<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ServiceRequest" />
  <meta>
    <lastUpdated value="2019-11-01T09:29:23.356+11:00" />
  </meta>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category">
    <valueString value="Clinical.Care Provision" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
    <valueCode value="patient" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="oo" />
  </extension>
  <url value="https://fhir.kemkes.go.id/r4/StructureDefinition/ServiceRequest" />
  <version value="4.0.1" />
  <name value="ServiceRequest" />
  <status value="draft" />
  <date value="2022-07-08T15:10:50.6856647+00:00" />
  <publisher value="Health Level Seven International (Orders and Observations)" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://hl7.org/fhir" />
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://www.hl7.org/Special/committees/orders/index.cfm" />
    </telecom>
  </contact>
  <description value="A record of a request for service such as diagnostic investigations, treatments, or operations to be performed." />
  <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="http://hl7.org/fhir/StructureDefinition/DomainResource" />
  <derivation value="specialization" />
  <differential>
    <element id="ServiceRequest">
      <path value="ServiceRequest" />
      <short value="A request for a service to be performed" />
      <definition value="A record of a request for service such as diagnostic investigations, treatments, or operations to be performed." />
      <alias value="diagnostic request" />
      <alias value="referral" />
      <alias value="referral request" />
      <alias value="transfer of care request" />
      <constraint>
        <key value="prr-1" />
        <severity value="error" />
        <human value="orderDetail SHALL only be present if code is present" />
        <expression value="orderDetail.empty() or code.exists()" />
        <xpath value="exists(f:code) or not(exists(f:orderDetail))" />
        <source value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
      </constraint>
      <mapping>
        <identity value="workflow" />
        <map value="Request" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ORC" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Act[moodCode&lt;=INT]" />
      </mapping>
    </element>
    <element id="ServiceRequest.identifier">
      <path value="ServiceRequest.identifier" />
      <short value="Identifiers assigned to this order" />
      <definition value="Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller." />
      <comment value="The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2).  For further discussion and examples see the resource notes section below." />
      <type>
        <code value="Identifier" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Request.identifier" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.identifier" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ORC.2, ORC.3, RF1-6 / RF1-11," />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".identifier" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="ClinicalStatement.identifier" />
      </mapping>
    </element>
    <element id="ServiceRequest.instantiatesCanonical">
      <path value="ServiceRequest.instantiatesCanonical" />
      <short value="Instantiates FHIR protocol or definition" />
      <definition value="The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest." />
      <comment value="Note: This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number." />
      <type>
        <code value="canonical" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Request.instantiatesCanonical" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="Varies by domain" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[typeCode=DEFN].target" />
      </mapping>
    </element>
    <element id="ServiceRequest.instantiatesUri">
      <path value="ServiceRequest.instantiatesUri" />
      <short value="Instantiates external protocol or definition" />
      <definition value="The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest." />
      <comment value="This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier." />
      <type>
        <code value="uri" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Request.instantiatesUri" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="Varies by domain" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[typeCode=DEFN].target" />
      </mapping>
    </element>
    <element id="ServiceRequest.basedOn">
      <path value="ServiceRequest.basedOn" />
      <short value="What request fulfills" />
      <definition value="Plan/proposal/order fulfilled by this request." />
      <alias value="fulfills" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Request.basedOn" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ORC.8 (plus others)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[typeCode=FLFS].target" />
      </mapping>
    </element>
    <element id="ServiceRequest.replaces">
      <path value="ServiceRequest.replaces" />
      <short value="What request replaces" />
      <definition value="The request takes the place of the referenced completed or terminated request(s)." />
      <alias value="supersedes" />
      <alias value="prior" />
      <alias value="renewed order" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Request.replaces" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="Handled by message location of ORC (ORC.1=RO or RU)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[typeCode=RPLC].target" />
      </mapping>
    </element>
    <element id="ServiceRequest.requisition">
      <path value="ServiceRequest.requisition" />
      <short value="Composite Request ID" />
      <definition value="A shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier." />
      <comment value="Requests are linked either by a &quot;basedOn&quot; relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation." />
      <requirements value="Some business processes need to know if multiple items were ordered as part of the same &quot;requisition&quot; for billing or other purposes." />
      <alias value="grouperId" />
      <alias value="groupIdentifier" />
      <max value="1" />
      <type>
