<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="294e93fc-9e6d-4c8f-8335-c35d8d9b4628" />
  <meta>
    <lastUpdated value="2021-10-05T09:41:03.949+00:00" />
  </meta>
  <url value="https://fhir.cambio.se/StructureDefinition/ServiceRequestReferral/v1" />
  <name value="ServiceRequestReferral" />
  <status value="draft" />
  <date value="2021-04-13T18:09:09.7507912Z" />
  <description value="The ServiceRequestReferral profile is used for retrieving data about a referral request. It references a composition resource which represents the documented clinical data within the referral request." />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow Pattern" />
  </mapping>
  <mapping>
    <identity value="v2" />
    <uri value="http://hl7.org/v2" />
    <name value="HL7 v2 Mapping" />
  </mapping>
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/fivews" />
    <name value="FiveWs Pattern Mapping" />
  </mapping>
  <mapping>
    <identity value="quick" />
    <uri value="http://siframework.org/cqf" />
    <name value="Quality Improvement and Clinical Knowledge (QUICK)" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="ServiceRequest" />
  <baseDefinition value="https://fhir.cambio.se/StructureDefinition/ServiceRequestReferralCoreSwe/v1" />
  <derivation value="constraint" />
  <differential>
    <element id="ServiceRequest.meta">
      <path value="ServiceRequest.meta" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.meta.profile">
      <path value="ServiceRequest.meta.profile" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="ServiceRequest.identifier">
      <path value="ServiceRequest.identifier" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <definition value="Should either be the COSMIC Internal referral ID and/or the external referral ID." />
    </element>
    <element id="ServiceRequest.identifier.system">
      <path value="ServiceRequest.identifier.system" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.identifier.value">
      <path value="ServiceRequest.identifier.value" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.identifier:localServiceRequest">
      <path value="ServiceRequest.identifier" />
      <sliceName value="localServiceRequest" />
      <definition value="Identifier used for service request sent within the same EHR installation, for example within one hospital or one region." />
      <max value="1" />
    </element>
    <element id="ServiceRequest.identifier:localServiceRequest.system">
      <path value="ServiceRequest.identifier.system" />
      <min value="1" />
      <fixedUri value="https://fhir.cambio.se/ServiceRequest" />
    </element>
    <element id="ServiceRequest.identifier:localServiceRequest.value">
      <path value="ServiceRequest.identifier.value" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.identifier:nationalServiceRequest">
      <path value="ServiceRequest.identifier" />
      <sliceName value="nationalServiceRequest" />
      <definition value="Identifier used for service request sent from one region to another." />
      <max value="1" />
    </element>
    <element id="ServiceRequest.identifier:nationalServiceRequest.system">
      <path value="ServiceRequest.identifier.system" />
      <min value="1" />
      <fixedUri value="https://cambio.codes/is/inera/national-referral-id" />
    </element>
    <element id="ServiceRequest.identifier:nationalServiceRequest.value">
      <path value="ServiceRequest.identifier.value" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.instantiatesCanonical">
      <path value="ServiceRequest.instantiatesCanonical" />
      <comment value="No use case as of today. &#xD;&#xA;Reference to SVF in future?" />
      <max value="0" />
    </element>
    <element id="ServiceRequest.instantiatesUri">
      <path value="ServiceRequest.instantiatesUri" />
      <comment value="No use case as of today. &#xD;&#xA;Reference to SVF in future?&#xD;&#xA;&#xD;&#xA;This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier." />
      <max value="0" />
    </element>
    <element id="ServiceRequest.basedOn">
      <path value="ServiceRequest.basedOn" />
      <comment value="Possibly include SVF attribute here as a careplan reference" />
      <max value="0" />
    </element>
    <element id="ServiceRequest.replaces">
      <path value="ServiceRequest.replaces" />
      <max value="0" />
    </element>
    <element id="ServiceRequest.requisition">
      <path value="ServiceRequest.requisition" />
      <max value="0" />
    </element>
    <element id="ServiceRequest.status">
      <path value="ServiceRequest.status" />
      <short value="draft | active | revoked | completed | entered-in-error" />
      <definition value="The status of the order.&#xD;&#xA;Supported statuses are: Draft, Active, Revoked, Completed, Entered-in-error" />
    </element>
    <element id="ServiceRequest.intent">
      <path value="ServiceRequest.intent" />
      <short value="order" />
      <fixedCode value="order" />
    </element>
    <element id="ServiceRequest.category">
      <path value="ServiceRequest.category" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="ServiceRequest.category.coding">
      <path value="ServiceRequest.category.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="ServiceRequest.category.coding.system">
      <path value="ServiceRequest.category.coding.system" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.category.coding.code">
      <path value="ServiceRequest.category.coding.code" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.priority">
      <path value="ServiceRequest.priority" />
      <comment value="Priority is included in the Task resource." />
      <max value="0" />
