{
"description": null,
"_filename": "StructureDefinition-e9e685f3-4c2a-40fc-8784-78e4149454e8.json",
"package_name": "ca.on.oh-olis",
"date": "2023-11-15T21:02:44.5958778+00:00",
"derivation": "constraint",
"meta": {
"lastUpdated": "2023-11-15T21:01:27.1045619+00:00"
},
"publisher": null,
"fhirVersion": "4.0.1",
"name": "ServiceRequest",
"mapping": [ {
"uri": "http://ontariohealth.ca",
"name": "HL7 v2 Mapping",
"identity": "OLIS-HL7-v2"
} ],
"abstract": false,
"type": "ServiceRequest",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "2.0.0-0.0.1",
"status": "active",
"id": "bf4e5184-ec9c-4dbd-922e-2063d032e0fd",
"kind": "resource",
"url": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-ServiceRequest",
"version": "2.0.0",
"differential": {
"element": [ {
"id": "ServiceRequest.id",
"min": 1,
"path": "ServiceRequest.id",
"mustSupport": true
}, {
"id": "ServiceRequest.meta",
"min": 1,
"path": "ServiceRequest.meta",
"mustSupport": true
}, {
"id": "ServiceRequest.meta.lastUpdated",
"path": "ServiceRequest.meta.lastUpdated",
"mapping": [ {
"map": "OBR.22",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.meta.profile",
"max": "1",
"min": 1,
"path": "ServiceRequest.meta.profile",
"mustSupport": true,
"fixedCanonical": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-ServiceRequest|2.0.0"
}, {
"id": "ServiceRequest.extension",
"min": 0,
"path": "ServiceRequest.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "ServiceRequest.extension",
"min": 0,
"definition": "Up to 5 may be returned",
"short": "Reportable test indicator",
"type": [ {
"code": "Extension",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-ext-ReportableTestIndicator" ]
} ],
"mustSupport": true,
"sliceName": "ext-reportableTestIndicator",
"max": "5",
"id": "ServiceRequest.extension:ext-reportableTestIndicator"
}, {
"id": "ServiceRequest.extension:ext-reportableTestIndicator.value[x].coding.system",
"path": "ServiceRequest.extension.value[x].coding.system",
"fixedUri": "http://ehealthontario.ca/fhir/CodeSystem/ca-on-lab-reportable-test-indicator"
}, {
"id": "ServiceRequest.extension:ext-reportableTestIndicator.value[x].coding.code",
"path": "ServiceRequest.extension.value[x].coding.code",
"mapping": [ {
"map": "ZBR.9",
"comment": "valueCodeableConcept is used. Possible values \"CCO\" and \"PH2\"",
"identity": "OLIS-HL7-v2"
} ]
}, {
"path": "ServiceRequest.extension",
"min": 0,
"definition": "allows laboratories to suggest the sequence of test requests within a single order to organize the display of the patient report by other external systems",
"short": "Test Request Sort Key",
"type": [ {
"code": "Extension",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-sort-key" ]
} ],
"mustSupport": true,
"sliceName": "TestRequestSortKey",
"id": "ServiceRequest.extension:TestRequestSortKey",
"comment": "Most LIS systems contain sorting information in their test dictionaries that can be used to populate this field. If sorting information is not available, this must be brought to the attention of eHealth Ontario before interface development work begins to avoid the risk of failing conformance testing. Sort keys are essential for other systems to render the lab report as the laboratory intended the report to be viewed by the practitioner."
