{
  "description": "ServiceRequest is the main resource used to send all referral related information to the destination system.",
  "_filename": "ServiceRequest.StructureDefinition.json",
  "package_name": "ca.infoway.io.erec",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "ServiceRequest",
  "abstract": false,
  "type": "ServiceRequest",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "ServiceRequest",
  "package_version": "1.1.1-dft-ballot",
  "status": "draft",
  "id": "f769146d-0931-4f9a-9de2-858b4e703670",
  "kind": "resource",
  "url": "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ServiceRequest",
  "version": null,
  "differential": {
    "element": [ {
      "id": "ServiceRequest.extension",
      "path": "ServiceRequest.extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "ServiceRequest.extension:PatientPresentLocation",
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Patient-Present-Location-EXT" ]
      } ],
      "short": "USE CASE SUPPORT: Systems deployed in Ontario SHALL support",
      "sliceName": "PatientPresentLocation"
    }, {
      "id": "ServiceRequest.extension:DARC",
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/DARC-EXT" ]
      } ],
      "short": "USE CASE SUPPORT: Systems deployed in Ontario SHALL support",
      "sliceName": "DARC"
    }, {
      "id": "ServiceRequest.extension:DART",
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/DART-ext" ]
      } ],
      "short": "USE CASE SUPPORT: Systems deployed in Ontario SHALL support",
      "sliceName": "DART"
    }, {
      "id": "ServiceRequest.extension:RoutingOptions",
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/Routing-Options-EXT" ]
      } ],
      "short": "USE CASE SUPPORT: Systems deployed in Ontario SHALL support",
      "sliceName": "RoutingOptions"
    }, {
      "id": "ServiceRequest.extension:CopiedParticipants",
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-copied-participants-EXT" ]
      } ],
      "short": "USE CASE SUPPORT: Systems deployed in Ontario SHALL support",
      "sliceName": "CopiedParticipants"
    }, {
      "id": "ServiceRequest.extension:ServiceProviderPreference",
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ext-ServiceProviderPreference" ]
      } ],
      "short": "USE CASE SUPPORT: Systems deployed in Ontario SHALL support",
      "sliceName": "ServiceProviderPreference"
    }, {
      "id": "ServiceRequest.identifier",
      "path": "ServiceRequest.identifier",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.identifier.system",
      "min": 1,
      "path": "ServiceRequest.identifier.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.identifier.value",
      "min": 1,
      "path": "ServiceRequest.identifier.value",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.basedOn",
      "max": "1",
      "path": "ServiceRequest.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ServiceRequest" ]
      } ],
      "short": "𝗨𝗦𝗘 𝗖𝗔𝗦𝗘 𝗦𝗨𝗣𝗣𝗢𝗥𝗧: Systems that support routing/chaining/splitting SHALL support"
    }, {
      "id": "ServiceRequest.basedOn.reference",
      "path": "ServiceRequest.basedOn.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.basedOn.identifier",
      "path": "ServiceRequest.basedOn.identifier",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.basedOn.identifier.system",
      "min": 1,
      "path": "ServiceRequest.basedOn.identifier.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.basedOn.identifier.value",
      "min": 1,
      "path": "ServiceRequest.basedOn.identifier.value",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.replaces",
      "path": "ServiceRequest.replaces",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ServiceRequest" ]
      } ],
      "short": "𝗨𝗦𝗘 𝗖𝗔𝗦𝗘 𝗦𝗨𝗣𝗣𝗢𝗥𝗧: Systems that support routing/chaining/splitting SHALL support"
    }, {
      "id": "ServiceRequest.replaces.reference",
      "path": "ServiceRequest.replaces.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.replaces.identifier",
      "path": "ServiceRequest.replaces.identifier",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.replaces.identifier.system",
      "min": 1,
      "path": "ServiceRequest.replaces.identifier.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.replaces.identifier.value",
      "min": 1,
      "path": "ServiceRequest.replaces.identifier.value",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requisition",
      "path": "ServiceRequest.requisition",
      "short": "𝗨𝗦𝗘 𝗖𝗔𝗦𝗘 𝗦𝗨𝗣𝗣𝗢𝗥𝗧: Systems that support routing/chaining/splitting SHALL support"
    }, {
      "id": "ServiceRequest.requisition.system",
      "min": 1,
      "path": "ServiceRequest.requisition.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requisition.value",
      "min": 1,
      "path": "ServiceRequest.requisition.value",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.status",
      "path": "ServiceRequest.status",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/request-status"
      },
      "mustSupport": true
    }, {
      "id": "ServiceRequest.intent",
      "path": "ServiceRequest.intent",
      "fixedCode": "proposal",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.category",
      "path": "ServiceRequest.category",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://fhir.infoway-inforoute.ca/ValueSet/interventioncodesubsetcare"
      },
      "mustSupport": true
    }, {
      "id": "ServiceRequest.code",
      "path": "ServiceRequest.code",
      "short": "Note that the meaning of this field is to be used in conjunction with ServiceRequest.performer pointing to a HealthCareservice, and .code further specifies the service, for example code could be a specific procedure under the specificed HealthcareService (e.g., HealthcareService = Orthopaedic Surgeon, code=Knee Surgery)",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://fhir.infoway-inforoute.ca/ValueSet/interventioncodesubsetcare"
      },
      "mustSupport": true
    }, {
      "id": "ServiceRequest.subject",
      "path": "ServiceRequest.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.subject.reference",
      "path": "ServiceRequest.subject.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.subject.identifier",
      "path": "ServiceRequest.subject.identifier",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.subject.identifier.system",
      "min": 1,
      "path": "ServiceRequest.subject.identifier.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.subject.identifier.value",
      "min": 1,
      "path": "ServiceRequest.subject.identifier.value",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.authoredOn",
      "min": 1,
      "path": "ServiceRequest.authoredOn",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requester",
      "min": 1,
      "path": "ServiceRequest.requester",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-PractitionerRole", "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requester.extension",
      "path": "ServiceRequest.requester.extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "ServiceRequest.requester.extension:ServiceRequesterDelegate",
      "max": "1",
      "min": 0,
      "path": "ServiceRequest.requester.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ext-ServiceRequesterDelegate" ]
      } ],
      "sliceName": "ServiceRequesterDelegate"
    }, {
      "id": "ServiceRequest.requester.reference",
      "path": "ServiceRequest.requester.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requester.identifier",
      "path": "ServiceRequest.requester.identifier",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requester.identifier.system",
      "min": 1,
      "path": "ServiceRequest.requester.identifier.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requester.identifier.value",
      "min": 1,
      "path": "ServiceRequest.requester.identifier.value",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.performer",
      "max": "*",
      "min": 1,
      "path": "ServiceRequest.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-PractitionerRole", "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-HealthcareService" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.performer.extension",
      "path": "ServiceRequest.performer.extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "ServiceRequest.performer.extension:PerformerIdentifier",
      "max": "1",
      "min": 0,
      "path": "ServiceRequest.performer.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-performer-identifier-EXT" ]
      } ],
      "sliceName": "PerformerIdentifier"
    }, {
      "id": "ServiceRequest.performer.reference",
      "path": "ServiceRequest.performer.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.performer.identifier",
      "path": "ServiceRequest.performer.identifier",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.performer.identifier.system",
      "min": 1,
      "path": "ServiceRequest.performer.identifier.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.performer.identifier.value",
      "min": 1,
      "path": "ServiceRequest.performer.identifier.value",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.reasonCode",
      "path": "ServiceRequest.reasonCode",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/procedure-reason",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "ServiceRequestReason"
        } ],
        "description": "Diagnosis or problem codes justifying the reason for requesting the service investigation."
      },
      "mustSupport": true
    }, {
      "id": "ServiceRequest.supportingInfo",
      "path": "ServiceRequest.supportingInfo",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource", "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-DocumentReference", "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Communication", "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-QuestionnaireResponse", "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/condition-ca-ps", "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/allergyintolerance-ca-ps" ],
        "_targetProfile": [ {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
            "valueBoolean": false
          } ]
        }, {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
            "valueBoolean": true
          } ]
        }, {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
            "valueBoolean": true
          } ]
        }, {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
            "valueBoolean": true
          } ]
        }, {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
            "valueBoolean": false
          } ]
        }, {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
            "valueBoolean": false
          } ]
        } ]
      } ],
      "comment": "To represent information about how the services are to be delivered use the `instructions` element. This element can be used to provide a Patient Summary as well.",
      "definition": "Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations.  In laboratory ordering these are typically referred to as \"ask at order entry questions (AOEs)\".  This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example,  reporting the amount of inspired oxygen for blood gas measurements.",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.supportingInfo.reference",
      "path": "ServiceRequest.supportingInfo.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.supportingInfo.identifier",
      "path": "ServiceRequest.supportingInfo.identifier",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.supportingInfo.identifier.system",
      "min": 1,
      "path": "ServiceRequest.supportingInfo.identifier.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.supportingInfo.identifier.value",
      "min": 1,
      "path": "ServiceRequest.supportingInfo.identifier.value",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.note",
      "path": "ServiceRequest.note",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.note.author[x]",
      "path": "ServiceRequest.note.author[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "ServiceRequest.note.author[x]:authorReference",
      "max": "1",
      "min": 0,
      "path": "ServiceRequest.note.author[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Practitioner", "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Organization", "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Patient" ]
      } ],
      "sliceName": "authorReference"
    }, {
      "id": "ServiceRequest.note.author[x]:authorReference.reference",
      "path": "ServiceRequest.note.author[x].reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.note.author[x]:authorReference.identifier",
      "path": "ServiceRequest.note.author[x].identifier",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.note.author[x]:authorReference.identifier.system",
      "min": 1,
      "path": "ServiceRequest.note.author[x].identifier.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.note.author[x]:authorReference.identifier.value",
      "min": 1,
      "path": "ServiceRequest.note.author[x].identifier.value",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
}