{ "resourceType": "StructureDefinition", "id": "ReferralRequest", "meta": { "lastUpdated": "2017-04-18T21:44:43.294+00:00" }, "text": { "status": "generated", "div": "
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\"ReferralRequestDomainResourceA request for referral or transfer of care\n
Elements defined in Ancestors: \n id, \n meta, \n implicitRules, \n language, \n text, \n contained, \n extension, \n modifierExtension
\".\"\".\"\".\"identifierΣ0..*IdentifierBusiness identifier\n
\".\"\".\"\".\"definitionΣ0..*Reference(\n ActivityDefinition | \n PlanDefinition)\n Instantiates protocol or definition\n
\".\"\".\"\".\"basedOnΣ0..*Reference(\n ReferralRequest | \n CarePlan | \n ProcedureRequest)\n Request fulfilled by this request\n
\".\"\".\"\".\"replacesΣ0..*Reference(\n ReferralRequest)\n Request(s) replaced by this request\n
\".\"\".\"\".\"groupIdentifierΣ0..1IdentifierComposite request this is part of
\".\"\".\"\".\"status?!Σ1..1codedraft | active | suspended | cancelled | completed | entered-in-error | unknown\n
RequestStatus (\n Required)\n
\".\"\".\"\".\"intent?!Σ1..1codeproposal | plan | order\n
RequestIntent (\n Required)\n
\".\"\".\"\".\"typeΣ0..1CodeableConceptReferral/Transition of care request type\n
SNOMED CT Patient Referral (\n Example)\n
\".\"\".\"\".\"priorityΣ0..1codeUrgency of referral / transfer of care request\n
RequestPriority (\n Required)\n
\".\"\".\"\".\"serviceRequestedΣ0..*CodeableConceptActions requested as part of the referral\n
Practice Setting Code Value Set (\n Example)\n
\".\"\".\"\".\"subjectΣ1..1Reference(\n Patient | \n Group)\n Patient referred to care or transfer
\".\"\".\"\".\"contextΣ0..1Reference(\n Encounter | \n EpisodeOfCare)\n Originating encounter
\".\"\".\"\".\"occurrence[x]Σ0..1When the service(s) requested in the referral should occur
\".\"\".\"\".\"\".\"occurrenceDateTimedateTime
\".\"\".\"\".\"\".\"occurrencePeriodPeriod
\".\"\".\"\".\"authoredOnΣ0..1dateTimeDate of creation/activation
\".\"\".\"\".\"requesterΣI0..1BackboneElementWho/what is requesting service\n
+ onBehalfOf can only be specified if agent is practitioner or device
\".\"\".\"\".\"\".\"agentΣ1..1Reference(\n Practitioner | \n Organization | \n Patient | \n RelatedPerson | \n Device)\n Individual making the request
\".\"\".\"\".\"\".\"onBehalfOfΣI0..1Reference(\n Organization)\n Organization agent is acting for
\".\"\".\"\".\"specialty0..1CodeableConceptThe clinical specialty (discipline) that the referral is requested for\n
PractitionerSpecialty (\n Example)\n
\".\"\".\"\".\"recipientΣ0..*Reference(\n Practitioner | \n Organization | \n HealthcareService)\n Receiver of referral / transfer of care request\n
\".\"\".\"\".\"reasonCodeΣ0..*CodeableConceptReason for referral / transfer of care request\n
SNOMED CT Clinical Findings (\n Example)\n
\".\"\".\"\".\"reasonReferenceΣ0..*Reference(\n Condition | \n Observation)\n Why is service needed?\n
\".\"\".\"\".\"description0..1stringA textual description of the referral
\".\"\".\"\".\"supportingInfo0..*Reference(\n Any)\n Additonal information to support referral or transfer of care request\n
\".\"\".\"\".\"note0..*AnnotationComments made about referral request\n
\".\"\".\"\".\"relevantHistory0..*Reference(\n Provenance)\n Key events in history of request\n

\"doco\" Documentation for this format\n
" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "pc" } ], "url": "http://hl7.org/fhir/StructureDefinition/ReferralRequest", "name": "ReferralRequest", "status": "draft", "date": "2017-04-18T21:44:43+00:00", "publisher": "Health Level Seven International (Patient Care)", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/fhir" } ] }, { "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/patientcare/index.cfm" } ] } ], "description": "Base StructureDefinition for ReferralRequest Resource", "fhirVersion": "3.0.1", "mapping": [ { "identity": "w5", "uri": "http://hl7.org/fhir/w5", "name": "W5 Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" } ], "kind": "resource", "abstract": false, "type": "ReferralRequest", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource", "derivation": "specialization", "snapshot": { "element": [ { "id": "ReferralRequest", "path": "ReferralRequest", "short": "A request for referral or transfer of care", "definition": "Used to record and send details about a request for referral service or transfer of a patient to the care of another provider or provider organization.", "alias": [ "ReferralRequest TransferOfCare Request" ], "min": 0, "max": "*", "base": { "path": "Resource", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-1", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative", "expression": "contained.text.empty()", "xpath": "not(parent::f:contained and f:text)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-3", "severity": "error", "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource", "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()", "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "w5", "map": "clinical.careprovision" } ] }, { "id": "ReferralRequest.id", "path": "ReferralRequest.id", "short": "Logical id of this artifact", "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "code": "id" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ReferralRequest.meta", "path": "ReferralRequest.meta", "short": "Metadata about the resource", "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ReferralRequest.implicitRules", "path": "ReferralRequest.implicitRules", "short": "A set of rules under which this content was created", "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.", "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.", "min": 0, "max": "1", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ReferralRequest.language", "path": "ReferralRequest.