Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept
Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept
Care Coordination and 360 Referrals (Proof of Concept) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2026-11-03 |
XML representation of the ReferralRequest resource profile.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="ReferralRequest"/>
<language value="en"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition ReferralRequest</b></p><a name="ReferralRequest"> </a><a name="hcReferralRequest"> </a><table border="0" cellpadding="0" cellspacing="0" class="xhtTableBorder0"><tr class="xhtRowBorder1"><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th scope="col" style="; width: 100px" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck1.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="" style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest">ServiceRequest</a><a name="ServiceRequest"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">A request for a service to be performed</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck13.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.identifier" class="xhtPieceItalic">Slices for identifier</a><a name="ServiceRequest.identifier"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported" class="xhtPieceItalic">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic"/><span class="xhtPieceItalic">1</span><span class="xhtPieceItalic">..</span><span class="xhtPieceItalic xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier" class="xhtPieceItalic xhtPieceDeEmphasized">Identifier</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceItalic xhtPieceDeEmphasized">Identifiers assigned to this order</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Slice: </span><span class="xhtPieceItalic">Unordered, Open by profile:$this</span><br class="xhtPieceItalic"/><span class="xhtPieceBold xhtPieceItalic">Slicing Note: </span><span class="xhtPieceItalic">The rules on this element (including its children) apply to all the slices, but are not repeated in them</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck134.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.Slices for identifier.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.identifier:referralId" title="Slice referralId">identifier:referralId</a><a name="ServiceRequest.identifier:referralId"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-ReferralIdentifier.html" title="Identifier">ReferralIdentifier</a></td><td style="" class="hierarchy xhtCellBorder0">Referral ID assigned by the Referral Initiator (ORC-2 / OBR-2)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck124.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.Slices for identifier.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.identifier:ubrn" title="Slice ubrn">identifier:ubrn</a><a name="ServiceRequest.identifier:ubrn"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-UniqueBookingReferenceNumber.html" title="Identifier">UniqueBookingReferenceNumber</a></td><td style="" class="hierarchy xhtCellBorder0">eRS Unique Booking Reference Number, if referred through eRS</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.basedOn">basedOn</a><a name="ServiceRequest.basedOn"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/careplan.html" class="xhtPieceDeEmphasized">CarePlan</a> | <a href="http://hl7.org/fhir/R4/servicerequest.html" class="xhtPieceDeEmphasized">ServiceRequest</a> | <a href="http://hl7.org/fhir/R4/medicationrequest.html" class="xhtPieceDeEmphasized">MedicationRequest</a>)</td><td style="" class="hierarchy xhtCellBorder0">The care plan this referral carries out (Dynamic Care Planning)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.replaces">replaces</a><a name="ServiceRequest.replaces"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/servicerequest.html" class="xhtPieceDeEmphasized">ServiceRequest</a>)</td><td style="" class="hierarchy xhtCellBorder0">A declined or cancelled referral this one replaces (a new referral needs a new Referral ID)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.status">status</a><a name="ServiceRequest.status"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">1</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code" class="xhtPieceDeEmphasized">code</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">draft | active | on-hold | revoked | completed | entered-in-error | unknown</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.intent">intent</a><a name="ServiceRequest.intent"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">1</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code" class="xhtPieceDeEmphasized">code</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option</span><br/><span class="xhtPieceBold">Fixed Value: </span><span class="xhtPieceDarkGreen">order</span> (no extensions allowed)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.category">category</a><a name="ServiceRequest.category"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0">1..<span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept" class="xhtPieceDeEmphasized">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Classification of service</span><br class="binding"/><span class="xhtPieceBold binding">Binding: </span><a href="ValueSet-referral-category.html" title="https://fhir.acmeexample.org.uk/PatientCareCoordination/ValueSet/referral-category" class="binding">Referral Category</a><span class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead." class="binding">extensible</a><span class="binding">)</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.priority">priority</a><a name="ServiceRequest.priority"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code" class="xhtPieceDeEmphasized">code</a></td><td style="" class="hierarchy xhtCellBorder0">routine | urgent | asap | stat - see NHS mapping on the PCC-55 page</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.code">code</a><a name="ServiceRequest.code"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0">1..<span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept" class="xhtPieceDeEmphasized">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0">Service referred to (eRS specialty / clinic type, or a SNOMED CT referral procedure)<br class="binding"/><span class="xhtPieceBold binding">Binding: </span><a href="ValueSet-referral-service-type.html" title="https://fhir.acmeexample.org.uk/PatientCareCoordination/ValueSet/referral-service-type" class="binding">Referral Service Type</a><span class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead." class="binding">extensible</a><span class="binding">)</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck11.