{ "description": "MedicalDevice Request as defined by the Dutch Health and Care Information model for PlannedCareActivity (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017.", "_filename": "zib-MedicalDeviceRequest.json", "package_name": "nictiz.fhir.nl.stu3.zib2017", "date": null, "derivation": "constraint", "publisher": "Nictiz", "fhirVersion": "3.0.2", "purpose": "Recording planned appointments, referrals, treatments, diagnostic procedures, open orders and orders of which the results are not yet known gives every recipient, user or healthcare facility insight in the planned healthcare for this patient. This can prevent situations in which diagnostics and treatment can conflict with each other.\r\nThis will give the recipient the option to place an order, cancel the order or act in any other way in accordance with their own policy.\r\nFor orders that do not yet have results, the recipient is informed of the fact that potentially relevant results will be made available (which have to be requested).", "name": "Zib MedicalDevice Request", "mapping": [ { "uri": "https://zibs.nl/wiki/HealthProfessional-v3.2(2017EN)", "name": "HCIM HealthProfessional-v3.2(2017EN)", "identity": "hcim-healthprofessional-v3.2-2017EN" }, { "uri": "https://zibs.nl/wiki/PlannedCareActivityForTransfer-v3.1(2017EN)", "name": "HCIM PlannedCareActivityForTransfer-v3.1(2017EN)", "identity": "hcim-plannedcareactivityfortransfer-v3.1-2017EN" }, { "uri": "https://zibs.nl/wiki/MedicalDevice-v3.1(2017EN)", "name": "HCIM MedicalDevice-v3.1(2017EN)", "identity": "hcim-medicaldevice-v3.1-2017EN" }, { "uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)", "name": "HCIM BasicElements-v1.0(2017EN)", "identity": "hcim-basicelements-v1.0-2017EN" }, { "uri": "https://zibs.nl/wiki/PlannedCareActivityForTransfer-v3.0(2016EN)", "name": "HCIM PlannedCareActivityForTransfer-v3.0(2016EN)", "identity": "hcim-plannedcareactivityfortransfer-v3.0-2016EN" }, { "uri": "https://zibs.nl/wiki/MedicalDevice-v3.0(2016EN)", "name": "HCIM MedicalDevice-v3.0(2016EN)", "identity": "hcim-medicaldevice-v3.0-2016EN" }, { "uri": "https://zibs.nl/wiki/HealthProfessional-v3.0(2016EN)", "name": "HCIM HealthProfessional-v3.0(2016EN)", "identity": "hcim-healthprofessional-v3.0-2016EN" }, { "uri": "https://zibs.nl/wiki/PlannedCareActivityForTransfer-v1.2.1(2015EN)", "name": "HCIM PlannedCareActivityForTransfer-v1.2.1(2015EN)", "identity": "hcim-plannedcareactivityfortransfer-v1.2.1-2015EN" }, { "uri": "https://zibs.nl/wiki/MedicalDevice-v1.2(2015EN)", "name": "HCIM MedicalDevice-v1.2(2015EN)", "identity": "hcim-medicaldevice-v1.2-2015EN" }, { "uri": "https://zibs.nl/wiki/HealthProfessional-v1.2.1(2015EN)", "name": "HCIM HealthProfessional-v1.2.1(2015EN)", "identity": "hcim-healthprofessional-v1.2.1-2015EN" } ], "abstract": false, "copyright": "CC0", "type": "DeviceRequest", "experimental": null, "resourceType": "StructureDefinition", "title": "HCIM MedicalDevice Request", "package_version": "2.3.1", "snapshot": { "element": [ { "constraint": [ { "key": "dom-2", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "xpath": "not(parent::f:contained and f:contained)", "source": "DomainResource", "severity": "error", "expression": "contained.contained.empty()" }, { "key": "dom-1", "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative", "xpath": "not(parent::f:contained and f:text)", "source": "DomainResource", "severity": "error", "expression": "contained.text.empty()" }, { "key": "dom-4", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "DomainResource", "severity": "error", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" }, { "key": "dom-3", "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource", "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))", "source": "DomainResource", "severity": "error", "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()" } ], "path": "DeviceRequest", "min": 0, "definition": "Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker.", "short": "Medical device request", "mapping": [ { "map": "Entity. Role, or Act", "identity": "rim" }, { "map": "ORC", "identity": "v2" }, { "map": "Act[moodCode<=INT]", "identity": "rim" }, { "map": "workflow.order", "identity": "w5" }, { "map": "NL-CM:16.1.7", "comment": "MedicalAid", "identity": "hcim-plannedcareactivityfortransfer-v1.2.1-2015EN" }, { "map": "NL-CM:16.1.7", "comment": "MedicalAid", "identity": "hcim-plannedcareactivityfortransfer-v3.0-2016EN" }, { "map": "NL-CM:16.1.7", "comment": "MedicalDevice", "identity": "hcim-plannedcareactivityfortransfer-v3.1-2017EN" } ], "max": "*", "id": "DeviceRequest", "base": { "max": "*", "min": 0, "path": "Resource" } }, { "path": "DeviceRequest.id", "min": 0, "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "short": "Logical id of this artifact", "type": [ { "code": "id" } ], "max": "1", "id": "DeviceRequest.id", "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.", "base": { "max": "1", "min": 0, "path": "Resource.id" }, "isSummary": true }, { "path": "DeviceRequest.meta", "min": 0, "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.", "short": "Metadata about the resource", "type": [ { "code": "Meta" } ], "max": "1", "id": "DeviceRequest.meta", "base": { "max": "1", "min": 0, "path": "Resource.meta" }, "isSummary": true }, { "path": "DeviceRequest.implicitRules", "min": 0, "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.", "isModifier": true, "short": "A set of rules under which this content was created", "type": [ { "code": "uri" } ], "max": "1", "id": "DeviceRequest.implicitRules", "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.", "base": { "max": "1", "min": 0, "path": "Resource.implicitRules" }, "isSummary": true }, { "path": "DeviceRequest.language", "min": 0, "definition": "The base language in which the resource is written.", "short": "Language of the resource content", "type": [ { "code": "code" } ], "binding": { "strength": "extensible", "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" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "description": "A human language.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/languages" } }, "max": "1", "id": "DeviceRequest.language", "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).", "base": { "max": "1", "min": 0, "path": "Resource.language" } }, { "path": "DeviceRequest.text", "min": 0, "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.", "short": "Text summary of the resource, for human interpretation", "mapping": [ { "map": "Act.text?", "identity": "rim" } ], "type": [ { "code": "Narrative" } ], "alias": [ "narrative", "html", "xhtml", "display" ], "max": "1", "id": "DeviceRequest.text", "condition": [ "dom-1" ], "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.", "base": { "max": "1", "min": 0, "path": "DomainResource.text" } }, { "path": "DeviceRequest.contained", "min": 0, "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.", "short": "Contained, inline Resources", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Resource" } ], "alias": [ "inline resources", "anonymous resources", "contained resources" ], "max": "*", "id": "DeviceRequest.contained", "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.", "base": { "max": "*", "min": 0, "path": "DomainResource.contained" } }, { "path": "DeviceRequest.extension", "min": 0, "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.", "short": "Additional Content defined by implementations", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "DeviceRequest.