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueReference": { "reference": "http://hl7.org/fhir/ValueSet/all-languages" } }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" } ], "strength": "extensible", "description": "A human language.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/languages" } }, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ReferralRequest.text", "path": "ReferralRequest.text", "short": "Text summary of the resource, for human interpretation", "definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "condition": [ "ele-1", "dom-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "Act.text?" } ] }, { "id": "ReferralRequest.contained", "path": "ReferralRequest.contained", "short": "Contained, inline Resources", "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ReferralRequest.extension", "path": "ReferralRequest.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ReferralRequest.modifierExtension", "path": "ReferralRequest.modifierExtension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ReferralRequest.identifier", "path": "ReferralRequest.identifier", "short": "Business identifier", "definition": "Business identifier that uniquely identifies the referral/care transfer request instance.", "min": 0, "max": "*", "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "v2", "map": "RF1-6 / RF1-11" }, { "identity": "w5", "map": "id" } ] }, { "id": "ReferralRequest.definition", "path": "ReferralRequest.definition", "short": "Instantiates protocol or definition", "definition": "A protocol, guideline, orderset or other definition that is adhered to in whole or in part by this request.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/PlanDefinition" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target" } ] }, { "id": "ReferralRequest.basedOn", "path": "ReferralRequest.basedOn", "short": "Request fulfilled by this request", "definition": "Indicates any plans, proposals or orders that this request is intended to satisfy - in whole or in part.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "alias": [ "fulfills" ], "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ReferralRequest" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/CarePlan" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" } ] }, { "id": "ReferralRequest.replaces", "path": "ReferralRequest.replaces", "short": "Request(s) replaced by this request", "definition": "Completed or terminated request(s) whose function is taken by this new request.", "comment": "The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing.", "requirements": "Allows tracing the continuation of a therapy or administrative process instantiated through multiple requests.", "alias": [ "supersedes", "prior", "renewed order" ], "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ReferralRequest" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=RPLC].target" } ] }, { "id": "ReferralRequest.groupIdentifier", "path": "ReferralRequest.groupIdentifier", "short": "Composite request this is part of", "definition": "The business identifier of the logical \"grouping\" request/order that this referral is a part of.", "requirements": "Allows multiple orders to be collected as part of a single requisition.", "alias": [ "grouperId", "requisition" ], "min": 0, "max": "1", "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" } ] }, { "id": "ReferralRequest.status", "path": "ReferralRequest.status", "short": "draft | active | suspended | cancelled | completed | entered-in-error | unknown", "definition": "The status of the authorization/intention reflected by the referral request record.", "comment": "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.", "requirements": "Workflow status is handled by the Task resource.", "min": 1, "max": "1", "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isModifier": true, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ReferralRequestStatus" } ], "strength": "required", "description": "The status of the referral.