}, {
"id": "ServiceRequest.extension:TestRequestSortKey.value[x]",
"path": "ServiceRequest.extension.value[x]",
"mapping": [ {
"map": "ZBR.11",
"comment": "use valueString for test request sort key",
"identity": "OLIS-HL7-v2"
} ],
"slicing": {
"rules": "open"
},
"mustSupport": true
}, {
"path": "ServiceRequest.extension",
"min": 0,
"definition": "Identify practitioners who are to be copied on this order/report. It is important to identify all cc’d practitioners so that each practitioner is aware who is copied, and to ensure that the report is available to each practitioner through the practitioner query.",
"short": "Recipient of the test request (cc Practitioner)",
"mapping": [ {
"map": "OBR.28",
"identity": "OLIS-HL7-v2"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-cc-list" ]
} ],
"sliceName": "TestRequestRecipient",
"max": "10",
"id": "ServiceRequest.extension:TestRequestRecipient"
}, {
"id": "ServiceRequest.extension:testRequestBlockIndicator",
"min": 0,
"path": "ServiceRequest.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-record-block" ]
} ],
"sliceName": "testRequestBlockIndicator",
"mustSupport": true
}, {
"path": "ServiceRequest.extension",
"min": 0,
"isModifier": false,
"mapping": [ {
"map": "ZBR.2",
"comment": "valueReference shall point to an organization resource based on ZBR.2",
"identity": "OLIS-HL7-v2"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-test-request-placer" ]
} ],
"mustSupport": true,
"sliceName": "TestRequestPlacer",
"max": "1",
"id": "ServiceRequest.extension:TestRequestPlacer"
}, {
"id": "ServiceRequest.extension:PointOfCareTestID",
"min": 0,
"path": "ServiceRequest.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-ext-poc-test-id" ]
} ],
"sliceName": "PointOfCareTestID",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier",
"max": "1",
"min": 1,
"path": "ServiceRequest.identifier",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.type",
"min": 1,
"path": "ServiceRequest.identifier.type",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.type.coding",
"max": "1",
"min": 1,
"path": "ServiceRequest.identifier.type.coding",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.type.coding.system",
"min": 1,
"path": "ServiceRequest.identifier.type.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.type.coding.code",
"min": 1,
"path": "ServiceRequest.identifier.type.coding.code",
"fixedCode": "PLAC",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.type.coding.display",
"min": 1,
"path": "ServiceRequest.identifier.type.coding.display",
"short": "Placer order number",
"fixedString": "Placer Identifier",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.system",
"min": 1,
"path": "ServiceRequest.identifier.system",
"example": [ {
"label": "Lab issued test request id",
"valueUri": "http://ehealthontario.ca/fhir/NamingSystem/lab/test-request-id-lab-license-[id]"
}, {
"label": "Specimen collection centre issued id",
"valueUri": "http://ehealthontario.ca/fhir/NamingSystem/lab/test-request-id-scc-license-[id]"
} ],
"mapping": [ {
"map": "OBR.2.3",
"identity": "OLIS-HL7-v2"
} ],
"definition": "OLIS will use org specific URIs for system. See examples below and notes in the profile page.",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.value",
"min": 1,
"path": "ServiceRequest.identifier.value",
"mapping": [ {
"map": "OBR.2.1",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.assigner",
"min": 1,
"path": "ServiceRequest.identifier.assigner",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Organization" ]
} ],
"mapping": [ {
"map": "OBR.2.3",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.assigner.reference",
"path": "ServiceRequest.identifier.assigner.reference",
"mustSupport": true
}, {
"id": "ServiceRequest.replaces",
"max": "1",
"path": "ServiceRequest.replaces",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-ServiceRequest" ]
} ],
"short": "Indicates when replacing test request(s) and associated child test request(s) and result(s) in OLIS",
"mapping": [ {
"map": "ZBR.13, ZBR.14",
"comment": "If all test requests in an order have ZBR.14 set, this order is replacing the previous one",
"identity": "OLIS-HL7-v2"
} ],
"definition": "The field cannot be used in conjunction with Full Replace Amendment (ZBR.13) and must only be used for Microbiology modality",
"mustSupport": true
}, {
"id": "ServiceRequest.replaces.identifier",
"min": 1,
"path": "ServiceRequest.replaces.identifier",
"mustSupport": true
}, {
"id": "ServiceRequest.replaces.identifier.system",
"min": 1,
"path": "ServiceRequest.replaces.identifier.system",
"mapping": [ {
"map": "OBR.2.3",
"comment": "Use this mapping if ZBR.13 or ZBR.14 = \"Y\"",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.replaces.identifier.value",
"min": 1,
"path": "ServiceRequest.replaces.identifier.value",
"mapping": [ {
"map": "OBR.2.1",
"comment": "Use this mapping if ZBR.13 or ZBR.14 is \"Y\"",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.requisition",
"min": 1,
"path": "ServiceRequest.requisition",
"mustSupport": true
}, {
"id": "ServiceRequest.requisition.system",
"min": 1,
"path": "ServiceRequest.requisition.system",
"mapping": [ {
"map": "ORC.4.3",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.requisition.value",
"min": 1,
"path": "ServiceRequest.requisition.value",
"mapping": [ {
"map": "ORC.4.1",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.requisition.assigner",
"min": 1,
"path": "ServiceRequest.requisition.assigner",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-provider-profile-Organization" ]
} ],
"mapping": [ {
"map": "ORC.4.3",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.requisition.assigner.reference",
"min": 1,
"path": "ServiceRequest.requisition.assigner.reference",
"mustSupport": true
}, {
"id": "ServiceRequest.status",
"path": "ServiceRequest.status",
"short": "active | revoked | completed",
"comment": "Implementers must use the extension under this element to retrieve the status of this test request.",
"fixedCode": "unknown",
"mustSupport": true
}, {
"id": "ServiceRequest.status.extension",
"min": 1,
"path": "ServiceRequest.status.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "ServiceRequest.status.extension",
"min": 1,
"isModifier": false,
"mapping": [ {
"map": "OBR.25",
"comment": "OBR.25 = \"O\" or \"I\" map to the same value. map \"A\" to \"partial\", \"P\" to preliminary, \"F\" to \"final\", C to \"corrected\", \"X\" and \"E\" to \"cancelled\"",
"identity": "OLIS-HL7-v2"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-ext-lab-request-status" ]
} ],
"mustSupport": true,
"sliceName": "ext-OLISLabRequestStatus",
"max": "1",
"id": "ServiceRequest.status.extension:ext-OLISLabRequestStatus"
}, {
"id": "ServiceRequest.intent",
"path": "ServiceRequest.intent",
"fixedCode": "order",
"mustSupport": true
}, {
"id": "ServiceRequest.priority",
"path": "ServiceRequest.priority",
"short": "routine | asap | stat",
"mapping": [ {
"map": "OBR.27.6",
"comment": "use this for v2 values \"S\" (stat), \"A\" (asap), \"R\" (routine)",
"identity": "OLIS-HL7-v2"
} ],
"definition": "Indicates how quickly the ServiceRequest should be addressed with respect to other requests. This is used to support routine, asap and stat orders in OLIS. For timed orders, refer to occurrence[x].",
"mustSupport": true
}, {
"id": "ServiceRequest.code",
"min": 1,
"path": "ServiceRequest.code",
"binding": {
"strength": "required",
"valueSet": "http://ehealthontario.ca/fhir/ValueSet/ca-on-lab-test-request-codes",
"description": "Test request codes supported by OLIS. These are found on the Test Request Nomenclature tab of the downloadable Excel spreadsheet."
},
"mustSupport": true
}, {
"id": "ServiceRequest.code.coding",
"max": "1",
"min": 1,
"path": "ServiceRequest.code.coding",
"mustSupport": true
}, {
"id": "ServiceRequest.code.coding.system",
"min": 1,
"path": "ServiceRequest.code.coding.system",
"mapping": [ {
"map": "OBR.4.3",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.code.coding.code",
"min": 1,
"path": "ServiceRequest.code.coding.code",
"mapping": [ {
"map": "OBR.4.1",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.code.coding.display",
"min": 1,
"path": "ServiceRequest.code.coding.display",
"mapping": [ {
"map": "OBR.4.2",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.code.text",
"min": 1,
"path": "ServiceRequest.code.text",
"definition": "Contain the \"alternate name\" of the test request code",
"mustSupport": true
}, {
"id": "ServiceRequest.orderDetail",
"path": "ServiceRequest.orderDetail",
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v2-0065"
},
"mapping": [ {
"map": "OBR.11",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.orderDetail.coding",
"max": "1",
"min": 1,
"path": "ServiceRequest.orderDetail.coding",
"mustSupport": true
}, {
"id": "ServiceRequest.orderDetail.coding.system",
"min": 1,
"path": "ServiceRequest.orderDetail.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0065",
"mustSupport": true
}, {
"id": "ServiceRequest.orderDetail.coding.code",
"min": 1,
"path": "ServiceRequest.orderDetail.coding.code",
"mustSupport": true
}, {
"id": "ServiceRequest.orderDetail.coding.display",
"min": 1,
"path": "ServiceRequest.orderDetail.coding.display",
"mustSupport": true
}, {
"id": "ServiceRequest.subject",
"path": "ServiceRequest.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-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://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Encounter" ]
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.encounter.reference",
"min": 1,
"path": "ServiceRequest.encounter.reference",
"mustSupport": true
}, {
"id": "ServiceRequest.occurrence[x]",
"min": 1,
"path": "ServiceRequest.occurrence[x]",
"type": [ {
"code": "dateTime"
}, {
"code": "Timing",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-orderTiming" ]
} ],
"mapping": [ {
"map": "OBR.27.4",
