Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: HCIM ProcedureRequest

ProcedureRequest as defined by the Dutch Health and Care Information model for PlannedCareActivity (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017. It includes the request of NursingProcedure and Procedures.

Recording planned appointments, referrals, treatments, diagnostic procedures, open orders and orders of which the results are not yet known gives every recipient, user or healthcare facility insight in the planned healthcare for this patient. This can prevent situations in which diagnostics and treatment can conflict with each other. This will give the recipient the option to place an order, cancel the order or act in any other way in accordance with their own policy. For orders that do not yet have results, the recipient is informed of the fact that potentially relevant results will be made available (which have to be requested).

Usage:

• Refer to this Resource Profile: nl-core-careplan and HCIM Procedure
• Examples for this Resource Profile: ProcedureRequest/zib-procedurerequest-01 and ProcedureRequest/zib-procedurerequest-02

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
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This structure is derived from ProcedureRequest

Name	Flags	Card.	Type	Description & Constraints
ProcedureRequest		0..*	ProcedureRequest	A request for a procedure or diagnostic to be performed
identifier		0..*	Identifier	Identifiers assigned to this order
status
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
orderStatus		0..1	(Complex)	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
valueCodeableConcept:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: OrderStatusCodelijst (extensible): The status of the order.
code		1..1	CodeableConcept	ProcedureType
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst		0..1	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (extensible): The name of the procedure using the Verrichtingenthesaurus DHD.
subject		1..1	Reference(nl-core-patient | Group | nl-core-location | HCIM MedicalDevice Product)	Individual the service is ordered for
context		0..1	Reference(HCIM Encounter | EpisodeOfCare)	Encounter or Episode during which request was created
Slices for occurrence[x]		0..1	dateTime, Period, Timing	When procedure should occur Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceDateTime		0..1	dateTime	When procedure should occur
occurrence[x]:occurrencePeriod		0..1	Period	When procedure should occur
start		0..1	dateTime	StartDate
end		0..1	dateTime	EndDate
occurrence[x]:occurrenceTiming		0..1	Timing	When procedure should occur
repeat
frequency		0..1	integer	Frequency
period		0..1	decimal	Interval
requester		0..1	BackboneElement	Who/what is requesting procedure or diagnostic
agent		1..1	Reference(HCIM MedicalDevice Product | nl-core-practitioner | nl-core-organization)	RequestedBy
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
performerType
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:healthProfessionalRole		0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
performer		0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson | nl-core-healthcareservice)	CarriedOutBy
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonReference		0..*	Reference(HCIM Problem | Observation)	Indication
bodySite		0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ProcedureRequest.status.extension:orderStatus.valueCodeableConcept:valueCodeableConcept	extensible	OrderStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000 from this IG
ProcedureRequest.code.coding:VerrichtingTypeCodelijst	extensible	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000 from this IG
ProcedureRequest.performerType.coding:healthProfessionalRole	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 from this IG
ProcedureRequest.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000 from this IG

Name	Flags	Card.	Type	Description & Constraints
ProcedureRequest		0..*	ProcedureRequest	A request for a procedure or diagnostic to be performed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order
status	?!Σ	1..1	code	draft | active | suspended | completed | entered-in-error | cancelled Binding: RequestStatus (required): The status of a procedure or diagnostic order.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
orderStatus		0..1	(Complex)	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: OrderStatusCodelijst (extensible): The status of the order.
intent	?!Σ	1..1	code	proposal | plan | order + Binding: RequestIntent (required): The kind of procedure or diagnostic request
doNotPerform	?!Σ	0..1	boolean	True if procedure should not be performed
code	Σ	1..1	CodeableConcept	ProcedureType Binding: Procedure Codes (SNOMED CT) (example): Codes for tests/services that can be performed by procedure or diagnostic services. For laboratory, LOINC is (preferred)[http://hl7.org/fhir/STU3/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst	Σ	0..1	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (extensible): The name of the procedure using the Verrichtingenthesaurus DHD.
subject	Σ	1..1	Reference(nl-core-patient | Group | nl-core-location | HCIM MedicalDevice Product)	Individual the service is ordered for
context	Σ	0..1	Reference(HCIM Encounter | EpisodeOfCare)	Encounter or Episode during which request was created
Slices for occurrence[x]	Σ	0..1		When procedure should occur Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrenceDateTime	Σ	0..1	dateTime	When procedure should occur
occurrence[x]:occurrencePeriod	Σ	0..1	Period	When procedure should occur
start	ΣC	0..1	dateTime	StartDate
end	ΣC	0..1	dateTime	EndDate
occurrence[x]:occurrenceTiming	Σ	0..1	Timing	When procedure should occur
requester	Σ	0..1	BackboneElement	Who/what is requesting procedure or diagnostic
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(HCIM MedicalDevice Product | nl-core-practitioner | nl-core-organization)	RequestedBy
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
performer	Σ	0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson | nl-core-healthcareservice)	CarriedOutBy
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonReference	Σ	0..*	Reference(HCIM Problem | Observation)	Indication
bodySite	Σ	0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ProcedureRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status from the FHIR Standard
ProcedureRequest.status.extension:orderStatus.value[x]:valueCodeableConcept	extensible	OrderStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000 from this IG
ProcedureRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent from the FHIR Standard
ProcedureRequest.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ProcedureRequest.code.coding:VerrichtingTypeCodelijst	extensible	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000 from this IG
ProcedureRequest.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	ProcedureRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	ProcedureRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	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()
dom-4	error	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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
ProcedureRequest		0..*	ProcedureRequest	A request for a procedure or diagnostic 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): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order
definition	Σ	0..*	Reference(ActivityDefinition | PlanDefinition)	Protocol or definition
basedOn	Σ	0..*	Reference(Resource)	What request fulfills
replaces	Σ	0..*	Reference(Resource)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!Σ	1..1	code	draft | active | suspended | completed | entered-in-error | cancelled Binding: RequestStatus (required): The status of a procedure or diagnostic order.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
orderStatus		0..1	(Complex)	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: OrderStatusCodelijst (extensible): The status of the order.
value		0..1	code	Primitive value for code
intent	?!Σ	1..1	code	proposal | plan | order + Binding: RequestIntent (required): The kind of procedure or diagnostic request
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request
doNotPerform	?!Σ	0..1	boolean	True if procedure should not be performed
category	Σ	0..*	CodeableConcept	Classification of procedure Binding: Procedure Category Codes (SNOMED CT) (example): Classification of the procedure
code	Σ	1..1	CodeableConcept	ProcedureType Binding: Procedure Codes (SNOMED CT) (example): Codes for tests/services that can be performed by procedure or diagnostic services. For laboratory, LOINC is (preferred)[http://hl7.org/fhir/STU3/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst	Σ	0..1	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (extensible): The name of the procedure using the Verrichtingenthesaurus DHD.
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(nl-core-patient | Group | nl-core-location | HCIM MedicalDevice Product)	Individual the service is ordered for
context	Σ	0..1	Reference(HCIM Encounter | EpisodeOfCare)	Encounter or Episode during which request was created
Slices for occurrence[x]	Σ	0..1		When procedure should occur Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrenceDateTime	Σ	0..1	dateTime	When procedure should occur
occurrence[x]:occurrencePeriod	Σ	0..1	Period	When procedure should occur
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	StartDate
end	ΣC	0..1	dateTime	EndDate
occurrence[x]:occurrenceTiming	Σ	0..1	Timing	When procedure should occur
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-1: if there's a duration, there needs to be duration units tim-10: If there's a timeOfDay, there cannot be be a when, or vice versa tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	integer	Number of times to repeat
countMax	Σ	0..1	integer	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	integer	Frequency
frequencyMax	Σ	0..1	integer	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Interval
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Regular life events the event is tied to Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | Q4H | Q6H + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
asNeeded[x]	Σ	0..1		Preconditions for procedure or diagnostic Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	Σ	0..1	dateTime	Date request signed
requester	Σ	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(HCIM MedicalDevice Product | nl-core-practitioner | nl-core-organization)	RequestedBy
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
onBehalfOf	Σ	0..1	Reference(Organization)	Organization agent is acting for
performerType	Σ	0..1	CodeableConcept	Performer role Binding: Participant Roles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
text	Σ	0..1	string	Plain text representation of the concept
performer	Σ	0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson | nl-core-healthcareservice)	CarriedOutBy
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for test Binding: Procedure Reason Codes (example): Diagnosis or problem codes justifying the reason for requesting the procedure or diagnostic investigation.
reasonReference	Σ	0..*	Reference(HCIM Problem | Observation)	Indication
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
note		0..*	Annotation	Comments
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ProcedureRequest.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ProcedureRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status from the FHIR Standard
ProcedureRequest.status.extension:orderStatus.value[x]:valueCodeableConcept	extensible	OrderStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000 from this IG
ProcedureRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent from the FHIR Standard
ProcedureRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority from the FHIR Standard
ProcedureRequest.category	example	Procedure Category Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
ProcedureRequest.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ProcedureRequest.code.coding:VerrichtingTypeCodelijst	extensible	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000 from this IG
ProcedureRequest.occurrence[x]:occurrenceTiming.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard
ProcedureRequest.occurrence[x]:occurrenceTiming.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard
ProcedureRequest.occurrence[x]:occurrenceTiming.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week from the FHIR Standard
ProcedureRequest.occurrence[x]:occurrenceTiming.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing from the FHIR Standard
ProcedureRequest.occurrence[x]:occurrenceTiming.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
ProcedureRequest.asNeeded[x]	example	SNOMED CT Medication As Needed Reason Codes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ProcedureRequest.performerType	example	Participant Roles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
ProcedureRequest.performerType.coding:healthProfessionalRole	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 from this IG
ProcedureRequest.reasonCode	example	Procedure Reason Codes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ProcedureRequest.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	ProcedureRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	ProcedureRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	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()
dom-4	error	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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
tim-1	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	If there's a timeOfDay, there cannot be be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from ProcedureRequest

Summary

Structures

This structure refers to these other structures:

• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• nl-core-location (http://fhir.nl/fhir/StructureDefinition/nl-core-location)
• HCIM MedicalDevice Product (http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct)
• HCIM Encounter (http://nictiz.nl/fhir/StructureDefinition/zib-Encounter)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
• nl-core-relatedperson (http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson)
• nl-core-healthcareservice (http://fhir.nl/fhir/StructureDefinition/nl-core-healthcareservice)
• HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/code-specification
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ProcedureRequest.code.coding
• The element 1 is sliced based on the value of ProcedureRequest.occurrence[x]
• The element 1 is sliced based on the value of ProcedureRequest.performerType.coding

Differential View

This structure is derived from ProcedureRequest

Name	Flags	Card.	Type	Description & Constraints
ProcedureRequest		0..*	ProcedureRequest	A request for a procedure or diagnostic to be performed
identifier		0..*	Identifier	Identifiers assigned to this order
status
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
orderStatus		0..1	(Complex)	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
valueCodeableConcept:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: OrderStatusCodelijst (extensible): The status of the order.
code		1..1	CodeableConcept	ProcedureType
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst		0..1	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (extensible): The name of the procedure using the Verrichtingenthesaurus DHD.
subject		1..1	Reference(nl-core-patient | Group | nl-core-location | HCIM MedicalDevice Product)	Individual the service is ordered for
context		0..1	Reference(HCIM Encounter | EpisodeOfCare)	Encounter or Episode during which request was created
Slices for occurrence[x]		0..1	dateTime, Period, Timing	When procedure should occur Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceDateTime		0..1	dateTime	When procedure should occur
occurrence[x]:occurrencePeriod		0..1	Period	When procedure should occur
start		0..1	dateTime	StartDate
end		0..1	dateTime	EndDate
occurrence[x]:occurrenceTiming		0..1	Timing	When procedure should occur
repeat
frequency		0..1	integer	Frequency
period		0..1	decimal	Interval
requester		0..1	BackboneElement	Who/what is requesting procedure or diagnostic
agent		1..1	Reference(HCIM MedicalDevice Product | nl-core-practitioner | nl-core-organization)	RequestedBy
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
performerType
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:healthProfessionalRole		0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
performer		0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson | nl-core-healthcareservice)	CarriedOutBy
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonReference		0..*	Reference(HCIM Problem | Observation)	Indication
bodySite		0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ProcedureRequest.status.extension:orderStatus.valueCodeableConcept:valueCodeableConcept	extensible	OrderStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000 from this IG
ProcedureRequest.code.coding:VerrichtingTypeCodelijst	extensible	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000 from this IG
ProcedureRequest.performerType.coding:healthProfessionalRole	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 from this IG
ProcedureRequest.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000 from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ProcedureRequest		0..*	ProcedureRequest	A request for a procedure or diagnostic to be performed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order
status	?!Σ	1..1	code	draft | active | suspended | completed | entered-in-error | cancelled Binding: RequestStatus (required): The status of a procedure or diagnostic order.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
orderStatus		0..1	(Complex)	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: OrderStatusCodelijst (extensible): The status of the order.
intent	?!Σ	1..1	code	proposal | plan | order + Binding: RequestIntent (required): The kind of procedure or diagnostic request
doNotPerform	?!Σ	0..1	boolean	True if procedure should not be performed
code	Σ	1..1	CodeableConcept	ProcedureType Binding: Procedure Codes (SNOMED CT) (example): Codes for tests/services that can be performed by procedure or diagnostic services. For laboratory, LOINC is (preferred)[http://hl7.org/fhir/STU3/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst	Σ	0..1	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (extensible): The name of the procedure using the Verrichtingenthesaurus DHD.
subject	Σ	1..1	Reference(nl-core-patient | Group | nl-core-location | HCIM MedicalDevice Product)	Individual the service is ordered for
context	Σ	0..1	Reference(HCIM Encounter | EpisodeOfCare)	Encounter or Episode during which request was created
Slices for occurrence[x]	Σ	0..1		When procedure should occur Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrenceDateTime	Σ	0..1	dateTime	When procedure should occur
occurrence[x]:occurrencePeriod	Σ	0..1	Period	When procedure should occur
start	ΣC	0..1	dateTime	StartDate
end	ΣC	0..1	dateTime	EndDate
occurrence[x]:occurrenceTiming	Σ	0..1	Timing	When procedure should occur
requester	Σ	0..1	BackboneElement	Who/what is requesting procedure or diagnostic
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(HCIM MedicalDevice Product | nl-core-practitioner | nl-core-organization)	RequestedBy
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
performer	Σ	0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson | nl-core-healthcareservice)	CarriedOutBy
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonReference	Σ	0..*	Reference(HCIM Problem | Observation)	Indication
bodySite	Σ	0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ProcedureRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status from the FHIR Standard
ProcedureRequest.status.extension:orderStatus.value[x]:valueCodeableConcept	extensible	OrderStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000 from this IG
ProcedureRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent from the FHIR Standard
ProcedureRequest.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ProcedureRequest.code.coding:VerrichtingTypeCodelijst	extensible	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000 from this IG
ProcedureRequest.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	ProcedureRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	ProcedureRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	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()
dom-4	error	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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ProcedureRequest		0..*	ProcedureRequest	A request for a procedure or diagnostic 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): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order
definition	Σ	0..*	Reference(ActivityDefinition | PlanDefinition)	Protocol or definition
basedOn	Σ	0..*	Reference(Resource)	What request fulfills
replaces	Σ	0..*	Reference(Resource)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!Σ	1..1	code	draft | active | suspended | completed | entered-in-error | cancelled Binding: RequestStatus (required): The status of a procedure or diagnostic order.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
orderStatus		0..1	(Complex)	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: OrderStatusCodelijst (extensible): The status of the order.
value		0..1	code	Primitive value for code
intent	?!Σ	1..1	code	proposal | plan | order + Binding: RequestIntent (required): The kind of procedure or diagnostic request
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request
doNotPerform	?!Σ	0..1	boolean	True if procedure should not be performed
category	Σ	0..*	CodeableConcept	Classification of procedure Binding: Procedure Category Codes (SNOMED CT) (example): Classification of the procedure
code	Σ	1..1	CodeableConcept	ProcedureType Binding: Procedure Codes (SNOMED CT) (example): Codes for tests/services that can be performed by procedure or diagnostic services. For laboratory, LOINC is (preferred)[http://hl7.org/fhir/STU3/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst	Σ	0..1	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (extensible): The name of the procedure using the Verrichtingenthesaurus DHD.
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(nl-core-patient | Group | nl-core-location | HCIM MedicalDevice Product)	Individual the service is ordered for
context	Σ	0..1	Reference(HCIM Encounter | EpisodeOfCare)	Encounter or Episode during which request was created
Slices for occurrence[x]	Σ	0..1		When procedure should occur Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrenceDateTime	Σ	0..1	dateTime	When procedure should occur
occurrence[x]:occurrencePeriod	Σ	0..1	Period	When procedure should occur
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	StartDate
end	ΣC	0..1	dateTime	EndDate
occurrence[x]:occurrenceTiming	Σ	0..1	Timing	When procedure should occur
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-1: if there's a duration, there needs to be duration units tim-10: If there's a timeOfDay, there cannot be be a when, or vice versa tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	integer	Number of times to repeat
countMax	Σ	0..1	integer	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	integer	Frequency
frequencyMax	Σ	0..1	integer	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Interval
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Regular life events the event is tied to Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | Q4H | Q6H + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
asNeeded[x]	Σ	0..1		Preconditions for procedure or diagnostic Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	Σ	0..1	dateTime	Date request signed
requester	Σ	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(HCIM MedicalDevice Product | nl-core-practitioner | nl-core-organization)	RequestedBy
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
onBehalfOf	Σ	0..1	Reference(Organization)	Organization agent is acting for
performerType	Σ	0..1	CodeableConcept	Performer role Binding: Participant Roles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
text	Σ	0..1	string	Plain text representation of the concept
performer	Σ	0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson | nl-core-healthcareservice)	CarriedOutBy
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for test Binding: Procedure Reason Codes (example): Diagnosis or problem codes justifying the reason for requesting the procedure or diagnostic investigation.
reasonReference	Σ	0..*	Reference(HCIM Problem | Observation)	Indication
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
note		0..*	Annotation	Comments
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ProcedureRequest.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ProcedureRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status from the FHIR Standard
ProcedureRequest.status.extension:orderStatus.value[x]:valueCodeableConcept	extensible	OrderStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000 from this IG
ProcedureRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent from the FHIR Standard
ProcedureRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority from the FHIR Standard
ProcedureRequest.category	example	Procedure Category Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
ProcedureRequest.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ProcedureRequest.code.coding:VerrichtingTypeCodelijst	extensible	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000 from this IG
ProcedureRequest.occurrence[x]:occurrenceTiming.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard
ProcedureRequest.occurrence[x]:occurrenceTiming.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time from the FHIR Standard
ProcedureRequest.occurrence[x]:occurrenceTiming.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week from the FHIR Standard
ProcedureRequest.occurrence[x]:occurrenceTiming.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing from the FHIR Standard
ProcedureRequest.occurrence[x]:occurrenceTiming.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard
ProcedureRequest.asNeeded[x]	example	SNOMED CT Medication As Needed Reason Codes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ProcedureRequest.performerType	example	Participant Roles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
ProcedureRequest.performerType.coding:healthProfessionalRole	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 from this IG
ProcedureRequest.reasonCode	example	Procedure Reason Codes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ProcedureRequest.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	ProcedureRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	ProcedureRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	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()
dom-4	error	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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
tim-1	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	ProcedureRequest.occurrence[x]:occurrenceTiming.repeat	If there's a timeOfDay, there cannot be be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from ProcedureRequest

Summary

Structures

This structure refers to these other structures:

• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• nl-core-location (http://fhir.nl/fhir/StructureDefinition/nl-core-location)
• HCIM MedicalDevice Product (http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct)
• HCIM Encounter (http://nictiz.nl/fhir/StructureDefinition/zib-Encounter)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
• nl-core-relatedperson (http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson)
• nl-core-healthcareservice (http://fhir.nl/fhir/StructureDefinition/nl-core-healthcareservice)
• HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/code-specification
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ProcedureRequest.code.coding
• The element 1 is sliced based on the value of ProcedureRequest.occurrence[x]
• The element 1 is sliced based on the value of ProcedureRequest.performerType.coding

Other representations of profile: CSV, Excel, Schematron