<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="qicore-procedurerequest" />
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/STU3/formats.html#table" title="The logical name of the element">Name</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/STU3/formats.html#table" title="Information about the use of the element">Flags</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/STU3/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a>
          </th>
          <th style="width: 100px" class="hierarchy">
            <a href="http://hl7.org/fhir/STU3/formats.html#table" title="Reference to the type of the element">Type</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/STU3/formats.html#table" title="Additional information about the element">Description &amp; Constraints</a>
            <span style="float: right">
              <a href="http://hl7.org/fhir/STU3/formats.html#table" title="Legend for this format">
                <img src="http://hl7.org/fhir/STU3/help16.png" alt="doco" style="background-color: inherit" />
              </a>
            </span>
          </th>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest">ProcedureRequest</a>
            <a name="ProcedureRequest"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">*</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.extension:reasonRefused" title="Extension URL = http://hl7.org/fhir/StructureDefinition/procedurerequest-reasonRefused">procedurerequest-reasonRefused</a>
            <a name="ProcedureRequest.extension"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reason for refusal<br /><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/extension-procedurerequest-reasonrefused.html">http://hl7.org/fhir/StructureDefinition/procedurerequest-reasonRefused</a><br /><span style="font-weight:bold">Binding: </span><a href="http://hl7.org/fhir/STU3/valueset-procedure-not-performed-reason.html">Procedure Not Performed Reason (SNOMED-CT)</a> (<a href="http://hl7.org/fhir/STU3/terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The value set merely provides examples of the types of concepts intended to be included.">example</a>)</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.extension:approachBodySite" title="Extension URL = http://hl7.org/fhir/StructureDefinition/procedurerequest-approachBodySite">procedurerequest-approachBodySite</a>
            <a name="ProcedureRequest.extension"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">*</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="http://hl7.org/fhir/STU3/bodysite.html">BodySite</a>)</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The requested access point or points used for this procedure<br /><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/STU3/extension-procedurerequest-approachbodysite.html">http://hl7.org/fhir/StructureDefinition/procedurerequest-approachBodySite</a></td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.extension:appropriatenessScore" title="Extension URL = http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurerequest-appropriatenessScore">qicore-procedurerequest-appropriatenessScore</a>
            <a name="ProcedureRequest.extension"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/STU3/datatypes.html#code">code</a>, <a href="http://hl7.org/fhir/STU3/datatypes.html#decimal">decimal</a></td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Appropriateness Score<br /><span style="font-weight:bold">URL: </span>http://hl7.org/fhir/StructureDefinition/qicore-procedurerequest-appropriatenessScore<span style="font-weight:bold"> profiled by  </span><a href="http://hl7.org/fhir/STU3/StructureDefinition-qicore-procedurerequest-appropriatenessScore.html">http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurerequest-appropriatenessScore</a><br /><span style="font-weight:bold">Binding: </span><a href="ValueSet-qicore-appropriateness-score.html">RAND Appropriateness Scores</a> (<a href="http://hl7.org/fhir/STU3/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.status">status</a>
            <a name="ProcedureRequest.status"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">1</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#code">code</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.code">code</a>
            <a name="ProcedureRequest.code"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">1</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="font-weight:bold">Binding: </span>
            <a href="http://hl7.org/fhir/us/core/ValueSet-us-core-procedure-code.html">US Core Procedure Codes</a> (<a href="http://hl7.org/fhir/STU3/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.subject">subject</a>
            <a name="ProcedureRequest.subject"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">1</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-qicore-patient.html">QICore-Patient</a> | <a href="http://hl7.org/fhir/STU3/group.html">Group</a>)</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.context">context</a>
            <a name="ProcedureRequest.context"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/encounter.html">Encounter</a> | <a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/episodeofcare.html">EpisodeOfCare</a>)</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.occurrence[x]">occurrence[x]</a>
            <a name="ProcedureRequest.occurrence_x_"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#dateTime">dateTime</a>
            <span style="opacity: 0.4">, </span>
            <a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#Period">Period</a>
            <span style="opacity: 0.4">, </span>
            <a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#Timing">Timing</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.asNeeded[x]" title="If a CodeableConcept is present, it indicates the pre-condition for performing the procedure. For example &quot;pain&quot;, &quot;on flare-up&quot;, etc.">asNeeded[x]</a>
            <a name="ProcedureRequest.asNeeded_x_"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#boolean">boolean</a>
            <span style="opacity: 0.4">, </span>
            <a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.authoredOn">authoredOn</a>
            <a name="ProcedureRequest.authoredOn"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#dateTime">dateTime</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.requester">requester</a>
            <a name="ProcedureRequest.requester"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#BackboneElement">BackboneElement</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.requester.agent">agent</a>
            <a name="ProcedureRequest.requester.agent"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">1</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-qicore-device.html">QICore-Device</a> | <a href="StructureDefinition-qicore-practitioner.html">QICore-Practitioner</a> | <a href="StructureDefinition-qicore-organization.html">QICore-Organization</a>)</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.performer">performer</a>
            <a name="ProcedureRequest.performer"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/STU3/references.html">Reference</a>(<a href="StructureDefinition-qicore-practitioner.html">QICore-Practitioner</a> | <a href="StructureDefinition-qicore-organization.html">QICore-Organization</a> | <a href="StructureDefinition-qicore-patient.html">QICore-Patient</a> | <a href="StructureDefinition-qicore-device.html">QICore-Device</a> | <a href="StructureDefinition-qicore-relatedperson.html">QICore-RelatedPerson</a> | <a href="http://hl7.org/fhir/STU3/healthcareservice.html">HealthcareService</a>)</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.reasonCode">reasonCode</a>
            <a name="ProcedureRequest.reasonCode"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">*</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
            <a href="StructureDefinition-qicore-procedurerequest-definitions.html#ProcedureRequest.bodySite">bodySite</a>
            <a name="ProcedureRequest.bodySite"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">*</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr>
          <td colspan="5" class="hierarchy">
            <br />
            <a href="http://hl7.org/fhir/STU3/formats.html#table" title="Legend for this format">
              <img src="http://hl7.org/fhir/STU3/help16.png" alt="doco" style="background-color: inherit" /> Documentation for this format</a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <url value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurerequest" />
  <version value="3.1.0" />
  <name value="QICore-ProcedureRequest" />
  <status value="draft" />
  <date value="2018-08-22T00:00:00+10:00" />
  <publisher value="Health Level Seven, Inc. - CQI WG" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://hl7.org/special/committees/CQI" />
    </telecom>
  </contact>
  <description value="Profile of ProcedureRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors." />
  <fhirVersion value="3.0.1" />
  <mapping>
    <identity value="qdm" />
    <uri value="http://www.healthit.gov/quality-data-model" />
    <name value="Quality Data Model" />
  </mapping>
  <mapping>
    <identity value="qidam" />
    <uri value="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=378" />
    <name value="Quality Improvement Domain Analysis Model" />
  </mapping>
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow Mapping" />
  </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/w5" />
    <name value="W5 Mapping" />
  </mapping>
  <mapping>
    <identity value="quick" />
    <uri value="http://wiki.siframework.org/CQF" />
    <name value="Quality Improvement and Clinical Knowledge (QUICK)" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="ProcedureRequest" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest" />
  <derivation value="constraint" />
  <differential>
    <element id="ProcedureRequest">
      <path value="ProcedureRequest" />
      <mustSupport value="false" />
      <isModifier value="false" />
      <mapping>
        <identity value="qdm" />
        <map value="(“Assessment, Order”, “Procedure, Order”, “Laboratory Test, Order”, “Diagnostic Study, Order”, “Physical Exam, Order”) (when ProcedureRequest.intent=order)&#xA;(“Assessment, Recommended”, “Procedure, Recommended”, “Laboratory Test, Recommended”, “Diagnostic Study, Recommended”, “Physical Exam, Recommended”) (when ProcedureRequest.intent=plan)&#xA;Note – QDM includes the attribute “ordinality” in “Procedure, Order” and “Procedure, Recommended”. FHIR does not address ordinality with respect to procedure requests." />
      </mapping>
    </element>
    <element id="ProcedureRequest.extension:reasonRefused">
      <path value="ProcedureRequest.extension" />
      <sliceName value="reasonRefused" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/procedurerequest-reasonRefused" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <binding>
        <strength value="example" />
        <description value="The RAND appropriateness score for the requested procedure." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/procedure-not-performed-reason" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm" />
        <map value="negationRationale (when procedureRequest.status=&quot;refused&quot;)" />
      </mapping>
    </element>
    <element id="ProcedureRequest.extension:approachBodySite">
      <path value="ProcedureRequest.extension" />
      <sliceName value="approachBodySite" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/procedurerequest-approachBodySite" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <mapping>
        <identity value="qidam" />
        <map value="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." />
      </mapping>
      <mapping>
        <identity value="qdm" />
        <map value="anatomical approach site" />
      </mapping>
    </element>
    <element id="ProcedureRequest.extension:appropriatenessScore">
      <path value="ProcedureRequest.extension" />
      <sliceName value="appropriatenessScore" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurerequest-appropriatenessScore" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <binding>
        <strength value="preferred" />
        <description value="The RAND scoring for appropriateness of the procedure." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/us/qicore/ValueSet/qicore-appropriateness-score" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qidam" />
        <map value="Not in QIDAM, but added because of a persuasive ballot comment (May 2015)." />
      </mapping>
    </element>
    <element id="ProcedureRequest.status">
      <path value="ProcedureRequest.status" />
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="qdm" />
        <map value="negationRationale (when ProcedureRequest.status=&quot;refused&quot;)" />
      </mapping>
    </element>
    <element id="ProcedureRequest.code">
      <path value="ProcedureRequest.code" />
      <mustSupport value="true" />
      <isModifier value="false" />
      <binding>
        <strength value="preferred" />
        <description value="Codes describing the Procedure Type" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm" />
        <map value="code" />
      </mapping>
    </element>
    <element id="ProcedureRequest.subject">
      <path value="ProcedureRequest.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
    </element>
    <element id="ProcedureRequest.context">
      <path value="ProcedureRequest.context" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
    </element>
    <element id="ProcedureRequest.occurrence[x]">
      <path value="ProcedureRequest.occurrence[x]" />
      <mustSupport value="true" />
      <isModifier value="false" />
    </element>
    <element id="ProcedureRequest.asNeeded[x]">
      <path value="ProcedureRequest.asNeeded[x]" />
      <definition value="If a CodeableConcept is present, it indicates the pre-condition for performing the procedure. For example &quot;pain&quot;, &quot;on flare-up&quot;, etc." />
      <mustSupport value="true" />
      <isModifier value="false" />
    </element>
    <element id="ProcedureRequest.authoredOn">
      <path value="ProcedureRequest.authoredOn" />
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="qdm" />
        <map value="Author Datetime" />
      </mapping>
    </element>
    <element id="ProcedureRequest.requester">
      <path value="ProcedureRequest.requester" />
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <mapping>
        <identity value="qdm" />
        <map value="source" />
      </mapping>
    </element>
    <element id="ProcedureRequest.requester.agent">
      <path value="ProcedureRequest.requester.agent" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
    </element>
    <element id="ProcedureRequest.performer">
      <path value="ProcedureRequest.performer" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-device" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
    </element>
    <element id="ProcedureRequest.reasonCode">
      <path value="ProcedureRequest.reasonCode" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="qdm" />
        <map value="reason" />
      </mapping>
    </element>
    <element id="ProcedureRequest.bodySite">
      <path value="ProcedureRequest.bodySite" />
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="qdm" />
        <map value="anatomicalLocation" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>