PackagesCanonicalsLogsProblems
    Packages
    ca.on.ehr.r4@1.0.0-snapshot3
    http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-serviceRequest
{
  "description": "A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.",
  "_filename": "ServiceRequest-EHR-Profile.json",
  "package_name": "ca.on.ehr.r4",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "ServiceRequestEHR",
  "abstract": false,
  "type": "ServiceRequest",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "ServiceRequest EHR",
  "package_version": "1.0.0-snapshot3",
  "status": "active",
  "id": "90ed9702-6416-43b1-9249-15252a3fa274",
  "kind": "resource",
  "url": "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-serviceRequest",
  "version": "1.0.0",
  "differential": {
    "element": [ {
      "id": "ServiceRequest.extension",
      "path": "ServiceRequest.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "ServiceRequest.extension:ext-reportableTestIndicator",
      "max": "5",
      "min": 0,
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-ext-ReportableTestIndicator" ]
      } ],
      "sliceName": "ReportableTestIndicator"
    }, {
      "id": "ServiceRequest.extension:TestRequestSortKey",
      "max": "*",
      "min": 0,
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-sort-key" ]
      } ],
      "sliceName": "TestRequestSortKey"
    }, {
      "id": "ServiceRequest.extension:testRequestBlockIndicator",
      "max": "*",
      "min": 0,
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-record-block" ]
      } ],
      "sliceName": "TestRequestBlockIndicator"
    }, {
      "id": "ServiceRequest.extension:TestRequestPlacer",
      "max": "1",
      "min": 0,
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-test-request-placer" ]
      } ],
      "sliceName": "TestRequestPlacer"
    }, {
      "id": "ServiceRequest.extension:PointOfCareTestID",
      "max": "*",
      "min": 0,
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-poc-test-id" ]
      } ],
      "sliceName": "PointOfCareTestID"
    }, {
      "id": "ServiceRequest.extension:PatientPresentLocation",
      "max": "1",
      "min": 0,
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/CA-eReC-Patient-Present-Location-EXT" ]
      } ],
      "sliceName": "PatientPresentLocation"
    }, {
      "id": "ServiceRequest.extension:CopiedParticipants",
      "max": "*",
      "min": 0,
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/CA-eReC-Patient-Present-Location-EXT" ]
      } ],
      "sliceName": "CopiedParticipants"
    }, {
      "id": "ServiceRequest.extension:routingOptions",
      "max": "*",
      "min": 0,
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ext-routing-options" ]
      } ],
      "sliceName": "RoutingOptions"
    }, {
      "id": "ServiceRequest.extension:DART",
      "max": "1",
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      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/DART-ext" ]
      } ],
      "sliceName": "DART"
    }, {
      "id": "ServiceRequest.extension:DARC",
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      "path": "ServiceRequest.extension",
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        "code": "Extension",
        "profile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/DARC-EXT" ]
      } ],
      "sliceName": "DARC"
    }, {
      "id": "ServiceRequest.identifier",
      "path": "ServiceRequest.identifier",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.identifier.type",
      "path": "ServiceRequest.identifier.type",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/identifier-type"
      },
      "mustSupport": true
    }, {
      "id": "ServiceRequest.identifier.type.coding",
      "path": "ServiceRequest.identifier.type.coding",
      "mustSupport": true
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      "path": "ServiceRequest.identifier.type.coding.system",
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      "id": "ServiceRequest.identifier.type.coding.code",
      "path": "ServiceRequest.identifier.type.coding.code",
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      "path": "ServiceRequest.identifier.type.coding.display",
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      "path": "ServiceRequest.identifier.system",
      "mustSupport": true
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      "id": "ServiceRequest.identifier.value",
      "path": "ServiceRequest.identifier.value",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.identifier.assigner",
      "path": "ServiceRequest.identifier.assigner",
      "mustSupport": true
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      "id": "ServiceRequest.identifier.assigner.reference",
      "path": "ServiceRequest.identifier.assigner.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.basedOn",
      "path": "ServiceRequest.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-serviceRequest" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.basedOn.identifier",
      "path": "ServiceRequest.basedOn.identifier",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.basedOn.identifier.type",
      "path": "ServiceRequest.basedOn.identifier.type",
      "mustSupport": true
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      "path": "ServiceRequest.basedOn.identifier.type.coding",
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      "path": "ServiceRequest.basedOn.identifier.type.coding.system",
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      "path": "ServiceRequest.basedOn.identifier.type.coding.code",