        <code value="Identifier" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Request.groupIdentifier" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ORC.4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier" />
      </mapping>
    </element>
    <element id="ServiceRequest.status">
      <path value="ServiceRequest.status" />
      <short value="draft | active | on-hold | revoked | completed | entered-in-error | unknown" />
      <definition value="The status of the order." />
      <comment value="The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](event.html) for general discussion) or using the [Task](task.html) resource." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="code" />
      </type>
      <isModifier value="true" />
      <isModifierReason value="This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" />
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ServiceRequestStatus" />
        </extension>
        <strength value="required" />
        <description value="The status of a service order." />
        <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.0.1" />
      </binding>
      <mapping>
        <identity value="workflow" />
        <map value="Request.status" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.status" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ORC.5,RF1-1" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".status" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="Action.currentStatus" />
      </mapping>
    </element>
    <element id="ServiceRequest.intent">
      <path value="ServiceRequest.intent" />
      <short value="proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option" />
      <definition value="Whether the request is a proposal, plan, an original order or a reflex order." />
      <comment value="This element is labeled as a modifier because the intent alters when and how the resource is actually applicable." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="code" />
      </type>
      <isModifier value="true" />
      <isModifierReason value="This element changes the interpretation of all descriptive attributes. For example &quot;the time the request is recommended to occur&quot; vs. &quot;the time the request is authorized to occur&quot; or &quot;who is recommended to perform the request&quot; vs. &quot;who is authorized to perform the request" />
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ServiceRequestIntent" />
        </extension>
        <strength value="required" />
        <description value="The kind of service request." />
        <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.0.1" />
      </binding>
      <mapping>
        <identity value="workflow" />
        <map value="Request.intent" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.class" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)" />
      </mapping>
    </element>
    <element id="ServiceRequest.category">
      <path value="ServiceRequest.category" />
      <short value="Classification of service" />
      <definition value="A code that classifies the service for searching, sorting and display purposes (e.g. &quot;Surgical Procedure&quot;)." />
      <comment value="There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource.  The level of granularity is defined by the category concepts in the value set." />
      <requirements value="Used for filtering what service request are retrieved and displayed." />
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ServiceRequestCategory" />
        </extension>
        <strength value="example" />
        <description value="Classification of the requested service." />
        <valueSet value="http://hl7.org/fhir/ValueSet/servicerequest-category" />
      </binding>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.class" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="RF1-5" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[typeCode=&quot;COMP].target[classCode=&quot;LIST&quot;, moodCode=&quot;INT&quot;].code" />
      </mapping>
    </element>
    <element id="ServiceRequest.priority">
      <path value="ServiceRequest.priority" />
      <short value="routine | urgent | asap | stat" />
      <definition value="Indicates how quickly the ServiceRequest should be addressed with respect to other requests." />
      <max value="1" />
      <type>
        <code value="code" />
      </type>
      <meaningWhenMissing value="If missing, this task should be performed with normal priority" />
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ServiceRequestPriority" />
        </extension>
        <strength value="required" />
        <description value="Identifies the level of importance to be assigned to actioning the request." />
        <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.0.1" />
      </binding>
      <mapping>
        <identity value="workflow" />
        <map value="Request.priority" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.grade" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="TQ1.9, RF1-2" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".priorityCode" />
      </mapping>
    </element>
    <element id="ServiceRequest.doNotPerform">
      <path value="ServiceRequest.doNotPerform" />
      <short value="True if service/procedure should not be performed" />
      <definition value="Set this to true if the record is saying that the service/procedure should NOT be performed." />
      <comment value="In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition.  If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation." />
      <requirements value="Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc." />
      <max value="1" />
      <type>
        <code value="boolean" />
      </type>
      <meaningWhenMissing value="If missing, the request is a positive request e.g. &quot;do perform&quot;" />
      <isModifier value="true" />
      <isModifierReason value="If true this element negates the specified action. For Example,  instead of a request for a procedure, it is a request for the procedure to not occur." />
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Request.doNotPerform" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".actionNegationInd" />
      </mapping>
    </element>
    <element id="ServiceRequest.code">