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.subject">subject</a><a name="ServiceRequest.subject"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">1</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Patient.html">Patient</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Individual or Entity the service is ordered for</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.subject.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.subject.identifier">identifier</a><a name="ServiceRequest.subject.identifier"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-NHSIdentifier.html" title="Identifier">NHSIdentifier</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Logical reference, when literal reference is not known</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.encounter">encounter</a><a name="ServiceRequest.encounter"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/encounter.html" class="xhtPieceDeEmphasized">Encounter</a>)</td><td style="" class="hierarchy xhtCellBorder0">The encounter in which the referral was made</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.occurrence[x]">occurrence[x]</a><a name="ServiceRequest.occurrence_x_"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime" class="xhtPieceDeEmphasized">dateTime</a><span class="xhtPieceDeEmphasized">, </span><a href="http://hl7.org/fhir/R4/datatypes.html#Period" class="xhtPieceDeEmphasized">Period</a><span class="xhtPieceDeEmphasized">, </span><a href="http://hl7.org/fhir/R4/datatypes.html#Timing" class="xhtPieceDeEmphasized">Timing</a></td><td style="" class="hierarchy xhtCellBorder0">When the service should be provided - TQ1-8 expected service provision time; a Period for the referral's validity (TQ1-6)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.authoredOn">authoredOn</a><a name="ServiceRequest.authoredOn"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0">1..<span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime" class="xhtPieceDeEmphasized">dateTime</a></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Date request signed</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="" style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.requester">requester</a><a name="ServiceRequest.requester"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0">1..<span class="xhtPieceDeEmphasized">1</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-PractitionerRole.html">PractitionerRole</a> | <a href="StructureDefinition-Practitioner.html">Practitioner</a> | <a href="StructureDefinition-Organization.html">Organization</a>)</td><td style="" class="hierarchy xhtCellBorder0">Referring clinician (ORC-12 / OBR-16) - the Referral Initiator</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.performer">performer</a><a name="ServiceRequest.performer"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-PractitionerRole.html">PractitionerRole</a> | <a href="StructureDefinition-Organization.html">Organization</a> | <a href="StructureDefinition-HealthcareService.html">HealthcareService</a>)</td><td style="" class="hierarchy xhtCellBorder0">Service or clinician referred to - the Referral Recipient</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.reasonCode">reasonCode</a><a name="ServiceRequest.reasonCode"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept" class="xhtPieceDeEmphasized">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0">Reason(s) for referral (OBR-31)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.reasonReference">reasonReference</a><a name="ServiceRequest.reasonReference"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/condition.html">Condition</a> | <a href="StructureDefinition-Observation.html">Observation</a> | <a href="http://hl7.org/fhir/R4/diagnosticreport.html">DiagnosticReport</a> | <a href="http://hl7.org/fhir/R4/documentreference.html">DocumentReference</a>)</td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">Explanation/Justification for service or service</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.supportingInfo">supportingInfo</a><a name="ServiceRequest.supportingInfo"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/resource.html" class="xhtPieceDeEmphasized">Resource</a>)</td><td style="" class="hierarchy xhtCellBorder0">Clinical information: referral form (QuestionnaireResponse), observations, referral letter, FHIR Document, results</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck00.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ServiceRequest.</span><a href="StructureDefinition-ReferralRequest-definitions.html#ServiceRequest.note">note</a><a name="ServiceRequest.note"> </a></td><td style="" class="hierarchy xhtCellBorder0"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000" title="This element must be supported">S</span><span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only"> This element must be supported. </span></td><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#Annotation" class="xhtPieceDeEmphasized">Annotation</a></td><td style="" class="hierarchy xhtCellBorder0">Referral question - the clinical question for the Referral Recipient (OBX with OBX-29 QST)</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<url
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralRequest"/>
<version value="0.1.0"/>
<name value="ReferralRequest"/>
<title value="Referral Request"/>
<status value="draft"/>
<date value="2026-11-03T05:48:20+00:00"/>
<publisher value="Kevin Mayfield"/>
<contact>
<telecom>
<system value="url"/>
<value
value="https://github.com/KevinMayfield/PatientCareCoordination"/>
</telecom>
</contact>
<description
value="`Referral` - the request from the Referral Initiator to the Referral Recipient
([Referral Request [PCC-55]](PCC-55.html)). Equivalent to HL7 v2 `OMG^O19` (360X) or
`REF_I12` and the eRS `ServiceRequest`; BaRS referrals are mapped onto it (see
[BaRS](BaRS.html)). Also used
for referrals to a [virtual ward](VirtualWards.html)."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="GB"/>
<display value="United Kingdom of Great Britain and Northern Ireland"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<mapping>
<identity value="workflow"/>
<uri value="http://hl7.org/fhir/workflow"/>
<name value="Workflow Pattern"/>
</mapping>
<mapping>
<identity value="v2"/>
<uri value="http://hl7.org/v2"/>
<name value="HL7 v2 Mapping"/>
</mapping>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<mapping>
<identity value="w5"/>
<uri value="http://hl7.org/fhir/fivews"/>
<name value="FiveWs Pattern Mapping"/>
</mapping>
<mapping>
<identity value="quick"/>
<uri value="http://siframework.org/cqf"/>
<name value="Quality Improvement and Clinical Knowledge (QUICK)"/>
</mapping>
<kind value="resource"/>
