{
"description": "DSTU2: `DiagnosticOrder.supportingInformation` additional types (Reference(http://hl7.org/fhir/StructureDefinition/Observation), Reference(http://hl7.org/fhir/StructureDefinition/Condition), Reference(http://hl7.org/fhir/StructureDefinition/DocumentReference))",
"_filename": "StructureDefinition-ext-R2-DiagnosticOrder.supportingInformation.json",
"package_name": "hl7.fhir.uv.xver-r2.r5",
"date": "2026-03-17T21:02:03.8104715+00:00",
"derivation": "constraint",
"publisher": "FHIR Infrastructure",
"fhirVersion": "5.0.0",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `DiagnosticOrder.supportingInformation` as defined in FHIR DSTU2\r\nin FHIR R5.\r\n\r\nThe source element is defined as:\r\n`DiagnosticOrder.supportingInformation` 0..* `Reference(http://hl7.org/fhir/StructureDefinition/Observation,http://hl7.org/fhir/StructureDefinition/Condition,http://hl7.org/fhir/StructureDefinition/DocumentReference)`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n* DSTU2: `DiagnosticOrder.supportingInformation` 0..* `Reference(http://hl7.org/fhir/StructureDefinition/Observation,http://hl7.org/fhir/StructureDefinition/Condition,http://hl7.org/fhir/StructureDefinition/DocumentReference)`\n* STU3: `ProcedureRequest.reasonReference` 0..* `Reference(http://hl7.org/fhir/StructureDefinition/Condition,http://hl7.org/fhir/StructureDefinition/Observation)`\n* R4: `ServiceRequest.reasonReference` 0..* `Reference(http://hl7.org/fhir/StructureDefinition/Condition,http://hl7.org/fhir/StructureDefinition/Observation,http://hl7.org/fhir/StructureDefinition/DiagnosticReport,http://hl7.org/fhir/StructureDefinition/DocumentReference)`\n* R4B: `ServiceRequest.reasonReference` 0..* `Reference(http://hl7.org/fhir/StructureDefinition/Condition,http://hl7.org/fhir/StructureDefinition/Observation,http://hl7.org/fhir/StructureDefinition/DiagnosticReport,http://hl7.org/fhir/StructureDefinition/DocumentReference)`\n* R5: `ServiceRequest.reason` 0..* `CodeableReference(http://hl7.org/fhir/StructureDefinition/Condition,http://hl7.org/fhir/StructureDefinition/Observation,http://hl7.org/fhir/StructureDefinition/DiagnosticReport,http://hl7.org/fhir/StructureDefinition/DocumentReference,http://hl7.org/fhir/StructureDefinition/DetectedIssue)`\r\n\r\nFollowing are the generation technical comments:\r\nElement `DiagnosticOrder.supportingInformation` is mapped to FHIR R5 element `ServiceRequest.reason` as `RelatedTo`.\nElement `DiagnosticOrder.supportingInformation` is mapped to FHIR R5 element `ServiceRequest.supportingInfo` as `RelatedTo`.\nThe mappings for `DiagnosticOrder.supportingInformation` do not cover the following types: Reference.",
"name": "ExtensionDiagnosticOrder_SupportingInformation",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "Extension",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": "DSTU2: Additional clinical information additional types",
"package_version": "0.1.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/package-source",
"extension": [ {
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r2.r5"
}, {
"url": "version",
"valueString": "0.1.0"
}, {
"url": "uri",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/version-specific-use",
"extension": [ {
"url": "startFhirVersion",
"valueCode": "5.0"
}, {
"url": "endFhirVersion",
"valueCode": "5.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode": "can-bind"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"
} ]
}
} ],
"snapshot": {
"element": [ {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element|5.0.0",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|5.0.0",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension",
"min": 0,
"definition": "DSTU2: `DiagnosticOrder.supportingInformation` additional types (Reference(http://hl7.org/fhir/StructureDefinition/Observation), Reference(http://hl7.org/fhir/StructureDefinition/Condition), Reference(http://hl7.org/fhir/StructureDefinition/DocumentReference))",
"isModifier": false,
"short": "DSTU2: Additional clinical information additional types",
"max": "*",
"id": "Extension",
"comment": "Element `DiagnosticOrder.supportingInformation` is mapped to FHIR R5 element `ServiceRequest.reason` as `RelatedTo`.\nElement `DiagnosticOrder.supportingInformation` is mapped to FHIR R5 element `ServiceRequest.supportingInfo` as `RelatedTo`.\nThe mappings for `DiagnosticOrder.supportingInformation` do not cover the following types: Reference.\nThis information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as \"ask at order entry questions (AOEs)\". Examples include reporting the amount of inspired oxygen for blood gasses, the point in the menstrual cycle for cervical pap tests, and other conditions that influence test interpretations.",
"base": {
"max": "*",
"min": 0,
"path": "Extension"
}
}, {
"path": "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.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element|5.0.0",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|5.0.0",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"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": "Extension.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"
},
"isSummary": false
}, {
"path": "Extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DiagnosticOrder.supportingInformation",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.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"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element|5.0.0",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Extension.value[x]",
"min": 0,
"definition": "Additional clinical information about the patient or specimen that may influence test interpretations. This includes observations explicitly requested by the producer(filler) to provide context or supporting information needed to complete the order.",
"isModifier": false,
"short": "Additional clinical information",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/1.0/StructureDefinition/profile-Observation|0.1.0", "http://hl7.org/fhir/StructureDefinition/Observation|5.0.0", "http://hl7.org/fhir/1.0/StructureDefinition/profile-Condition|0.1.0", "http://hl7.org/fhir/StructureDefinition/Condition|5.0.0", "http://hl7.org/fhir/1.0/StructureDefinition/profile-DocumentReference|0.1.0", "http://hl7.org/fhir/StructureDefinition/DocumentReference|5.0.0" ]
} ],
"max": "1",
"id": "Extension.value[x]",
"condition": [ "ext-1" ],
"comment": "This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as \"ask at order entry questions (AOEs)\". Examples include reporting the amount of inspired oxygen for blood gasses, the point in the menstrual cycle for cervical pap tests, and other conditions that influence test interpretations.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "5.0.0"
} ]
},
"status": "active",
"id": "4f37b72d-e5f8-4d39-aa16-2a7827d7b853",
"kind": "complex-type",
"url": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DiagnosticOrder.supportingInformation",
"context": [ {
"type": "element",
"expression": "ServiceRequest"
} ],
"version": "0.1.0",
"differential": {
"element": [ {
"path": "Extension",
"min": 0,
"definition": "DSTU2: `DiagnosticOrder.supportingInformation` additional types (Reference(http://hl7.org/fhir/StructureDefinition/Observation), Reference(http://hl7.org/fhir/StructureDefinition/Condition), Reference(http://hl7.org/fhir/StructureDefinition/DocumentReference))",
"isModifier": false,
"short": "DSTU2: Additional clinical information additional types",
"max": "*",
"id": "Extension",
"comment": "Element `DiagnosticOrder.supportingInformation` is mapped to FHIR R5 element `ServiceRequest.reason` as `RelatedTo`.\nElement `DiagnosticOrder.supportingInformation` is mapped to FHIR R5 element `ServiceRequest.supportingInfo` as `RelatedTo`.\nThe mappings for `DiagnosticOrder.supportingInformation` do not cover the following types: Reference.\nThis information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as \"ask at order entry questions (AOEs)\". Examples include reporting the amount of inspired oxygen for blood gasses, the point in the menstrual cycle for cervical pap tests, and other conditions that influence test interpretations.",
"base": {
"max": "*",
"min": 0,
"path": "Extension"
}
}, {
"id": "Extension.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.url",
"fixedUri": "http://hl7.org/fhir/1.0/StructureDefinition/extension-DiagnosticOrder.supportingInformation"
}, {
"path": "Extension.value[x]",
"min": 0,
"definition": "Additional clinical information about the patient or specimen that may influence test interpretations. This includes observations explicitly requested by the producer(filler) to provide context or supporting information needed to complete the order.",
"short": "Additional clinical information",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/1.0/StructureDefinition/profile-Observation|0.1.0", "http://hl7.org/fhir/StructureDefinition/Observation|5.0.0", "http://hl7.org/fhir/1.0/StructureDefinition/profile-Condition|0.1.0", "http://hl7.org/fhir/StructureDefinition/Condition|5.0.0", "http://hl7.org/fhir/1.0/StructureDefinition/profile-DocumentReference|0.1.0", "http://hl7.org/fhir/StructureDefinition/DocumentReference|5.0.0" ]
} ],
"max": "1",
"id": "Extension.value[x]",
"comment": "This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as \"ask at order entry questions (AOEs)\". Examples include reporting the amount of inspired oxygen for blood gasses, the point in the menstrual cycle for cervical pap tests, and other conditions that influence test interpretations.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
} ]
},
"contact": [ {
"name": "FHIR Infrastructure",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fiwg",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"
}