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.", "base": { "max": "*", "min": 0, "path": "DomainResource.extension" } }, { "path": "DeviceRequest.modifierExtension", "min": 0, "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.", "isModifier": true, "short": "Extensions that cannot be ignored", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "DeviceRequest.modifierExtension", "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.", "base": { "max": "*", "min": 0, "path": "DomainResource.modifierExtension" } }, { "path": "DeviceRequest.identifier", "min": 0, "definition": "Identifiers assigned to this order by the orderer or by the receiver.", "short": "External Request identifier", "mapping": [ { "map": "ORC.2, ORC.3", "identity": "v2" }, { "map": ".identifier", "identity": "rim" }, { "map": "ClinicalStatement.identifier", "identity": "quick" }, { "map": "id", "identity": "w5" }, { "map": "NL-CM:0.0.6", "comment": "IdentificationNumber", "identity": "hcim-basicelements-v1.0-2017EN" } ], "type": [ { "code": "Identifier" } ], "max": "*", "id": "DeviceRequest.identifier", "base": { "max": "*", "min": 0, "path": "DeviceRequest.identifier" }, "isSummary": true }, { "path": "DeviceRequest.definition", "min": 0, "definition": "Protocol or definition followed by this request. For example: The proposed act must be performed if the indicated conditions occur, e.g.., shortness of breath, SpO2 less than x%.", "short": "Protocol or definition", "mapping": [ { "map": "Varies by domain", "identity": "v2" }, { "map": ".outboundRelationship[typeCode=DEFN].target", "identity": "rim" } ], "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ActivityDefinition" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/PlanDefinition" } ], "max": "*", "id": "DeviceRequest.definition", "base": { "max": "*", "min": 0, "path": "DeviceRequest.definition" }, "isSummary": true }, { "path": "DeviceRequest.basedOn", "min": 0, "definition": "Plan/proposal/order fulfilled by this request.", "short": "What request fulfills", "mapping": [ { "map": "ORC.8 (plus others)", "identity": "v2" }, { "map": ".outboundRelationship[typeCode=FLFS].target", "identity": "rim" }, { "map": "Proposal.prnReason.reason", "identity": "quick" } ], "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "max": "*", "id": "DeviceRequest.basedOn", "base": { "max": "*", "min": 0, "path": "DeviceRequest.basedOn" }, "isSummary": true }, { "path": "DeviceRequest.priorRequest", "min": 0, "definition": "The request takes the place of the referenced completed or terminated request(s).", "short": "What request replaces", "mapping": [ { "map": "Handled by message location of ORC (ORC.1=RO or RU)", "identity": "v2" }, { "map": ".outboundRelationship[typeCode=RPLC].target", "identity": "rim" } ], "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "max": "*", "id": "DeviceRequest.priorRequest", "base": { "max": "*", "min": 0, "path": "DeviceRequest.priorRequest" }, "isSummary": true }, { "path": "DeviceRequest.groupIdentifier", "min": 0, "definition": "Composite request this is part of.", "short": "Identifier of composite request", "mapping": [ { "map": "ORC.4", "identity": "v2" }, { "map": ".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier", "identity": "rim" } ], "type": [ { "code": "Identifier" } ], "max": "1", "id": "DeviceRequest.groupIdentifier", "base": { "max": "1", "min": 0, "path": "DeviceRequest.groupIdentifier" }, "isSummary": true }, { "path": "DeviceRequest.status", "min": 0, "definition": "The status of the request.", "isModifier": true, "short": "draft | active | suspended | completed | entered-in-error | cancelled", "mapping": [ { "map": "ORC.5", "identity": "v2" }, { "map": ".status", "identity": "rim" }, { "map": "Action.currentStatus", "identity": "quick" }, { "map": "status", "identity": "w5" } ], "type": [ { "code": "code" } ], "binding": { "strength": "required", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "DeviceRequestStatus" } ], "description": "Codes representing the status of the request.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/request-status" } }, "max": "1", "id": "DeviceRequest.status", "comment": "This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the request as not currently valid.", "base": { "max": "1", "min": 0, "path": "DeviceRequest.status" }, "isSummary": true }, { "path": "DeviceRequest.status.id", "min": 0, "definition": "unique id for the element within a resource (for internal references)", "short": "xml:id (or equivalent in JSON)", "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "DeviceRequest.status.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "DeviceRequest.status.extension", "min": 0, "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.", "short": "Additional Content defined by implementations", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "DeviceRequest.status.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "hasValue() | (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://nictiz.nl/fhir/StructureDefinition/code-specification", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "DeviceRequest.status.extension", "min": 0, "definition": "The status of the order.", "short": "OrderStatus", "mapping": [ { "map": "n/a", "identity": "rim" }, { "map": "N/A", "identity": "rim" }, { "map": "NL-CM:16.1.9", "comment": "OrderStatus", "identity": "hcim-plannedcareactivityfortransfer-v1.2.1-2015EN" }, { "map": "NL-CM:16.1.9", "comment": "OrderStatus", "identity": "hcim-plannedcareactivityfortransfer-v3.0-2016EN" }, { "map": "NL-CM:16.1.9", "comment": "OrderStatus", "identity": "hcim-plannedcareactivityfortransfer-v3.1-2017EN" } ], "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification" } ], "sliceName": "orderStatus", "alias": [ "extensions", "user content", "Bevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet.", "OrderStatus" ], "max": "1", "id": "DeviceRequest.status.extension:orderStatus", "condition": [ "ele-1" ], "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.", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "DeviceRequest.status.extension.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "DeviceRequest.status.extension:orderStatus.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "DeviceRequest.status.extension.extension", "min": 0, "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.", "short": "Additional Content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "0", "id": "DeviceRequest.status.extension:orderStatus.