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/request-status" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "RF1-1" }, { "identity": "w5", "map": "status" } ] }, { "id": "ReferralRequest.intent", "path": "ReferralRequest.intent", "short": "proposal | plan | order", "definition": "Distinguishes the \"level\" of authorization/demand implicit in this request.", "comment": "Note that FHIR strings may not exceed 1MB in size", "requirements": "The same resource structure is used when capturing proposals/recommendations, plans and actual requests.", "alias": [ "category" ], "min": 1, "max": "1", "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isModifier": true, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ReferralCategory" } ], "strength": "required", "description": "Codes identifying the stage lifecycle stage of a request", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/request-intent" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "w5", "map": "class" } ] }, { "id": "ReferralRequest.type", "path": "ReferralRequest.type", "short": "Referral/Transition of care request type", "definition": "An indication of the type of referral (or where applicable the type of transfer of care) request.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ReferralType" } ], "strength": "example", "description": "Codes for types of referral; e.g. consult, transfer, temporary transfer.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/referral-type" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "RF1-10" }, { "identity": "w5", "map": "class" } ] }, { "id": "ReferralRequest.priority", "path": "ReferralRequest.priority", "short": "Urgency of referral / transfer of care request", "definition": "An indication of the urgency of referral (or where applicable the type of transfer of care) request.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ReferralPriority" } ], "strength": "required", "description": "Codes indicating the relative priority of the referral.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/request-priority" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "RF1-2" }, { "identity": "w5", "map": "grade" } ] }, { "id": "ReferralRequest.serviceRequested", "path": "ReferralRequest.serviceRequested", "short": "Actions requested as part of the referral", "definition": "The service(s) that is/are requested to be provided to the patient. For example: cardiac pacemaker insertion.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "RequestedService" } ], "strength": "example", "description": "Codes indicating the types of services that might be requested as part of a referral.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/c80-practice-codes" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "PR1-3 / OBR-4" }, { "identity": "w5", "map": "what" } ] }, { "id": "ReferralRequest.subject", "path": "ReferralRequest.subject", "short": "Patient referred to care or transfer", "definition": "The patient who is the subject of a referral or transfer of care request.", "comment": "Referral of family, group or community is to be catered for by profiles.", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "PID-3" }, { "identity": "w5", "map": "who.focus" } ] }, { "id": "ReferralRequest.context", "path": "ReferralRequest.context", "short": "Originating encounter", "definition": "The encounter at which the request for referral or transfer of care is initiated.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "alias": [ "encounter" ], "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Encounter" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "PV1-19" }, { "identity": "w5", "map": "context" } ] }, { "id": "ReferralRequest.occurrence[x]", "path": "ReferralRequest.occurrence[x]", "short": "When the service(s) requested in the referral should occur", "definition": "The period of time within which the services identified in the referral/transfer of care is specified or required to occur.", "comment": "When the occurrenceDateTime is used, then it is indicating that the requested service must happen before the specified date.", "requirements": "Use cases: (1) to indicate that the requested service is not to happen before a specified date, and saving the start date in Period.start; (2) to indicate that the requested service must happen before a specified date, and saving the end date in Period.end; (3) to indicate that the requested service must happen during the specified dates (\"start\" and \"end\" values).", "alias": [ "timing" ], "min": 0, "max": "1", "type": [ { "code": "dateTime" }, { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "OBR-7/OBR-8" }, { "identity": "w5", "map": "when.planned" } ] }, { "id": "ReferralRequest.authoredOn", "path": "ReferralRequest.authoredOn", "short": "Date of creation/activation", "definition": "Date/DateTime of creation for draft requests and date of activation for active requests.", "alias": [ "createdOn" ], "min": 0, "max": "1", "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "RF1-7 / RF1-9?" }, { "identity": "w5", "map": "when.recorded" } ] }, { "id": "ReferralRequest.requester", "path": "ReferralRequest.requester", "short": "Who/what is requesting service", "definition": "The individual who initiated the request and has responsibility for its activation.", "alias": [ "author" ], "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/ReferralRequest" }, { "key": "rfr-1", "severity": "error", "human": "onBehalfOf can only be specified if agent is practitioner or device", "expression": "(agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not()", "xpath": "contains(f:agent/f:reference/@value, '/Practitioner/') or contains(f:agent/f:reference/@value, '/Device/') or not(exists(f:onBehalfOf))", "source": "http://hl7.org/fhir/StructureDefinition/ReferralRequest" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".participation[typeCode=AUT].role" } ] }, { "id": "ReferralRequest.requester.id", "path": "ReferralRequest.requester.