      <path value="ServiceRequest.code" />
      <short value="What is being requested/ordered" />
      <definition value="A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested." />
      <comment value="Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example,  serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code." />
      <alias value="service requested" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ServiceRequestCode" />
        </extension>
        <strength value="example" />
        <description value="Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.  For laboratory, LOINC is  (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available [here](valueset-diagnostic-requests.html)." />
        <valueSet value="http://hl7.org/fhir/ValueSet/procedure-code" />
      </binding>
      <mapping>
        <identity value="workflow" />
        <map value="Request.code" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.what[x]" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PR1-3 / OBR-4  (varies by domain)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".code" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="Procedure.procedureCode" />
      </mapping>
    </element>
    <element id="ServiceRequest.orderDetail">
      <path value="ServiceRequest.orderDetail" />
      <short value="Additional order information" />
      <definition value="Additional details and instructions about the how the services are to be delivered.   For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied." />
      <comment value="For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element." />
      <alias value="detailed instructions" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="prr-1" />
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="OrderDetail" />
        </extension>
        <strength value="example" />
        <description value="Codified order entry details which are based on order context." />
        <valueSet value="http://hl7.org/fhir/ValueSet/servicerequest-orderdetail" />
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="NTE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".code" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="Procedure.procedureCode" />
      </mapping>
    </element>
    <element id="ServiceRequest.quantity[x]">
      <path value="ServiceRequest.quantity[x]" />
      <short value="Service amount" />
      <definition value="An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction)." />
      <requirements value="When ordering a service the number of service items may need to be specified separately from the the service item." />
      <max value="1" />
      <type>
        <code value="Quantity" />
      </type>
      <type>
        <code value="Ratio" />
      </type>
      <type>
        <code value="Range" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="NTE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".quantity" />
      </mapping>
    </element>
    <element id="ServiceRequest.subject">
      <path value="ServiceRequest.subject" />
      <short value="Individual or Entity the service is ordered for" />
      <definition value="On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans)." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Request.subject" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.subject[x]" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PID" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".participation[typeCode=SBJ].role" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="ClinicalStatement.subject" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.subject" />
      </mapping>
    </element>
    <element id="ServiceRequest.encounter">
      <path value="ServiceRequest.encounter" />
      <short value="Encounter in which the request was created" />
      <definition value="An encounter that provides additional information about the healthcare context in which this request is made." />
      <alias value="context" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Request.encounter" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.context" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PV1" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".inboundRelationship(typeCode=COMP].source[classCode&lt;=PCPR, moodCode=EVN]" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="ClinicalStatement.encounter" />
      </mapping>
    </element>
    <element id="ServiceRequest.occurrence[x]">
      <path value="ServiceRequest.occurrence[x]" />
      <short value="When service should occur" />
      <definition value="The date/time at which the requested service should occur." />
      <alias value="schedule" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <type>
        <code value="Period" />
      </type>
      <type>
        <code value="Timing" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Request.occurrence[x]" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.planned" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="TQ1/TQ2, OBR-7/OBR-8" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".effectiveTime" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="Procedure.procedureSchedule" />
      </mapping>
    </element>
    <element id="ServiceRequest.asNeeded[x]">
      <path value="ServiceRequest.asNeeded[x]" />
      <short value="Preconditions for service" />
      <definition value="If a CodeableConcept is present, it indicates the pre-condition for performing the service.  For example &quot;pain&quot;, &quot;on flare-up&quot;, etc." />
      <max value="1" />
      <type>
        <code value="boolean" />
      </type>
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProcedureAsNeededReason" />
        </extension>
        <strength value="example" />
        <description value="A coded concept identifying the pre-condition that should hold prior to performing a procedure.  For example &quot;pain&quot;, &quot;on flare-up&quot;, etc." />
        <valueSet value="http://hl7.org/fhir/ValueSet/medication-as-needed-reason" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code=&quot;Assertion&quot;].value" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="Proposal.prnReason.reason" />
      </mapping>
    </element>