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "DeviceRequest.status.extension.url", "min": 1, "definition": "Source of the definition for the extension code - a logical name or a URL.", "short": "identifies the meaning of the extension", "fixedUri": "http://nictiz.nl/fhir/StructureDefinition/code-specification", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "uri" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "DeviceRequest.status.extension:orderStatus.url", "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "base": { "max": "1", "min": 1, "path": "Extension.url" } }, { "path": "DeviceRequest.status.extension.value[x]", "min": 1, "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).", "short": "Value of extension", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "CodeableConcept" } ], "sliceName": "valueCodeableConcept", "binding": { "strength": "extensible", "description": "The status of the order.", "valueSetReference": { "display": "OrderStatusCodelist", "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000" } }, "max": "1", "id": "DeviceRequest.status.extension:orderStatus.valueCodeableConcept:valueCodeableConcept", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" } }, { "path": "DeviceRequest.status.value", "min": 0, "definition": "Primitive value for code", "short": "Primitive value for code", "type": [ { "_code": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type", "valueString": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type", "valueString": "xsd:token" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type", "valueString": "xsd:token" } ] }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-regex", "valueString": "[^\\s]+([\\s]?[^\\s]+)*" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "DeviceRequest.status.value", "base": { "max": "1", "min": 0, "path": "string.value" } }, { "path": "DeviceRequest.intent", "min": 1, "definition": "Whether the request is a proposal, plan, an original order or a reflex order.", "isModifier": true, "short": "proposal | plan | original-order | encoded | reflex-order", "mapping": [ { "map": "N/A", "identity": "v2" }, { "map": ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)", "identity": "rim" }, { "map": "class", "identity": "w5" } ], "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "RequestIntent" } ], "description": "The kind of diagnostic request", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/request-intent" } }, "max": "1", "id": "DeviceRequest.intent", "base": { "max": "1", "min": 1, "path": "DeviceRequest.intent" }, "isSummary": true }, { "path": "DeviceRequest.priority", "min": 0, "definition": "Indicates how quickly the {{title}} should be addressed with respect to other requests.", "short": "Indicates how quickly the {{title}} should be addressed with respect to other requests", "defaultValueCode": "If missing, normal priority", "mapping": [ { "map": "TQ1.9", "identity": "v2" }, { "map": ".priorityCode", "identity": "rim" }, { "map": "grade", "identity": "w5" } ], "type": [ { "code": "code" } ], "binding": { "strength": "required", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "RequestPriority" } ], "description": "Identifies the level of importance to be assigned to actioning the request", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/request-priority" } }, "max": "1", "id": "DeviceRequest.priority", "base": { "max": "1", "min": 0, "path": "DeviceRequest.priority" }, "isSummary": true }, { "path": "DeviceRequest.code[x]", "min": 1, "definition": "The details of the device to be used.", "short": "Device requested", "mapping": [ { "map": "Varies by domain", "identity": "v2" }, { "map": ".code", "identity": "rim" }, { "map": "DeviceUse.device", "identity": "quick" }, { "map": "what", "identity": "w5" } ], "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "type" } ] }, "type": [ { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" }, { "code": "CodeableConcept" } ], "binding": { "strength": "example", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "DeviceRequestCode" } ], "description": "Codes for devices that can be requested", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/device-kind" } }, "max": "1", "id": "DeviceRequest.code[x]", "base": { "max": "1", "min": 1, "path": "DeviceRequest.code[x]" }, "isSummary": true }, { "path": "DeviceRequest.code[x]", "min": 0, "definition": "The medical aid used (internally or externally).", "short": "Product", "mapping": [ { "map": "Varies by domain", "identity": "v2" }, { "map": ".code", "identity": "rim" }, { "map": "DeviceUse.device", "identity": "quick" }, { "map": "what", "identity": "w5" }, { "map": "NL-CM:10.1.2", "comment": "Product", "identity": "hcim-medicaldevice-v1.2-2015EN" }, { "map": "NL-CM:10.1.2", "comment": "Product", "identity": "hcim-medicaldevice-v3.0-2016EN" }, { "map": "NL-CM:10.1.2", "comment": "Product", "identity": "hcim-medicaldevice-v3.1-2017EN" } ], "type": [ { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" } ], "sliceName": "codeReference", "alias": [ "Product" ], "max": "1", "id": "DeviceRequest.code[x]:codeReference", "base": { "max": "1", "min": 1, "path": "DeviceRequest.code[x]" }, "isSummary": true }, { "path": "DeviceRequest.code[x]", "min": 0, "definition": "The code of the type of product.", "short": "ProductType", "mapping": [ { "map": "Varies by domain", "identity": "v2" }, { "map": ".code", "identity": "rim" }, { "map": "DeviceUse.device", "identity": "quick" }, { "map": "what", "identity": "w5" }, { "map": "NL-CM:10.1.3", "comment": "ProductType", "identity": "hcim-medicaldevice-v1.2-2015EN" }, { "map": "NL-CM:10.1.3", "comment": "ProductType", "identity": "hcim-medicaldevice-v3.0-2016EN" }, { "map": "NL-CM:10.1.3", "comment": "ProductType", "identity": "hcim-medicaldevice-v3.1-2017EN" } ], "type": [ { "code": "CodeableConcept" } ], "sliceName": "codeCodeableConcept", "binding": { "strength": "extensible", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "DeviceRequestCode" } ], "description": "ProductTypeCodelist", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.1--20171231000000" } }, "alias": [ "ProductType" ], "max": "1", "id": "DeviceRequest.code[x]:codeCodeableConcept", "base": { "max": "1", "min": 1, "path": "DeviceRequest.code[x]" }, "isSummary": true }, { "path": "DeviceRequest.subject", "min": 1, "definition": "The patient who will use the device.", "short": "Focus of request", "mapping": [ { "map": "Accompanying PID segment", "identity": "v2" }, { "map": ".participation[typeCode=SBJ].role", "identity": "rim" }, { "map": "ClinicalStatement.subject", "identity": "quick" }, { "map": "who.focus", "identity": "w5" }, { "map": "NL-CM:0.0.11", "comment": "Subject", "identity": "hcim-basicelements-v1.0-2017EN" } ], "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-location" }, { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" } ], "max": "1", "id": "DeviceRequest.subject", "base": { "max": "1", "min": 1, "path": "DeviceRequest.subject" }, "isSummary": true }, { "path": "DeviceRequest.context", "min": 0, "definition": "An encounter that provides additional context in which this request is made.", "short": "Encounter or Episode motivating request", "mapping": [ { "map": "Accompanying PV1", "identity": "v2" }, { "map": ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]", "identity": "rim" }, { "map": "ClinicalStatement.encounter", "identity": "quick" }, { "map": "context", "identity": "w5" } ], "type": [ { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Encounter" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare" } ], "max": "1", "id": "DeviceRequest.context", "base": { "max": "1", "min": 0, "path": "DeviceRequest.context" }, "isSummary": true }, { "path": "DeviceRequest.occurrence[x]", "min": 0, "definition": "The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\".", "short": "Desired time or schedule for use", "mapping": [ { "map": "Accompanying TQ1/TQ2 segments", "identity": "v2" }, { "map": ".effectiveTime", "identity": "rim" }, { "map": "DeviceUse.applicationSchedule", "identity": "quick" }, { "map": "when.planned", "identity": "w5" }, { "map": "NL-CM:0.0.14", "comment": "DateTime", "identity": "hcim-basicelements-v1.0-2017EN" } ], "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "type" } ] }, "type": [ { "code": "dateTime" }, { "code": "Period" }, { "code": "Timing" } ], "max": "1", "id": "DeviceRequest.occurrence[x]", "base": { "max": "1", "min": 0, "path": "DeviceRequest.occurrence[x]" }, "isSummary": true }, { "path": "DeviceRequest.occurrence[x]", "min": 0, "definition": "The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\".", "short": "Desired time or schedule for use", "mapping": [ { "map": "Accompanying TQ1/TQ2 segments", "identity": "v2" }, { "map": ".effectiveTime", "identity": "rim" }, { "map": "DeviceUse.applicationSchedule", "identity": "quick" }, { "map": "when.planned", "identity": "w5" } ], "type": [ { "code": "Period" } ], "sliceName": "occurrencePeriod", "max": "1", "id": "DeviceRequest.occurrence[x]:occurrencePeriod", "base": { "max": "1", "min": 0, "path": "DeviceRequest.occurrence[x]" }, "isSummary": true }, { "path": "DeviceRequest.occurrence[x].id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "DeviceRequest.occurrence[x]:occurrencePeriod.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "DeviceRequest.occurrence[x].extension", "min": 0, "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.", "short": "Additional Content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "DeviceRequest.occurrence[x]:occurrencePeriod.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "DeviceRequest.occurrence[x].start", "min": 0, "definition": "Planned or requested date. Clinical reminders can be used to indicate from when the procedure can take place. A vague date (such as only the month and year) is permitted.", "short": "StartDate", "mapping": [ { "map": "DR.1", "identity": "v2" }, { "map": "./low", "identity": "rim" }, { "map": "NL-CM:16.1.10", "comment": "StartDate", "identity": "hcim-plannedcareactivityfortransfer-v1.2.1-2015EN" }, { "map": "NL-CM:16.1.10", "comment": "StartDate", "identity": "hcim-plannedcareactivityfortransfer-v3.0-2016EN" }, { "map": "NL-CM:16.1.10", "comment": "StartDate", "identity": "hcim-plannedcareactivityfortransfer-v3.1-2017EN" } ], "type": [ { "code": "dateTime" } ], "alias": [ "BeginDatum" ], "max": "1", "id": "DeviceRequest.occurrence[x]:occurrencePeriod.start", "condition": [ "per-1" ], "comment": "If the low element is missing, the meaning is that the low boundary is not known.", "base": { "max": "1", "min": 0, "path": "Period.start" }, "isSummary": true }, { "path": "DeviceRequest.occurrence[x].end", "min": 0, "definition": "The planned end date of the procedure can be included as well if needed. Depending on the type of procedure, this can also be used to indicate before which time it has to have been completed.", "short": "EndDate", "mapping": [ { "map": "DR.2", "identity": "v2" }, { "map": "./high", "identity": "rim" }, { "map": "NL-CM:16.1.11", "comment": "EndDate", "identity": "hcim-plannedcareactivityfortransfer-v1.2.1-2015EN" }, { "map": "NL-CM:16.1.11", "comment": "EndDate", "identity": "hcim-plannedcareactivityfortransfer-v3.0-2016EN" }, { "map": "NL-CM:16.1.11", "comment": "EndDate", "identity": "hcim-plannedcareactivityfortransfer-v3.1-2017EN" } ], "type": [ { "code": "dateTime" } ], "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing", "alias": [ "EindDatum" ], "max": "1", "id": "DeviceRequest.occurrence[x]:occurrencePeriod.end", "condition": [ "per-1" ], "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.", "base": { "max": "1", "min": 0, "path": "Period.end" }, "isSummary": true }, { "path": "DeviceRequest.occurrence[x]", "min": 0, "definition": "The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\".", "short": "Desired time or schedule for use", "mapping": [ { "map": "Accompanying TQ1/TQ2 segments", "identity": "v2" }, { "map": ".effectiveTime", "identity": "rim" }, { "map": "DeviceUse.applicationSchedule", "identity": "quick" }, { "map": "when.planned", "identity": "w5" } ], "type": [ { "code": "dateTime" } ], "sliceName": "occurrenceDateTime", "max": "1", "id": "DeviceRequest.occurrence[x]:occurrenceDateTime", "base": { "max": "1", "min": 0, "path": "DeviceRequest.occurrence[x]" }, "isSummary": true }, { "path": "DeviceRequest.occurrence[x]", "min": 0, "definition": "The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\".", "short": "Desired time or schedule for use", "mapping": [ { "map": "Accompanying TQ1/TQ2 segments", "identity": "v2" }, { "map": ".effectiveTime", "identity": "rim" }, { "map": "DeviceUse.applicationSchedule", "identity": "quick" }, { "map": "when.planned", "identity": "w5" } ], "type": [ { "code": "Timing" } ], "sliceName": "occurrenceTiming", "max": "1", "id": "DeviceRequest.occurrence[x]:occurrenceTiming", "base": { "max": "1", "min": 0, "path": "DeviceRequest.occurrence[x]" }, "isSummary": true }, { "path": "DeviceRequest.authoredOn", "min": 0, "definition": "When the request transitioned to being actionable.", "short": "When recorded", "mapping": [ { "map": "ORC.9", "identity": "v2" }, { "map": ".participation[typeCode=AUT].time", "identity": "rim" }, { "map": "ClinicalStatement.statementDateTime", "identity": "quick" }, { "map": "when.recorded", "identity": "w5" } ], "type": [ { "code": "dateTime" } ], "max": "1", "id": "DeviceRequest.authoredOn", "base": { "max": "1", "min": 0, "path": "DeviceRequest.authoredOn" }, "isSummary": true }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "hasValue() | (children().count() > id.count())" } ], "path": "DeviceRequest.requester", "min": 0, "definition": "The individual who initiated the request and has responsibility for its activation.", "short": "Who/what is requesting diagnostics", "mapping": [ { "map": "ORC.12", "identity": "v2" }, { "map": ".participation[typeCode=AUT].role", "identity": "rim" }, { "map": "NL-CM:0.0.7", "comment": "Author", "identity": "hcim-basicelements-v1.0-2017EN" } ], "type": [ { "code": "BackboneElement" } ], "max": "1", "id": "DeviceRequest.requester", "base": { "max": "1", "min": 0, "path": "DeviceRequest.requester" }, "isSummary": true }, { "path": "DeviceRequest.requester.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "DeviceRequest.requester.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "DeviceRequest.requester.extension", "min": 0, "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.", "short": "Additional Content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "DeviceRequest.requester.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "DeviceRequest.requester.modifierExtension", "min": 0, "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.", "isModifier": true, "short": "Extensions that cannot be ignored", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "DeviceRequest.requester.modifierExtension", "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.", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isSummary": true }, { "path": "DeviceRequest.requester.agent", "min": 1, "definition": "The device, practitioner, etc. who initiated the request.", "short": "Individual making the request", "mapping": [ { "map": "ORC.12", "identity": "v2" }, { "map": ".player", "identity": "rim" }, { "map": "who.author", "identity": "w5" } ], "type": [ { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization" } ], "max": "1", "id": "DeviceRequest.requester.agent", "base": { "max": "1", "min": 1, "path": "DeviceRequest.requester.agent" }, "isSummary": true }, { "path": "DeviceRequest.requester.agent.