<abstract value="false"/>
<type value="ServiceRequest"/>
<baseDefinition
value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
<derivation value="constraint"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="4.0.1"/>
</extension>
<element id="ServiceRequest">
<path value="ServiceRequest"/>
<short value="A request for a service to be performed"/>
<definition
value="A record of a request for service such as diagnostic investigations, treatments, or operations to be performed."/>
<alias value="diagnostic request"/>
<alias value="referral"/>
<alias value="referral request"/>
<alias value="transfer of care request"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest"/>
<min value="0"/>
<max value="*"/>
</base>
<constraint>
<key value="dom-2"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
<expression value="contained.contained.empty()"/>
<xpath value="not(parent::f:contained and f:contained)"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="dom-3"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"/>
<expression
value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"/>
<xpath
value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="dom-4"/>
<severity value="error"/>
<human
value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
<expression
value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
<xpath
value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="dom-5"/>
<severity value="error"/>
<human
value="If a resource is contained in another resource, it SHALL NOT have a security label"/>
<expression value="contained.meta.security.empty()"/>
<xpath value="not(exists(f:contained/*/f:meta/f:security))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
<valueMarkdown
value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/>
</extension>
<key value="dom-6"/>
<severity value="warning"/>
<human
value="A resource should have narrative for robust management"/>
<expression value="text.`div`.exists()"/>
<xpath value="exists(f:text/h:div)"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="prr-1"/>
<severity value="error"/>
<human value="orderDetail SHALL only be present if code is present"/>
<expression value="orderDetail.empty() or code.exists()"/>
<xpath value="exists(f:code) or not(exists(f:orderDetail))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Entity. Role, or Act"/>
</mapping>
<mapping>
<identity value="workflow"/>
<map value="Request"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Act[moodCode<=INT]"/>
</mapping>
</element>
<element id="ServiceRequest.id">
<path value="ServiceRequest.id"/>
<short value="Logical id of this artifact"/>
<definition
value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
<comment
value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="ServiceRequest.meta">
<path value="ServiceRequest.meta"/>
<short value="Metadata about the resource"/>
<definition
value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.meta"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Meta"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="ServiceRequest.implicitRules">
<path value="ServiceRequest.implicitRules"/>
<short value="A set of rules under which this content was created"/>
<definition
value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/>
<comment
value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.implicitRules"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/>
<isSummary value="true"/>
</element>
<element id="ServiceRequest.language">
<path value="ServiceRequest.language"/>
<short value="Language of the resource content"/>
<definition
value="The base language in which the resource is written."/>
<comment
value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.language"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
<valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Language"/>
</extension>
<strength value="preferred"/>
<description value="A human language."/>
<valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1"/>
</binding>
</element>
<element id="ServiceRequest.text">
<path value="ServiceRequest.text"/>
<short value="Text summary of the resource, for human interpretation"/>
<definition
value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
<comment
value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/>
<alias value="narrative"/>
<alias value="html"/>
<alias value="xhtml"/>
<alias value="display"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Narrative"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Act.text?"/>
</mapping>
</element>
<element id="ServiceRequest.contained">
<path value="ServiceRequest.contained"/>
<short value="Contained, inline Resources"/>
<definition
value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
<comment
value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/>
<alias value="inline resources"/>
<alias value="anonymous resources"/>
<alias value="contained resources"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.contained"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Resource"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ServiceRequest.extension">
<path value="ServiceRequest.extension"/>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ServiceRequest.modifierExtension">
<path value="ServiceRequest.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ServiceRequest.identifier">
<path value="ServiceRequest.identifier"/>
<slicing>
<discriminator>
<type value="profile"/>
<path value="$this"/>
</discriminator>
<description value="Slice based on the identifier profile"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Identifiers assigned to this order"/>
<definition
value="Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller."/>
<comment
value="The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="ServiceRequest.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.identifier"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.identifier"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.2, ORC.3, RF1-6 / RF1-11,"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".identifier"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="ClinicalStatement.identifier"/>
</mapping>
</element>
<element id="ServiceRequest.identifier:referralId">
<path value="ServiceRequest.identifier"/>
<sliceName value="referralId"/>
<short
value="Referral ID assigned by the Referral Initiator (ORC-2 / OBR-2)"/>
<definition
value="Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller."/>
<comment
value="The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ServiceRequest.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralIdentifier">🔗
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/type-profile-constraints">
<valueCode value="full"/>
</extension>