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ReferralRequest.requester.extension", "path": "ReferralRequest.requester.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ReferralRequest.requester.modifierExtension", "path": "ReferralRequest.requester.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Extension" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ReferralRequest.requester.agent", "path": "ReferralRequest.requester.agent", "short": "Individual making the request", "definition": "The device, practitioner, etc. who initiated the request.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".player" }, { "identity": "w5", "map": "who.author" } ] }, { "id": "ReferralRequest.requester.onBehalfOf", "path": "ReferralRequest.requester.onBehalfOf", "short": "Organization agent is acting for", "definition": "The organization the device or practitioner was acting on behalf of.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when authoring the request.", "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization" } ], "condition": [ "ele-1", "rfr-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".scoper" } ] }, { "id": "ReferralRequest.specialty", "path": "ReferralRequest.specialty", "short": "The clinical specialty (discipline) that the referral is requested for", "definition": "Indication of the clinical domain or discipline to which the referral or transfer of care request is sent. For example: Cardiology Gastroenterology Diabetology.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isModifier": false, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ReferralSpecialty" } ], "strength": "example", "description": "Codes indicating the types of capability the referred to service provider must have.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/practitioner-specialty" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "RF1-3" } ] }, { "id": "ReferralRequest.recipient", "path": "ReferralRequest.recipient", "short": "Receiver of referral / transfer of care request", "definition": "The healthcare provider(s) or provider organization(s) who/which is to receive the referral/transfer of care request.", "comment": "There will be a primary receiver. But the request can be received by any number of \"copied to\" providers or organizations.", "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/HealthcareService" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT" }, { "identity": "w5", "map": "who.actor" } ] }, { "id": "ReferralRequest.reasonCode", "path": "ReferralRequest.reasonCode", "short": "Reason for referral / transfer of care request", "definition": "Description of clinical condition indicating why referral/transfer of care is requested. For example: Pathological Anomalies, Disabled (physical or mental), Behavioral Management.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ReferralReason" } ], "strength": "example", "description": "Codes indicating why the referral is being requested.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/clinical-findings" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "RF1-10" }, { "identity": "w5", "map": "why" } ] }, { "id": "ReferralRequest.reasonReference", "path": "ReferralRequest.reasonReference", "short": "Why is service needed?", "definition": "Indicates another resource whose existence justifies this request.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Condition" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=RSON].target" }, { "identity": "w5", "map": "why" } ] }, { "id": "ReferralRequest.description", "path": "ReferralRequest.description", "short": "A textual description of the referral", "definition": "The reason element gives a short description of why the referral is being made, the description expands on this to support a more complete clinical summary.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ReferralRequest.supportingInfo", "path": "ReferralRequest.supportingInfo", "short": "Additonal information to support referral or transfer of care request", "definition": "Any additional (administrative, financial or clinical) information required to support request for referral or transfer of care. For example: Presenting problems/chief complaints Medical History Family History Alerts Allergy/Intolerance and Adverse Reactions Medications Observations/Assessments (may include cognitive and fundtional assessments) Diagnostic Reports Care Plan.