    <element id="ServiceRequest.authoredOn">
      <path value="ServiceRequest.authoredOn" />
      <short value="Date request signed" />
      <definition value="When the request transitioned to being actionable." />
      <alias value="orderedOn" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Request.authoredOn" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.recorded" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ORC.9,  RF1-7 / RF1-9" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".participation[typeCode=AUT].time" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="Proposal.proposedAtTime" />
      </mapping>
    </element>
    <element id="ServiceRequest.requester">
      <path value="ServiceRequest.requester" />
      <short value="Who/what is requesting service" />
      <definition value="The individual who initiated the request and has responsibility for its activation." />
      <comment value="This not the dispatcher, but rather who is the authorizer.  This element is not intended to handle delegation which would generally be managed through the Provenance resource." />
      <alias value="author" />
      <alias value="orderer" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Request.requester" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.author" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ORC.12, PRT" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".participation[typeCode=AUT].role" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="ClinicalStatement.statementAuthor" />
      </mapping>
    </element>
    <element id="ServiceRequest.performerType">
      <path value="ServiceRequest.performerType" />
      <short value="Performer role" />
      <definition value="Desired type of performer for doing the requested service." />
      <comment value="This is a  role, not  a participation type.  In other words, does not describe the task but describes the capacity.  For example, “compounding pharmacy”, “psychiatrist” or “internal referral”." />
      <alias value="specialty" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ServiceRequestParticipantRole" />
        </extension>
        <strength value="example" />
        <description value="Indicates specific responsibility of an individual within the care team, such as &quot;Primary physician&quot;, &quot;Team coordinator&quot;, &quot;Caregiver&quot;, etc." />
        <valueSet value="http://hl7.org/fhir/ValueSet/participant-role" />
      </binding>
      <mapping>
        <identity value="workflow" />
        <map value="Request.performerType" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.actor" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PRT, RF!-3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code" />
      </mapping>
    </element>
    <element id="ServiceRequest.performer">
      <path value="ServiceRequest.performer" />
      <short value="Requested performer" />
      <definition value="The desired performer for doing the requested service.  For example, the surgeon, dermatopathologist, endoscopist, etc." />
      <comment value="If multiple performers are present, it is interpreted as a list of *alternative* performers without any preference regardless of order.  If order of preference is needed use the [request-performerOrder extension](extension-request-performerorder.html).  Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B)." />
      <alias value="request recipient" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Request.performer" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.actor" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]" />
      </mapping>
    </element>
    <element id="ServiceRequest.locationCode">
      <path value="ServiceRequest.locationCode" />
      <short value="Requested location" />
      <definition value="The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center." />
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ServiceRequestLocation" />
        </extension>
        <strength value="example" />
        <description value="A location type where services are delivered." />
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType" />
      </binding>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.actor" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".participation[typeCode=LOC].role[scoper.determinerCode=KIND].code" />
      </mapping>
    </element>
    <element id="ServiceRequest.locationReference">
      <path value="ServiceRequest.locationReference" />
      <short value="Requested location" />
      <definition value="A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.actor" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]" />
      </mapping>
    </element>
    <element id="ServiceRequest.reasonCode">
      <path value="ServiceRequest.reasonCode" />
      <short value="Explanation/Justification for procedure or service" />
      <definition value="An explanation or justification for why this service is being requested in coded or textual form.   This is often for billing purposes.  May relate to the resources referred to in `supportingInfo`." />
      <comment value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all.   Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html)." />
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ServiceRequestReason" />
        </extension>
        <strength value="example" />
        <description value="Diagnosis or problem codes justifying the reason for requesting the service investigation." />
        <valueSet value="http://hl7.org/fhir/ValueSet/procedure-reason" />
      </binding>
      <mapping>
        <identity value="workflow" />
        <map value="Request.reasonCode" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.why[x]" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ORC.16, RF1-10" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".reasonCode" />
      </mapping>
    </element>
    <element id="ServiceRequest.reasonReference">
      <path value="ServiceRequest.reasonReference" />
      <short value="Explanation/Justification for service or service" />
      <definition value="Indicates another resource that provides a justification for why this service is being requested.   May relate to the resources referred to in `supportingInfo`." />