</profile>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.identifier"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.identifier"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.2, ORC.3, RF1-6 / RF1-11,"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".identifier"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="ClinicalStatement.identifier"/>
</mapping>
</element>
<element id="ServiceRequest.identifier:ubrn">
<path value="ServiceRequest.identifier"/>
<sliceName value="ubrn"/>
<short
value="eRS Unique Booking Reference Number, if referred through eRS"/>
<definition
value="Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller."/>
<comment
value="The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/UniqueBookingReferenceNumber">🔗
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/type-profile-constraints">
<valueCode value="full"/>
</extension>
</profile>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.identifier"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.identifier"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.2, ORC.3, RF1-6 / RF1-11,"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".identifier"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="ClinicalStatement.identifier"/>
</mapping>
</element>
<element id="ServiceRequest.instantiatesCanonical">
<path value="ServiceRequest.instantiatesCanonical"/>
<short value="Instantiates FHIR protocol or definition"/>
<definition
value="The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest."/>
<comment
value="Note: This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.instantiatesCanonical"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="canonical"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/PlanDefinition|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.instantiatesCanonical"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="Varies by domain"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=DEFN].target"/>
</mapping>
</element>
<element id="ServiceRequest.instantiatesUri">
<path value="ServiceRequest.instantiatesUri"/>
<short value="Instantiates external protocol or definition"/>
<definition
value="The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest."/>
<comment
value="This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.instantiatesUri"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.instantiatesUri"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="Varies by domain"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=DEFN].target"/>
</mapping>
</element>
<element id="ServiceRequest.basedOn">
<path value="ServiceRequest.basedOn"/>
<short
value="The care plan this referral carries out (Dynamic Care Planning)"/>
<definition value="Plan/proposal/order fulfilled by this request."/>
<alias value="fulfills"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.basedOn"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.basedOn"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.8 (plus others)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=FLFS].target"/>
</mapping>
</element>
<element id="ServiceRequest.replaces">
<path value="ServiceRequest.replaces"/>
<short
value="A declined or cancelled referral this one replaces (a new referral needs a new Referral ID)"/>
<definition
value="The request takes the place of the referenced completed or terminated request(s)."/>
<alias value="supersedes"/>
<alias value="prior"/>
<alias value="renewed order"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.replaces"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.replaces"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="Handled by message location of ORC (ORC.1=RO or RU)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=RPLC].target"/>
</mapping>
</element>
<element id="ServiceRequest.requisition">
<path value="ServiceRequest.requisition"/>
<short value="Composite Request ID"/>
<definition
value="A shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier."/>
<comment
value="Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation."/>
<requirements
value="Some business processes need to know if multiple items were ordered as part of the same "requisition" for billing or other purposes."/>
<alias value="grouperId"/>
<alias value="groupIdentifier"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.requisition"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.groupIdentifier"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.4"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"/>
</mapping>
</element>
<element id="ServiceRequest.status">
<path value="ServiceRequest.status"/>
<short
value="draft | active | on-hold | revoked | completed | entered-in-error | unknown"/>
<definition value="The status of the order."/>
<comment
value="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 [Event Pattern](http://hl7.org/fhir/R4/event.html) for general discussion) or using the [Task](http://hl7.org/fhir/R4/task.html) resource."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ServiceRequest.status"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="true"/>
<isModifierReason
value="This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceRequestStatus"/>
</extension>
<strength value="required"/>
<description value="The status of a service order."/>
<valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.status"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.status"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.5,RF1-1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".status"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="Action.currentStatus"/>
</mapping>
</element>
<element id="ServiceRequest.intent">
<path value="ServiceRequest.intent"/>
<short
value="proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option"/>
<definition
value="Whether the request is a proposal, plan, an original order or a reflex order."/>
<comment
value="This element is labeled as a modifier because the intent alters when and how the resource is actually applicable."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ServiceRequest.intent"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<fixedCode value="order"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceRequestIntent"/>
</extension>
<strength value="required"/>
<description value="The kind of service request."/>
<valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.intent"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.class"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"/>
</mapping>
</element>
<element id="ServiceRequest.category">
<path value="ServiceRequest.category"/>
<short value="Classification of service"/>
<definition
value="A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure")."/>
