ProcedureRequest is a record of a request for a procedure to be planned, proposed, or performed with or on a patient. Examples of procedures include diagnostic tests/studies, endoscopic procedures, counseling, biopsies, therapies (e.g., physio-, social-, psychological-), (exploratory) surgeries or procedures, exercises, and other clinical interventions. Procedures may be performed by a healthcare professional, a friend or relative or in some cases by the patient themselves.
In scope of the eHealth infrastructure ProcedureRequests are used with CarePlans to express actual measurement activities to be performed by a Patient in the context of a CarePlan.
The eHealth profile of ProcedureRequest has the following extensions:
ehealth-reuseCriteria
which defines whether resource(s) resulting from conducting the activity, typically measurements or answering of Questionnaire may be reused and if so with which criteria. These are copied from the ActivityDefinition referenced in definition
and can subsequently be adjusted to suit the particular Patient contextehealth-referenceRange
can contain one or more reference ranges against which values in measurements (resource(s)
resulting from conducting the activity) can be compared. These are copied from the ActivityDefinition referenced in definition
and can subsequently be adjusted to suit the particular Patient contextehealth-sharingPolicy
sets a stance on whether publication to national document sharing of the measurements (resource(s) resulting from conducting the activity) shall be allowed or not. The value is copied from the ActivityDefinition referenced in definition
and can subsequently be adjusted to suit the particular Patient context.The official URL for this profile is:
http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-procedurerequest
This profile builds on ProcedureRequest.
This profile was published on Fri May 22 12:11:22 UTC 2020 as a draft by ehealth.sundhed.dk.
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from ProcedureRequest
Summary
Mandatory: 3 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
This structure is derived from ProcedureRequest
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ProcedureRequest | 0..* | ProcedureRequest | A record of a request for diagnostic investigations, treatments, or operations to be performed. | |
extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
ehealth-referenceRange | 0..* | (Complex) | Provides guide for interpretation URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-referenceRange | |
ehealth-sharingPolicy | 1..1 | CodeableConcept | Extension URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingPolicy | |
ehealth-reuseCriteria | 0..1 | (Complex) | Criteria to be met for reuse of responses to be allowed. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-reuseCriteria | |
definition | 1..1 | Reference(eHealth ActivityDefinition) {r} | Protocol or definition | |
basedOn | 0..0 | |||
replaces | 0..0 | |||
requisition | ||||
assigner | 0..1 | Reference(eHealth Organization) {r} | Organization that issued id (may be just text) | |
code | 1..1 | CodeableConcept | What is being requested/ordered Binding: Activity Definition Code (required) | |
subject | 1..1 | Reference(eHealth Patient) {r} | Individual the service is ordered for | |
context | 1..1 | Reference(eHealth EpisodeOfCare) {r} | Encounter or Episode during which request was created | |
requester | ||||
agent | 1..1 | Reference(eHealth Device | eHealth Practitioner | eHealth Organization) {r} | Individual making the request | |
onBehalfOf | 0..1 | Reference(eHealth Organization) {r} | Organization agent is acting for | |
performer | 0..1 | Reference(eHealth Practitioner | eHealth Organization | eHealth Patient | eHealth Device | eHealth RelatedPerson | HealthcareService) {r} | Requested perfomer | |
reasonReference | 0..* | Reference(eHealth Condition | eHealth Observation) {r} | Explanation/Justification for test | |
supportingInfo | 0..* | Reference(Resource) {r} | Additional clinical information | |
specimen | 0..* | Reference(Specimen) {r} | Procedure Samples | |
note | ||||
author[x] | 0..1 | Individual responsible for the annotation | ||
authorReference | Reference(eHealth Practitioner | eHealth Patient | eHealth RelatedPerson) | |||
authorString | string | |||
relevantHistory | 0..* | Reference(eHealth Provenance) {r} | Request provenance | |
Documentation for this format |
This structure is derived from ProcedureRequest
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ProcedureRequest | I | 0..* | ProcedureRequest | A record of a request for diagnostic investigations, treatments, or operations to be performed. |
id | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) Max Binding: All Languages | |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
ehealth-referenceRange | I | 0..* | (Complex) | Provides guide for interpretation URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-referenceRange |
ehealth-sharingPolicy | I | 1..1 | CodeableConcept | Extension URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingPolicy |
ehealth-reuseCriteria | I | 0..1 | (Complex) | Criteria to be met for reuse of responses to be allowed. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-reuseCriteria |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Identifiers assigned to this order |
definition | Σ | 1..1 | Reference(eHealth ActivityDefinition) {r} | Protocol or definition |
requisition | Σ | 0..1 | Identifier | Composite Request ID |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary (If known) Binding: IdentifierUse (required) |
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) |
system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
value | Σ | 0..1 | string | The value that is unique Example General: 123456 |
