Te Whatu Ora, Central Region Integration Hub
1.0.10-rc1 - ci-build New Zealand flag

Te Whatu Ora, Central Region Integration Hub, published by Te Whatu Ora, Te Pae Hauora o Ruahine o Tararua, MidCentral. This guide is not an authorized publication; it is the continuous build for version 1.0.10-rc1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/tewhatuora/centralRegion-integrationHub-ig/ and changes regularly. See the Directory of published versions

Resource Profile: NZCentralRegionReferral

Official URL: https://fhir-ig.digital.health.nz/crih/StructureDefinition/NZCentralRegionReferral Version: 1.0.10-rc1
Active as of 2024-09-04 Computable Name: NZCentralRegionReferral

Referral flavour of ServiceRequest resource for Te Whatu Ora, Central Region

Usage:

Formal Views of Profile Content

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

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... meta
.... extension 1..* Extension Extension
.... Slices for extension Content/Rules for all slices
..... hl7v2Message S 1..1 (Complex) HL7 v2 Message
URL: https://standards.digital.health.nz/ns/central-region/hl7v2-message
...... url 1..1 uri identifies the meaning of the extension
...... value[x] 0..1 base64Binary Value of extension
.... Slices for extension Content/Rules for all slices
..... process-timestamp S 0..1 dateTime Process TimeStamp
URL: http://ibm.com/fhir/cdm/StructureDefinition/process-timestamp
.... Slices for extension Content/Rules for all slices
..... source-event-trigger S 0..1 CodeableConcept Source Event Trigger
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger
Binding: hl7VS-eventTypeCode (required)
.... Slices for extension Content/Rules for all slices
..... source-record-type S 0..1 CodeableConcept Source Record Type
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-type
Binding: hl7VS-messageType (required)
.... Slices for extension Content/Rules for all slices
..... source-record-id S 0..1 string Source Record ID
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-id
.... Slices for extension Content/Rules for all slices
..... source-data-mode-version S 0..1 string Source Data Model Version
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-data-model-version
.... Slices for extension Content/Rules for all slices
..... process-client-id S 0..1 string Process Client ID
URL: http://ibm.com/fhir/cdm/StructureDefinition/process-client-id
.... Slices for extension Content/Rules for all slices
..... l4h-template-version S 0..1 string L4H Template Version
URL: https://standards.digital.health.nz/ns/central-region/l4h-template-version
... implicitRules 0..0
... language 0..0
... contained 0..0
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... referral S 1..1 (Complex) NZ Central Region Referral
URL: https://standards.digital.health.nz/ns/central-region/referral
..... Slices for extension Content/Rules for all slices
...... extension:consultingPractitioner 0..* Extension Extension
....... value[x]
........ type 0..1 uri Type the reference refers to (e.g. "Patient")
........ identifier
......... use 1..1 code usual | official | temp | secondary | old (If known)
......... type
.......... coding
........... system 1..1 uri Identity of the terminology system
........... code 1..1 code Symbol in syntax defined by the system
........... display 1..1 string Representation defined by the system
......... system 1..1 uri The namespace for the identifier value
......... value 0..1 string The value that is unique
........ display 0..0 string
...... extension:preferredSite 0..1 Extension Extension
....... value[x]
........ system 0..1 uri Identity of the terminology system
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
...... extension:referralSource 0..1 Extension Extension
....... value[x]
........ system 0..1 uri Identity of the terminology system
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
...... extension:referringPractice 0..1 Extension Extension
....... value[x]
........ type 1..1 uri Medical Practice is an Organisation
........ identifier
......... use 1..1 code usual | official | temp | secondary | old (If known)
......... type
.......... coding
........... system 1..1 uri Identity of the terminology system
........... code 1..1 code Symbol in syntax defined by the system
........... display 1..1 string Representation defined by the system
......... system 1..1 uri The namespace for the identifier value
......... value 0..1 string The value that is unique
........ display 0..0 string
...... extension:healthPurchaser 0..1 Extension Extension
....... value[x]
........ system 0..1 uri Identity of the terminology system
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
...... extension:clinicType 0..1 Extension Extension
....... value[x]
........ system 0..1 uri Identity of the terminology system
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
...... extension:lastUpdated 0..1 Extension Extension
....... value[x] 0..1 dateTime Value of extension
...... extension:informGP 0..1 Extension Extension
....... value[x] 0..1 boolean Value of extension
...... extension:webPASPriority 0..1 Extension Extension
....... value[x] 1..1 Coding Value of extension
........ system 1..1 uri Identity of the terminology system
........ code 1..1 code Symbol in syntax defined by the system
........ display 1..1 string Representation defined by the system
...... extension:webPASStatus 0..1 Extension Extension
....... value[x]
........ system 1..1 uri Identity of the terminology system
........ code 1..1 code Symbol in syntax defined by the system
........ display 1..1 string Representation defined by the system
... identifier S 1..* Identifier Identifiers assigned to this order
.... id 0..0
.... extension 0..0
.... use S 1..1 code usual | official | temp | secondary | old (If known)
.... type S 1..1 CodeableConcept Description of identifier
..... coding S 0..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
...... code S 1..1 code Symbol in syntax defined by the system
Required Pattern: FILL
...... display S 1..1 string Representation defined by the system
Required Pattern: Filler Identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
.... period 0..0
.... assigner 0..0
... instantiatesCanonical 0..0
... instantiatesUri 0..0
... basedOn 0..0
... replaces 0..0
... requisition 0..0
... 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
... category S 0..0
... priority S 1..1 code routine | urgent | asap | stat
... doNotPerform 0..0
... code S 1..1 CodeableConcept What is being requested/ordered
Binding: NZ Central Region - Referral Type Value Set (required)
.... coding S 0..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
... orderDetail S 0..0
... quantity[x] S 0..0
... subject S 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
.... id 0..0
.... extension 0..0
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... type S 1..1 uri Type the reference refers to (e.g. "Patient")
Required Pattern: Patient
.... identifier S 1..1 Identifier Logical reference, when literal reference is not known
..... id 0..0
..... extension 0..0
..... use S 1..1 code usual | official | temp | secondary | old (If known)
..... type S 1..1 CodeableConcept Description of identifier
...... id 0..0
...... extension 0..0
...... coding S 0..* Coding Code defined by a terminology system
....... id 0..0
....... extension 0..0
....... system S 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..0
....... code S 1..1 code Symbol in syntax defined by the system
....... display S 1..1 string Representation defined by the system
....... userSelected 0..0
...... text 0..0
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
..... period 0..0
..... assigner 0..0
.... display S 0..1 string Text alternative for the resource
... encounter 0..0
... occurrence[x] 0..0
... asNeeded[x] 0..0
... authoredOn S 0..1 dateTime Date request signed
... requester S 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
.... id 0..0
.... extension 0..0
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... type S 1..1 uri Type the reference refers to (e.g. 'Practitioner')
Required Pattern: Practitioner
.... identifier S 0..1 Identifier Logical reference, when literal reference is not known
..... id 0..0
..... extension 0..0
..... use S 1..1 code usual | official | temp | secondary | old (If known)
..... type S 1..1 CodeableConcept Description of identifier
...... id 0..0
...... extension 0..0
...... coding S 0..* Coding Code defined by a terminology system
....... id 0..0
....... extension 0..0
....... system S 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..0
....... code S 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
....... display S 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
....... userSelected 0..0
...... text 0..0
..... system S 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
..... value 0..1 string The value that is unique
..... period 0..0
..... assigner 0..0
.... display 0..0
... performerType 0..0
... performer S 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
.... id 0..0
.... extension 0..0
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... type S 1..1 uri Type the reference refers to (e.g. 'Practitioner')
Required Pattern: Practitioner
.... identifier S 1..1 Identifier Logical reference, when literal reference is not known
..... id 0..0
..... extension 0..0
..... use S 1..1 code usual | official | temp | secondary | old (If known)
..... type S 1..1 CodeableConcept Description of identifier
...... id 0..0
...... extension 0..0
...... coding S 0..* Coding Code defined by a terminology system
....... id 0..0
....... extension 0..0
....... system S 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..0
....... code S 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
....... display S 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
....... userSelected 0..0
...... text 0..0
..... system S 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
..... value 0..1 string The value that is unique
..... period 0..0
..... assigner 0..0
.... display 0..0
... locationCode S 0..1 CodeableConcept Requested location
Binding: NZ Central Region - Department Value Set (required)
.... coding S 0..* Coding Code defined by a terminology system
..... id 0..0
..... extension 0..0
..... system S 1..1 uri Identity of the terminology system
..... version 0..0
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
..... userSelected 0..0
.... text 0..0
... locationReference S 0..0
... reasonCode S 0..1 CodeableConcept Explanation/Justification for procedure or service
Binding: NZ Central Region - Referral Reason Value Set (required)
.... coding
..... system 0..1 uri Identity of the terminology system
..... code 0..1 code Symbol in syntax defined by the system
..... display 0..1 string Representation defined by the system
... reasonReference 0..0
... insurance 0..0
... supportingInfo 0..1 Reference(Resource) Additional clinical information
... specimen 0..0
... bodySite 0..0
... note 0..1 Annotation Comments
... patientInstruction 0..0
... relevantHistory 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.coderequiredNZCentralRegionReferralTypeValueSet
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-type
from this IG
ServiceRequest.locationCoderequiredNZCentralRegionDepartmentValueSet (a valid code from NZ Central Region - Department Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-department-code
from this IG
ServiceRequest.reasonCoderequiredNZCentralRegionReferralReasonValueSet (a valid code from NZ Central Region - Referral Reason Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-reason
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
... meta Σ 0..1 Meta Metadata about the resource
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... hl7v2Message S 1..1 (Complex) HL7 v2 Message
URL: https://standards.digital.health.nz/ns/central-region/hl7v2-message
...... extension 0..0
...... url 1..1 uri "https://standards.digital.health.nz/ns/central-region/hl7v2-message"
...... value[x] 0..1 base64Binary Value of extension
..... process-timestamp S 0..1 dateTime Process TimeStamp
URL: http://ibm.com/fhir/cdm/StructureDefinition/process-timestamp
..... source-event-trigger S 0..1 CodeableConcept Source Event Trigger
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger
Binding: hl7VS-eventTypeCode (required)
..... source-record-type S 0..1 CodeableConcept Source Record Type
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-type
Binding: hl7VS-messageType (required)
..... source-record-id S 0..1 string Source Record ID
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-id
..... source-data-mode-version S 0..1 string Source Data Model Version
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-data-model-version
..... process-client-id S 0..1 string Process Client ID
URL: http://ibm.com/fhir/cdm/StructureDefinition/process-client-id
..... l4h-template-version S 0..1 string L4H Template Version
URL: https://standards.digital.health.nz/ns/central-region/l4h-template-version
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... referral S 1..1 (Complex) NZ Central Region Referral
URL: https://standards.digital.health.nz/ns/central-region/referral
..... Slices for extension 2..* Extension Container holding the individual elements of the Referral extension.
Slice: Unordered, Open by value:url
...... extension:consultingPractitioner S 0..* Extension Extension
....... extension 0..0
....... url 1..1 uri "consultingPractitioner"
....... value[x] 0..1 Reference() Value of extension
........ extension 0..0
........ type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

........ identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
......... extension 0..0
......... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

......... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.......... extension 0..0
.......... coding SΣ 0..* Coding Code defined by a terminology system
........... extension 0..0
........... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
........... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
........... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
......... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
......... value Σ 0..1 string The value that is unique
Example General: 123456
...... extension:preferredSite S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "preferredSite"
....... value[x] S 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Site Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:referralSource S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "referralSource"
....... value[x] S 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Source Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:referringPractice S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "referringPractice"
....... value[x] 0..1 Reference() Value of extension
........ extension 0..0
........ reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
........ type SΣ 1..1 uri Medical Practice is an Organisation
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Organization
........ identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
......... extension 0..0
......... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

......... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.......... extension 0..0
.......... coding SΣ 0..* Coding Code defined by a terminology system
........... extension 0..0
........... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
........... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
........... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
......... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practice-id
......... value Σ 0..1 string The value that is unique
Example General: 123456
...... extension:healthPurchaser S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "healthPurchaser"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Health Purchaser Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:clinicType S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "clinicType"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Clinic Type Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:clinicId S 0..1 Extension Which particular clinic is the referral for?
....... extension 0..0
....... url 1..1 uri "clinicId"
...... extension:healthSpeciality S 1..1 Extension What category of treatment is the patient to receive?
....... extension 0..0
....... url 1..1 uri "healthSpeciality"
...... extension:financialClass S 1..1 Extension The source of payment/reimbursement for treatment.
....... extension 0..0
....... url 1..1 uri "financialClass"
...... extension:lastUpdated S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "lastUpdated"
....... value[x] 0..1 dateTime Value of extension
...... extension:informGP S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "informGP"
....... value[x] 0..1 boolean Value of extension
...... extension:webPASPriority S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "webPASPriority"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Priority Value Set (required)
........ extension 0..0
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 1..1 string Representation defined by the system
...... extension:webPASStatus S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "webPASStatus"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Status Value Set (required)
........ extension 0..0
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 1..1 string Representation defined by the system
...... extension:dateReceived S 0..1 Extension The date on which the referral was received by PAS system.
....... extension 0..0
....... url 1..1 uri "dateReceived"
..... url 1..1 uri "https://standards.digital.health.nz/ns/central-region/referral"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... extension 0..0
.... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... coding SΣ 0..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
...... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: FILL
...... display SΣ 1..1 string Representation defined by the system
Required Pattern: Filler Identifier
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... 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.

... priority SΣ 1..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... code SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: NZ Central Region - Referral Type Value Set (required)
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
... subject SΣ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
.... extension 0..0
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type SΣ 1..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Patient
.... identifier SΣ 1..1 Identifier Logical reference, when literal reference is not known
..... extension 0..0
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding SΣ 0..* Coding Code defined by a terminology system
....... extension 0..0
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 1..1 string Representation defined by the system
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... display SΣ 0..1 string Text alternative for the resource
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
.... extension 0..0
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type SΣ 1..1 uri Type the reference refers to (e.g. 'Practitioner')
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Practitioner
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... extension 0..0
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding SΣ 0..* Coding Code defined by a terminology system
....... extension 0..0
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
....... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
..... value Σ 0..1 string The value that is unique
Example General: 123456
... performer SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
.... extension 0..0
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type SΣ 1..1 uri Type the reference refers to (e.g. 'Practitioner')
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Practitioner
.... identifier SΣ 1..1 Identifier Logical reference, when literal reference is not known
..... extension 0..0
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding SΣ 0..* Coding Code defined by a terminology system
....... extension 0..0
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
....... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
..... value Σ 0..1 string The value that is unique
Example General: 123456
... locationCode SΣ 0..1 CodeableConcept Requested location
Binding: NZ Central Region - Department Value Set (required)
.... coding SΣ 0..* Coding Code defined by a terminology system
..... extension 0..0
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
... reasonCode SΣ 0..1 CodeableConcept Explanation/Justification for procedure or service
Binding: NZ Central Region - Referral Reason Value Set (required)
... supportingInfo 0..1 Reference(Resource) Additional clinical information
... note 0..1 Annotation Comments

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.extension:referral.extension:consultingPractitioner.value[x].typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.extension:referral.extension:consultingPractitioner.value[x].identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.extension:referral.extension:consultingPractitioner.value[x].identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.extension:referral.extension:preferredSite.value[x]requiredNZCentralRegionReferralSiteValueSet (a valid code from NZ Central Region - Referral Site Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-site
from this IG
ServiceRequest.extension:referral.extension:referralSource.value[x]requiredNZCentralRegionReferralSourceValueSet (a valid code from NZ Central Region - Referral Source Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-source
from this IG
ServiceRequest.extension:referral.extension:referringPractice.value[x].typeextensiblePattern: Organization
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.extension:referral.extension:referringPractice.value[x].identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.extension:referral.extension:referringPractice.value[x].identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.extension:referral.extension:healthPurchaser.value[x]requiredNZCentralRegionHealthPurchaserValueSet (a valid code from NZ Central Region - Health Purchaser Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-health-purchaser
from this IG
ServiceRequest.extension:referral.extension:clinicType.value[x]requiredNZCentralRegionClinicTypeValueSet (a valid code from NZ Central Region - Clinic Type Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-clinic-code
from this IG
ServiceRequest.extension:referral.extension:webPASPriority.value[x]requiredNZCentralRegionReferralPriorityValueSet
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-priority
from this IG
ServiceRequest.extension:referral.extension:webPASStatus.value[x]requiredNZCentralRegionReferralStatusValueSet (a valid code from NZ Central Region - Referral Status Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-status
from this IG
ServiceRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.coderequiredNZCentralRegionReferralTypeValueSet
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-type
from this IG
ServiceRequest.subject.typeextensiblePattern: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.subject.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.requester.typeextensiblePattern: Practitioner
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.requester.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.requester.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.performer.typeextensiblePattern: Practitioner
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.performer.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.performer.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.locationCoderequiredNZCentralRegionDepartmentValueSet (a valid code from NZ Central Region - Department Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-department-code
from this IG
ServiceRequest.reasonCoderequiredNZCentralRegionReferralReasonValueSet (a valid code from NZ Central Region - Referral Reason Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-reason
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... hl7v2Message S 1..1 (Complex) HL7 v2 Message
URL: https://standards.digital.health.nz/ns/central-region/hl7v2-message
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "https://standards.digital.health.nz/ns/central-region/hl7v2-message"
...... value[x] 0..1 base64Binary Value of extension
..... process-timestamp S 0..1 dateTime Process TimeStamp
URL: http://ibm.com/fhir/cdm/StructureDefinition/process-timestamp
..... source-event-trigger S 0..1 CodeableConcept Source Event Trigger
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger
Binding: hl7VS-eventTypeCode (required)
..... source-record-type S 0..1 CodeableConcept Source Record Type
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-type
Binding: hl7VS-messageType (required)
..... source-record-id S 0..1 string Source Record ID
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-id
..... source-data-mode-version S 0..1 string Source Data Model Version
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-data-model-version
..... process-client-id S 0..1 string Process Client ID
URL: http://ibm.com/fhir/cdm/StructureDefinition/process-client-id
..... l4h-template-version S 0..1 string L4H Template Version
URL: https://standards.digital.health.nz/ns/central-region/l4h-template-version
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... text 0..1 Narrative Text summary of the resource, for human interpretation
.... referral S 1..1 (Complex) NZ Central Region Referral
URL: https://standards.digital.health.nz/ns/central-region/referral
..... Slices for extension 2..* Extension Container holding the individual elements of the Referral extension.
Slice: Unordered, Open by value:url
...... extension:consultingPractitioner S 0..* Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "consultingPractitioner"
....... value[x] 0..1 Reference() Value of extension
........ extension 0..0
........ reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
........ type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

........ identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
......... extension 0..0
......... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

......... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.......... extension 0..0
.......... coding SΣ 0..* Coding Code defined by a terminology system
........... extension 0..0
........... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
........... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
........... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
......... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
......... value Σ 0..1 string The value that is unique
Example General: 123456
...... extension:preferredSite S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "preferredSite"
....... value[x] S 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Site Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:referralSource S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "referralSource"
....... value[x] S 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Source Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:referringPractice S 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "referringPractice"
....... value[x] 0..1 Reference() Value of extension
........ extension 0..0
........ reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
........ type SΣ 1..1 uri Medical Practice is an Organisation
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Organization
........ identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
......... extension 0..0
......... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

......... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.......... extension 0..0
.......... coding SΣ 0..* Coding Code defined by a terminology system
........... extension 0..0
........... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
........... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
........... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
......... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practice-id
......... value Σ 0..1 string The value that is unique
Example General: 123456
...... extension:healthPurchaser S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "healthPurchaser"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Health Purchaser Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:clinicType S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "clinicType"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Clinic Type Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:clinicId S 0..1 Extension Which particular clinic is the referral for?
....... extension 0..0
....... url 1..1 uri "clinicId"
....... value[x] 0..1 string Value of extension
...... extension:healthSpeciality S 1..1 Extension What category of treatment is the patient to receive?
....... extension 0..0
....... url 1..1 uri "healthSpeciality"
....... value[x] 0..1 string Value of extension
...... extension:financialClass S 1..1 Extension The source of payment/reimbursement for treatment.
....... extension 0..0
....... url 1..1 uri "financialClass"
....... value[x] 0..1 string Value of extension
...... extension:lastUpdated S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "lastUpdated"
....... value[x] 0..1 dateTime Value of extension
...... extension:informGP S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "informGP"
....... value[x] 0..1 boolean Value of extension
...... extension:webPASPriority S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "webPASPriority"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Priority Value Set (required)
........ extension 0..0
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 1..1 string Representation defined by the system
...... extension:webPASStatus S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "webPASStatus"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Status Value Set (required)
........ extension 0..0
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 1..1 string Representation defined by the system
...... extension:dateReceived S 0..1 Extension The date on which the referral was received by PAS system.
....... extension 0..0
....... url 1..1 uri "dateReceived"
....... value[x] 0..1 date Value of extension
..... url 1..1 uri "https://standards.digital.health.nz/ns/central-region/referral"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier Identifiers assigned to this order
.... extension 0..0
.... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: FILL
...... display SΣ 1..1 string Representation defined by the system
Required Pattern: Filler Identifier
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... 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.

... priority SΣ 1..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... code SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: NZ Central Region - Referral Type Value Set (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
.... extension 0..0
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type SΣ 1..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Patient
.... identifier SΣ 1..1 Identifier Logical reference, when literal reference is not known
..... extension 0..0
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding SΣ 0..* Coding Code defined by a terminology system
....... extension 0..0
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 1..1 string Representation defined by the system
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... display SΣ 0..1 string Text alternative for the resource
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
.... extension 0..0
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type SΣ 1..1 uri Type the reference refers to (e.g. 'Practitioner')
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Practitioner
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... extension 0..0
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding SΣ 0..* Coding Code defined by a terminology system
....... extension 0..0
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
....... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
..... value Σ 0..1 string The value that is unique
Example General: 123456
... performer SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
.... extension 0..0
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type SΣ 1..1 uri Type the reference refers to (e.g. 'Practitioner')
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Practitioner
.... identifier SΣ 1..1 Identifier Logical reference, when literal reference is not known
..... extension 0..0
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding SΣ 0..* Coding Code defined by a terminology system
....... extension 0..0
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
....... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
..... value Σ 0..1 string The value that is unique
Example General: 123456
... locationCode SΣ 0..1 CodeableConcept Requested location
Binding: NZ Central Region - Department Value Set (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... extension 0..0
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
... reasonCode SΣ 0..1 CodeableConcept Explanation/Justification for procedure or service
Binding: NZ Central Region - Referral Reason Value Set (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... supportingInfo 0..1 Reference(Resource) Additional clinical information
... note 0..1 Annotation Comments

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ServiceRequest.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
ServiceRequest.extension:referral.extension:consultingPractitioner.value[x].typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.extension:referral.extension:consultingPractitioner.value[x].identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.extension:referral.extension:consultingPractitioner.value[x].identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.extension:referral.extension:preferredSite.value[x]requiredNZCentralRegionReferralSiteValueSet (a valid code from NZ Central Region - Referral Site Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-site
from this IG
ServiceRequest.extension:referral.extension:referralSource.value[x]requiredNZCentralRegionReferralSourceValueSet (a valid code from NZ Central Region - Referral Source Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-source
from this IG
ServiceRequest.extension:referral.extension:referringPractice.value[x].typeextensiblePattern: Organization
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.extension:referral.extension:referringPractice.value[x].identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.extension:referral.extension:referringPractice.value[x].identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.extension:referral.extension:healthPurchaser.value[x]requiredNZCentralRegionHealthPurchaserValueSet (a valid code from NZ Central Region - Health Purchaser Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-health-purchaser
from this IG
ServiceRequest.extension:referral.extension:clinicType.value[x]requiredNZCentralRegionClinicTypeValueSet (a valid code from NZ Central Region - Clinic Type Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-clinic-code
from this IG
ServiceRequest.extension:referral.extension:webPASPriority.value[x]requiredNZCentralRegionReferralPriorityValueSet
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-priority
from this IG
ServiceRequest.extension:referral.extension:webPASStatus.value[x]requiredNZCentralRegionReferralStatusValueSet (a valid code from NZ Central Region - Referral Status Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-status
from this IG
ServiceRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.coderequiredNZCentralRegionReferralTypeValueSet
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-type
from this IG
ServiceRequest.subject.typeextensiblePattern: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.subject.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.requester.typeextensiblePattern: Practitioner
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.requester.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.requester.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.performer.typeextensiblePattern: Practitioner
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.performer.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.performer.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.locationCoderequiredNZCentralRegionDepartmentValueSet (a valid code from NZ Central Region - Department Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-department-code
from this IG
ServiceRequest.reasonCoderequiredNZCentralRegionReferralReasonValueSet (a valid code from NZ Central Region - Referral Reason Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-reason
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

Differential View

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... meta
.... extension 1..* Extension Extension
.... Slices for extension Content/Rules for all slices
..... hl7v2Message S 1..1 (Complex) HL7 v2 Message
URL: https://standards.digital.health.nz/ns/central-region/hl7v2-message
...... url 1..1 uri identifies the meaning of the extension
...... value[x] 0..1 base64Binary Value of extension
.... Slices for extension Content/Rules for all slices
..... process-timestamp S 0..1 dateTime Process TimeStamp
URL: http://ibm.com/fhir/cdm/StructureDefinition/process-timestamp
.... Slices for extension Content/Rules for all slices
..... source-event-trigger S 0..1 CodeableConcept Source Event Trigger
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger
Binding: hl7VS-eventTypeCode (required)
.... Slices for extension Content/Rules for all slices
..... source-record-type S 0..1 CodeableConcept Source Record Type
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-type
Binding: hl7VS-messageType (required)
.... Slices for extension Content/Rules for all slices
..... source-record-id S 0..1 string Source Record ID
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-id
.... Slices for extension Content/Rules for all slices
..... source-data-mode-version S 0..1 string Source Data Model Version
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-data-model-version
.... Slices for extension Content/Rules for all slices
..... process-client-id S 0..1 string Process Client ID
URL: http://ibm.com/fhir/cdm/StructureDefinition/process-client-id
.... Slices for extension Content/Rules for all slices
..... l4h-template-version S 0..1 string L4H Template Version
URL: https://standards.digital.health.nz/ns/central-region/l4h-template-version
... implicitRules 0..0
... language 0..0
... contained 0..0
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... referral S 1..1 (Complex) NZ Central Region Referral
URL: https://standards.digital.health.nz/ns/central-region/referral
..... Slices for extension Content/Rules for all slices
...... extension:consultingPractitioner 0..* Extension Extension
....... value[x]
........ type 0..1 uri Type the reference refers to (e.g. "Patient")
........ identifier
......... use 1..1 code usual | official | temp | secondary | old (If known)
......... type
.......... coding
........... system 1..1 uri Identity of the terminology system
........... code 1..1 code Symbol in syntax defined by the system
........... display 1..1 string Representation defined by the system
......... system 1..1 uri The namespace for the identifier value
......... value 0..1 string The value that is unique
........ display 0..0 string
...... extension:preferredSite 0..1 Extension Extension
....... value[x]
........ system 0..1 uri Identity of the terminology system
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
...... extension:referralSource 0..1 Extension Extension
....... value[x]
........ system 0..1 uri Identity of the terminology system
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
...... extension:referringPractice 0..1 Extension Extension
....... value[x]
........ type 1..1 uri Medical Practice is an Organisation
........ identifier
......... use 1..1 code usual | official | temp | secondary | old (If known)
......... type
.......... coding
........... system 1..1 uri Identity of the terminology system
........... code 1..1 code Symbol in syntax defined by the system
........... display 1..1 string Representation defined by the system
......... system 1..1 uri The namespace for the identifier value
......... value 0..1 string The value that is unique
........ display 0..0 string
...... extension:healthPurchaser 0..1 Extension Extension
....... value[x]
........ system 0..1 uri Identity of the terminology system
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
...... extension:clinicType 0..1 Extension Extension
....... value[x]
........ system 0..1 uri Identity of the terminology system
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
...... extension:lastUpdated 0..1 Extension Extension
....... value[x] 0..1 dateTime Value of extension
...... extension:informGP 0..1 Extension Extension
....... value[x] 0..1 boolean Value of extension
...... extension:webPASPriority 0..1 Extension Extension
....... value[x] 1..1 Coding Value of extension
........ system 1..1 uri Identity of the terminology system
........ code 1..1 code Symbol in syntax defined by the system
........ display 1..1 string Representation defined by the system
...... extension:webPASStatus 0..1 Extension Extension
....... value[x]
........ system 1..1 uri Identity of the terminology system
........ code 1..1 code Symbol in syntax defined by the system
........ display 1..1 string Representation defined by the system
... identifier S 1..* Identifier Identifiers assigned to this order
.... id 0..0
.... extension 0..0
.... use S 1..1 code usual | official | temp | secondary | old (If known)
.... type S 1..1 CodeableConcept Description of identifier
..... coding S 0..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
...... code S 1..1 code Symbol in syntax defined by the system
Required Pattern: FILL
...... display S 1..1 string Representation defined by the system
Required Pattern: Filler Identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
.... period 0..0
.... assigner 0..0
... instantiatesCanonical 0..0
... instantiatesUri 0..0
... basedOn 0..0
... replaces 0..0
... requisition 0..0
... 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
... category S 0..0
... priority S 1..1 code routine | urgent | asap | stat
... doNotPerform 0..0
... code S 1..1 CodeableConcept What is being requested/ordered
Binding: NZ Central Region - Referral Type Value Set (required)
.... coding S 0..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
... orderDetail S 0..0
... quantity[x] S 0..0
... subject S 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
.... id 0..0
.... extension 0..0
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... type S 1..1 uri Type the reference refers to (e.g. "Patient")
Required Pattern: Patient
.... identifier S 1..1 Identifier Logical reference, when literal reference is not known
..... id 0..0
..... extension 0..0
..... use S 1..1 code usual | official | temp | secondary | old (If known)
..... type S 1..1 CodeableConcept Description of identifier
...... id 0..0
...... extension 0..0
...... coding S 0..* Coding Code defined by a terminology system
....... id 0..0
....... extension 0..0
....... system S 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..0
....... code S 1..1 code Symbol in syntax defined by the system
....... display S 1..1 string Representation defined by the system
....... userSelected 0..0
...... text 0..0
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
..... period 0..0
..... assigner 0..0
.... display S 0..1 string Text alternative for the resource
... encounter 0..0
... occurrence[x] 0..0
... asNeeded[x] 0..0
... authoredOn S 0..1 dateTime Date request signed
... requester S 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
.... id 0..0
.... extension 0..0
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... type S 1..1 uri Type the reference refers to (e.g. 'Practitioner')
Required Pattern: Practitioner
.... identifier S 0..1 Identifier Logical reference, when literal reference is not known
..... id 0..0
..... extension 0..0
..... use S 1..1 code usual | official | temp | secondary | old (If known)
..... type S 1..1 CodeableConcept Description of identifier
...... id 0..0
...... extension 0..0
...... coding S 0..* Coding Code defined by a terminology system
....... id 0..0
....... extension 0..0
....... system S 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..0
....... code S 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
....... display S 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
....... userSelected 0..0
...... text 0..0
..... system S 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
..... value 0..1 string The value that is unique
..... period 0..0
..... assigner 0..0
.... display 0..0
... performerType 0..0
... performer S 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
.... id 0..0
.... extension 0..0
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... type S 1..1 uri Type the reference refers to (e.g. 'Practitioner')
Required Pattern: Practitioner
.... identifier S 1..1 Identifier Logical reference, when literal reference is not known
..... id 0..0
..... extension 0..0
..... use S 1..1 code usual | official | temp | secondary | old (If known)
..... type S 1..1 CodeableConcept Description of identifier
...... id 0..0
...... extension 0..0
...... coding S 0..* Coding Code defined by a terminology system
....... id 0..0
....... extension 0..0
....... system S 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..0
....... code S 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
....... display S 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
....... userSelected 0..0
...... text 0..0
..... system S 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
..... value 0..1 string The value that is unique
..... period 0..0
..... assigner 0..0
.... display 0..0
... locationCode S 0..1 CodeableConcept Requested location
Binding: NZ Central Region - Department Value Set (required)
.... coding S 0..* Coding Code defined by a terminology system
..... id 0..0
..... extension 0..0
..... system S 1..1 uri Identity of the terminology system
..... version 0..0
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
..... userSelected 0..0
.... text 0..0
... locationReference S 0..0
... reasonCode S 0..1 CodeableConcept Explanation/Justification for procedure or service
Binding: NZ Central Region - Referral Reason Value Set (required)
.... coding
..... system 0..1 uri Identity of the terminology system
..... code 0..1 code Symbol in syntax defined by the system
..... display 0..1 string Representation defined by the system
... reasonReference 0..0
... insurance 0..0
... supportingInfo 0..1 Reference(Resource) Additional clinical information
... specimen 0..0
... bodySite 0..0
... note 0..1 Annotation Comments
... patientInstruction 0..0
... relevantHistory 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.coderequiredNZCentralRegionReferralTypeValueSet
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-type
from this IG
ServiceRequest.locationCoderequiredNZCentralRegionDepartmentValueSet (a valid code from NZ Central Region - Department Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-department-code
from this IG
ServiceRequest.reasonCoderequiredNZCentralRegionReferralReasonValueSet (a valid code from NZ Central Region - Referral Reason Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-reason
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
... meta Σ 0..1 Meta Metadata about the resource
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... hl7v2Message S 1..1 (Complex) HL7 v2 Message
URL: https://standards.digital.health.nz/ns/central-region/hl7v2-message
...... extension 0..0
...... url 1..1 uri "https://standards.digital.health.nz/ns/central-region/hl7v2-message"
...... value[x] 0..1 base64Binary Value of extension
..... process-timestamp S 0..1 dateTime Process TimeStamp
URL: http://ibm.com/fhir/cdm/StructureDefinition/process-timestamp
..... source-event-trigger S 0..1 CodeableConcept Source Event Trigger
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger
Binding: hl7VS-eventTypeCode (required)
..... source-record-type S 0..1 CodeableConcept Source Record Type
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-type
Binding: hl7VS-messageType (required)
..... source-record-id S 0..1 string Source Record ID
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-id
..... source-data-mode-version S 0..1 string Source Data Model Version
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-data-model-version
..... process-client-id S 0..1 string Process Client ID
URL: http://ibm.com/fhir/cdm/StructureDefinition/process-client-id
..... l4h-template-version S 0..1 string L4H Template Version
URL: https://standards.digital.health.nz/ns/central-region/l4h-template-version
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... referral S 1..1 (Complex) NZ Central Region Referral
URL: https://standards.digital.health.nz/ns/central-region/referral
..... Slices for extension 2..* Extension Container holding the individual elements of the Referral extension.
Slice: Unordered, Open by value:url
...... extension:consultingPractitioner S 0..* Extension Extension
....... extension 0..0
....... url 1..1 uri "consultingPractitioner"
....... value[x] 0..1 Reference() Value of extension
........ extension 0..0
........ type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

........ identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
......... extension 0..0
......... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

......... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.......... extension 0..0
.......... coding SΣ 0..* Coding Code defined by a terminology system
........... extension 0..0
........... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
........... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
........... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
......... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
......... value Σ 0..1 string The value that is unique
Example General: 123456
...... extension:preferredSite S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "preferredSite"
....... value[x] S 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Site Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:referralSource S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "referralSource"
....... value[x] S 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Source Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:referringPractice S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "referringPractice"
....... value[x] 0..1 Reference() Value of extension
........ extension 0..0
........ reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
........ type SΣ 1..1 uri Medical Practice is an Organisation
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Organization
........ identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
......... extension 0..0
......... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

......... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.......... extension 0..0
.......... coding SΣ 0..* Coding Code defined by a terminology system
........... extension 0..0
........... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
........... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
........... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
......... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practice-id
......... value Σ 0..1 string The value that is unique
Example General: 123456
...... extension:healthPurchaser S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "healthPurchaser"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Health Purchaser Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:clinicType S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "clinicType"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Clinic Type Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:clinicId S 0..1 Extension Which particular clinic is the referral for?
....... extension 0..0
....... url 1..1 uri "clinicId"
...... extension:healthSpeciality S 1..1 Extension What category of treatment is the patient to receive?
....... extension 0..0
....... url 1..1 uri "healthSpeciality"
...... extension:financialClass S 1..1 Extension The source of payment/reimbursement for treatment.
....... extension 0..0
....... url 1..1 uri "financialClass"
...... extension:lastUpdated S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "lastUpdated"
....... value[x] 0..1 dateTime Value of extension
...... extension:informGP S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "informGP"
....... value[x] 0..1 boolean Value of extension
...... extension:webPASPriority S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "webPASPriority"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Priority Value Set (required)
........ extension 0..0
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 1..1 string Representation defined by the system
...... extension:webPASStatus S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "webPASStatus"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Status Value Set (required)
........ extension 0..0
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 1..1 string Representation defined by the system
...... extension:dateReceived S 0..1 Extension The date on which the referral was received by PAS system.
....... extension 0..0
....... url 1..1 uri "dateReceived"
..... url 1..1 uri "https://standards.digital.health.nz/ns/central-region/referral"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... extension 0..0
.... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... coding SΣ 0..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
...... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: FILL
...... display SΣ 1..1 string Representation defined by the system
Required Pattern: Filler Identifier
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... 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.

... priority SΣ 1..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... code SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: NZ Central Region - Referral Type Value Set (required)
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
... subject SΣ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
.... extension 0..0
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type SΣ 1..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Patient
.... identifier SΣ 1..1 Identifier Logical reference, when literal reference is not known
..... extension 0..0
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding SΣ 0..* Coding Code defined by a terminology system
....... extension 0..0
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 1..1 string Representation defined by the system
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... display SΣ 0..1 string Text alternative for the resource
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
.... extension 0..0
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type SΣ 1..1 uri Type the reference refers to (e.g. 'Practitioner')
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Practitioner
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... extension 0..0
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding SΣ 0..* Coding Code defined by a terminology system
....... extension 0..0
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
....... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
..... value Σ 0..1 string The value that is unique
Example General: 123456
... performer SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
.... extension 0..0
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type SΣ 1..1 uri Type the reference refers to (e.g. 'Practitioner')
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Practitioner
.... identifier SΣ 1..1 Identifier Logical reference, when literal reference is not known
..... extension 0..0
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding SΣ 0..* Coding Code defined by a terminology system
....... extension 0..0
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
....... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
..... value Σ 0..1 string The value that is unique
Example General: 123456
... locationCode SΣ 0..1 CodeableConcept Requested location
Binding: NZ Central Region - Department Value Set (required)
.... coding SΣ 0..* Coding Code defined by a terminology system
..... extension 0..0
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
... reasonCode SΣ 0..1 CodeableConcept Explanation/Justification for procedure or service
Binding: NZ Central Region - Referral Reason Value Set (required)
... supportingInfo 0..1 Reference(Resource) Additional clinical information
... note 0..1 Annotation Comments

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.extension:referral.extension:consultingPractitioner.value[x].typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.extension:referral.extension:consultingPractitioner.value[x].identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.extension:referral.extension:consultingPractitioner.value[x].identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.extension:referral.extension:preferredSite.value[x]requiredNZCentralRegionReferralSiteValueSet (a valid code from NZ Central Region - Referral Site Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-site
from this IG
ServiceRequest.extension:referral.extension:referralSource.value[x]requiredNZCentralRegionReferralSourceValueSet (a valid code from NZ Central Region - Referral Source Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-source
from this IG
ServiceRequest.extension:referral.extension:referringPractice.value[x].typeextensiblePattern: Organization
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.extension:referral.extension:referringPractice.value[x].identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.extension:referral.extension:referringPractice.value[x].identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.extension:referral.extension:healthPurchaser.value[x]requiredNZCentralRegionHealthPurchaserValueSet (a valid code from NZ Central Region - Health Purchaser Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-health-purchaser
from this IG
ServiceRequest.extension:referral.extension:clinicType.value[x]requiredNZCentralRegionClinicTypeValueSet (a valid code from NZ Central Region - Clinic Type Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-clinic-code
from this IG
ServiceRequest.extension:referral.extension:webPASPriority.value[x]requiredNZCentralRegionReferralPriorityValueSet
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-priority
from this IG
ServiceRequest.extension:referral.extension:webPASStatus.value[x]requiredNZCentralRegionReferralStatusValueSet (a valid code from NZ Central Region - Referral Status Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-status
from this IG
ServiceRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.coderequiredNZCentralRegionReferralTypeValueSet
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-type
from this IG
ServiceRequest.subject.typeextensiblePattern: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.subject.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.requester.typeextensiblePattern: Practitioner
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.requester.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.requester.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.performer.typeextensiblePattern: Practitioner
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.performer.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.performer.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.locationCoderequiredNZCentralRegionDepartmentValueSet (a valid code from NZ Central Region - Department Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-department-code
from this IG
ServiceRequest.reasonCoderequiredNZCentralRegionReferralReasonValueSet (a valid code from NZ Central Region - Referral Reason Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-reason
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... hl7v2Message S 1..1 (Complex) HL7 v2 Message
URL: https://standards.digital.health.nz/ns/central-region/hl7v2-message
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "https://standards.digital.health.nz/ns/central-region/hl7v2-message"
...... value[x] 0..1 base64Binary Value of extension
..... process-timestamp S 0..1 dateTime Process TimeStamp
URL: http://ibm.com/fhir/cdm/StructureDefinition/process-timestamp
..... source-event-trigger S 0..1 CodeableConcept Source Event Trigger
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger
Binding: hl7VS-eventTypeCode (required)
..... source-record-type S 0..1 CodeableConcept Source Record Type
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-type
Binding: hl7VS-messageType (required)
..... source-record-id S 0..1 string Source Record ID
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-record-id
..... source-data-mode-version S 0..1 string Source Data Model Version
URL: http://ibm.com/fhir/cdm/StructureDefinition/source-data-model-version
..... process-client-id S 0..1 string Process Client ID
URL: http://ibm.com/fhir/cdm/StructureDefinition/process-client-id
..... l4h-template-version S 0..1 string L4H Template Version
URL: https://standards.digital.health.nz/ns/central-region/l4h-template-version
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... text 0..1 Narrative Text summary of the resource, for human interpretation
.... referral S 1..1 (Complex) NZ Central Region Referral
URL: https://standards.digital.health.nz/ns/central-region/referral
..... Slices for extension 2..* Extension Container holding the individual elements of the Referral extension.
Slice: Unordered, Open by value:url
...... extension:consultingPractitioner S 0..* Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "consultingPractitioner"
....... value[x] 0..1 Reference() Value of extension
........ extension 0..0
........ reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
........ type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

........ identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
......... extension 0..0
......... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

......... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.......... extension 0..0
.......... coding SΣ 0..* Coding Code defined by a terminology system
........... extension 0..0
........... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
........... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
........... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
......... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
......... value Σ 0..1 string The value that is unique
Example General: 123456
...... extension:preferredSite S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "preferredSite"
....... value[x] S 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Site Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:referralSource S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "referralSource"
....... value[x] S 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Source Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:referringPractice S 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "referringPractice"
....... value[x] 0..1 Reference() Value of extension
........ extension 0..0
........ reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
........ type SΣ 1..1 uri Medical Practice is an Organisation
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Organization
........ identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
......... extension 0..0
......... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

......... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.......... extension 0..0
.......... coding SΣ 0..* Coding Code defined by a terminology system
........... extension 0..0
........... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
........... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
........... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
......... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practice-id
......... value Σ 0..1 string The value that is unique
Example General: 123456
...... extension:healthPurchaser S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "healthPurchaser"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Health Purchaser Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:clinicType S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "clinicType"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Clinic Type Value Set (required)
........ extension 0..0
........ system Σ 0..1 uri Identity of the terminology system
........ code Σ 0..1 code Symbol in syntax defined by the system
........ display Σ 0..1 string Representation defined by the system
...... extension:clinicId S 0..1 Extension Which particular clinic is the referral for?
....... extension 0..0
....... url 1..1 uri "clinicId"
....... value[x] 0..1 string Value of extension
...... extension:healthSpeciality S 1..1 Extension What category of treatment is the patient to receive?
....... extension 0..0
....... url 1..1 uri "healthSpeciality"
....... value[x] 0..1 string Value of extension
...... extension:financialClass S 1..1 Extension The source of payment/reimbursement for treatment.
....... extension 0..0
....... url 1..1 uri "financialClass"
....... value[x] 0..1 string Value of extension
...... extension:lastUpdated S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "lastUpdated"
....... value[x] 0..1 dateTime Value of extension
...... extension:informGP S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "informGP"
....... value[x] 0..1 boolean Value of extension
...... extension:webPASPriority S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "webPASPriority"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Priority Value Set (required)
........ extension 0..0
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 1..1 string Representation defined by the system
...... extension:webPASStatus S 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "webPASStatus"
....... value[x] 1..1 Coding Value of extension
Binding: NZ Central Region - Referral Status Value Set (required)
........ extension 0..0
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 1..1 string Representation defined by the system
...... extension:dateReceived S 0..1 Extension The date on which the referral was received by PAS system.
....... extension 0..0
....... url 1..1 uri "dateReceived"
....... value[x] 0..1 date Value of extension
..... url 1..1 uri "https://standards.digital.health.nz/ns/central-region/referral"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier Identifiers assigned to this order
.... extension 0..0
.... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: FILL
...... display SΣ 1..1 string Representation defined by the system
Required Pattern: Filler Identifier
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... 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.

... priority SΣ 1..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... code SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: NZ Central Region - Referral Type Value Set (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
.... extension 0..0
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type SΣ 1..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Patient
.... identifier SΣ 1..1 Identifier Logical reference, when literal reference is not known
..... extension 0..0
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding SΣ 0..* Coding Code defined by a terminology system
....... extension 0..0
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 1..1 string Representation defined by the system
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... display SΣ 0..1 string Text alternative for the resource
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
.... extension 0..0
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type SΣ 1..1 uri Type the reference refers to (e.g. 'Practitioner')
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Practitioner
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
..... extension 0..0
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding SΣ 0..* Coding Code defined by a terminology system
....... extension 0..0
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
....... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
..... value Σ 0..1 string The value that is unique
Example General: 123456
... performer SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
.... extension 0..0
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type SΣ 1..1 uri Type the reference refers to (e.g. 'Practitioner')
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Required Pattern: Practitioner
.... identifier SΣ 1..1 Identifier Logical reference, when literal reference is not known
..... extension 0..0
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... extension 0..0
...... coding SΣ 0..* Coding Code defined by a terminology system
....... extension 0..0
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: LR
....... display SΣ 1..1 string Representation defined by the system
Required Pattern: Local Registry ID
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/central-region/pas-practitioner-id
..... value Σ 0..1 string The value that is unique
Example General: 123456
... locationCode SΣ 0..1 CodeableConcept Requested location
Binding: NZ Central Region - Department Value Set (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... extension 0..0
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
... reasonCode SΣ 0..1 CodeableConcept Explanation/Justification for procedure or service
Binding: NZ Central Region - Referral Reason Value Set (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... supportingInfo 0..1 Reference(Resource) Additional clinical information
... note 0..1 Annotation Comments

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
ServiceRequest.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
ServiceRequest.extension:referral.extension:consultingPractitioner.value[x].typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.extension:referral.extension:consultingPractitioner.value[x].identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.extension:referral.extension:consultingPractitioner.value[x].identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.extension:referral.extension:preferredSite.value[x]requiredNZCentralRegionReferralSiteValueSet (a valid code from NZ Central Region - Referral Site Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-site
from this IG
ServiceRequest.extension:referral.extension:referralSource.value[x]requiredNZCentralRegionReferralSourceValueSet (a valid code from NZ Central Region - Referral Source Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-source
from this IG
ServiceRequest.extension:referral.extension:referringPractice.value[x].typeextensiblePattern: Organization
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.extension:referral.extension:referringPractice.value[x].identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.extension:referral.extension:referringPractice.value[x].identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.extension:referral.extension:healthPurchaser.value[x]requiredNZCentralRegionHealthPurchaserValueSet (a valid code from NZ Central Region - Health Purchaser Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-health-purchaser
from this IG
ServiceRequest.extension:referral.extension:clinicType.value[x]requiredNZCentralRegionClinicTypeValueSet (a valid code from NZ Central Region - Clinic Type Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-clinic-code
from this IG
ServiceRequest.extension:referral.extension:webPASPriority.value[x]requiredNZCentralRegionReferralPriorityValueSet
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-priority
from this IG
ServiceRequest.extension:referral.extension:webPASStatus.value[x]requiredNZCentralRegionReferralStatusValueSet (a valid code from NZ Central Region - Referral Status Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-status
from this IG
ServiceRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.coderequiredNZCentralRegionReferralTypeValueSet
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-type
from this IG
ServiceRequest.subject.typeextensiblePattern: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.subject.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.requester.typeextensiblePattern: Practitioner
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.requester.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.requester.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.performer.typeextensiblePattern: Practitioner
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ServiceRequest.performer.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.performer.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.locationCoderequiredNZCentralRegionDepartmentValueSet (a valid code from NZ Central Region - Department Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-department-code
from this IG
ServiceRequest.reasonCoderequiredNZCentralRegionReferralReasonValueSet (a valid code from NZ Central Region - Referral Reason Code System)
https://standards.digital.health.nz/fhir/central-region/ValueSet-referral-reason
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

 

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