<comment
value="There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set."/>
<requirements
value="Used for filtering what service request are retrieved and displayed."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="ServiceRequest.category"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="extensible"/>
<valueSet
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/ValueSet/referral-category"/>
</binding>
<mapping>
<identity value="w5"/>
<map value="FiveWs.class"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="RF1-5"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code"/>
</mapping>
</element>
<element id="ServiceRequest.priority">
<path value="ServiceRequest.priority"/>
<short
value="routine | urgent | asap | stat - see NHS mapping on the PCC-55 page"/>
<definition
value="Indicates how quickly the ServiceRequest should be addressed with respect to other requests."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.priority"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<meaningWhenMissing
value="If missing, this task should be performed with normal priority"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceRequestPriority"/>
</extension>
<strength value="required"/>
<description
value="Identifies the level of importance to be assigned to actioning the request."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/request-priority|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.priority"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.grade"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="TQ1.9, RF1-2"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".priorityCode"/>
</mapping>
</element>
<element id="ServiceRequest.doNotPerform">
<path value="ServiceRequest.doNotPerform"/>
<short value="True if service/procedure should not be performed"/>
<definition
value="Set this to true if the record is saying that the service/procedure should NOT be performed."/>
<comment
value="In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation."/>
<requirements
value="Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.doNotPerform"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<meaningWhenMissing
value="If missing, the request is a positive request e.g. "do perform""/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur."/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.doNotPerform"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".actionNegationInd"/>
</mapping>
</element>
<element id="ServiceRequest.code">
<path value="ServiceRequest.code"/>
<short
value="Service referred to (eRS specialty / clinic type, or a SNOMED CT referral procedure)"/>
<definition
value="A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested."/>
<comment
value="Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example, serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code."/>
<alias value="service requested"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ServiceRequest.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="extensible"/>
<valueSet
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/ValueSet/referral-service-type"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.code"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.what[x]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="PR1-3 / OBR-4 (varies by domain)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".code"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="Procedure.procedureCode"/>
</mapping>
</element>
<element id="ServiceRequest.orderDetail">
<path value="ServiceRequest.orderDetail"/>
<short value="Additional order information"/>
<definition
value="Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied."/>
<comment
value="For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element."/>
<alias value="detailed instructions"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.orderDetail"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<condition value="prr-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="OrderDetail"/>
</extension>
<strength value="example"/>
<description
value="Codified order entry details which are based on order context."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/servicerequest-orderdetail|4.0.1"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="NTE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".code"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="Procedure.procedureCode"/>
</mapping>
</element>
<element id="ServiceRequest.quantity[x]">
<path value="ServiceRequest.quantity[x]"/>
<short value="Service amount"/>
<definition
value="An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction)."/>
<requirements
value="When ordering a service the number of service items may need to be specified separately from the the service item."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.quantity[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
</type>
<type>
<code value="Ratio"/>
</type>
<type>
<code value="Range"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="NTE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".quantity"/>
</mapping>
</element>
<element id="ServiceRequest.subject">
<path value="ServiceRequest.subject"/>
<short value="Individual or Entity the service is ordered for"/>
<definition
value="On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ServiceRequest.subject"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Patient"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.subject"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.subject[x]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="PID"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=SBJ].role"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="ClinicalStatement.subject"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.subject"/>
</mapping>
</element>
<element id="ServiceRequest.subject.id">
<path value="ServiceRequest.subject.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ServiceRequest.subject.extension">
<path value="ServiceRequest.subject.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ServiceRequest.subject.reference">
<path value="ServiceRequest.subject.reference"/>
<short value="Literal reference, Relative, internal or absolute URL"/>
<definition
value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/>
<comment
value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.reference"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<condition value="ref-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ServiceRequest.subject.type">
<path value="ServiceRequest.subject.type"/>
<short value="Type the reference refers to (e.g. "Patient")"/>
<definition
value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.
