{
"description": "A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.",
"_filename": "StructureDefinition-ServiceRequest.json",
"package_name": "ca.on.ehr.r4",
"date": null,
"derivation": "constraint",
"publisher": null,
"fhirVersion": "4.0.1",
"name": "ServiceRequest",
"abstract": false,
"type": "ServiceRequest",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "ServiceRequest",
"package_version": "0.9.0",
"status": "draft",
"id": "d36897d6-8369-4569-998c-605e22694a78",
"kind": "resource",
"url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-ServiceRequest",
"version": null,
"differential": {
"element": [ {
"id": "ServiceRequest.extension",
"path": "ServiceRequest.extension",
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"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
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"min": 0,
"path": "ServiceRequest.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-ext-ReportableTestIndicator" ]
} ],
"sliceName": "ext-reportableTestIndicator"
}, {
"id": "ServiceRequest.extension:TestRequestSortKey",
"max": "*",
"min": 0,
"path": "ServiceRequest.extension",
"type": [ {
"code": "Extension",
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} ],
"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",
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"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",
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"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",
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"path": "ServiceRequest.extension",
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"code": "Extension",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ext-patient-present-location" ]
} ],
"sliceName": "PatientPresentLocation"
}, {
"id": "ServiceRequest.extension:CopiedParticipants",
"max": "*",
"min": 0,
"path": "ServiceRequest.extension",
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} ],
"sliceName": "CopiedParticipants"
}, {
"id": "ServiceRequest.extension:routingOptions",
"max": "*",
"min": 0,
"path": "ServiceRequest.extension",
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"code": "Extension",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ext-routing-options" ]
} ],
"sliceName": "routingOptions"
}, {
"id": "ServiceRequest.extension:DART",
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"min": 0,
"path": "ServiceRequest.extension",
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"code": "Extension",
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"sliceName": "DART"
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"id": "ServiceRequest.extension:DARC",
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"code": "Extension",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ext-darc" ]
} ],
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}, {
"id": "ServiceRequest.identifier",
"path": "ServiceRequest.identifier",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.type",
"path": "ServiceRequest.identifier.type",
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-type"
},
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.type.coding",
"path": "ServiceRequest.identifier.type.coding",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.type.coding.system",
"path": "ServiceRequest.identifier.type.coding.system",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.type.coding.code",
"path": "ServiceRequest.identifier.type.coding.code",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.type.coding.display",
"path": "ServiceRequest.identifier.type.coding.display",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.system",
"path": "ServiceRequest.identifier.system",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.value",
"path": "ServiceRequest.identifier.value",
"mustSupport": true
}, {
"id": "ServiceRequest.identifier.assigner",
"path": "ServiceRequest.identifier.assigner",
"mustSupport": true
}, {
"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/StructureDefinition/ca-on-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
}, {
"id": "ServiceRequest.basedOn.identifier.type.coding",
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"path": "ServiceRequest.basedOn.identifier.type.coding",
"mustSupport": true
}, {
"id": "ServiceRequest.basedOn.identifier.type.coding.system",
"path": "ServiceRequest.basedOn.identifier.type.coding.system",
"mustSupport": true
}, {
"id": "ServiceRequest.basedOn.identifier.type.coding.code",
"path": "ServiceRequest.basedOn.identifier.type.coding.code",
"mustSupport": true
}, {
"id": "ServiceRequest.basedOn.identifier.type.coding.display",
"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/StructureDefinition/ca-on-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
}, {
"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": "ext-OLISLabRequestStatus"
}, {
"id": "ServiceRequest.intent",
"path": "ServiceRequest.intent",
"mustSupport": true
}, {
"id": "ServiceRequest.category",
"path": "ServiceRequest.category",
"type": [ {
"code": "CodeableConcept",
"profile": [ "http://ontariohealth.ca/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"
} ],
"valueString": "ServiceRequestCategory"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://ontariohealth.ca/fhir/ValueSet/mi-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": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://ontariohealth.ca/fhir/ValueSet/mi-procedure-bodypart-sct"
}, {
"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": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://ontariohealth.ca/fhir/ValueSet/mi-procedure-laterality-sct"
}, {
"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": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://ontariohealth.ca/fhir/ValueSet/mi-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."
} ]
} ],
"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/StructureDefinition/CodeableConcept-oh-ehr" ]
} ],
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/procedure-code",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://ontariohealth.ca/fhir/ValueSet/mi-procedure-type-provincial"
}, {
"url": "documentation",
"valueMarkdown": "A code that classifies a use of Contrast for an MI procedure. This is used for searching, sorting and display purposes."
} ],
"valueString": "ServiceRequestCode"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://ontariohealth.ca/fhir/ValueSet/mi-procedure-type-sct"
}, {
"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": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://ehealthontario.ca/fhir/ValueSet/ca-on-lab-test-request-codes"
}, {
"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"
} ]
} ],
"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/StructureDefinition/CodeableConcept-oh-ehr" ]
} ],
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/servicerequest-orderdetail",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"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)"
} ],
"valueString": "OrderDetail"
} ],
"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/StructureDefinition/ca-on-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/StructureDefinition/ca-on-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/StructureDefinition/ca-on-profile-PractitionerRole", "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-Practitioner", "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-Organization" ]
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.requester.reference",
"min": 1,
"path": "ServiceRequest.requester.reference",
"mustSupport": true
}, {
"id": "ServiceRequest.performer",
"path": "ServiceRequest.performer",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-PractitionerRole", "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-Practitioner", "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-Organization" ]
} ],
"mustSupport": true
}, {
"id": "ServiceRequest.performer.reference",
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"path": "ServiceRequest.performer.reference",
"mustSupport": true
}, {
"id": "ServiceRequest.locationReference",
"path": "ServiceRequest.locationReference",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-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/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://ehealthontario.ca/fhir/ValueSet/ca-on-diagnosis-codes"
}, {
"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"
} ]
} ]
},
"mustSupport": true
}, {
"id": "ServiceRequest.reasonCode.coding.system",
"min": 1,
"path": "ServiceRequest.reasonCode.coding.system"
}, {
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"max": "1",
"min": 1,
"path": "ServiceRequest.reasonReference",
"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/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"
}