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isModifier": false, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" } ] }, { "id": "ReferralRequest.note", "path": "ReferralRequest.note", "short": "Comments made about referral request", "definition": "Comments made about the referral request by any of the participants.", "comment": "For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. *Annotations SHOULD NOT* be used to communicate \"modifying\" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).", "min": 0, "max": "*", "type": [ { "code": "Annotation" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act" } ] }, { "id": "ReferralRequest.relevantHistory", "path": "ReferralRequest.relevantHistory", "short": "Key events in history of request", "definition": "Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.", "comment": "This element does not point to the Provenance associated with the *current* version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a _revinclude.", "alias": [ "eventHistory" ], "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Provenance" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Reference" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]" } ] } ] }, "differential": { "element": [ { "id": "ReferralRequest", "path": "ReferralRequest", "short": "A request for referral or transfer of care", "definition": "Used to record and send details about a request for referral service or transfer of a patient to the care of another provider or provider organization.", "alias": [ "ReferralRequest TransferOfCare Request" ], "min": 0, "max": "*", "mapping": [ { "identity": "w5", "map": "clinical.careprovision" } ] }, { "id": "ReferralRequest.identifier", "path": "ReferralRequest.identifier", "short": "Business identifier", "definition": "Business identifier that uniquely identifies the referral/care transfer request instance.", "min": 0, "max": "*", "type": [ { "code": "Identifier" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "RF1-6 / RF1-11" }, { "identity": "w5", "map": "id" } ] }, { "id": "ReferralRequest.definition", "path": "ReferralRequest.definition", "short": "Instantiates protocol or definition", "definition": "A protocol, guideline, orderset or other definition that is adhered to in whole or in part by this request.", "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/PlanDefinition" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target" } ] }, { "id": "ReferralRequest.basedOn", "path": "ReferralRequest.basedOn", "short": "Request fulfilled by this request", "definition": "Indicates any plans, proposals or orders that this request is intended to satisfy - in whole or in part.", "alias": [ "fulfills" ], "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ReferralRequest" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/CarePlan" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest" } ], "isModifier": false, "isSummary": true }, { "id": "ReferralRequest.replaces", "path": "ReferralRequest.replaces", "short": "Request(s) replaced by this request", "definition": "Completed or terminated request(s) whose function is taken by this new request.", "comment": "The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing.", "requirements": "Allows tracing the continuation of a therapy or administrative process instantiated through multiple requests.", "alias": [ "supersedes", "prior", "renewed order" ], "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ReferralRequest" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=RPLC].target" } ] }, { "id": "ReferralRequest.groupIdentifier", "path": "ReferralRequest.groupIdentifier", "short": "Composite request this is part of", "definition": "The business identifier of the logical \"grouping\" request/order that this referral is a part of.", "requirements": "Allows multiple orders to be collected as part of a single requisition.", "alias": [ "grouperId", "requisition" ], "min": 0, "max": "1", "type": [ { "code": "Identifier" } ], "isModifier": false, "isSummary": true }, { "id": "ReferralRequest.status", "path": "ReferralRequest.status", "short": "draft | active | suspended | cancelled | completed | entered-in-error | unknown", "definition": "The status of the authorization/intention reflected by the referral request record.", "comment": "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.", "requirements": "Workflow status is handled by the Task resource.", "min": 1, "max": "1", "type": [ { "code": "code" } ], "isModifier": true, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ReferralRequestStatus" } ], "strength": "required", "description": "The status of the referral.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/request-status" } }, "mapping": [ { "identity": "v2", "map": "RF1-1" }, { "identity": "w5", "map": "status" } ] }, { "id": "ReferralRequest.intent", "path": "ReferralRequest.intent", "short": "proposal | plan | order", "definition": "Distinguishes the \"level\" of authorization/demand implicit in this request.", "requirements": "The same resource structure is used when capturing proposals/recommendations, plans and actual requests.", "alias": [ "category" ], "min": 1, "max": "1", "type": [ { "code": "code" } ], "isModifier": true, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ReferralCategory" } ], "strength": "required", "description": "Codes identifying the stage lifecycle stage of a request", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/request-intent" } }, "mapping": [ { "identity": "w5", "map": "class" } ] }, { "id": "ReferralRequest.type", "path": "ReferralRequest.type", "short": "Referral/Transition of care request type", "definition": "An indication of the type of referral (or where applicable the type of transfer of care) request.