": "ProcedureRequest.requester.agent:agent-practitioner", "path": "ProcedureRequest.requester.agent", "sliceName": "agent-practitioner", "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-provider-profile-Practitioner-ordering" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.16" } ] }, { "id": "ProcedureRequest.requester.agent:agent-practitioner.reference", "path": "ProcedureRequest.requester.agent.reference", "mustSupport": true }, { "id": "ProcedureRequest.requester.agent:agent-organization", "path": "ProcedureRequest.requester.agent", "sliceName": "agent-organization", "definition": "In some emergency and urgent care environments, laboratory information is ordered under organizational protocols without identifying an ordering practitioner.\r\nIf OLIS returns provider unavailable as a first name, reference to organization resource.", "type": [ { "code": "Reference", "targetProfile": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-provider-profile-Organization-requesting" } ], "mustSupport": true, "mapping": [ { "identity": "OLIS-HL7-v2", "map": "OBR.16" } ] }, { "id": "ProcedureRequest.requester.agent:agent-organization.reference", "path": "ProcedureRequest.requester.agent.reference", "mustSupport": true } ] } }