{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1",
  "version": "1.4.0",
  "name": "CareConnect-GPC-ProcedureRequest-1",
  "status": "draft",
  "date": "2024-01-22T11:39:06.3872207+00:00",
  "publisher": "NHS Digital",
  "contact": [
    {
      "name": "Interoperability Team",
      "telecom": [
        {
          "system": "email",
          "value": "interoperabilityteam@nhs.net",
          "use": "work"
        }
      ]
    }
  ],
  "description": "A record of a request for diagnostic investigations, treatments, or operations to be performed.",
  "purpose": "CURATED BY INTEROPen on 6th September 2019.  See: http://www.interopen.org/careconnect-curation-methodology/",
  "copyright": "Copyright © 2020 HL7 UK\r \r Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at\r \r http://www.apache.org/licenses/LICENSE-2.0\r \r Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.\r \r HL7® FHIR® standard Copyright © 2011+ HL7\r \r The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at\r \r https://www.hl7.org/fhir/license.html",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "ProcedureRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ProcedureRequest.meta",
        "path": "ProcedureRequest.meta"
      },
      {
        "id": "ProcedureRequest.meta.profile",
        "path": "ProcedureRequest.meta.profile",
        "min": 1
      },
      {
        "id": "ProcedureRequest.identifier",
        "path": "ProcedureRequest.identifier",
        "min": 1
      },
      {
        "id": "ProcedureRequest.identifier.system",
        "path": "ProcedureRequest.identifier.system",
        "min": 1
      },
      {
        "id": "ProcedureRequest.identifier.value",
        "path": "ProcedureRequest.identifier.value",
        "min": 1
      },
      {
        "id": "ProcedureRequest.requisition.assigner",
        "path": "ProcedureRequest.requisition.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
          }
        ]
      },
      {
        "id": "ProcedureRequest.status",
        "path": "ProcedureRequest.status",
        "definition": "The status of the ProcedureRequest.",
        "fixedCode": "active"
      },
      {
        "id": "ProcedureRequest.category.coding",
        "path": "ProcedureRequest.category.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "ProcedureRequest.category.coding:snomedCT",
        "path": "ProcedureRequest.category.coding",
        "sliceName": "snomedCT"
      },
      {
        "id": "ProcedureRequest.category.coding:snomedCT.extension",
        "path": "ProcedureRequest.category.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "ProcedureRequest.category.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "ProcedureRequest.category.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "short": "The SNOMED CT Description ID for the display",
        "definition": "The SNOMED CT Description ID for the display.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "ProcedureRequest.category.coding:snomedCT.extension:snomedCTDescriptionID.url",
        "path": "ProcedureRequest.category.coding.extension.url",
        "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
      },
      {
        "id": "ProcedureRequest.category.coding:snomedCT.system",
        "path": "ProcedureRequest.category.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "ProcedureRequest.category.coding:snomedCT.version",
        "path": "ProcedureRequest.category.coding.version",
        "max": "0"
      },
      {
        "id": "ProcedureRequest.category.coding:snomedCT.code",
        "path": "ProcedureRequest.category.coding.code",
        "min": 1
      },
      {
        "id": "ProcedureRequest.category.coding:snomedCT.display",
        "path": "ProcedureRequest.category.coding.display",
        "min": 1
      },
      {
        "id": "ProcedureRequest.code",
        "path": "ProcedureRequest.code",
        "short": "The tests requested by the requesting health care professional."
      },
      {
        "id": "ProcedureRequest.code.coding",
        "path": "ProcedureRequest.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "ProcedureRequest.code.coding:snomedCT",
        "path": "ProcedureRequest.code.coding",
        "sliceName": "snomedCT"
      },
      {
        "id": "ProcedureRequest.code.coding:snomedCT.extension",
        "path": "ProcedureRequest.code.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "ProcedureRequest.code.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "ProcedureRequest.code.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "short": "The SNOMED CT Description ID for the display",
        "definition": "The SNOMED CT Description ID for the display.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "ProcedureRequest.code.coding:snomedCT.extension:snomedCTDescriptionID.url",
        "path": "ProcedureRequest.code.coding.extension.url",
        "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
      },
      {
        "id": "ProcedureRequest.code.coding:snomedCT.system",
        "path": "ProcedureRequest.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "ProcedureRequest.code.coding:snomedCT.version",
        "path": "ProcedureRequest.code.coding.version",
        "max": "0"
      },
      {
        "id": "ProcedureRequest.code.coding:snomedCT.code",
        "path": "ProcedureRequest.code.coding.code",
        "min": 1
      },
      {
        "id": "ProcedureRequest.code.coding:snomedCT.display",
        "path": "ProcedureRequest.code.coding.display",
        "min": 1
      },
      {
        "id": "ProcedureRequest.subject",
        "path": "ProcedureRequest.subject",
        "short": "A reference to the Patient that the ProcedureRequest is about.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Location-1"
          }
        ]
      },
      {
        "id": "ProcedureRequest.context",
        "path": "ProcedureRequest.context",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-EpisodeOfCare-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1"
          }
        ]