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "DeviceRequest.requester.agent.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "DeviceRequest.requester.agent.extension", "min": 0, "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.", "short": "Additional Content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "DeviceRequest.requester.agent.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "hasValue() | (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "DeviceRequest.requester.agent.extension", "min": 0, "definition": "Optional Extension Element - found in all resources.", "short": "Optional Extensions Element", "mapping": [ { "map": "n/a", "identity": "rim" }, { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" } ], "sliceName": "practitionerRole", "alias": [ "extensions", "user content" ], "max": "1", "id": "DeviceRequest.requester.agent.extension:practitionerRole", "condition": [ "ele-1" ], "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.", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "DeviceRequest.requester.agent.reference", "min": 0, "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "short": "Literal reference, Relative, internal or absolute URL", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "string" } ], "max": "1", "id": "DeviceRequest.requester.agent.reference", "condition": [ "ref-1" ], "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "base": { "max": "1", "min": 0, "path": "Reference.reference" }, "isSummary": true }, { "path": "DeviceRequest.requester.agent.identifier", "min": 0, "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "short": "Logical reference, when literal reference is not known", "mapping": [ { "map": ".identifier", "identity": "rim" } ], "type": [ { "code": "Identifier" } ], "max": "1", "id": "DeviceRequest.requester.agent.identifier", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.", "base": { "max": "1", "min": 0, "path": "Reference.identifier" }, "isSummary": true }, { "path": "DeviceRequest.requester.agent.display", "min": 0, "definition": "Plain text narrative that identifies the resource in addition to the resource reference.", "short": "Text alternative for the resource", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "string" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "max": "1", "id": "DeviceRequest.requester.agent.display", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "base": { "max": "1", "min": 0, "path": "Reference.display" }, "isSummary": true }, { "path": "DeviceRequest.requester.onBehalfOf", "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, "definition": "The organization the device or practitioner was acting on behalf of.", "short": "Organization agent is acting for", "mapping": [ { "map": "N/A", "identity": "v2" }, { "map": ".scoper", "identity": "rim" } ], "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization" } ], "max": "1", "id": "DeviceRequest.requester.onBehalfOf", "base": { "max": "1", "min": 0, "path": "DeviceRequest.requester.onBehalfOf" }, "isSummary": true }, { "path": "DeviceRequest.performerType", "min": 0, "definition": "Desired type of performer for doing the diagnostic testing.", "short": "Fille role", "mapping": [ { "map": "PRT", "identity": "v2" }, { "map": ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code", "identity": "rim" }, { "map": "who.actor", "identity": "w5" } ], "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "DeviceRequestParticipantRole" } ], "description": "Indicates specific responsibility of an individual within the care team, such as \"Primary physician\", \"Team coordinator\", \"Caregiver\", etc.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/participant-role" } }, "max": "1", "id": "DeviceRequest.performerType", "base": { "max": "1", "min": 0, "path": "DeviceRequest.performerType" }, "isSummary": true }, { "path": "DeviceRequest.performerType.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "DeviceRequest.performerType.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "DeviceRequest.performerType.extension", "min": 0, "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.", "short": "Additional Content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "DeviceRequest.performerType.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "DeviceRequest.performerType.coding", "requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.", "min": 0, "definition": "A reference to a code defined by a terminology system.", "short": "Code defined by a terminology system", "mapping": [ { "map": "C*E.1-8, C*E.10-22", "identity": "v2" }, { "map": "union(., ./translation)", "identity": "rim" }, { "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding", "identity": "orim" } ], "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "value" } ] }, "type": [ { "code": "Coding" } ], "max": "*", "id": "DeviceRequest.performerType.coding", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "base": { "max": "*", "min": 0, "path": "CodeableConcept.coding" }, "isSummary": true }, { "path": "DeviceRequest.performerType.coding", "requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.", "min": 0, "definition": "The role the healthcare provider fulfils in the healthcare process. For healthcare providers, this could be for example main practitioner, referrer or general practitioner.", "short": "HealthProfessionalRole", "mapping": [ { "map": "C*E.1-8, C*E.10-22", "identity": "v2" }, { "map": "union(., ./translation)", "identity": "rim" }, { "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding", "identity": "orim" }, { "map": "NL-CM:17.1.5", "comment": "HealthcareProviderRole", "identity": "hcim-healthprofessional-v1.2.1-2015EN" }, { "map": "NL-CM:17.1.5", "comment": "HealthcareProviderRole", "identity": "hcim-healthprofessional-v3.0-2016EN" }, { "map": "NL-CM:17.1.5", "comment": "HealthProfessionalRole", "identity": "hcim-healthprofessional-v3.2-2017EN" } ], "type": [ { "code": "Coding" } ], "sliceName": "healthProfessionalRole", "binding": { "strength": "required", "valueSetReference": { "display": "ZorgverlenerRolCodelijst", "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000" } }, "alias": [ "ZorgverlenerRol" ], "max": "*", "id": "DeviceRequest.performerType.coding:healthProfessionalRole", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "base": { "max": "*", "min": 0, "path": "CodeableConcept.coding" }, "isSummary": true }, { "path": "DeviceRequest.performerType.text", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "short": "Plain text representation of the concept", "mapping": [ { "map": "C*E.9. But note many systems use C*E.2 for this", "identity": "v2" }, { "map": "./originalText[mediaType/code=\"text/plain\"]/data", "identity": "rim" }, { "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText", "identity": "orim" } ], "type": [ { "code": "string" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "max": "1", "id": "DeviceRequest.performerType.text", "comment": "Very often the text is the same as a displayName of one of the codings.", "base": { "max": "1", "min": 0, "path": "CodeableConcept.text" }, "isSummary": true }, { "path": "DeviceRequest.performer", "min": 0, "definition": "The desired perfomer for doing the diagnostic testing.", "short": "Requested Filler", "mapping": [ { "map": "PRT", "identity": "v2" }, { "map": ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]", "identity": "rim" }, { "map": "who.actor", "identity": "w5" } ], "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient" }, { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-healthcareservice" } ], "max": "1", "id": "DeviceRequest.performer", "base": { "max": "1", "min": 0, "path": "DeviceRequest.performer" }, "isSummary": true }, { "path": "DeviceRequest.performer.