"comment": "map OBR.27.4 to occurrenceTiming.event for timed orders (OBR.27.6 = \"T\"). For other priorities, map occurrenceDateTime to OBR.27.4",
"identity": "OLIS-HL7-v2"
} ],
"definition": "The date/time at which the requested service should occur. For timed order, occurrenceTiming will be used with timing.event populated. For other priority types, occurrenceDateTime will be used",
"mustSupport": true
}, {
"id": "ServiceRequest.authoredOn",
"min": 1,
"path": "ServiceRequest.authoredOn",
"mapping": [ {
"map": "ORC.9",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.requester",
"min": 1,
"path": "ServiceRequest.requester",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-PractitionerRole" ]
} ],
"mapping": [ {
"map": "OBR.16, ZBR.2",
"comment": "If requester is a practitioner, use PractitionerRole.practitioner. If requester is an organization, it would be in PractitionerRole.organization. If OBR.16 does not have valid value, use ZBR.2",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.requester.reference",
"min": 1,
"path": "ServiceRequest.requester.reference",
"mustSupport": true
}, {
"id": "ServiceRequest.performer",
"max": "1",
"path": "ServiceRequest.performer",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Organization" ]
} ],
"mapping": [ {
"map": "ZBR.8",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.performer.reference",
"min": 1,
"path": "ServiceRequest.performer.reference",
"mustSupport": true
}, {
"id": "ServiceRequest.reasonCode",
"max": "1",
"path": "ServiceRequest.reasonCode",
"binding": {
"strength": "required",
"valueSet": "http://ehealthontario.ca/fhir/ValueSet/ca-on-diagnosis-codes",
"description": "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"
},
"mustSupport": true
}, {
"id": "ServiceRequest.reasonCode.coding",
"max": "1",
"min": 1,
"path": "ServiceRequest.reasonCode.coding",
"mustSupport": true
}, {
"id": "ServiceRequest.reasonCode.coding.system",
"min": 1,
"path": "ServiceRequest.reasonCode.coding.system",
"mapping": [ {
"map": "DG1.3.3",
"identity": "OLIS-HL7-v2"
} ],
"fixedUri": "http://hl7.org/fhir/sid/icd-10",
"mustSupport": true
}, {
"id": "ServiceRequest.reasonCode.coding.code",
"min": 1,
"path": "ServiceRequest.reasonCode.coding.code",
"short": "ICD-10-CA code for the diagnosis attached to the test request",
"comment": "allows ICD-10-CA-encoded diagnosis information to be communicated when required to complete the requested tests (e.g., diabetes mellitus status of the patient for maternal screening).",
"mapping": [ {
"map": "DG1.3.1",
"identity": "OLIS-HL7-v2"
} ],
"definition": "Indicate a valid code from the ICD-10-CA Standard",
"mustSupport": true
}, {
"id": "ServiceRequest.reasonCode.coding.display",
"min": 1,
"path": "ServiceRequest.reasonCode.coding.display",
"short": "The ICD-10-CA Diagnosis Code Short Description",
"mapping": [ {
"map": "DG1.3.2",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.reasonReference",
"max": "1",
"path": "ServiceRequest.reasonReference",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Observation" ]
} ],
"mapping": [ {
"map": "OBR.26",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.reasonReference.reference",
"min": 1,
"path": "ServiceRequest.reasonReference.reference",
"mustSupport": true
}, {
"id": "ServiceRequest.specimen",
"max": "1",
"path": "ServiceRequest.specimen",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Specimen" ]
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.specimen.reference",
"min": 1,
"path": "ServiceRequest.specimen.reference",
"mustSupport": true
}, {
"id": "ServiceRequest.note",
"path": "ServiceRequest.note",
"mapping": [ {
"map": "NTE-ZNT",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.note.extension",
"min": 1,
"path": "ServiceRequest.note.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "ServiceRequest.note.extension:ext-source-comment",
"max": "1",
"min": 1,
"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.extension:ext-source-comment.value[x].coding.code",
"path": "ServiceRequest.note.extension.value[x].coding.code",
"mapping": [ {
"map": "NTE.2",
"comment": "valueCodeableConcept.coding.code will be \"L\", \"P\", or \"O\". Refer to value set",
"identity": "OLIS-HL7-v2"
} ]
}, {
"id": "ServiceRequest.note.author[x]",
"min": 1,
"path": "ServiceRequest.note.author[x]",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-lab-profile-Organization" ]
} ],
"mapping": [ {
"map": "ZNT.1 (Source Organization)",
"comment": "Reference value SHALL point to an organization identified by the license in the bundle",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.note.author[x].reference",
"min": 1,
"path": "ServiceRequest.note.author[x].reference",
"mustSupport": true
}, {
"id": "ServiceRequest.note.text",
"path": "ServiceRequest.note.text",
"mapping": [ {
"map": "NTE.3",
"identity": "OLIS-HL7-v2"
} ],
"mustSupport": true
} ]
},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
}