    </element>
    <element id="ServiceRequest.code">
      <path value="ServiceRequest.code" />
      <comment value="Will include a value set of 3 snomed codes for referral types: Referral, self-referral and consultation referral." />
      <min value="1" />
      <binding>
        <strength value="required" />
        <description value="Codes for referral request types" />
        <valueSet value="https://fhir.cambio.se/ValueSet/ReferralRequestTypes/v1" />
      </binding>
    </element>
    <element id="ServiceRequest.code.coding">
      <path value="ServiceRequest.code.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="ServiceRequest.code.coding.system">
      <path value="ServiceRequest.code.coding.system" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.code.coding.code">
      <path value="ServiceRequest.code.coding.code" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.orderDetail">
      <path value="ServiceRequest.orderDetail" />
      <max value="0" />
    </element>
    <element id="ServiceRequest.subject.identifier.system">
      <path value="ServiceRequest.subject.identifier.system" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.subject.identifier.value">
      <path value="ServiceRequest.subject.identifier.value" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.encounter">
      <path value="ServiceRequest.encounter" />
      <definition value="In COSMIC this corresponds to the Contact ID." />
    </element>
    <element id="ServiceRequest.encounter.identifier.system">
      <path value="ServiceRequest.encounter.identifier.system" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.encounter.identifier.value">
      <path value="ServiceRequest.encounter.identifier.value" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.occurrence[x]">
      <path value="ServiceRequest.occurrence[x]" />
      <max value="0" />
    </element>
    <element id="ServiceRequest.authoredOn">
      <path value="ServiceRequest.authoredOn" />
      <short value="Date request" />
      <comment value="Referral date" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.requester">
      <path value="ServiceRequest.requester" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
        <aggregation value="contained" />
      </type>
    </element>
    <element id="ServiceRequest.requester.extension">
      <path value="ServiceRequest.requester.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="ServiceRequest.requester.extension:hsaHierarchy">
      <path value="ServiceRequest.requester.extension" />
      <sliceName value="hsaHierarchy" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.cambio.se/StructureDefinition/common-hsaHierarchy/v1" />
      </type>
    </element>
    <element id="ServiceRequest.performerType">
      <path value="ServiceRequest.performerType" />
      <comment value="Map to the role of the receiver in COSMIC." />
      <max value="0" />
    </element>
    <element id="ServiceRequest.performerType.coding">
      <path value="ServiceRequest.performerType.coding" />
      <max value="0" />
    </element>
    <element id="ServiceRequest.performerType.coding.system">
      <path value="ServiceRequest.performerType.coding.system" />
      <min value="1" />
      <fixedUri value="http://hl7.org/fhir/ValueSet/participant-role" />
    </element>
    <element id="ServiceRequest.performerType.coding.code">
      <path value="ServiceRequest.performerType.coding.code" />
      <min value="1" />
    </element>
    <element id="ServiceRequest.performer">
      <path value="ServiceRequest.performer" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.cambio.se/StructureDefinition/PractitionerRoleLiteSe/v1" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
        <aggregation value="contained" />
      </type>
    </element>
    <element id="ServiceRequest.performer.extension">
      <path value="ServiceRequest.performer.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="ServiceRequest.performer.extension:hsaHierarchy">
      <path value="ServiceRequest.performer.extension" />
      <sliceName value="hsaHierarchy" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.cambio.se/StructureDefinition/common-hsaHierarchy/v1" />
      </type>
    </element>
    <element id="ServiceRequest.reasonCode">
      <path value="ServiceRequest.reasonCode" />
      <comment value="Intended use is the patient's reason for contact. Should include the valueset from Socialstyrelsen for Swedish concepts for reason for contact." />
      <max value="1" />
    </element>
    <element id="ServiceRequest.reasonReference">
      <path value="ServiceRequest.reasonReference" />
      <max value="0" />
    </element>
    <element id="ServiceRequest.insurance">
      <path value="ServiceRequest.insurance" />
      <max value="0" />
    </element>
    <element id="ServiceRequest.supportingInfo">
      <path value="ServiceRequest.supportingInfo" />
      <comment value="supportingInfo should reference a composition including the referral record data (components and values in text)" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.cambio.se/StructureDefinition/CompositionReferralClinicalInformation/v1" />
        <aggregation value="bundled" />
      </type>
    </element>
    <element id="ServiceRequest.note">
      <path value="ServiceRequest.note" />
      <max value="0" />
    </element>
    <element id="ServiceRequest.patientInstruction">
      <path value="ServiceRequest.patientInstruction" />
      <max value="0" />
    </element>
    <element id="ServiceRequest.relevantHistory">
      <path value="ServiceRequest.relevantHistory" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>