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "DeviceRequest.performer.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "DeviceRequest.performer.extension", "min": 0, "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.", "short": "Additional Content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "DeviceRequest.performer.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "hasValue() | (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "DeviceRequest.performer.extension", "min": 0, "definition": "Optional Extension Element - found in all resources.", "short": "Optional Extensions Element", "mapping": [ { "map": "n/a", "identity": "rim" }, { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" } ], "sliceName": "practitionerRole", "alias": [ "extensions", "user content" ], "max": "1", "id": "DeviceRequest.performer.extension:practitionerRole", "condition": [ "ele-1" ], "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.", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "DeviceRequest.performer.reference", "min": 0, "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "short": "Literal reference, Relative, internal or absolute URL", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "string" } ], "max": "1", "id": "DeviceRequest.performer.reference", "condition": [ "ref-1" ], "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "base": { "max": "1", "min": 0, "path": "Reference.reference" }, "isSummary": true }, { "path": "DeviceRequest.performer.identifier", "min": 0, "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "short": "Logical reference, when literal reference is not known", "mapping": [ { "map": ".identifier", "identity": "rim" } ], "type": [ { "code": "Identifier" } ], "max": "1", "id": "DeviceRequest.performer.identifier", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.", "base": { "max": "1", "min": 0, "path": "Reference.identifier" }, "isSummary": true }, { "path": "DeviceRequest.performer.display", "min": 0, "definition": "Plain text narrative that identifies the resource in addition to the resource reference.", "short": "Text alternative for the resource", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "string" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "max": "1", "id": "DeviceRequest.performer.display", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "base": { "max": "1", "min": 0, "path": "Reference.display" }, "isSummary": true }, { "path": "DeviceRequest.reasonCode", "min": 0, "definition": "Reason or justification for the use of this device.", "short": "Coded Reason for request", "mapping": [ { "map": "ORC.16", "identity": "v2" }, { "map": ".reasonCode", "identity": "rim" }, { "map": "Action.indication.reason", "identity": "quick" }, { "map": "why", "identity": "w5" } ], "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "DeviceRequestReason" } ], "description": "Diagnosis or problem codes justifying the reason for requesting the device.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/condition-code" } }, "max": "*", "id": "DeviceRequest.reasonCode", "base": { "max": "*", "min": 0, "path": "DeviceRequest.reasonCode" }, "isSummary": true }, { "path": "DeviceRequest.reasonReference", "min": 0, "definition": "Reason or justification for the use of this device.", "short": "Linked Reason for request", "mapping": [ { "map": "ORC.16", "identity": "v2" }, { "map": ".outboundRelationship[typeCode=RSON].target", "identity": "rim" }, { "map": "why", "identity": "w5" } ], "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "max": "*", "id": "DeviceRequest.reasonReference", "base": { "max": "*", "min": 0, "path": "DeviceRequest.reasonReference" }, "isSummary": true }, { "path": "DeviceRequest.supportingInfo", "requirements": "Knowing where the device is targeted is important for tracking if multiple sites are possible.", "min": 0, "definition": "Additional clinical information about the patient that may influence the request fulfilment. For example, this may includes body where on the subject's the device will be used ( i.e. the target site).", "short": "Additional clinical information", "mapping": [ { "map": "Accompanying segments", "identity": "v2" }, { "map": ".outboundRelationship[typeCode=PERT].target", "identity": "rim" } ], "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "max": "*", "id": "DeviceRequest.supportingInfo", "base": { "max": "*", "min": 0, "path": "DeviceRequest.supportingInfo" } }, { "path": "DeviceRequest.note", "min": 0, "definition": "Details about this request that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.", "short": "Notes or comments", "mapping": [ { "map": "NTE", "identity": "v2" }, { "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]", "identity": "rim" }, { "map": "ClinicalStatement.additionalText", "identity": "quick" } ], "type": [ { "code": "Annotation" } ], "max": "*", "id": "DeviceRequest.note", "base": { "max": "*", "min": 0, "path": "DeviceRequest.note" } }, { "path": "DeviceRequest.note.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "DeviceRequest.note.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "DeviceRequest.note.extension", "min": 0, "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.", "short": "Additional Content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "DeviceRequest.note.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "DeviceRequest.note.author[x]", "min": 0, "definition": "The individual responsible for making the annotation.", "short": "Individual responsible for the annotation", "mapping": [ { "map": "N/A", "identity": "v2" }, { "map": "Act.participant[typeCode=AUT].role", "identity": "rim" } ], "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "type" } ] }, "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" }, { "code": "string" } ], "max": "1", "id": "DeviceRequest.note.author[x]", "base": { "max": "1", "min": 0, "path": "Annotation.author[x]" }, "isSummary": true }, { "path": "DeviceRequest.note.author[x]", "min": 0, "definition": "The individual responsible for making the annotation.", "short": "Individual responsible for the annotation", "mapping": [ { "map": "N/A", "identity": "v2" }, { "map": "Act.participant[typeCode=AUT].role", "identity": "rim" } ], "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" } ], "sliceName": "authorReference", "max": "1", "id": "DeviceRequest.note.author[x]:authorReference", "base": { "max": "1", "min": 0, "path": "Annotation.author[x]" }, "isSummary": true }, { "path": "DeviceRequest.note.author[x].id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "DeviceRequest.note.author[x]:authorReference.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "DeviceRequest.note.author[x].extension", "min": 0, "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.", "short": "Additional Content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "DeviceRequest.note.author[x]:authorReference.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "hasValue() | (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "DeviceRequest.note.author[x].extension", "min": 0, "definition": "Optional Extension Element - found in all resources.", "short": "Optional Extensions Element", "mapping": [ { "map": "n/a", "identity": "rim" }, { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" } ], "sliceName": "practitionerRole", "alias": [ "extensions", "user content" ], "max": "1", "id": "DeviceRequest.note.author[x]:authorReference.extension:practitionerRole", "condition": [ "ele-1" ], "comment": "Relevant only in combination with Reference(Practitioner)", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "DeviceRequest.note.author[x].reference", "min": 0, "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "short": "Literal reference, Relative, internal or absolute URL", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "string" } ], "max": "1", "id": "DeviceRequest.note.author[x]:authorReference.reference", "condition": [ "ref-1" ], "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "base": { "max": "1", "min": 0, "path": "Reference.reference" }, "isSummary": true }, { "path": "DeviceRequest.note.author[x].identifier", "min": 0, "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "short": "Logical reference, when literal reference is not known", "mapping": [ { "map": ".identifier", "identity": "rim" } ], "type": [ { "code": "Identifier" } ], "max": "1", "id": "DeviceRequest.note.author[x]:authorReference.identifier", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.", "base": { "max": "1", "min": 0, "path": "Reference.identifier" }, "isSummary": true }, { "path": "DeviceRequest.note.author[x].display", "min": 0, "definition": "Plain text narrative that identifies the resource in addition to the resource reference.", "short": "Text alternative for the resource", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "string" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "max": "1", "id": "DeviceRequest.note.author[x]:authorReference.display", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "base": { "max": "1", "min": 0, "path": "Reference.display" }, "isSummary": true }, { "path": "DeviceRequest.note.author[x]", "min": 0, "definition": "The individual responsible for making the annotation.", "short": "Individual responsible for the annotation", "mapping": [ { "map": "N/A", "identity": "v2" }, { "map": "Act.participant[typeCode=AUT].role", "identity": "rim" } ], "type": [ { "code": "string" } ], "sliceName": "authorString", "max": "1", "id": "DeviceRequest.note.author[x]:authorString", "base": { "max": "1", "min": 0, "path": "Annotation.author[x]" }, "isSummary": true }, { "path": "DeviceRequest.note.time", "min": 0, "definition": "Indicates when this particular annotation was made.", "short": "When the annotation was made", "mapping": [ { "map": "N/A", "identity": "v2" }, { "map": "Act.effectiveTime", "identity": "rim" } ], "type": [ { "code": "dateTime" } ], "max": "1", "id": "DeviceRequest.note.time", "base": { "max": "1", "min": 0, "path": "Annotation.time" }, "isSummary": true }, { "path": "DeviceRequest.note.text", "min": 1, "definition": "The text of the annotation.", "short": "The annotation - text content", "mapping": [ { "map": "N/A", "identity": "v2" }, { "map": "Act.text", "identity": "rim" } ], "type": [ { "code": "string" } ], "max": "1", "id": "DeviceRequest.note.text", "base": { "max": "1", "min": 1, "path": "Annotation.text" } }, { "path": "DeviceRequest.relevantHistory", "min": 0, "definition": "Key events in the history of the request.", "short": "Request provenance", "mapping": [ { "map": "N/A", "identity": "v2" }, { "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]", "identity": "rim" } ], "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Provenance" } ], "max": "*", "id": "DeviceRequest.relevantHistory", "comment": "This may not include provenances for all versions of the request – only those deemed “relevant” or important.\rThis 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\rAll Provenances should have some historical version of this Request as their subject.", "base": { "max": "*", "min": 0, "path": "DeviceRequest.relevantHistory" } } ] }, "status": "active", "id": "18bd76d1-67e6-406d-936a-1e5ba5cc22f1", "kind": "resource", "url": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceRequest", "version": "2.1.6", "differential": { "element": [ { "id": "DeviceRequest", "path": "DeviceRequest", "mapping": [ { "map": "NL-CM:16.1.7", "comment": "MedicalAid", "identity": "hcim-plannedcareactivityfortransfer-v1.2.1-2015EN" }, { "map": "NL-CM:16.1.7", "comment": "MedicalAid", "identity": "hcim-plannedcareactivityfortransfer-v3.0-2016EN" }, { "map": "NL-CM:16.1.7", "comment": "MedicalDevice", "identity": "hcim-plannedcareactivityfortransfer-v3.1-2017EN" } ] }, { "id": "DeviceRequest.identifier", "path": "DeviceRequest.identifier", "mapping": [ { "map": "NL-CM:0.0.6", "comment": "IdentificationNumber", "identity": "hcim-basicelements-v1.0-2017EN" } ] }, { "id": "DeviceRequest.status.extension", "path": "DeviceRequest.status.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "path": "DeviceRequest.status.extension", "definition": "The status of the order.", "short": "OrderStatus", "mapping": [ { "map": "NL-CM:16.1.9", "comment": "OrderStatus", "identity": "hcim-plannedcareactivityfortransfer-v1.2.1-2015EN" }, { "map": "NL-CM:16.1.9", "comment": "OrderStatus", "identity": "hcim-plannedcareactivityfortransfer-v3.0-2016EN" }, { "map": "NL-CM:16.1.9", "comment": "OrderStatus", "identity": "hcim-plannedcareactivityfortransfer-v3.1-2017EN" } ], "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification" } ], "sliceName": "orderStatus", "alias": [ "OrderStatus" ], "max": "1", "id": "DeviceRequest.status.extension:orderStatus" }, { "id": "DeviceRequest.status.extension:orderStatus.valueCodeableConcept:valueCodeableConcept", "path": "DeviceRequest.status.extension.valueCodeableConcept", "binding": { "strength": "extensible", "description": "The status of the order.", "valueSetReference": { "display": "OrderStatusCodelist", "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000" } }, "sliceName": "valueCodeableConcept" }, { "id": "DeviceRequest.code[x]", "path": "DeviceRequest.code[x]", "type": [ { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" }, { "code": "CodeableConcept" } ], "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "DeviceRequest.code[x]:codeReference", "path": "DeviceRequest.code[x]", "type": [ { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" } ], "alias": [ "Product" ], "short": "Product", "mapping": [ { "map": "NL-CM:10.1.2", "comment": "Product", "identity": "hcim-medicaldevice-v1.2-2015EN" }, { "map": "NL-CM:10.1.2", "comment": "Product", "identity": "hcim-medicaldevice-v3.0-2016EN" }, { "map": "NL-CM:10.1.2", "comment": "Product", "identity": "hcim-medicaldevice-v3.1-2017EN" } ], "sliceName": "codeReference", "definition": "The medical aid used (internally or externally)." }, { "path": "DeviceRequest.code[x]", "definition": "The code of the type of product.", "short": "ProductType", "mapping": [ { "map": "NL-CM:10.1.3", "comment": "ProductType", "identity": "hcim-medicaldevice-v1.2-2015EN" }, { "map": "NL-CM:10.1.3", "comment": "ProductType", "identity": "hcim-medicaldevice-v3.0-2016EN" }, { "map": "NL-CM:10.1.3", "comment": "ProductType", "identity": "hcim-medicaldevice-v3.1-2017EN" } ], "type": [ { "code": "CodeableConcept" } ], "sliceName": "codeCodeableConcept", "binding": { "strength": "extensible", "description": "ProductTypeCodelist", "valueSetReference": { "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.1--20171231000000" } }, "alias": [ "ProductType" ], "id": "DeviceRequest.code[x]:codeCodeableConcept" }, { "id": "DeviceRequest.subject", "path": "DeviceRequest.subject", "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-location" }, { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" } ], "mapping": [ { "map": "NL-CM:0.0.11", "comment": "Subject", "identity": "hcim-basicelements-v1.0-2017EN" } ] }, { "id": "DeviceRequest.context", "path": "DeviceRequest.context", "type": [ { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Encounter" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare" } ] }, { "id": "DeviceRequest.occurrence[x]", "path": "DeviceRequest.occurrence[x]", "mapping": [ { "map": "NL-CM:0.0.14", "comment": "DateTime", "identity": "hcim-basicelements-v1.0-2017EN" } ], "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "DeviceRequest.occurrence[x]:occurrencePeriod", "path": "DeviceRequest.occurrence[x]", "type": [ { "code": "Period" } ], "sliceName": "occurrencePeriod" }, { "id": "DeviceRequest.occurrence[x]:occurrencePeriod.start", "path": "DeviceRequest.occurrence[x].start", "alias": [ "BeginDatum" ], "short": "StartDate", "mapping": [ { "map": "NL-CM:16.1.10", "comment": "StartDate", "identity": "hcim-plannedcareactivityfortransfer-v1.2.1-2015EN" }, { "map": "NL-CM:16.1.10", "comment": "StartDate", "identity": "hcim-plannedcareactivityfortransfer-v3.0-2016EN" }, { "map": "NL-CM:16.1.10", "comment": "StartDate", "identity": "hcim-plannedcareactivityfortransfer-v3.1-2017EN" } ], "definition": "Planned or requested date. Clinical reminders can be used to indicate from when the procedure can take place. A vague date (such as only the month and year) is permitted." }, { "id": "DeviceRequest.occurrence[x]:occurrencePeriod.end", "path": "DeviceRequest.occurrence[x].end", "alias": [ "EindDatum" ], "short": "EndDate", "mapping": [ { "map": "NL-CM:16.1.11", "comment": "EndDate", "identity": "hcim-plannedcareactivityfortransfer-v1.2.1-2015EN" }, { "map": "NL-CM:16.1.11", "comment": "EndDate", "identity": "hcim-plannedcareactivityfortransfer-v3.0-2016EN" }, { "map": "NL-CM:16.1.11", "comment": "EndDate", "identity": "hcim-plannedcareactivityfortransfer-v3.1-2017EN" } ], "definition": "The planned end date of the procedure can be included as well if needed. Depending on the type of procedure, this can also be used to indicate before which time it has to have been completed." }, { "id": "DeviceRequest.occurrence[x]:occurrenceDateTime", "path": "DeviceRequest.occurrence[x]", "type": [ { "code": "dateTime" } ], "sliceName": "occurrenceDateTime" }, { "id": "DeviceRequest.occurrence[x]:occurrenceTiming", "path": "DeviceRequest.occurrence[x]", "type": [ { "code": "Timing" } ], "sliceName": "occurrenceTiming" }, { "id": "DeviceRequest.requester", "path": "DeviceRequest.requester", "mapping": [ { "map": "NL-CM:0.0.7", "comment": "Author", "identity": "hcim-basicelements-v1.0-2017EN" } ] }, { "id": "DeviceRequest.requester.agent", "path": "DeviceRequest.requester.agent", "type": [ { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization" } ] }, { "id": "DeviceRequest.requester.agent.extension", "path": "DeviceRequest.requester.agent.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "DeviceRequest.requester.agent.extension:practitionerRole", "max": "1", "path": "DeviceRequest.requester.agent.extension", "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" } ], "sliceName": "practitionerRole" }, { "id": "DeviceRequest.requester.onBehalfOf", "path": "DeviceRequest.requester.onBehalfOf", "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization" } ] }, { "id": "DeviceRequest.performerType.coding", "path": "DeviceRequest.performerType.coding", "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "value" } ] } }, { "id": "DeviceRequest.performerType.coding:healthProfessionalRole", "path": "DeviceRequest.performerType.coding", "alias": [ "ZorgverlenerRol" ], "short": "HealthProfessionalRole", "binding": { "strength": "required", "valueSetReference": { "display": "ZorgverlenerRolCodelijst", "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000" } }, "mapping": [ { "map": "NL-CM:17.1.5", "comment": "HealthcareProviderRole", "identity": "hcim-healthprofessional-v1.2.1-2015EN" }, { "map": "NL-CM:17.1.5", "comment": "HealthcareProviderRole", "identity": "hcim-healthprofessional-v3.0-2016EN" }, { "map": "NL-CM:17.1.5", "comment": "HealthProfessionalRole", "identity": "hcim-healthprofessional-v3.2-2017EN" } ], "sliceName": "healthProfessionalRole", "definition": "The role the healthcare provider fulfils in the healthcare process. For healthcare providers, this could be for example main practitioner, referrer or general practitioner." }, { "id": "DeviceRequest.performer", "path": "DeviceRequest.performer", "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient" }, { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-healthcareservice" } ] }, { "id": "DeviceRequest.performer.extension", "path": "DeviceRequest.performer.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "DeviceRequest.performer.extension:practitionerRole", "max": "1", "path": "DeviceRequest.performer.extension", "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" } ], "sliceName": "practitionerRole" }, { "id": "DeviceRequest.note.author[x]", "path": "DeviceRequest.note.author[x]", "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" }, { "code": "string" } ], "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "type" } ] } }, { "id": "DeviceRequest.note.author[x]:authorReference", "path": "DeviceRequest.note.author[x]", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" } ], "sliceName": "authorReference" }, { "id": "DeviceRequest.note.author[x]:authorReference.extension", "path": "DeviceRequest.note.author[x].extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "DeviceRequest.note.author[x]:authorReference.extension:practitionerRole", "max": "1", "min": 0, "path": "DeviceRequest.note.author[x].extension", "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" } ], "comment": "Relevant only in combination with Reference(Practitioner)", "sliceName": "practitionerRole" }, { "id": "DeviceRequest.note.author[x]:authorString", "path": "DeviceRequest.note.author[x]", "type": [ { "code": "string" } ], "sliceName": "authorString" } ] }, "contact": [ { "name": "Nictiz", "telecom": [ { "use": "work", "value": "https://www.nictiz.nl", "system": "url" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DeviceRequest" }