{ "resourceType": "StructureDefinition", "id": "qicore-procedurerequest", "text": { "status": "generated", "div": "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" ProcedureRequest 0..*
\".\"\".\"\".\" procedurerequest-reasonRefused 0..1CodeableConceptReason for refusal
URL: http://hl7.org/fhir/StructureDefinition/procedurerequest-reasonRefused
Binding: Procedure Not Performed Reason (SNOMED-CT) (example)
\".\"\".\"\".\" procedurerequest-approachBodySite 0..*Reference(BodySite)The requested access point or points used for this procedure
URL: http://hl7.org/fhir/StructureDefinition/procedurerequest-approachBodySite
\".\"\".\"\".\" qicore-procedurerequest-appropriatenessScore 0..1code, decimalAppropriateness Score
URL: http://hl7.org/fhir/StructureDefinition/qicore-procedurerequest-appropriatenessScore profiled by http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurerequest-appropriatenessScore
Binding: RAND Appropriateness Scores (required)
\".\"\".\"\".\" status S1..1code
\".\"\".\"\".\" code S1..1CodeableConceptBinding: US Core Procedure Codes (preferred)
\".\"\".\"\".\" subject S1..1Reference(QICore-Patient | Group)
\".\"\".\"\".\" context S0..1Reference(Encounter | EpisodeOfCare)
\".\"\".\"\".\" occurrence[x] S0..1dateTime, Period, Timing
\".\"\".\"\".\" asNeeded[x] S0..1boolean, CodeableConcept
\".\"\".\"\".\" authoredOn S0..1dateTime
\".\"\".\"\".\" requester 0..1BackboneElement
\".\"\".\"\".\"\".\" agent 1..1Reference(QICore-Device | QICore-Practitioner | QICore-Organization)
\".\"\".\"\".\" performer 0..1Reference(QICore-Practitioner | QICore-Organization | QICore-Patient | QICore-Device | QICore-RelatedPerson | HealthcareService)
\".\"\".\"\".\" reasonCode S0..*CodeableConcept
\".\"\".\"\".\" bodySite S0..*CodeableConcept

\"doco\" Documentation for this format
" }, "url": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurerequest", "version": "3.1.0", "name": "QICore-ProcedureRequest", "status": "draft", "date": "2018-08-21T14:00:00+00:00", "publisher": "Health Level Seven, Inc. - CQI WG", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/special/committees/CQI" } ] } ], "description": "Profile of ProcedureRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.", "fhirVersion": "3.0.1", "mapping": [ { "identity": "qdm", "uri": "http://www.healthit.gov/quality-data-model", "name": "Quality Data Model" }, { "identity": "qidam", "uri": "http://www.hl7.org/implement/standards/product_brief.cfm?product_id=378", "name": "Quality Improvement Domain Analysis Model" }, { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/w5", "name": "W5 Mapping" }, { "identity": "quick", "uri": "http://wiki.siframework.org/CQF", "name": "Quality Improvement and Clinical Knowledge (QUICK)" } ], "kind": "resource", "abstract": false, "type": "ProcedureRequest", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest", "derivation": "constraint", "differential": { "element": [ { "id": "ProcedureRequest", "path": "ProcedureRequest", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "(“Assessment, Order”, “Procedure, Order”, “Laboratory Test, Order”, “Diagnostic Study, Order”, “Physical Exam, Order”) (when ProcedureRequest.intent=order)\n(“Assessment, Recommended”, “Procedure, Recommended”, “Laboratory Test, Recommended”, “Diagnostic Study, Recommended”, “Physical Exam, Recommended”) (when ProcedureRequest.intent=plan)\nNote – QDM includes the attribute “ordinality” in “Procedure, Order” and “Procedure, Recommended”. FHIR does not address ordinality with respect to procedure requests." } ] }, { "id": "ProcedureRequest.extension:reasonRefused", "path": "ProcedureRequest.extension", "sliceName": "reasonRefused", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/procedurerequest-reasonRefused" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "example", "description": "The RAND appropriateness score for the requested procedure.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/procedure-not-performed-reason" } }, "mapping": [ { "identity": "qdm", "map": "negationRationale (when procedureRequest.status=\"refused\")" } ] }, { "id": "ProcedureRequest.extension:approachBodySite", "path": "ProcedureRequest.extension", "sliceName": "approachBodySite", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/procedurerequest-approachBodySite" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qidam", "map": "Not in QIDAM, but should have been included because the procedure request might include a requested approach, for example, to distinguish between urethral and supra-pubic urinary catheterization." }, { "identity": "qdm", "map": "anatomical approach site" } ] }, { "id": "ProcedureRequest.extension:appropriatenessScore", "path": "ProcedureRequest.extension", "sliceName": "appropriatenessScore", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurerequest-appropriatenessScore" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "preferred", "description": "The RAND scoring for appropriateness of the procedure.", "valueSetReference": { "reference": "http://hl7.org/fhir/us/qicore/ValueSet/qicore-appropriateness-score" } }, "mapping": [ { "identity": "qidam", "map": "Not in QIDAM, but added because of a persuasive ballot comment (May 2015)." } ] }, { "id": "ProcedureRequest.status", "path": "ProcedureRequest.status", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "negationRationale (when ProcedureRequest.status=\"refused\")" } ] }, { "id": "ProcedureRequest.code", "path": "ProcedureRequest.code", "mustSupport": true, "isModifier": false, "binding": { "strength": "preferred", "description": "Codes describing the Procedure Type", "valueSetReference": { "reference": "http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code" } }, "mapping": [ { "identity": "qdm", "map": "code" } ] }, { "id": "ProcedureRequest.subject", "path": "ProcedureRequest.subject", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group" } ], "mustSupport": true, "isModifier": false }, { "id": "ProcedureRequest.context", "path": "ProcedureRequest.context", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Encounter" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" } ], "mustSupport": true, "isModifier": false }, { "id": "ProcedureRequest.occurrence[x]", "path": "ProcedureRequest.occurrence[x]", "mustSupport": true, "isModifier": false }, { "id": "ProcedureRequest.asNeeded[x]", "path": "ProcedureRequest.asNeeded[x]", "definition": "If a CodeableConcept is present, it indicates the pre-condition for performing the procedure. For example \"pain\", \"on flare-up\", etc.", "mustSupport": true, "isModifier": false }, { "id": "ProcedureRequest.authoredOn", "path": "ProcedureRequest.authoredOn", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "Author Datetime" } ] }, { "id": "ProcedureRequest.requester", "path": "ProcedureRequest.requester", "type": [ { "code": "BackboneElement" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "source" } ] }, { "id": "ProcedureRequest.requester.agent", "path": "ProcedureRequest.requester.agent", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" } ], "mustSupport": false, "isModifier": false }, { "id": "ProcedureRequest.performer", "path": "ProcedureRequest.performer", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/HealthcareService" } ], "mustSupport": false, "isModifier": false }, { "id": "ProcedureRequest.reasonCode", "path": "ProcedureRequest.reasonCode", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "reason" } ] }, { "id": "ProcedureRequest.bodySite", "path": "ProcedureRequest.bodySite", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "anatomicalLocation" } ] } ] } }