{
  "description": null,
  "_filename": "NHSDigital-ServiceRequest-Genomics.StructureDefinition.json",
  "package_name": "uk.nhsengland.genomics.r4",
  "date": "2022-11-13T17:39:32.2218991+00:00",
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "NHSDigital_ServiceRequest_Genomics",
  "abstract": false,
  "type": "ServiceRequest",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "0.3.0",
  "status": "draft",
  "id": "76f641d8-4e6b-472b-932a-3d442d6190b5",
  "kind": "resource",
  "url": "https://fhir.nhs.uk/StructureDefinition/NHSDigital-ServiceRequest-Genomics",
  "version": null,
  "differential": {
    "element": [ {
      "id": "ServiceRequest.extension",
      "min": 1,
      "path": "ServiceRequest.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "ServiceRequest.extension:additionalContact",
      "min": 0,
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact" ]
      } ],
      "sliceName": "additionalContact",
      "isModifier": false
    }, {
      "id": "ServiceRequest.extension:coverage",
      "min": 1,
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage" ]
      } ],
      "sliceName": "coverage",
      "isModifier": false
    }, {
      "id": "ServiceRequest.extension:priorityReason",
      "max": "1",
      "min": 0,
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason" ]
      } ],
      "sliceName": "priorityReason",
      "constraint": [ {
        "key": "gen-1",
        "human": "Extension must be present if priority is not routine",
        "severity": "error",
        "expression": "(ServiceRequest.extension(priorityReason).exists() and ServiceRequest.priority!=routine) or ServiceRequest.priority=routine"
      } ],
      "isModifier": false
    }, {
      "id": "ServiceRequest.extension:priorityReason.value[x].coding",
      "path": "ServiceRequest.extension.value[x].coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "type"
        } ]
      }
    }, {
      "id": "ServiceRequest.identifier",
      "max": "1",
      "min": 1,
      "path": "ServiceRequest.identifier"
    }, {
      "id": "ServiceRequest.identifier.assigner",
      "path": "ServiceRequest.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Organization-Genomics" ]
      } ]
    }, {
      "id": "ServiceRequest.instantiatesCanonical",
      "max": "0",
      "path": "ServiceRequest.instantiatesCanonical"
    }, {
      "id": "ServiceRequest.basedOn",
      "path": "ServiceRequest.basedOn",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "referenced", "bundled" ],
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-CarePlan", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-ServiceRequest-Genomics" ]
      } ]
    }, {
      "id": "ServiceRequest.replaces",
      "max": "1",
      "path": "ServiceRequest.replaces",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-ServiceRequest-Genomics" ]
      } ]
    }, {
      "id": "ServiceRequest.status",
      "path": "ServiceRequest.status",
      "comment": "The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Interactions](https://simplifier.net/guide/fhir-genomics-implementation-guide/home/design/interactions.page.md) for general discussion) or using the [Task](https://simplifier.net/guide/fhir-genomics-implementation-guide/home/fhirassets/allassets/profiles/genomics-task.page.md) resource."
    }, {
      "id": "ServiceRequest.category",
      "max": "1",
      "min": 1,
      "path": "ServiceRequest.category"
    }, {
      "id": "ServiceRequest.priority",
      "min": 1,
      "path": "ServiceRequest.priority"
    }, {
      "id": "ServiceRequest.doNotPerform",
      "max": "0",
      "path": "ServiceRequest.doNotPerform"
    }, {
      "id": "ServiceRequest.code",
      "min": 1,
      "path": "ServiceRequest.code",
      "definition": "A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested.\r\n\r\nFor Genomic Test Orders, use the system 'https://www.england.nhs.uk/publication/national-genomic-test-directories' and code from one of the test directories provided by NHS England. Addition of these codes to an appropriate coding system, e.g. SNOMED-CT, is under discussion."
    }, {
      "id": "ServiceRequest.quantity[x]",
      "max": "0",
      "path": "ServiceRequest.quantity[x]"
    }, {
      "id": "ServiceRequest.subject",
      "path": "ServiceRequest.subject",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "referenced", "bundled" ],
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Group", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient-Genomics" ]
      } ]
    }, {
      "id": "ServiceRequest.encounter",
      "path": "ServiceRequest.encounter",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "referenced", "bundled" ]
      } ]
    }, {
      "id": "ServiceRequest.asNeeded[x]",
      "max": "0",
      "path": "ServiceRequest.asNeeded[x]"
    }, {
      "id": "ServiceRequest.authoredOn",
      "min": 1,
      "path": "ServiceRequest.authoredOn"
    }, {
      "id": "ServiceRequest.requester",
      "min": 1,
      "path": "ServiceRequest.requester",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "referenced", "bundled" ],
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Organization-Genomics", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient-Genomics", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Practitioner-Genomics", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-PractitionerRole-Genomics" ]
      } ]
    }, {
      "id": "ServiceRequest.performer",
      "path": "ServiceRequest.performer",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "referenced", "bundled" ],
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-CareTeam", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-HealthcareService", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Organization-Genomics", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient-Genomics", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Practitioner-Genomics", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-PractitionerRole-Genomics" ]
      } ]
    }, {
      "id": "ServiceRequest.locationCode",
      "max": "0",
      "path": "ServiceRequest.locationCode"
    }, {
      "id": "ServiceRequest.locationReference",
      "max": "0",
      "path": "ServiceRequest.locationReference"
    }, {
      "id": "ServiceRequest.reasonCode",
      "min": 1,
      "path": "ServiceRequest.reasonCode"
    }, {
      "id": "ServiceRequest.reasonReference",
      "path": "ServiceRequest.reasonReference",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "referenced", "bundled" ],
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-DocumentReference", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Condition-Genomics", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Observation-Genomics" ]
      } ]
    }, {
      "id": "ServiceRequest.insurance",
      "max": "1",
      "path": "ServiceRequest.insurance"
    }, {
      "id": "ServiceRequest.supportingInfo",
      "path": "ServiceRequest.supportingInfo",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "referenced", "bundled" ]
      } ]
    }, {
      "id": "ServiceRequest.specimen",
      "path": "ServiceRequest.specimen",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "referenced", "bundled" ]
      } ]
    }, {
      "id": "ServiceRequest.bodySite",
      "max": "0",
      "path": "ServiceRequest.bodySite"
    }, {
      "id": "ServiceRequest.patientInstruction",
      "max": "0",
      "path": "ServiceRequest.patientInstruction"
    }, {
      "id": "ServiceRequest.relevantHistory",
      "max": "0",
      "path": "ServiceRequest.relevantHistory"
    } ]
  },
  "baseDefinition": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest"
}