The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)."/>
<comment
value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt"/>
</extension>
<strength value="extensible"/>
<description
value="Aa resource (or, for logical models, the URI of the logical model)."/>
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.0.1"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ServiceRequest.subject.identifier">
<path value="ServiceRequest.subject.identifier"/>
<short value="Logical reference, when literal reference is not known"/>
<definition
value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
<comment
value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.identifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/NHSIdentifier">🔗
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/type-profile-constraints">
<valueCode value="full"/>
</extension>
</profile>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value=".identifier"/>
</mapping>
</element>
<element id="ServiceRequest.subject.display">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.subject.display"/>
<short value="Text alternative for the resource"/>
<definition
value="Plain text narrative that identifies the resource in addition to the resource reference."/>
<comment
value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Reference.display"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ServiceRequest.encounter">
<path value="ServiceRequest.encounter"/>
<short value="The encounter in which the referral was made"/>
<definition
value="An encounter that provides additional information about the healthcare context in which this request is made."/>
<alias value="context"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.encounter"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.encounter"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.context"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="PV1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="ClinicalStatement.encounter"/>
</mapping>
</element>
<element id="ServiceRequest.occurrence[x]">
<path value="ServiceRequest.occurrence[x]"/>
<short
value="When the service should be provided - TQ1-8 expected service provision time; a Period for the referral's validity (TQ1-6)"/>
<definition
value="The date/time at which the requested service should occur."/>
<alias value="schedule"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.occurrence[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<type>
<code value="Period"/>
</type>
<type>
<code value="Timing"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.occurrence[x]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.planned"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="TQ1/TQ2, OBR-7/OBR-8"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".effectiveTime"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="Procedure.procedureSchedule"/>
</mapping>
</element>
<element id="ServiceRequest.asNeeded[x]">
<path value="ServiceRequest.asNeeded[x]"/>
<short value="Preconditions for service"/>
<definition
value="If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.asNeeded[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ProcedureAsNeededReason"/>
</extension>
<strength value="example"/>
<description
value="A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1"/>
</binding>
<mapping>
<identity value="rim"/>
<map
value="boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code="Assertion"].value"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="Proposal.prnReason.reason"/>
</mapping>
</element>
<element id="ServiceRequest.authoredOn">
<path value="ServiceRequest.authoredOn"/>
<short value="Date request signed"/>
<definition value="When the request transitioned to being actionable."/>
<alias value="orderedOn"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ServiceRequest.authoredOn"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.authoredOn"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.recorded"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.9, RF1-7 / RF1-9"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=AUT].time"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="Proposal.proposedAtTime"/>
</mapping>
</element>
<element id="ServiceRequest.requester">
<path value="ServiceRequest.requester"/>
<short
value="Referring clinician (ORC-12 / OBR-16) - the Referral Initiator"/>
<definition
value="The individual who initiated the request and has responsibility for its activation."/>
<comment
value="This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource."/>
<alias value="author"/>
<alias value="orderer"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ServiceRequest.requester"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PractitionerRole"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Practitioner"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Organization"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.requester"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.author"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.12, PRT"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=AUT].role"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="ClinicalStatement.statementAuthor"/>
</mapping>
</element>
<element id="ServiceRequest.performerType">
<path value="ServiceRequest.performerType"/>
<short value="Performer role"/>
<definition
value="Desired type of performer for doing the requested service."/>
<comment
value="This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”."/>
<alias value="specialty"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.performerType"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceRequestParticipantRole"/>
</extension>
<strength value="example"/>
<description
value="Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/participant-role|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.performerType"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.actor"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="PRT, RF!-3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"/>
</mapping>
</element>
<element id="ServiceRequest.performer">
<path value="ServiceRequest.performer"/>
<short
value="Service or clinician referred to - the Referral Recipient"/>
<definition
value="The desired performer for doing the requested service. For example, the surgeon, dermatopathologist, endoscopist, etc."/>
<comment
value="If multiple performers are present, it is interpreted as a list of *alternative* performers without any preference regardless of order. If order of preference is needed use the [request-performerOrder extension](http://hl7.org/fhir/R4/extension-request-performerorder.html). Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B)."/>
<alias value="request recipient"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.performer"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PractitionerRole"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Organization"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/HealthcareService"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.performer"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.actor"/>
</mapping>
<mapping>
<identity value="v2"/>
<map
value="PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/>
</mapping>
</element>
<element id="ServiceRequest.locationCode">
<path value="ServiceRequest.locationCode"/>
<short value="Requested location"/>
<definition
value="The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.locationCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceRequestLocation"/>
</extension>
<strength value="example"/>
<description value="A location type where services are delivered."/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"/>
</binding>
<mapping>
<identity value="w5"/>
<map value="FiveWs.actor"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode=LOC].role[scoper.determinerCode=KIND].code"/>
</mapping>
</element>
<element id="ServiceRequest.locationReference">
<path value="ServiceRequest.locationReference"/>
<short value="Requested location"/>
<definition
value="A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.locationReference"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Location|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="w5"/>
<map value="FiveWs.actor"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]"/>
</mapping>
</element>
<element id="ServiceRequest.reasonCode">
<path value="ServiceRequest.reasonCode"/>
<short value="Reason(s) for referral (OBR-31)"/>
<definition
value="An explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in `supportingInfo`."/>
<comment
value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/R4/servicerequest-example-di.html)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.reasonCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceRequestReason"/>
</extension>
<strength value="example"/>
<description
value="Diagnosis or problem codes justifying the reason for requesting the service investigation."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.reasonCode"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.why[x]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.16, RF1-10"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".reasonCode"/>
</mapping>
</element>
<element id="ServiceRequest.reasonReference">
<path value="ServiceRequest.reasonReference"/>
<short value="Explanation/Justification for service or service"/>
<definition
value="Indicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in `supportingInfo`."/>
<comment
value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to *Observation* or *Condition* should be used if available. Otherwise when referencing *DiagnosticReport* it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/R4/servicerequest-example-di.html)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.reasonReference"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.reasonReference"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.why[x]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.16"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=RSON].target"/>
</mapping>
</element>
<element id="ServiceRequest.insurance">
<path value="ServiceRequest.insurance"/>
<short value="Associated insurance coverage"/>
<definition
value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.insurance"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Coverage|4.0.1"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.insurance"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="IN1/IN2"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=COVBY].target"/>
</mapping>
</element>
<element id="ServiceRequest.supportingInfo">
<path value="ServiceRequest.supportingInfo"/>
<short
value="Clinical information: referral form (QuestionnaireResponse), observations, referral letter, FHIR Document, results"/>
<definition
value="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."/>
<comment
value="Forms completed at referral (ask at order entry), such as exercise pre-participation screening, are QuestionnaireResponses; the answers needed as data SHOULD also be sent as Observations. Attached forms (PDF) are DocumentReferences. See Referral Forms."/>
<alias value="Ask at order entry question"/>
<alias value="AOE"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.supportingInfo"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.supportingInfo"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="Accompanying segments"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=PERT].target"/>
</mapping>
</element>
<element id="ServiceRequest.specimen">
<path value="ServiceRequest.specimen"/>
<short value="Procedure Samples"/>
<definition
value="One or more specimens that the laboratory procedure will use."/>
<comment
value="Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the [Specimen](http://hl7.org/fhir/R4/specimen.html) resource points to the ServiceRequest."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.specimen"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="SPM"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=SPC].role"/>
</mapping>
</element>
<element id="ServiceRequest.bodySite">
<path value="ServiceRequest.bodySite"/>
<short value="Location on Body"/>
<definition
value="Anatomic location where the procedure should be performed. This is the target site."/>
<comment
value="Only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension [procedure-targetBodyStructure](http://hl7.org/fhir/R4/extension-procedure-targetbodystructure.html)."/>
<requirements
value="Knowing where the procedure is performed is important for tracking if multiple sites are possible."/>
<alias value="location"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.bodySite"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="BodySite"/>
</extension>
<strength value="example"/>
<description
value="Codes describing anatomical locations. May include laterality."/>
<valueSet value="http://hl7.org/fhir/ValueSet/body-site|4.0.1"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="SPM"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="targetSiteCode"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="Procedure.targetBodySite"/>
</mapping>
</element>
<element id="ServiceRequest.note">
<path value="ServiceRequest.note"/>
<short
value="Referral question - the clinical question for the Referral Recipient (OBX with OBX-29 QST)"/>
<definition
value="Any other notes and comments made about the service request. For example, internal billing notes."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.note"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Annotation"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.note"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="NTE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="ClinicalStatement.additionalText"/>
</mapping>
</element>
<element id="ServiceRequest.patientInstruction">
<path value="ServiceRequest.patientInstruction"/>
<short value="Patient or consumer-oriented instructions"/>
<definition
value="Instructions in terms that are understood by the patient or consumer."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.patientInstruction"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="NTE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".text"/>
</mapping>
</element>
<element id="ServiceRequest.relevantHistory">
<path value="ServiceRequest.relevantHistory"/>
<short value="Request provenance"/>
<definition value="Key events in the history of the request."/>
<comment
value="This might not include provenances for all versions of the request – only those deemed “relevant” or important.