      <comment value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all.    To be as specific as possible,  a reference to  *Observation* or *Condition* should be used if available.  Otherwise when referencing  *DiagnosticReport*  it should contain a finding  in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`.   When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request.  Use  the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html)." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Request.reasonReference" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.why[x]" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ORC.16" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[typeCode=RSON].target" />
      </mapping>
    </element>
    <element id="ServiceRequest.insurance">
      <path value="ServiceRequest.insurance" />
      <short value="Associated insurance coverage" />
      <definition value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse" />
      </type>
      <mapping>
        <identity value="workflow" />
        <map value="Request.insurance" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="IN1/IN2" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[typeCode=COVBY].target" />
      </mapping>
    </element>
    <element id="ServiceRequest.supportingInfo">
      <path value="ServiceRequest.supportingInfo" />
      <short value="Additional clinical information" />
      <definition value="Additional clinical information about the patient or specimen that may influence the services or their interpretations.     This information includes diagnosis, clinical findings and other observations.  In laboratory ordering these are typically referred to as &quot;ask at order entry questions (AOEs)&quot;.  This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example,  reporting the amount of inspired oxygen for blood gas measurements." />
      <comment value="To represent information about how the services are to be delivered use the `instructions` element." />
      <alias value="Ask at order entry question" />
      <alias value="AOE" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" />
      </type>
      <mapping>
        <identity value="workflow" />
        <map value="Request.supportingInfo" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="Accompanying segments" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[typeCode=PERT].target" />
      </mapping>
    </element>
    <element id="ServiceRequest.specimen">
      <path value="ServiceRequest.specimen" />
      <short value="Procedure Samples" />
      <definition value="One or more specimens that the laboratory procedure will use." />
      <comment value="Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to.    Conversely, if the request is entered first with an unknown specimen, then the [Specimen](specimen.html) resource points to the ServiceRequest." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="SPM" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".participation[typeCode=SPC].role" />
      </mapping>
    </element>
    <element id="ServiceRequest.bodySite">
      <path value="ServiceRequest.bodySite" />
      <short value="Location on Body" />
      <definition value="Anatomic location where the procedure should be performed. This is the target site." />
      <comment value="Only used if not implicit in the code found in ServiceRequest.code.  If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately)  then use the standard extension [procedure-targetBodyStructure](extension-procedure-targetbodystructure.html)." />
      <requirements value="Knowing where the procedure is performed is important for tracking if multiple sites are possible." />
      <alias value="location" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BodySite" />
        </extension>
        <strength value="example" />
        <description value="Codes describing anatomical locations. May include laterality." />
        <valueSet value="http://hl7.org/fhir/ValueSet/body-site" />
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="SPM" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="targetSiteCode" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="Procedure.targetBodySite" />
      </mapping>
    </element>
    <element id="ServiceRequest.note">
      <path value="ServiceRequest.note" />
      <short value="Comments" />
      <definition value="Any other notes and comments made about the service request. For example, internal billing notes." />
      <type>
        <code value="Annotation" />
      </type>
      <mapping>
        <identity value="workflow" />
        <map value="Request.note" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="NTE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]" />
      </mapping>
      <mapping>
        <identity value="quick" />
        <map value="ClinicalStatement.additionalText" />
      </mapping>
    </element>
    <element id="ServiceRequest.patientInstruction">
      <path value="ServiceRequest.patientInstruction" />
      <short value="Patient or consumer-oriented instructions" />
      <definition value="Instructions in terms that are understood by the patient or consumer." />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="NTE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".text" />
      </mapping>
    </element>
    <element id="ServiceRequest.relevantHistory">
      <path value="ServiceRequest.relevantHistory" />
      <short value="Request provenance" />
      <definition value="Key events in the history of the request." />
      <comment value="This might not include provenances for all versions of the request – only those deemed “relevant” or important.&#xD;This SHALL NOT include the Provenance associated with this current version of the resource.  (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update.  Until then, it can be queried directly as the Provenance that points to this version using _revinclude&#xD;All Provenances should have some historical version of this Request as their subject." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance" />
      </type>
      <mapping>
        <identity value="workflow" />
        <map value="Request.relevantHistory" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>