period | Σ | 0..1 | Period | Time period when id is/was valid for use |
assigner | Σ | 0..1 | Reference(eHealth Organization) {r} | Organization that issued id (may be just text) |
status | ?!Σ | 1..1 | code | draft | active | suspended | completed | entered-in-error | cancelled Binding: RequestStatus (required) |
intent | ?!Σ | 1..1 | code | proposal | plan | order + Binding: RequestIntent (required) |
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required) |
doNotPerform | ?!Σ | 0..1 | boolean | True if procedure should not be performed |
category | Σ | 0..* | CodeableConcept | Classification of procedure Binding: Procedure Category Codes (SNOMED CT) (example) |
code | Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: Activity Definition Code (required) |
subject | Σ | 1..1 | Reference(eHealth Patient) {r} | Individual the service is ordered for |
context | Σ | 1..1 | Reference(eHealth EpisodeOfCare) {r} | Encounter or Episode during which request was created |
occurrence[x] | Σ | 0..1 | When procedure should occur | |
occurrenceDateTime | dateTime | |||
occurrencePeriod | Period | |||
occurrenceTiming | Timing | |||
asNeeded[x] | Σ | 0..1 | Preconditions for procedure or diagnostic Binding: SNOMED CT Medication As Needed Reason Codes (example) | |
asNeededBoolean | boolean | |||
asNeededCodeableConcept | CodeableConcept | |||
authoredOn | Σ | 0..1 | dateTime | Date request signed |
requester | ΣI | 0..1 | BackboneElement | Who/what is requesting procedure or diagnostic |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
agent | Σ | 1..1 | Reference(eHealth Device | eHealth Practitioner | eHealth Organization) {r} | Individual making the request |
onBehalfOf | Σ | 0..1 | Reference(eHealth Organization) {r} | Organization agent is acting for |
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: Participant Roles (example) |
performer | Σ | 0..1 | Reference(eHealth Practitioner | eHealth Organization | eHealth Patient | eHealth Device | eHealth RelatedPerson | HealthcareService) {r} | Requested perfomer |
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for test Binding: Procedure Reason Codes (example) |
reasonReference | Σ | 0..* | Reference(eHealth Condition | eHealth Observation) {r} | Explanation/Justification for test |
supportingInfo | 0..* | Reference(Resource) {r} | Additional clinical information | |
specimen | Σ | 0..* | Reference(Specimen) {r} | Procedure Samples |
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMED CT Body Structures (example) |
note | 0..* | Annotation | Comments | |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
author[x] | Σ | 0..1 | Individual responsible for the annotation | |
authorReference | Reference(eHealth Practitioner | eHealth Patient | eHealth RelatedPerson) | |||
authorString | string | |||
time | Σ | 0..1 | dateTime | When the annotation was made |
text | 1..1 | string | The annotation - text content | |
relevantHistory | 0..* | Reference(eHealth Provenance) {r} | Request provenance | |
Documentation for this format |
This structure is derived from ProcedureRequest
Summary
Mandatory: 3 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from ProcedureRequest
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ProcedureRequest | 0..* | ProcedureRequest | A record of a request for diagnostic investigations, treatments, or operations to be performed. | |
extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
ehealth-referenceRange | 0..* | (Complex) | Provides guide for interpretation URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-referenceRange | |
ehealth-sharingPolicy | 1..1 | CodeableConcept | Extension URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingPolicy | |
ehealth-reuseCriteria | 0..1 | (Complex) | Criteria to be met for reuse of responses to be allowed. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-reuseCriteria | |
definition | 1..1 | Reference(eHealth ActivityDefinition) {r} | Protocol or definition | |
basedOn | 0..0 | |||
replaces | 0..0 | |||
requisition | ||||
assigner | 0..1 | Reference(eHealth Organization) {r} | Organization that issued id (may be just text) | |
code | 1..1 | CodeableConcept | What is being requested/ordered Binding: Activity Definition Code (required) | |
subject | 1..1 | Reference(eHealth Patient) {r} | Individual the service is ordered for | |
context | 1..1 | Reference(eHealth EpisodeOfCare) {r} | Encounter or Episode during which request was created | |
requester | ||||
agent | 1..1 | Reference(eHealth Device | eHealth Practitioner | eHealth Organization) {r} | Individual making the request | |
onBehalfOf | 0..1 | Reference(eHealth Organization) {r} | Organization agent is acting for | |
performer | 0..1 | Reference(eHealth Practitioner | eHealth Organization | eHealth Patient | eHealth Device | eHealth RelatedPerson | HealthcareService) {r} | Requested perfomer | |
reasonReference | 0..* | Reference(eHealth Condition | eHealth Observation) {r} | Explanation/Justification for test | |
supportingInfo | 0..* | Reference(Resource) {r} | Additional clinical information | |
specimen | 0..* | Reference(Specimen) {r} | Procedure Samples | |
note | ||||
author[x] | 0..1 | Individual responsible for the annotation | ||
authorReference | Reference(eHealth Practitioner | eHealth Patient | eHealth RelatedPerson) | |||
authorString | string | |||
relevantHistory | 0..* | Reference(eHealth Provenance) {r} | Request provenance | |
Documentation for this format |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ProcedureRequest | I | 0..* | ProcedureRequest | A record of a request for diagnostic investigations, treatments, or operations to be performed. |
id | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) Max Binding: All Languages | |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