      "mustSupport": true
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      "path": "ServiceRequest.basedOn.identifier.type.coding.display",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.basedOn.identifier.system",
      "path": "ServiceRequest.basedOn.identifier.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.basedOn.identifier.value",
      "path": "ServiceRequest.basedOn.identifier.value",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.replaces",
      "path": "ServiceRequest.replaces",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-serviceRequest" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.replaces.identifier",
      "path": "ServiceRequest.replaces.identifier",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.replaces.identifier.type",
      "path": "ServiceRequest.replaces.identifier.type",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.replaces.identifier.type.coding",
      "max": "1",
      "path": "ServiceRequest.replaces.identifier.type.coding",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.replaces.identifier.type.coding.system",
      "path": "ServiceRequest.replaces.identifier.type.coding.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.replaces.identifier.type.coding.code",
      "path": "ServiceRequest.replaces.identifier.type.coding.code",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.replaces.identifier.type.coding.display",
      "path": "ServiceRequest.replaces.identifier.type.coding.display",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.replaces.identifier.system",
      "path": "ServiceRequest.replaces.identifier.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.replaces.identifier.value",
      "path": "ServiceRequest.replaces.identifier.value",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requisition",
      "path": "ServiceRequest.requisition",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requisition.type",
      "path": "ServiceRequest.requisition.type",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requisition.type.coding",
      "max": "1",
      "path": "ServiceRequest.requisition.type.coding",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requisition.type.coding.system",
      "path": "ServiceRequest.requisition.type.coding.system",
      "mustSupport": true
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      "id": "ServiceRequest.requisition.type.coding.code",
      "path": "ServiceRequest.requisition.type.coding.code",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requisition.type.coding.display",
      "path": "ServiceRequest.requisition.type.coding.display",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requisition.system",
      "path": "ServiceRequest.requisition.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requisition.value",
      "path": "ServiceRequest.requisition.value",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.status",
      "path": "ServiceRequest.status",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.status.extension",
      "path": "ServiceRequest.status.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "ServiceRequest.status.extension:ext-OLISLabRequestStatus",
      "max": "1",
      "min": 0,
      "path": "ServiceRequest.status.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-ext-lab-request-status" ]
      } ],
      "sliceName": "LabRequestStatus"
    }, {
      "id": "ServiceRequest.intent",
      "path": "ServiceRequest.intent",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.category",
      "path": "ServiceRequest.category",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/servicerequest-category",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"
          }, {
            "url": "documentation",
            "valueMarkdown": "Transitive closure of CID 29 AcquisitionModality"
          }, {
            "url": "key",
            "valueString": "dicomModality"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-specialty"
          }, {
            "url": "documentation",
            "valueMarkdown": "A code that classifies a specialty of an MI procedure. This is used for searching, sorting and display purposes."
          }, {
            "url": "key",
            "valueString": "procedureSpecialty"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-body-part"
          }, {
            "url": "documentation",
            "valueMarkdown": "A code that classifies a body part of an MI procedure using SNOMED CT codes. This is used for searching, sorting and display purposes."
          }, {
            "url": "key",
            "valueString": "procedureBodyPart"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-laterality"
          }, {
            "url": "documentation",
            "valueMarkdown": "A code that classifies a laterality of an MI procedure using SNOMED CT codes. This is used for searching, sorting and display purposes."
          }, {
            "url": "key",
            "valueString": "procedureLaterality"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-contrast-used"
          }, {
            "url": "documentation",
            "valueMarkdown": "A code that classifies a use of Contrast for an MI procedure. This is used for searching, sorting and display purposes."
          }, {
            "url": "key",
            "valueString": "procedureContrastUsed"
          } ]
        } ],
        "description": "Classification of the requested service."
      },
      "mustSupport": true
    }, {
      "id": "ServiceRequest.priority",
      "path": "ServiceRequest.priority",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.code",
      "path": "ServiceRequest.code",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/procedure-code",
        "extension": [ {
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          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-type-sct"
          }, {
            "url": "documentation",
            "valueMarkdown": "A SNOMED CT MI procedure code that describes an MI report or order. For PoT, we are only providing some examples from the expansion."
          }, {
            "url": "key",
            "valueString": "procedureTypeSct"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/lab-test-request-code"
          }, {
            "url": "documentation",
            "valueMarkdown": "Test request codes supported by eHealth Ontario. These are found on the Test Request Nomenclature tab of the downloadable Excel spreadsheet. Note: REFER TO THE LATEST OLIS NOMENCLATURE FILE https://www.ehealthontario.on.ca/en/olis-nomenclature"
          }, {
            "url": "key",
            "valueString": "labTestRequestCode"
          } ]
        } ],
        "description": "Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.  For laboratory, LOINC is  (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available [here](valueset-diagnostic-requests.html)."
      },
      "mustSupport": true
    }, {
      "id": "ServiceRequest.orderDetail",
      "path": "ServiceRequest.orderDetail",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "binding": {
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        "valueSet": "http://hl7.org/fhir/ValueSet/servicerequest-orderdetail",
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            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://terminology.hl7.org/ValueSet/v2-0065"
          }, {
            "url": "documentation",
            "valueMarkdown": "FHIR Value set/code system definition for HL7 v2 table 0065 ( ACTION CODE)"
          }, {
            "url": "key",
            "valueString": "v2ActionCode"
          } ]
        } ],
        "description": "Codified order entry details which are based on order context."
      },
      "mustSupport": true
    }, {
      "id": "ServiceRequest.orderDetail.text",
      "min": 1,
      "path": "ServiceRequest.orderDetail.text"
    }, {
      "id": "ServiceRequest.subject",
      "path": "ServiceRequest.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.subject.reference",
      "min": 1,
      "path": "ServiceRequest.subject.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.encounter",
      "path": "ServiceRequest.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-encounter" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.encounter.reference",
      "min": 1,
      "path": "ServiceRequest.encounter.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.occurrence[x]",
      "path": "ServiceRequest.occurrence[x]",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.authoredOn",
      "path": "ServiceRequest.authoredOn",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requester",
      "path": "ServiceRequest.requester",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole", "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner", "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-organization" ]
      } ],
      "mustSupport": true
    }, {
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      "min": 1,
      "path": "ServiceRequest.requester.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.performer",
      "path": "ServiceRequest.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole", "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner", "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-organization" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.performer.reference",
      "min": 1,
      "path": "ServiceRequest.performer.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.locationReference",
      "path": "ServiceRequest.locationReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-location" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.locationReference.reference",
      "min": 1,
      "path": "ServiceRequest.locationReference.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.reasonCode",
      "path": "ServiceRequest.reasonCode",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/procedure-reason",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/ICD10CA"
          }, {
            "url": "documentation",
            "valueMarkdown": "This value set contains all concepts represented by ICD-10-CA - the International Classification of Disease developed by the WHO and enhanced by CIHI to meed Canadian morbidity data needs"
          }, {
            "url": "key",
            "valueString": "reasonICD10CA"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "ServiceRequest.reasonCode.coding.system",
      "min": 1,
      "path": "ServiceRequest.reasonCode.coding.system"
    }, {
      "id": "ServiceRequest.reasonReference",
      "max": "1",
      "min": 0,
      "path": "ServiceRequest.reasonReference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.reasonReference.reference",
      "min": 1,
      "path": "ServiceRequest.reasonReference.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.supportingInfo",
      "path": "ServiceRequest.supportingInfo",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.supportingInfo.display",
      "path": "ServiceRequest.supportingInfo.display",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.specimen",
      "max": "1",
      "path": "ServiceRequest.specimen",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.bodySite",
      "path": "ServiceRequest.bodySite",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.note",
      "path": "ServiceRequest.note",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.note.extension:ext-source-comment",
      "max": "1",
      "min": 0,
      "path": "ServiceRequest.note.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-note-source" ]
      } ],
      "sliceName": "ext-source-comment"
    }, {
      "id": "ServiceRequest.note.text",
      "path": "ServiceRequest.note.text",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
}