      },
      {
        "id": "ProcedureRequest.requester",
        "path": "ProcedureRequest.requester",
        "short": "Reference to the resource for the practitioner or organization that created the ProcedureRequest.",
        "mustSupport": true
      },
      {
        "id": "ProcedureRequest.requester.agent",
        "path": "ProcedureRequest.requester.agent",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"
          }
        ]
      },
      {
        "id": "ProcedureRequest.requester.onBehalfOf",
        "path": "ProcedureRequest.requester.onBehalfOf",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
          }
        ]
      },
      {
        "id": "ProcedureRequest.performer",
        "path": "ProcedureRequest.performer",
        "short": "Reference to the resource for the practitioner or organization that is requested to perform this request the ProcedureRequest.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "ProcedureRequest.reasonCode",
        "path": "ProcedureRequest.reasonCode",
        "short": "An explanation or justification for why this diagnostic investigation is being requested in coded or textual form.",
        "mustSupport": true
      },
      {
        "id": "ProcedureRequest.reasonCode.coding",
        "path": "ProcedureRequest.reasonCode.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "ProcedureRequest.reasonCode.coding:snomedCT",
        "path": "ProcedureRequest.reasonCode.coding",
        "sliceName": "snomedCT"
      },
      {
        "id": "ProcedureRequest.reasonCode.coding:snomedCT.extension",
        "path": "ProcedureRequest.reasonCode.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "ProcedureRequest.reasonCode.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "ProcedureRequest.reasonCode.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "short": "The SNOMED CT Description ID for the display",
        "definition": "The SNOMED CT Description ID for the display.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "ProcedureRequest.reasonCode.coding:snomedCT.extension:snomedCTDescriptionID.url",
        "path": "ProcedureRequest.reasonCode.coding.extension.url",
        "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
      },
      {
        "id": "ProcedureRequest.reasonCode.coding:snomedCT.system",
        "path": "ProcedureRequest.reasonCode.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "ProcedureRequest.reasonCode.coding:snomedCT.version",
        "path": "ProcedureRequest.reasonCode.coding.version",
        "max": "0"
      },
      {
        "id": "ProcedureRequest.reasonCode.coding:snomedCT.code",
        "path": "ProcedureRequest.reasonCode.coding.code",
        "min": 1
      },
      {
        "id": "ProcedureRequest.reasonCode.coding:snomedCT.display",
        "path": "ProcedureRequest.reasonCode.coding.display",
        "min": 1
      },
      {
        "id": "ProcedureRequest.reasonReference",
        "path": "ProcedureRequest.reasonReference",
        "short": "A reference to any conditions the patient has that are supplied by the requesting health care professional due to their relevance to the test request.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Condition-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "ProcedureRequest.supportingInfo",
        "path": "ProcedureRequest.supportingInfo",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"
          }
        ]
      },
      {
        "id": "ProcedureRequest.specimen",
        "path": "ProcedureRequest.specimen",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1"
          }
        ]
      },
      {
        "id": "ProcedureRequest.bodySite.coding",
        "path": "ProcedureRequest.bodySite.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "ProcedureRequest.bodySite.coding:snomedCT",
        "path": "ProcedureRequest.bodySite.coding",
        "sliceName": "snomedCT",
        "binding": {
          "strength": "preferred",
          "description": "A code from the SNOMED Clinical Terminology UK with the expression (<<442083009 |anatomical or acquired body structure|).",
          "valueSetReference": {
            "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-BodySite-1"
          }
        }
      },
      {
        "id": "ProcedureRequest.bodySite.coding:snomedCT.extension",
        "path": "ProcedureRequest.bodySite.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "ProcedureRequest.bodySite.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "ProcedureRequest.bodySite.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "ProcedureRequest.bodySite.coding:snomedCT.extension:snomedCTDescriptionID.url",
        "path": "ProcedureRequest.bodySite.coding.extension.url",
        "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
      },
      {
        "id": "ProcedureRequest.bodySite.coding:snomedCT.system",
        "path": "ProcedureRequest.bodySite.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "ProcedureRequest.bodySite.coding:snomedCT.version",
        "path": "ProcedureRequest.bodySite.coding.version",
        "max": "0"
      },
      {
        "id": "ProcedureRequest.bodySite.coding:snomedCT.code",
        "path": "ProcedureRequest.bodySite.coding.code",
        "min": 1
      },
      {
        "id": "ProcedureRequest.bodySite.coding:snomedCT.display",
        "path": "ProcedureRequest.bodySite.coding.display",
        "min": 1
      },
      {
        "id": "ProcedureRequest.note",
        "path": "ProcedureRequest.note",
        "short": "A human readable explanation from the requesting health care professional containing an explanation on why the test has been requested and any contextual information they considered relevant.",
        "mustSupport": true
      },
      {
        "id": "ProcedureRequest.note.author[x]",
        "path": "ProcedureRequest.note.author[x]",
        "type": [
          {
            "code": "string"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RelatedPerson-1"
          }
        ]
      }
    ]
  }
}