This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude
All Provenances should have some historical version of this Request as their subject."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.relevantHistory"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Provenance|4.0.1"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.relevantHistory"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="ServiceRequest">
<path value="ServiceRequest"/>
</element>
<element id="ServiceRequest.identifier">
<path value="ServiceRequest.identifier"/>
<slicing>
<discriminator>
<type value="profile"/>
<path value="$this"/>
</discriminator>
<description value="Slice based on the identifier profile"/>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.identifier:referralId">
<path value="ServiceRequest.identifier"/>
<sliceName value="referralId"/>
<short
value="Referral ID assigned by the Referral Initiator (ORC-2 / OBR-2)"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralIdentifier"/>
</type>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.identifier:ubrn">
<path value="ServiceRequest.identifier"/>
<sliceName value="ubrn"/>
<short
value="eRS Unique Booking Reference Number, if referred through eRS"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/UniqueBookingReferenceNumber"/>
</type>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.basedOn">
<path value="ServiceRequest.basedOn"/>
<short
value="The care plan this referral carries out (Dynamic Care Planning)"/>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.replaces">
<path value="ServiceRequest.replaces"/>
<short
value="A declined or cancelled referral this one replaces (a new referral needs a new Referral ID)"/>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.status">
<path value="ServiceRequest.status"/>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.intent">
<path value="ServiceRequest.intent"/>
<fixedCode value="order"/>
</element>
<element id="ServiceRequest.category">
<path value="ServiceRequest.category"/>
<min value="1"/>
<mustSupport value="true"/>
<binding>
<strength value="extensible"/>
<valueSet
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/ValueSet/referral-category"/>
</binding>
</element>
<element id="ServiceRequest.priority">
<path value="ServiceRequest.priority"/>
<short
value="routine | urgent | asap | stat - see NHS mapping on the PCC-55 page"/>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.code">
<path value="ServiceRequest.code"/>
<short
value="Service referred to (eRS specialty / clinic type, or a SNOMED CT referral procedure)"/>
<min value="1"/>
<mustSupport value="true"/>
<binding>
<strength value="extensible"/>
<valueSet
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/ValueSet/referral-service-type"/>
</binding>
</element>
<element id="ServiceRequest.subject">
<path value="ServiceRequest.subject"/>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Patient"/>
</type>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.subject.identifier">
<path value="ServiceRequest.subject.identifier"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/NHSIdentifier"/>
</type>
</element>
<element id="ServiceRequest.encounter">
<path value="ServiceRequest.encounter"/>
<short value="The encounter in which the referral was made"/>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.occurrence[x]">
<path value="ServiceRequest.occurrence[x]"/>
<short
value="When the service should be provided - TQ1-8 expected service provision time; a Period for the referral's validity (TQ1-6)"/>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.authoredOn">
<path value="ServiceRequest.authoredOn"/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.requester">
<path value="ServiceRequest.requester"/>
<short
value="Referring clinician (ORC-12 / OBR-16) - the Referral Initiator"/>
<min value="1"/>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PractitionerRole"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Practitioner"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Organization"/>
</type>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.performer">
<path value="ServiceRequest.performer"/>
<short
value="Service or clinician referred to - the Referral Recipient"/>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PractitionerRole"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Organization"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/HealthcareService"/>
</type>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.reasonCode">
<path value="ServiceRequest.reasonCode"/>
<short value="Reason(s) for referral (OBR-31)"/>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.reasonReference">
<path value="ServiceRequest.reasonReference"/>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<targetProfile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>
</type>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.supportingInfo">
<path value="ServiceRequest.supportingInfo"/>
<short
value="Clinical information: referral form (QuestionnaireResponse), observations, referral letter, FHIR Document, results"/>
<comment
value="Forms completed at referral (ask at order entry), such as exercise pre-participation screening, are QuestionnaireResponses; the answers needed as data SHOULD also be sent as Observations. Attached forms (PDF) are DocumentReferences. See Referral Forms."/>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.note">
<path value="ServiceRequest.note"/>
<short
value="Referral question - the clinical question for the Referral Recipient (OBX with OBX-29 QST)"/>
<mustSupport value="true"/>
</element>
</differential>
</StructureDefinition>