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ReferralType" } ], "strength": "example", "description": "Codes for types of referral; e.g. consult, transfer, temporary transfer.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/referral-type" } }, "mapping": [ { "identity": "v2", "map": "RF1-10" }, { "identity": "w5", "map": "class" } ] }, { "id": "ReferralRequest.priority", "path": "ReferralRequest.priority", "short": "Urgency of referral / transfer of care request", "definition": "An indication of the urgency of referral (or where applicable the type of transfer of care) request.", "min": 0, "max": "1", "type": [ { "code": "code" } ], "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ReferralPriority" } ], "strength": "required", "description": "Codes indicating the relative priority of the referral.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/request-priority" } }, "mapping": [ { "identity": "v2", "map": "RF1-2" }, { "identity": "w5", "map": "grade" } ] }, { "id": "ReferralRequest.serviceRequested", "path": "ReferralRequest.serviceRequested", "short": "Actions requested as part of the referral", "definition": "The service(s) that is/are requested to be provided to the patient. For example: cardiac pacemaker insertion.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "RequestedService" } ], "strength": "example", "description": "Codes indicating the types of services that might be requested as part of a referral.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/c80-practice-codes" } }, "mapping": [ { "identity": "v2", "map": "PR1-3 / OBR-4" }, { "identity": "w5", "map": "what" } ] }, { "id": "ReferralRequest.subject", "path": "ReferralRequest.subject", "short": "Patient referred to care or transfer", "definition": "The patient who is the subject of a referral or transfer of care request.", "comment": "Referral of family, group or community is to be catered for by profiles.", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "PID-3" }, { "identity": "w5", "map": "who.focus" } ] }, { "id": "ReferralRequest.context", "path": "ReferralRequest.context", "short": "Originating encounter", "definition": "The encounter at which the request for referral or transfer of care is initiated.", "alias": [ "encounter" ], "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Encounter" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "PV1-19" }, { "identity": "w5", "map": "context" } ] }, { "id": "ReferralRequest.occurrence[x]", "path": "ReferralRequest.occurrence[x]", "short": "When the service(s) requested in the referral should occur", "definition": "The period of time within which the services identified in the referral/transfer of care is specified or required to occur.", "comment": "When the occurrenceDateTime is used, then it is indicating that the requested service must happen before the specified date.", "requirements": "Use cases: (1) to indicate that the requested service is not to happen before a specified date, and saving the start date in Period.start; (2) to indicate that the requested service must happen before a specified date, and saving the end date in Period.end; (3) to indicate that the requested service must happen during the specified dates (\"start\" and \"end\" values).", "alias": [ "timing" ], "min": 0, "max": "1", "type": [ { "code": "dateTime" }, { "code": "Period" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "OBR-7/OBR-8" }, { "identity": "w5", "map": "when.planned" } ] }, { "id": "ReferralRequest.authoredOn", "path": "ReferralRequest.authoredOn", "short": "Date of creation/activation", "definition": "Date/DateTime of creation for draft requests and date of activation for active requests.", "alias": [ "createdOn" ], "min": 0, "max": "1", "type": [ { "code": "dateTime" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "RF1-7 / RF1-9?" }, { "identity": "w5", "map": "when.recorded" } ] }, { "id": "ReferralRequest.requester", "path": "ReferralRequest.requester", "short": "Who/what is requesting service", "definition": "The individual who initiated the request and has responsibility for its activation.", "alias": [ "author" ], "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ], "constraint": [ { "key": "rfr-1", "severity": "error", "human": "onBehalfOf can only be specified if agent is practitioner or device", "expression": "(agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not()", "xpath": "contains(f:agent/f:reference/@value, '/Practitioner/') or contains(f:agent/f:reference/@value, '/Device/') or not(exists(f:onBehalfOf))" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".participation[typeCode=AUT].role" } ] }, { "id": "ReferralRequest.requester.agent", "path": "ReferralRequest.requester.agent", "short": "Individual making the request", "definition": "The device, practitioner, etc. who initiated the request.", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".player" }, { "identity": "w5", "map": "who.author" } ] }, { "id": "ReferralRequest.requester.onBehalfOf", "path": "ReferralRequest.requester.onBehalfOf", "short": "Organization agent is acting for", "definition": "The organization the device or practitioner was acting on behalf of.", "requirements": "Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when authoring the request.", "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization" } ], "condition": [ "rfr-1" ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".scoper" } ] }, { "id": "ReferralRequest.specialty", "path": "ReferralRequest.specialty", "short": "The clinical specialty (discipline) that the referral is requested for", "definition": "Indication of the clinical domain or discipline to which the referral or transfer of care request is sent. For example: Cardiology Gastroenterology Diabetology.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "isModifier": false, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ReferralSpecialty" } ], "strength": "example", "description": "Codes indicating the types of capability the referred to service provider must have.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/practitioner-specialty" } }, "mapping": [ { "identity": "v2", "map": "RF1-3" } ] }, { "id": "ReferralRequest.recipient", "path": "ReferralRequest.recipient", "short": "Receiver of referral / transfer of care request", "definition": "The healthcare provider(s) or provider organization(s) who/which is to receive the referral/transfer of care request.", "comment": "There will be a primary receiver. But the request can be received by any number of \"copied to\" providers or organizations.", "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/HealthcareService" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT" }, { "identity": "w5", "map": "who.actor" } ] }, { "id": "ReferralRequest.reasonCode", "path": "ReferralRequest.reasonCode", "short": "Reason for referral / transfer of care request", "definition": "Description of clinical condition indicating why referral/transfer of care is requested. For example: Pathological Anomalies, Disabled (physical or mental), Behavioral Management.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ReferralReason" } ], "strength": "example", "description": "Codes indicating why the referral is being requested.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/clinical-findings" } }, "mapping": [ { "identity": "v2", "map": "RF1-10" }, { "identity": "w5", "map": "why" } ] }, { "id": "ReferralRequest.reasonReference", "path": "ReferralRequest.reasonReference", "short": "Why is service needed?", "definition": "Indicates another resource whose existence justifies this request.", "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Condition" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=RSON].target" }, { "identity": "w5", "map": "why" } ] }, { "id": "ReferralRequest.description", "path": "ReferralRequest.description", "short": "A textual description of the referral", "definition": "The reason element gives a short description of why the referral is being made, the description expands on this to support a more complete clinical summary.", "min": 0, "max": "1", "type": [ { "code": "string" } ], "isModifier": false }, { "id": "ReferralRequest.supportingInfo", "path": "ReferralRequest.supportingInfo", "short": "Additonal information to support referral or transfer of care request", "definition": "Any additional (administrative, financial or clinical) information required to support request for referral or transfer of care. For example: Presenting problems/chief complaints Medical History Family History Alerts Allergy/Intolerance and Adverse Reactions Medications Observations/Assessments (may include cognitive and fundtional assessments) Diagnostic Reports Care Plan.", "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "isModifier": false }, { "id": "ReferralRequest.note", "path": "ReferralRequest.note", "short": "Comments made about referral request", "definition": "Comments made about the referral request by any of the participants.", "min": 0, "max": "*", "type": [ { "code": "Annotation" } ] }, { "id": "ReferralRequest.relevantHistory", "path": "ReferralRequest.relevantHistory", "short": "Key events in history of request", "definition": "Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.", "comment": "This element does not point to the Provenance associated with the *current* version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a _revinclude.", "alias": [ "eventHistory" ], "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Provenance" } ], "mapping": [ { "identity": "rim", "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]" } ] } ] } }