ehealth-referenceRange | I | 0..* | (Complex) | Provides guide for interpretation URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-referenceRange |
ehealth-sharingPolicy | I | 1..1 | CodeableConcept | Extension URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingPolicy |
ehealth-reuseCriteria | I | 0..1 | (Complex) | Criteria to be met for reuse of responses to be allowed. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-reuseCriteria |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Identifiers assigned to this order |
definition | Σ | 1..1 | Reference(eHealth ActivityDefinition) {r} | Protocol or definition |
requisition | Σ | 0..1 | Identifier | Composite Request ID |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary (If known) Binding: IdentifierUse (required) |
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) |
system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
value | Σ | 0..1 | string | The value that is unique Example General: 123456 |
period | Σ | 0..1 | Period | Time period when id is/was valid for use |
assigner | Σ | 0..1 | Reference(eHealth Organization) {r} | Organization that issued id (may be just text) |
status | ?!Σ | 1..1 | code | draft | active | suspended | completed | entered-in-error | cancelled Binding: RequestStatus (required) |
intent | ?!Σ | 1..1 | code | proposal | plan | order + Binding: RequestIntent (required) |
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required) |
doNotPerform | ?!Σ | 0..1 | boolean | True if procedure should not be performed |
category | Σ | 0..* | CodeableConcept | Classification of procedure Binding: Procedure Category Codes (SNOMED CT) (example) |
code | Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: Activity Definition Code (required) |
subject | Σ | 1..1 | Reference(eHealth Patient) {r} | Individual the service is ordered for |
context | Σ | 1..1 | Reference(eHealth EpisodeOfCare) {r} | Encounter or Episode during which request was created |
occurrence[x] | Σ | 0..1 | When procedure should occur | |
occurrenceDateTime | dateTime | |||
occurrencePeriod | Period | |||
occurrenceTiming | Timing | |||
asNeeded[x] | Σ | 0..1 | Preconditions for procedure or diagnostic Binding: SNOMED CT Medication As Needed Reason Codes (example) | |
asNeededBoolean | boolean | |||
asNeededCodeableConcept | CodeableConcept | |||
authoredOn | Σ | 0..1 | dateTime | Date request signed |
requester | ΣI | 0..1 | BackboneElement | Who/what is requesting procedure or diagnostic |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
agent | Σ | 1..1 | Reference(eHealth Device | eHealth Practitioner | eHealth Organization) {r} | Individual making the request |
onBehalfOf | Σ | 0..1 | Reference(eHealth Organization) {r} | Organization agent is acting for |
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: Participant Roles (example) |
performer | Σ | 0..1 | Reference(eHealth Practitioner | eHealth Organization | eHealth Patient | eHealth Device | eHealth RelatedPerson | HealthcareService) {r} | Requested perfomer |
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for test Binding: Procedure Reason Codes (example) |
reasonReference | Σ | 0..* | Reference(eHealth Condition | eHealth Observation) {r} | Explanation/Justification for test |
supportingInfo | 0..* | Reference(Resource) {r} | Additional clinical information | |
specimen | Σ | 0..* | Reference(Specimen) {r} | Procedure Samples |
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMED CT Body Structures (example) |
note | 0..* | Annotation | Comments | |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
author[x] | Σ | 0..1 | Individual responsible for the annotation | |
authorReference | Reference(eHealth Practitioner | eHealth Patient | eHealth RelatedPerson) | |||
authorString | string | |||
time | Σ | 0..1 | dateTime | When the annotation was made |
text | 1..1 | string | The annotation - text content | |
relevantHistory | 0..* | Reference(eHealth Provenance) {r} | Request provenance | |
Documentation for this format |
Path | Conformance | ValueSet |
ProcedureRequest.language | extensible | Common Languages Max Binding: All Languages |
ProcedureRequest.requisition.use | required | IdentifierUse |
ProcedureRequest.requisition.type | extensible | Identifier Type Codes |
ProcedureRequest.status | required | RequestStatus |
ProcedureRequest.intent | required | RequestIntent |
ProcedureRequest.priority | required | RequestPriority |
ProcedureRequest.category | example | Procedure Category Codes (SNOMED CT) |
ProcedureRequest.code | required | ActivityDefinitionCode |
ProcedureRequest.asNeeded[x] | example | SNOMED CT Medication As Needed Reason Codes |
ProcedureRequest.performerType | example | Participant Roles |
ProcedureRequest.reasonCode | example | Procedure Reason Codes |
ProcedureRequest.bodySite | example | SNOMED CT Body Structures |
Id | Path | Details | Requirements |
dom-2 | ProcedureRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-1 | ProcedureRequest | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
dom-4 | ProcedureRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-3 | ProcedureRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
ele-1 | ProcedureRequest.extension:referenceRange | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
ext-1 | ProcedureRequest.extension:referenceRange | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | ProcedureRequest.extension:sharingPolicy | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
ext-1 | ProcedureRequest.extension:sharingPolicy | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | ProcedureRequest.extension:reuseCriteria | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
ext-1 | ProcedureRequest.extension:reuseCriteria | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | ProcedureRequest.requester | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |