Repositorio de Reportes de Biopsias Oncológicas
0.3.0-draft - draft
Repositorio de Reportes de Biopsias Oncológicas
0.3.0-draft - draft
Repositorio de Reportes de Biopsias Oncológicas, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.3.0-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/R2BO/ and changes regularly. See the Directory of published versions
| Official URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-solicitud-informe-apa | Version: 0.3.0-draft | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: SolicitudInformeAPA | ||
Solicitud generada por el médico para la realización de un informe de anatomía patológica
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
  ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1 | ||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| status |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | ||||||
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | ||||||
| doNotPerform |
?!Σ | 0..1 | boolean | True if service/procedure should not be performed | ||||||
  code |
SΣ | 1..1 | CodeableConcept | Código de la Solicitud Binding: ProcedureCodes(SNOMEDCT) (example): Código de Solicitud de Informe de Anatomía Patológica Required Pattern: At least the following | ||||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 116784002 | |||||||
| display |
0..1 | string | Representation defined by the system | |||||||
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||
 subject |
SΣ | 1..1 | Reference(MINSAL Paciente) | Paciente que requiere un informe de anatomía patológica | ||||||
| requester |
SΣ | 1..1 | Reference(Perfil de Rol Profesional) | Profesional que solicita el informe de anatomía patológica | ||||||
| performer |
SΣ | 1..1 | Reference(Prestador Institucional | Perfil de Rol Profesional) | Laboratorio o Anatomopatólogo que realizara el informe | ||||||
| locationCode |
SΣ | 0..* | CodeableConcept | Locación de a la cual está dirigida la solicitud Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered. | ||||||
| reasonCode |
SΣ | 1..1 | CodeableConcept | Sospecha Diagnóstica Binding: ValueSet Para Hallazgos Clínicos (extensible)
| ||||||
| specimen |
SΣ | 1..* | Reference(Perfil de Muestra) | Muestra de Biopsia | ||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.3 |
| ServiceRequest.reasonCode | Base | extensible | ValueSet Para Hallazgos Clínicos | 📦0.3.0-draft | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ServiceRequest | 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 |
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()
|
| dom-4 | error | ServiceRequest | 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-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present |
orderDetail.empty() or code.exists()
|
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
ServiceRequest | |||||||||
 status |
S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown | ||||||
| intent |
S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option | ||||||
| code |
S | 1..1 | CodeableConcept | Código de la Solicitud Binding: ProcedureCodes(SNOMEDCT) (example): Código de Solicitud de Informe de Anatomía Patológica Required Pattern: At least the following | ||||||
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||
 system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 116784002 | |||||||
| subject |
S | 1..1 | Reference(MINSAL Paciente) | Paciente que requiere un informe de anatomía patológica | ||||||
| requester |
S | 1..1 | Reference(Perfil de Rol Profesional) | Profesional que solicita el informe de anatomía patológica | ||||||
| performer |
S | 1..1 | Reference(Prestador Institucional | Perfil de Rol Profesional) | Laboratorio o Anatomopatólogo que realizara el informe | ||||||
| locationCode |
S | 0..* | CodeableConcept | Locación de a la cual está dirigida la solicitud | ||||||
| reasonCode |
S | 1..1 | CodeableConcept | Sospecha Diagnóstica Binding: ValueSet Para Hallazgos Clínicos (extensible)
| ||||||
| specimen |
S | 1..* | Reference(Perfil de Muestra) | Muestra de Biopsia | ||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| ServiceRequest.reasonCode | Base | extensible | ValueSet Para Hallazgos Clínicos | 📦0.3.0-draft | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1 | ||||||
| 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: CommonLanguages (preferred): A human language.
| |||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||
| 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 | ||||||
| instantiatesCanonical |
Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | ||||||
| replaces |
Σ | 0..* | Reference(ServiceRequest) | What request replaces | ||||||
| requisition |
Σ | 0..1 | Identifier | Composite Request ID | ||||||
| status |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | ||||||
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | ||||||
| category |
Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||||
| 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 service/procedure should not be performed | ||||||
| code |
SΣ | 1..1 | CodeableConcept | Código de la Solicitud Binding: ProcedureCodes(SNOMEDCT) (example): Código de Solicitud de Informe de Anatomía Patológica Required Pattern: At least the following | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 116784002 | |||||||
| display |
0..1 | string | Representation defined by the system | |||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||
| orderDetail |
ΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||||
 quantity[x] |
Σ | 0..1 | Service amount | |||||||
| quantityQuantity |
Quantity | |||||||||
| quantityRatio |
Ratio | |||||||||
| quantityRange |
Range | |||||||||
| subject |
SΣ | 1..1 | Reference(MINSAL Paciente) | Paciente que requiere un informe de anatomía patológica | ||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created | ||||||
| occurrence[x] |
Σ | 0..1 | When service should occur | |||||||
| occurrenceDateTime |
dateTime | |||||||||
| occurrencePeriod |
Period | |||||||||
| occurrenceTiming |
Timing | |||||||||
| asNeeded[x] |
Σ | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (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 |
SΣ | 1..1 | Reference(Perfil de Rol Profesional) | Profesional que solicita el informe de anatomía patológica | ||||||
| performerType |
Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||||
| performer |
SΣ | 1..1 | Reference(Prestador Institucional | Perfil de Rol Profesional) | Laboratorio o Anatomopatólogo que realizara el informe | ||||||
| locationCode |
SΣ | 0..* | CodeableConcept | Locación de a la cual está dirigida la solicitud Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered. | ||||||
| locationReference |
Σ | 0..* | Reference(Location) | Requested location | ||||||
| reasonCode |
SΣ | 1..1 | CodeableConcept | Sospecha Diagnóstica Binding: ValueSet Para Hallazgos Clínicos (extensible)
| ||||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | ||||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||
| supportingInfo |
0..* | Reference(Resource) | Additional clinical information | |||||||
| specimen |
SΣ | 1..* | Reference(Perfil de Muestra) | Muestra de Biopsia | ||||||
| bodySite |
Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||||
| note |
0..* | Annotation | Comments | |||||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.3 |
| ServiceRequest.reasonCode | Base | extensible | ValueSet Para Hallazgos Clínicos | 📦0.3.0-draft | This IG |
| ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ServiceRequest | 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 |
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()
|
| dom-4 | error | ServiceRequest | 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-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present |
orderDetail.empty() or code.exists()
|
This structure is derived from ServiceRequest
Summary
Mandatory: 5 elements
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1 | ||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| status |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | ||||||
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | ||||||
| doNotPerform |
?!Σ | 0..1 | boolean | True if service/procedure should not be performed | ||||||
| code |
SΣ | 1..1 | CodeableConcept | Código de la Solicitud Binding: ProcedureCodes(SNOMEDCT) (example): Código de Solicitud de Informe de Anatomía Patológica Required Pattern: At least the following | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 116784002 | |||||||
| display |
0..1 | string | Representation defined by the system | |||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||
| subject |
SΣ | 1..1 | Reference(MINSAL Paciente) | Paciente que requiere un informe de anatomía patológica | ||||||
| requester |
SΣ | 1..1 | Reference(Perfil de Rol Profesional) | Profesional que solicita el informe de anatomía patológica | ||||||
| performer |
SΣ | 1..1 | Reference(Prestador Institucional | Perfil de Rol Profesional) | Laboratorio o Anatomopatólogo que realizara el informe | ||||||
| locationCode |
SΣ | 0..* | CodeableConcept | Locación de a la cual está dirigida la solicitud Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered. | ||||||
| reasonCode |
SΣ | 1..1 | CodeableConcept | Sospecha Diagnóstica Binding: ValueSet Para Hallazgos Clínicos (extensible)
| ||||||
| specimen |
SΣ | 1..* | Reference(Perfil de Muestra) | Muestra de Biopsia | ||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.3 |
| ServiceRequest.reasonCode | Base | extensible | ValueSet Para Hallazgos Clínicos | 📦0.3.0-draft | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ServiceRequest | 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 |
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()
|
| dom-4 | error | ServiceRequest | 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-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present |
orderDetail.empty() or code.exists()
|
Differential View
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
ServiceRequest | |||||||||
| status |
S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown | ||||||
| intent |
S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option | ||||||
| code |
S | 1..1 | CodeableConcept | Código de la Solicitud Binding: ProcedureCodes(SNOMEDCT) (example): Código de Solicitud de Informe de Anatomía Patológica Required Pattern: At least the following | ||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 116784002 | |||||||
| subject |
S | 1..1 | Reference(MINSAL Paciente) | Paciente que requiere un informe de anatomía patológica | ||||||
| requester |
S | 1..1 | Reference(Perfil de Rol Profesional) | Profesional que solicita el informe de anatomía patológica | ||||||
| performer |
S | 1..1 | Reference(Prestador Institucional | Perfil de Rol Profesional) | Laboratorio o Anatomopatólogo que realizara el informe | ||||||
| locationCode |
S | 0..* | CodeableConcept | Locación de a la cual está dirigida la solicitud | ||||||
| reasonCode |
S | 1..1 | CodeableConcept | Sospecha Diagnóstica Binding: ValueSet Para Hallazgos Clínicos (extensible)
| ||||||
| specimen |
S | 1..* | Reference(Perfil de Muestra) | Muestra de Biopsia | ||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| ServiceRequest.reasonCode | Base | extensible | ValueSet Para Hallazgos Clínicos | 📦0.3.0-draft | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1 | ||||||
| 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: CommonLanguages (preferred): A human language.
| |||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||
| 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 | ||||||
| instantiatesCanonical |
Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | ||||||
| replaces |
Σ | 0..* | Reference(ServiceRequest) | What request replaces | ||||||
| requisition |
Σ | 0..1 | Identifier | Composite Request ID | ||||||
| status |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | ||||||
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | ||||||
| category |
Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||||
| 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 service/procedure should not be performed | ||||||
| code |
SΣ | 1..1 | CodeableConcept | Código de la Solicitud Binding: ProcedureCodes(SNOMEDCT) (example): Código de Solicitud de Informe de Anatomía Patológica Required Pattern: At least the following | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 116784002 | |||||||
| display |
0..1 | string | Representation defined by the system | |||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||
| orderDetail |
ΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||||
| quantity[x] |
Σ | 0..1 | Service amount | |||||||
| quantityQuantity |
Quantity | |||||||||
| quantityRatio |
Ratio | |||||||||
| quantityRange |
Range | |||||||||
| subject |
SΣ | 1..1 | Reference(MINSAL Paciente) | Paciente que requiere un informe de anatomía patológica | ||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created | ||||||
| occurrence[x] |
Σ | 0..1 | When service should occur | |||||||
| occurrenceDateTime |
dateTime | |||||||||
| occurrencePeriod |
Period | |||||||||
| occurrenceTiming |
Timing | |||||||||
| asNeeded[x] |
Σ | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (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 |
SΣ | 1..1 | Reference(Perfil de Rol Profesional) | Profesional que solicita el informe de anatomía patológica | ||||||
| performerType |
Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||||
| performer |
SΣ | 1..1 | Reference(Prestador Institucional | Perfil de Rol Profesional) | Laboratorio o Anatomopatólogo que realizara el informe | ||||||
| locationCode |
SΣ | 0..* | CodeableConcept | Locación de a la cual está dirigida la solicitud Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered. | ||||||
| locationReference |
Σ | 0..* | Reference(Location) | Requested location | ||||||
| reasonCode |
SΣ | 1..1 | CodeableConcept | Sospecha Diagnóstica Binding: ValueSet Para Hallazgos Clínicos (extensible)
| ||||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | ||||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||
| supportingInfo |
0..* | Reference(Resource) | Additional clinical information | |||||||
| specimen |
SΣ | 1..* | Reference(Perfil de Muestra) | Muestra de Biopsia | ||||||
| bodySite |
Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||||
| note |
0..* | Annotation | Comments | |||||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.3 |
| ServiceRequest.reasonCode | Base | extensible | ValueSet Para Hallazgos Clínicos | 📦0.3.0-draft | This IG |
| ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ServiceRequest | 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 |
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()
|
| dom-4 | error | ServiceRequest | 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-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present |
orderDetail.empty() or code.exists()
|
This structure is derived from ServiceRequest
Summary
Mandatory: 5 elements
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron