PLeKOKServiceProviderChangeRequest - Definitions - eKOK Dokumentacja Integracyjna v0.5.0

idstring

Is Modifier false

Summary true

4. ServiceRequest.meta

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Short Metadane zasobuMetadata about the resource

Control 10..1

Meta

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

6. ServiceRequest.meta.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

8. ServiceRequest.meta.extension

Definition

An Extension

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short ExtensionAdditional content defined by implementations

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

10. ServiceRequest.meta.versionId

Definition

Wersja zasobu ustawiana przez system. Przyjmuje wartość: '{liczba naturalna}'.

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

Short Wersja zasobu (wartość ustawiana przez system P1)Version specific identifier

Comments

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

12. ServiceRequest.meta.lastUpdated

Definition

Data aktualizacji zasobu ustawiana przez system. Przyjmuje wartość: '{Data i czas w formacie YYYY-MM-DDThh:mm:ss.sss+zz:zz}'.

When the resource last changed - e.g. when the version changed.

Short Data aktualizacji zasobu (wartość ustawiana przez system P1)When the resource version last changed

Comments

W ramach rejestracji pierwszej wersji zasobu jest to data rejestracji zasobu, w ramach rejestracji kolejnych wersji zasobu jest to data ostatniej aktualizacji zasobu.

This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

Control 0..1

instant

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

14. ServiceRequest.meta.source

Definition

Identyfikator źródła zasobu ustawiany przez system.

A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

Short Identyfikator źródła zasobu (wartość ustawiana przez system, przy rejestracji lub aktualizacji zasobu)Identifies where the resource comes from

Comments

In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

16. ServiceRequest.meta.profile

Definition

Url profilu wg. którego zasób jest walidowany.

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

Short PLeKOKServiceProviderChangeRequestProfiles this resource claims to conform to

Comments

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Control 10..1*

Type canonical(StructureDefinition)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Fixed Value https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/pl-ekok-service-provider-change-request

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

18. ServiceRequest.meta.tag

Definition

Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

Short Tags applied to this resource

Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Control 0..0*

For example codes, see CommonTagshttp://hl7.org/fhir/ValueSet/common-tags|4.0.1
(example to http://hl7.org/fhir/ValueSet/common-tags|4.0.1)

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

20. ServiceRequest.implicitRules

Definition

Wersja systemu ustawiana przez system.

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Short Wersja systemu (wartość ustawiana przez system P1)A set of rules under which this content was created

Comments

Wartość wskazuje na wersję systemu w momencie rejestracji/aktualizacji zasobu.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control 0..1

Is Modifier true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

22. ServiceRequest.language

Definition

The base language in which the resource is written.

Short Language of the resource content

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control 0..01

The codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages|4.0.1
(preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

A human language.

Additional Bindings

Purpose

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Pattern Value pl

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

24. ServiceRequest.text

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Short Text summary of the resource, for human interpretation

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control 0..01

Narrative

Is Modifier false

Summary false

Alternate Names narrative, html, xhtml, display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

26. ServiceRequest.contained

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Short Contained, inline Resources

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Control 0..0*

Resource

Is Modifier false

Summary false

Alternate Names inline resources, anonymous resources, contained resources

28. ServiceRequest.extension

Definition

An Extension

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short ExtensionAdditional content defined by implementations

Comments

Control 0..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:

value @ url

30. ServiceRequest.extension:consideredOn

Slice Name consideredOn

Definition

Rozszerzenie definiujące datę rozpatrzenia wniosku o przekazanie terapii do innego świadczeniodawcy

Short Data rozpatrzenia wniosku

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(ServiceRequestConsideredOn) (Extension Type: dateTime)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

32. ServiceRequest.extension:consideredOn.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

34. ServiceRequest.extension:consideredOn.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

36. ServiceRequest.extension:consideredOn.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/service-request-considered-on

38. ServiceRequest.extension:consideredOn.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Wartość rozszerzenia Data rozpatrzeniaValue of extension

Control 10..1

Type dateTime, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

40. ServiceRequest.extension:consideredOn.value[x].id

Definition

unique id for the element within a resource (for internal references)

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short xml:id (or equivalent in JSON)Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

42. ServiceRequest.extension:consideredOn.value[x].extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

44. ServiceRequest.extension:statusReason

Slice Name statusReason

Definition

Rozszerzenie zawierające dane o przyczynie odrzucenia wniosku przez świadczeniodawcę

Short Przyczyna odrzucenia wniosku przez świadczeniodawcę

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(ServiceRequestStatusReason) (Extension Type: CodeableConcept)

Is Modifier false

Summary false

46. ServiceRequest.extension:statusReason.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

48. ServiceRequest.extension:statusReason.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

50. ServiceRequest.extension:statusReason.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/service-request-status-reason

52. ServiceRequest.extension:statusReason.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Wartość rozszerzenia Przyczyna odrzucenia wniosku przez świadczeniodawcęValue of extension

Control 10..1

Type CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

54. ServiceRequest.extension:statusReason.value[x].id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

56. ServiceRequest.extension:statusReason.value[x].extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

58. ServiceRequest.extension:statusReason.value[x].coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control 0..0*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

60. ServiceRequest.extension:statusReason.value[x].text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Przyczyna odrzucenia wnioskuPlain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

62. ServiceRequest.extension:consideredBy

Slice Name consideredBy

Definition

Rozszerzenie zawierające referencję do danych świadczeniodawcy, który rozpatruje wniosek o przekazanie terapii (Odbiorca wniosku)

Short Pracownik rozpatrujący wniosek

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(ServiceRequestConsideredBy) (Extension Type: Reference(Practitioner))

Is Modifier false

Summary false

64. ServiceRequest.extension:consideredBy.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

66. ServiceRequest.extension:consideredBy.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

68. ServiceRequest.extension:consideredBy.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/service-request-considered-by

70. ServiceRequest.extension:consideredBy.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Wartość rozszerzenia Pracownik rozpatrujący wniosekValue of extension

Control 10..1

Type Reference(Practitioner), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

72. ServiceRequest.extension:consideredBy.value[x].id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

74. ServiceRequest.extension:consideredBy.value[x].extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

76. ServiceRequest.extension:consideredBy.value[x].reference

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Short Literal reference, Relative, internal or absolute URL

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Control 0..01
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

78. ServiceRequest.extension:consideredBy.value[x].type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Short Type the reference refers to (e.g. "Patient")

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Control 0..01

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

80. ServiceRequest.extension:consideredBy.value[x].identifier

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Short Identyfikator pracownika medycznegoLogical reference, when literal reference is not known

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Note This is a business identifier, not a resource identifier (see discussion)

Control 10..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

82. ServiceRequest.extension:consideredBy.value[x].identifier.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

84. ServiceRequest.extension:consideredBy.value[x].identifier.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.extension.value[x].identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

86. ServiceRequest.extension:consideredBy.value[x].identifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..01

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

88. ServiceRequest.extension:consideredBy.value[x].identifier.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Control 0..01

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

90. ServiceRequest.extension:consideredBy.value[x].identifier.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short System identyfikacji pracowników medycznychThe namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Example General: http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

92. ServiceRequest.extension:consideredBy.value[x].identifier.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short Identyfikator pracownika medycznegoThe value that is unique

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General: 123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

94. ServiceRequest.extension:consideredBy.value[x].identifier.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

96. ServiceRequest.extension:consideredBy.value[x].identifier.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..01

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

98. ServiceRequest.extension:consideredBy.value[x].display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

100. ServiceRequest.extension:consideredBy.value[x].display.id

Definition

unique id for the element within a resource (for internal references)

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short xml:id (or equivalent in JSON)Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

102. ServiceRequest.extension:consideredBy.value[x].display.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 20..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.extension.value[x].display.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

104. ServiceRequest.extension:consideredBy.value[x].display.extension:familyName

Slice Name familyName

Definition

Nazwisko pracownika medycznego.

Short Nazwisko

Control 1..1
This element is affected by the following invariants: ele-1

Type Extension(ReferenceDisplayFamilyName) (Extension Type: string)

Is Modifier false

Summary false

106. ServiceRequest.extension:consideredBy.value[x].display.extension:familyName.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

108. ServiceRequest.extension:consideredBy.value[x].display.extension:familyName.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.extension.value[x].display.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

110. ServiceRequest.extension:consideredBy.value[x].display.extension:familyName.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/reference-display-family-name

112. ServiceRequest.extension:consideredBy.value[x].display.extension:familyName.value[x]

Definition

Nazwisko pracownika medycznego

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short NazwiskoValue of extension

Control 10..1

Type string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

114. ServiceRequest.extension:consideredBy.value[x].display.extension:givenName

Slice Name givenName

Definition

Imiona pracownika medycznego.

Short Imiona

Control 1..*
This element is affected by the following invariants: ele-1

Type Extension(ReferenceDisplayGivenName) (Extension Type: string)

Is Modifier false

Summary false

116. ServiceRequest.extension:consideredBy.value[x].display.extension:givenName.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

118. ServiceRequest.extension:consideredBy.value[x].display.extension:givenName.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

value @ url

120. ServiceRequest.extension:consideredBy.value[x].display.extension:givenName.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/reference-display-given-name

122. ServiceRequest.extension:consideredBy.value[x].display.extension:givenName.value[x]

Definition

pracownika medycznego.

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short ImięValue of extension

Control 10..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

124. ServiceRequest.extension:consideredBy.value[x].display.value

Definition

The actual value

Short Primitive value for string

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Max Length: 1048576

126. ServiceRequest.modifierExtension

Definition

An Extension

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short ExtensionExtensions that cannot be ignored

Comments

Control 0..0*

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them

Summary false

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Names extensions, user content

128. ServiceRequest.identifier

Definition

Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller.

Short Identifiers assigned to this order

Comments

The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..0*

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

130. ServiceRequest.instantiatesCanonical

Definition

The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest.

Short Instantiates FHIR protocol or definition

Comments

Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

Control 0..0*

Type canonical(ActivityDefinition, PlanDefinition)

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

132. ServiceRequest.instantiatesUri

Definition

The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest.

Short Instantiates external protocol or definition

Comments

This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

Control 0..0*

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

134. ServiceRequest.basedOn

Definition

Plan/proposal/order fulfilled by this request.

Short Karta e-KOK, której dotyczy wniosek o zmianę świadczeniodawcyWhat request fulfills

Control 10..1*

Type Reference(CarePlan, CarePlan, ServiceRequest, MedicationRequest)

Is Modifier false

Summary true

Alternate Names fulfills

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

136. ServiceRequest.basedOn.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

138. ServiceRequest.basedOn.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.basedOn.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

140. ServiceRequest.basedOn.reference

Definition

Referencja przyjmuje wartość: CarePlan/x gdzie x oznacza identyfikator zasobu CarePlan z (CarePlan.id).

Short Referencja do zasobu CarePlanLiteral reference, Relative, internal or absolute URL

Comments

Control 10..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

142. ServiceRequest.basedOn.type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Typ zasobu (CarePlan)Type the reference refers to (e.g. "Patient")

Comments

Control 10..1

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Fixed Value CarePlan

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

144. ServiceRequest.basedOn.identifier

Definition

Short Logical reference, when literal reference is not known

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

146. ServiceRequest.basedOn.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

148. ServiceRequest.replaces

Definition

The request takes the place of the referenced completed or terminated request(s).

Short What request replaces

Control 0..0*

Type Reference(ServiceRequest)

Is Modifier false

Summary true

Alternate Names supersedes, prior, renewed order

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

150. ServiceRequest.requisition

Definition

A shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier.

Short Composite Request ID

Comments

Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.

Control 0..01

Is Modifier false

Summary true

Requirements

Some business processes need to know if multiple items were ordered as part of the same "requisition" for billing or other purposes.

Alternate Names grouperId, groupIdentifier

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

152. ServiceRequest.status

Definition

Status wniosku o zmianę Świadczeniodawcy

The status of the order.

Comments

The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see Event Pattern for general discussion) or using the Task resource.

Control 1..1

The codes SHALL be taken from PLeKOKServiceProviderChangeRequestStatusVShttp://hl7.org/fhir/ValueSet/request-status|4.0.1
(required to https://ezdrowie.gov.pl/ekok/fhir/ValueSet/pl-ekok-service-provider-change-request-status-vs)

Status wniosku

The status of a service order.

Is Modifier true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

154. ServiceRequest.intent

Definition

Tryb wniosku 'proposal' - świadczeniodawca chce przejąć pacjenta, 'order' - świadczeniodawca chce przekazać pacjenta

Whether the request is a proposal, plan, an original order or a reflex order.

Comments

This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.

Control 1..1

The codes SHALL be taken from RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1
(required to http://hl7.org/fhir/ValueSet/request-intent|4.0.1)

The kind of service request.

Is Modifier true because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

156. ServiceRequest.category

Definition

A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure").

Short KategoriaClassification of service

Comments

There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set.

Control 10..1*

For example codes, see ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1
(example to http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1)

Classification of the requested service.

Is Modifier false

Summary true

Requirements

Used for filtering what service request are retrieved and displayed.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

158. ServiceRequest.category.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

160. ServiceRequest.category.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.category.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

162. ServiceRequest.category.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Control 10..1*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

164. ServiceRequest.category.coding.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.category.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

166. ServiceRequest.category.coding.system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Short System kodowaniaIdentity of the terminology system

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Fixed Value https://ezdrowie.gov.pl/ekok/fhir/CodeSystem/service-request-category-code-system

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

168. ServiceRequest.category.coding.version

Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

Short Version of the system - if relevant

Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

170. ServiceRequest.category.coding.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short KodSymbol in syntax defined by the system

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Fixed Value service-provider-change-request

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

172. ServiceRequest.category.coding.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short Representation defined by the system

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

174. ServiceRequest.category.coding.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

176. ServiceRequest.category.text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Plain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

178. ServiceRequest.priority

Definition

Indicates how quickly the ServiceRequest should be addressed with respect to other requests.

Short routine | urgent | asap | stat

Control 0..01

The codes SHALL be taken from RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1
(required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1)

Identifies the level of importance to be assigned to actioning the request.

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Meaning if Missing If missing, this task should be performed with normal priority

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

180. ServiceRequest.doNotPerform

Definition

Set this to true if the record is saying that the service/procedure should NOT be performed.

Short True if service/procedure should not be performed

Comments

In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation.

Control 0..01

Is Modifier true because If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc.

Meaning if Missing If missing, the request is a positive request e.g. "do perform"

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

182. ServiceRequest.code

Definition

A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested.

Short Typ wniosku o zmianę świadczeniodawcyWhat is being requested/ordered

Comments

Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example, serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code.

Control 10..1

Binding The codes SHALL be taken from For example codes, see PLeKOKServiceProviderChangeRequestCodeVShttp://hl7.org/fhir/ValueSet/procedure-code|4.0.1
(required to https://ezdrowie.gov.pl/ekok/fhir/ValueSet/pl-ekok-service-provider-change-request-code-vs)

Is Modifier false

Summary true

Alternate Names service requested

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

184. ServiceRequest.code.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

186. ServiceRequest.code.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

188. ServiceRequest.code.coding

Definition

A reference to a code defined by a terminology system.

Short Typ wnioskuCode defined by a terminology system

Comments

Control 10..1*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

190. ServiceRequest.code.coding.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

192. ServiceRequest.code.coding.system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Short System identyfikacjiIdentity of the terminology system

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

194. ServiceRequest.code.coding.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

196. ServiceRequest.code.coding.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short KodSymbol in syntax defined by the system

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

198. ServiceRequest.code.coding.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short NazwaRepresentation defined by the system

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

200. ServiceRequest.code.coding.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

202. ServiceRequest.code.text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Plain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

204. ServiceRequest.orderDetail

Definition

Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied.

Short TrybAdditional order information

Comments

For information from the medical record intended to support the delivery of the requested services, use the supportingInformation element.

Control 10..1*
This element is affected by the following invariants: prr-1

For example codes, see ServiceRequestOrderDetailsCodeshttp://hl7.org/fhir/ValueSet/servicerequest-orderdetail|4.0.1
(example to http://hl7.org/fhir/ValueSet/servicerequest-orderdetail|4.0.1)

Codified order entry details which are based on order context.

Is Modifier false

Summary true

Alternate Names detailed instructions

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

206. ServiceRequest.orderDetail.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

208. ServiceRequest.orderDetail.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.orderDetail.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

210. ServiceRequest.orderDetail.coding

Definition

A reference to a code defined by a terminology system.

Short TrybCode defined by a terminology system

Comments

Control 10..1*

Binding The codes SHALL be taken from For codes, see PLeKOKCardiacCareServiceCategoryVS
(required to https://ezdrowie.gov.pl/ekok/fhir/ValueSet/pl-ekok-cardiac-care-service-category-vs)

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

212. ServiceRequest.orderDetail.coding.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.orderDetail.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

214. ServiceRequest.orderDetail.coding.system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Short System kodowaniaIdentity of the terminology system

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

216. ServiceRequest.orderDetail.coding.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

218. ServiceRequest.orderDetail.coding.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short phc | amb | impSymbol in syntax defined by the system

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

220. ServiceRequest.orderDetail.coding.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short POZ | Ambulatoryjna | SzpitalnaRepresentation defined by the system

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

222. ServiceRequest.orderDetail.coding.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

224. ServiceRequest.orderDetail.text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Plain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

226. ServiceRequest.quantity[x]

Definition

An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction).

Short Service amount

Control 0..01

Type Choice of: Quantity, Ratio, Range

Is Modifier false

Summary true

Requirements

When ordering a service the number of service items may need to be specified separately from the the service item.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

228. ServiceRequest.subject

Definition

On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans).

Short Dane pacjentaIndividual or Entity the service is ordered for

Control 1..1

Type Reference(Patient, Patient, Group, Location, Device)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

230. ServiceRequest.subject.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

232. ServiceRequest.subject.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

234. ServiceRequest.subject.reference

Definition

Referencja do zasobu z danymi pacjenta. Przyjmuje wartość: https://ezdrowie.gov.pl/zm/fhir/Patient/x gdzie x oznacza identyfikator zasobu Patient (Patient.id) z danymi pacjenta.

Short Referencja do zasobu PatientLiteral reference, Relative, internal or absolute URL

Comments

Control 10..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

236. ServiceRequest.subject.type

Definition

Typ zasobu z danymi pacjenta. Przyjmuje wartość: Patient.

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Typ zasobu z danymi pacjenta (Patient)Type the reference refers to (e.g. "Patient")

Comments

Control 10..1

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Fixed Value Patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

238. ServiceRequest.subject.identifier

Definition

Short Logical reference, when literal reference is not known

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

240. ServiceRequest.subject.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

242. ServiceRequest.encounter

Definition

Referencja do danych świadczenia medycznego uzupełniana w przypadku, gdy typ wniosku wskazany w danych wniosku o zmiane świadczeniodawcy wskazuje na: świadczenie medyczne dotyczące realizacji leczenia pacjenta przed akceptacją wniosku o zmianę świadczeniodawcy (ServiceRequest.code.coding.code = 'transfer-of-care'), nierozpoczęte świadczenie medyczne dotyczące realizacji leczenia pacjenta po akceptacji wniosku o zmianę świadczeniodawcy (ServiceRequest.code.coding.code = 'assumption-of-care').

Referencja do danych świadczenia medycznego jest uzupełniana podczas tworzenia wniosku o zmianę świadczeniodawcy.

An encounter that provides additional information about the healthcare context in which this request is made.

Short Świadczenie medyczne w ramach, którego leczono pacjenta kardiologicznego (transfer-of-care) lub będzie leczony pacjent kardiologicznego po zmianie świadczeniodawcy (assumption-of-care).Encounter in which the request was created

Control 10..1

Type Reference(Encounter)

Is Modifier false

Summary true

Alternate Names context

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

244. ServiceRequest.encounter.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

246. ServiceRequest.encounter.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.encounter.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

248. ServiceRequest.encounter.reference

Definition

Referencja przyjmuje wartość: Encounter/x gdzie x oznacza identyfikator zasobu Encounter (Encounter.id).

Short Referencja do zasobu Encounter.Literal reference, Relative, internal or absolute URL

Comments

Control 10..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

250. ServiceRequest.encounter.type

Definition

Typ zasobu z danymi świadczenia medycznego. Przyjmuje wartość: Encounter.

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Typ zasobu z danymi świadczenia medycznego (Encounter)Type the reference refers to (e.g. "Patient")

Comments

Control 10..1

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Fixed Value Encounter

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

252. ServiceRequest.encounter.identifier

Definition

Short Logical reference, when literal reference is not known

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

254. ServiceRequest.encounter.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

256. ServiceRequest.occurrence[x]

Definition

The date/time at which the requested service should occur.

Short When service should occur

Control 0..01

Type Choice of: dateTime, Period, Timing

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names schedule

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

258. ServiceRequest.asNeeded[x]

Definition

If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc.

Short Preconditions for service

Control 0..01

For example codes, see SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1
(example to http://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1)

A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.

Type Choice of: boolean, CodeableConcept

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

260. ServiceRequest.authoredOn

Definition

When the request transitioned to being actionable.

Short Data złożenia wnioskuDate request signed

Control 10..1

dateTime

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names orderedOn

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

262. ServiceRequest.requester

Definition

The individual who initiated the request and has responsibility for its activation.

Short WnioskodawcaWho/what is requesting service

Comments

This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource.

Control 10..1

Type Reference(Practitioner, Practitioner, PractitionerRole, Organization, Patient, RelatedPerson, Device)

Is Modifier false

Summary true

Alternate Names author, orderer

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

264. ServiceRequest.requester.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

266. ServiceRequest.requester.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 20..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.requester.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

268. ServiceRequest.requester.extension:organization

Slice Name organization

Definition

Dane podmiotu leczniczego, w kontekście którego pracownik medyczny.

Short PractitionerOrganization

Control 1..1

Type Extension(PractitionerOrganization) (Extension Type: Reference)

Is Modifier false

Summary false

270. ServiceRequest.requester.extension:organization.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

272. ServiceRequest.requester.extension:organization.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.requester.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

274. ServiceRequest.requester.extension:organization.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/practitioner-organization

276. ServiceRequest.requester.extension:organization.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Dane podmiotu leczniczego, w kontekście którego pracuje pracownik medycznyValue of extension

Control 10..1

Type Reference(Organization), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

278. ServiceRequest.requester.extension:organization.value[x].id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

280. ServiceRequest.requester.extension:organization.value[x].reference

Definition

Short Literal reference, Relative, internal or absolute URL

Comments

Control 0..01
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

282. ServiceRequest.requester.extension:organization.value[x].type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

284. ServiceRequest.requester.extension:organization.value[x].identifier

Definition

Short Identyfikator świadczeniodawcyLogical reference, when literal reference is not known

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 10..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

286. ServiceRequest.requester.extension:organization.value[x].identifier.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

288. ServiceRequest.requester.extension:organization.value[x].identifier.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.requester.extension.value[x].identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

290. ServiceRequest.requester.extension:organization.value[x].identifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..01

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

292. ServiceRequest.requester.extension:organization.value[x].identifier.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

294. ServiceRequest.requester.extension:organization.value[x].identifier.system

Definition

OID systemu identyfikacji świadczeniodawcy. Przyjmuje wartość: Dla podmiotu leczniczego: "urn:oid:2.16.840.1.113883.3.4424.2.3.1”; Dla praktyki lekarskiej: “urn:oid:2.16.840.1.113883.3.4424.2.4.{xx}” gdzie “xx” identyfikuje izbę lekarską realizującą wpis; Dla praktyki pielęgniarskiej: “urn:oid:2.16.840.1.113883.3.4424.2.5.{x(x)}”; gdzie “x(x)” identyfikuje izbę pielęgniarek i położnych realizującą wpis Dla praktyki fizjoterapeutycznej: “urn:oid:2.16.840.1.113883.3.4424.2.9.1”.

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short OID systemu identyfikacji świadczeniodawcyThe namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Example General: http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

296. ServiceRequest.requester.extension:organization.value[x].identifier.value

Definition

Identyfikator świadczeniodawcy Przyjmuje wartość: Dla podmiotu leczniczego: "{cz. I kodu resortowego}”; Dla praktyki lekarskiej/pielęgniarskiej/fizjoterapeutycznej: "{numer księgi rejestrowej w rejestrze podmiotów wykonujących działalność leczniczą}”.

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short Identyfikator świadczeniodawcyThe value that is unique

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General: 123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

298. ServiceRequest.requester.extension:organization.value[x].identifier.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

300. ServiceRequest.requester.extension:organization.value[x].identifier.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..01

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

302. ServiceRequest.requester.extension:organization.value[x].display

Definition

Nazwa świadczeniodawcy

Plain text narrative that identifies the resource in addition to the resource reference.

Short Nazwa świadczeniodawcyText alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

304. ServiceRequest.requester.extension:location

Slice Name location

Definition

Dane podmiotu leczniczego, w kontekście którego pracownik medyczny.

Short PractitionerLocation

Control 1..1

Type Extension(PractitionerLocation) (Extension Type: Reference)

Is Modifier false

Summary false

306. ServiceRequest.requester.extension:location.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

308. ServiceRequest.requester.extension:location.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.requester.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

310. ServiceRequest.requester.extension:location.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/practitioner-location

312. ServiceRequest.requester.extension:location.value[x]

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short Dane placówki, w kontekście której pracuje pracownik medycznyValue of extension

Control 10..1

Type Reference(Location), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

314. ServiceRequest.requester.extension:location.value[x].id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

316. ServiceRequest.requester.extension:location.value[x].reference

Definition

Short Literal reference, Relative, internal or absolute URL

Comments

Control 0..01
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

318. ServiceRequest.requester.extension:location.value[x].type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

320. ServiceRequest.requester.extension:location.value[x].identifier

Definition

Identyfikator miejsce udzielenia świadczenia.

Short Identyfikator miejsce udzielenia świadczeniaLogical reference, when literal reference is not known

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 10..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

322. ServiceRequest.requester.extension:location.value[x].identifier.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

324. ServiceRequest.requester.extension:location.value[x].identifier.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

value @ url

326. ServiceRequest.requester.extension:location.value[x].identifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..01

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

328. ServiceRequest.requester.extension:location.value[x].identifier.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

330. ServiceRequest.requester.extension:location.value[x].identifier.system

Definition

OID systemu identyfikacji Miejsca Udzielania Świadczeń. Przyjmuje wartość: Dla jednostki organizacyjnej: “urn:oid:2.16.840.1.113883.3.4424.2.3.2”; Dla komórki organizacyjnej: “urn:oid:2.16.840.1.113883.3.4424.2.3.3”; Dla praktyki lekarskiej: “urn:oid:2.16.840.1.113883.3.4424.2.4.{xx}.1” gdzie “xx” identyfikuje izbę lekarską; Dla praktyki pielęgniarskiej: “urn:oid:2.16.840.1.113883.3.4424.2.5.{x(x)}.1”; gdzie “x(x)” identyfikuje izbę pielęgniarek i położnych realizującą wpis Dla praktyki fizjoterapeutycznej: “urn:oid:2.16.840.1.113883.3.4424.2.9.1.1”.

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short OID systemu identyfikacji Miejsca Udzielania ŚwiadczeńThe namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Example General: http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

332. ServiceRequest.requester.extension:location.value[x].identifier.value

Definition

Identyfikator Miejsca Udzielania Świadczeń. Przyjmuje wartość: Dla jednostki organizacyjnej: "{cz. I kodu resortowego}-{cz. V kodu resortowego}”; Dla komórki organizacyjnej: "{cz. I kodu resortowego}-{cz. VII kodu resortowego}”; Dla praktyki lekarskiej/pielęgniarskiej/fizjoterapeutycznej: “{Numer księgi rejestrowej w rejestrze podmiotów wykonujących działalność leczniczą}-{3-cyfrowy identyfikator Miejsca Udzielania Świadczeń}” .

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short Identyfikator Miejsca Udzielania ŚwiadczeńThe value that is unique

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General: 123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

334. ServiceRequest.requester.extension:location.value[x].identifier.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

336. ServiceRequest.requester.extension:location.value[x].identifier.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..01

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

338. ServiceRequest.requester.extension:location.value[x].display

Definition

Nazwa Miejsca Udzielania Świadczeń

Plain text narrative that identifies the resource in addition to the resource reference.

Short Nazwa Miejsca Udzielania ŚwiadczeńText alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

340. ServiceRequest.requester.reference

Definition

Short Literal reference, Relative, internal or absolute URL

Comments

Control 0..01
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

342. ServiceRequest.requester.type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

344. ServiceRequest.requester.identifier

Definition

Short Identyfikator pracownika medycznegoLogical reference, when literal reference is not known

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 10..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

346. ServiceRequest.requester.identifier.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

348. ServiceRequest.requester.identifier.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.requester.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

350. ServiceRequest.requester.identifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..01

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

352. ServiceRequest.requester.identifier.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

354. ServiceRequest.requester.identifier.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short System identyfikacji pracowników medycznychThe namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Example General: http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

356. ServiceRequest.requester.identifier.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short Identyfikator pracownika medycznegoThe value that is unique

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General: 123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

358. ServiceRequest.requester.identifier.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

360. ServiceRequest.requester.identifier.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..01

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

362. ServiceRequest.requester.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

364. ServiceRequest.requester.display.id

Definition

unique id for the element within a resource (for internal references)

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short xml:id (or equivalent in JSON)Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

366. ServiceRequest.requester.display.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 20..*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.requester.display.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

368. ServiceRequest.requester.display.extension:familyName

Slice Name familyName

Definition

Nazwisko pracownika medycznego.

Short Nazwisko

Control 1..1
This element is affected by the following invariants: ele-1

Type Extension(ReferenceDisplayFamilyName) (Extension Type: string)

Is Modifier false

Summary false

370. ServiceRequest.requester.display.extension:familyName.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

372. ServiceRequest.requester.display.extension:familyName.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.requester.display.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

374. ServiceRequest.requester.display.extension:familyName.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/reference-display-family-name

376. ServiceRequest.requester.display.extension:familyName.value[x]

Definition

Nazwisko pracownika medycznego

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short NazwiskoValue of extension

Control 10..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

378. ServiceRequest.requester.display.extension:givenName

Slice Name givenName

Definition

Imiona pracownika medycznego.

Short Imiona

Control 1..*
This element is affected by the following invariants: ele-1

Type Extension(ReferenceDisplayGivenName) (Extension Type: string)

Is Modifier false

Summary false

380. ServiceRequest.requester.display.extension:givenName.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

382. ServiceRequest.requester.display.extension:givenName.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.requester.display.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

384. ServiceRequest.requester.display.extension:givenName.url

Definition

Source of the definition for the extension code - a logical name or a URL.

Short identifies the meaning of the extension

Comments

Control 1..1

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Fixed Value https://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/reference-display-given-name

386. ServiceRequest.requester.display.extension:givenName.value[x]

Definition

pracownika medycznego.

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Short ImięValue of extension

Control 10..1

[x] Note SeeChoice of Data Typesfor further information about how to use [x]

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

388. ServiceRequest.requester.display.value

Definition

The actual value

Short Primitive value for string

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

Max Length: 1048576

390. ServiceRequest.performerType

Definition

Desired type of performer for doing the requested service.

Short Poziom opieki kardiologicznej placówki do której kierowany jest wniosekPerformer role

Comments

This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”.

Control 0..1

Binding The codes SHALL be taken from For example codes, see PLeKOKCardiacCareLevelVShttp://hl7.org/fhir/ValueSet/participant-role|4.0.1
(required to https://ezdrowie.gov.pl/ekok/fhir/ValueSet/pl-ekok-cardiac-care-level-vs)

Is Modifier false

Summary true

Alternate Names specialty

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

392. ServiceRequest.performerType.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

394. ServiceRequest.performerType.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.performerType.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

396. ServiceRequest.performerType.coding

Definition

A reference to a code defined by a terminology system.

Short Code defined by a terminology system

Comments

Control 10..1*

Is Modifier false

Summary true

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

398. ServiceRequest.performerType.coding.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.performerType.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

400. ServiceRequest.performerType.coding.system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Short System kodowaniaIdentity of the terminology system

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

402. ServiceRequest.performerType.coding.version

Definition

Short Version of the system - if relevant

Comments

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

404. ServiceRequest.performerType.coding.code

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short KodSymbol in syntax defined by the system

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to refer to a particular code in the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

406. ServiceRequest.performerType.coding.display

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Short NazwaRepresentation defined by the system

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

408. ServiceRequest.performerType.coding.userSelected

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Short If this coding was chosen directly by the user

Comments

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

410. ServiceRequest.performerType.text

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short Plain text representation of the concept

Comments

Very often the text is the same as a displayName of one of the codings.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

412. ServiceRequest.performer

Definition

The desired performer for doing the requested service. For example, the surgeon, dermatopathologist, endoscopist, etc.

Short Podmiot leczniczy do którego kierowany jest wniosekRequested performer

Comments

If multiple performers are present, it is interpreted as a list of alternative performers without any preference regardless of order. If order of preference is needed use the request-performerOrder extension. Use CareTeam to represent a group of performers (for example, Practitioner A and Practitioner B).

Control 10..1*

Type Reference(Practitioner, Practitioner, PractitionerRole, Organization, CareTeam, HealthcareService, Patient, Device, RelatedPerson)

Is Modifier false

Summary true

Alternate Names request recipient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

414. ServiceRequest.performer.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

416. ServiceRequest.performer.reference

Definition

Short Literal reference, Relative, internal or absolute URL

Comments

Control 0..01
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

418. ServiceRequest.performer.type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

420. ServiceRequest.performer.identifier

Definition

Short Identyfikator świadczeniodawcyLogical reference, when literal reference is not known

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 10..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

422. ServiceRequest.performer.identifier.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

424. ServiceRequest.performer.identifier.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.performer.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

426. ServiceRequest.performer.identifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..01

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

428. ServiceRequest.performer.identifier.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

430. ServiceRequest.performer.identifier.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short OID systemu identyfikacji świadczeniodawcyThe namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Example General: http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

432. ServiceRequest.performer.identifier.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short Identyfikator świadczeniodawcyThe value that is unique

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General: 123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

434. ServiceRequest.performer.identifier.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

436. ServiceRequest.performer.identifier.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..01

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

438. ServiceRequest.performer.display

Definition

Nazwa świadczeniodawcy

Plain text narrative that identifies the resource in addition to the resource reference.

Short Nazwa świadczeniodawcyText alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

440. ServiceRequest.locationCode

Definition

The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center.

Short Requested location

Control 0..0*

For example codes, see ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
(example to http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType)

A location type where services are delivered.

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

442. ServiceRequest.locationReference

Definition

A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center.

Short Dane placówki do której kierowany jest wniosekRequested location

Control 10..1*

Type Reference(Location)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

444. ServiceRequest.locationReference.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

446. ServiceRequest.locationReference.reference

Definition

Short Literal reference, Relative, internal or absolute URL

Comments

Control 0..01
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

448. ServiceRequest.locationReference.type

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Type the reference refers to (e.g. "Patient")

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

450. ServiceRequest.locationReference.identifier

Definition

Identyfikator miejsce udzielenia świadczenia.

Short Identyfikator miejsce udzielenia świadczeniaLogical reference, when literal reference is not known

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 10..1

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

452. ServiceRequest.locationReference.identifier.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

454. ServiceRequest.locationReference.identifier.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.locationReference.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

456. ServiceRequest.locationReference.identifier.use

Definition

The purpose of this identifier.

Short usual | official | temp | secondary | old (If known)

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control 0..01

The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Is Modifier true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

458. ServiceRequest.locationReference.identifier.type

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short Description of identifier

Comments

Control 0..01

Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Is Modifier false

Summary true

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

460. ServiceRequest.locationReference.identifier.system

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short OID systemu identyfikacji Miejsca Udzielania ŚwiadczeńThe namespace for the identifier value

Comments

Identifier.system is always case sensitive.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Example General: http://www.acme.com/identifiers/patient

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

462. ServiceRequest.locationReference.identifier.value

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short Identyfikator Miejsca Udzielania ŚwiadczeńThe value that is unique

Comments

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Example General: 123456

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

464. ServiceRequest.locationReference.identifier.period

Definition

Time period during which identifier is/was valid for use.

Short Time period when id is/was valid for use

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

466. ServiceRequest.locationReference.identifier.assigner

Definition

Organization that issued/manages the identifier.

Short Organization that issued id (may be just text)

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control 0..01

Type Reference(Organization)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

468. ServiceRequest.locationReference.display

Definition

Nazwa Miejsca Udzielania Świadczeń

Plain text narrative that identifies the resource in addition to the resource reference.

Short Nazwa Miejsca Udzielania ŚwiadczeńText alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 10..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

470. ServiceRequest.reasonCode

Definition

An explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in supportingInfo.

Short Explanation/Justification for procedure or service

Comments

This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use CodeableConcept.text element if the data is free (uncoded) text as shown in the CT Scan example.

Control 0..0*

For example codes, see ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason|4.0.1
(example to http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1)

Diagnosis or problem codes justifying the reason for requesting the service investigation.

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

472. ServiceRequest.reasonReference

Definition

Indicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in supportingInfo.

Short Explanation/Justification for service or service

Comments

This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to Observation or Condition should be used if available. Otherwise when referencing DiagnosticReport it should contain a finding in DiagnosticReport.conclusion and/or DiagnosticReport.conclusionCode. When using a reference to DocumentReference, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in ServiceRequest.reasonCode if the data is free (uncoded) text as shown in the CT Scan example.

Control 0..0*

Type Reference(Condition, Observation, DiagnosticReport, DocumentReference)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

474. ServiceRequest.insurance

Definition

Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service.

Short Associated insurance coverage

Control 0..0*

Type Reference(Coverage, ClaimResponse)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

476. ServiceRequest.supportingInfo

Definition

Świadczenie medyczne w ramach, którego leczono pacjenta kardiologicznego. Referencja do danych świadczenia medycznego uzupełniana w przypadku, gdy typ wniosku wskazany w danych wniosku o zmiane świadczeniodawcy wskazuje na świadczeniodawce przejmującego pacjenta kardiologicznego do swojej placówki medycznej (ServiceRequest.coe.coding.code = 'assumption-of-care'). Referencja do danych świadczenia medycznego jest uzupełniana podczas akceptacji wniosku przez świadczeniodawce przekazującego pacjenta do innej placówki.

Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as "ask at order entry questions (AOEs)". This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.

Short Świadczenie medyczne, w ramach którego leczono pacjenta kardiologicznego przed wnioskiem o zmianę świadczeniodawcy ('assumption-of-care').Additional clinical information

Comments

To represent information about how the services are to be delivered use the instructions element.

Control 0..1*

Type Reference(Resource)

Is Modifier false

Summary false

Alternate Names Ask at order entry question, AOE

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

478. ServiceRequest.supportingInfo.id

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short Unique id for inter-element referencing

Control 0..01

Is Modifier false

XML Format In the XML format, this property is represented as an attribute.

Summary false

480. ServiceRequest.supportingInfo.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.supportingInfo.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

482. ServiceRequest.supportingInfo.reference

Definition

Referencja przyjmuje wartość: Encounter/x gdzie x oznacza identyfikator zasobu Encounter (Encounter.id).

Short Referencja do zasobu Encounter.Literal reference, Relative, internal or absolute URL

Comments

Control 10..1
This element is affected by the following invariants: ref-1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

484. ServiceRequest.supportingInfo.type

Definition

Typ zasobu z danymi świadczenia medycznego. Przyjmuje wartość: Encounter.

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Short Typ zasobu z danymi świadczenia medycznego (Encounter)Type the reference refers to (e.g. "Patient")

Comments

Control 10..1

Unless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

Aa resource (or, for logical models, the URI of the logical model).

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Fixed Value Encounter

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

486. ServiceRequest.supportingInfo.identifier

Definition

Short Logical reference, when literal reference is not known

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..01

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

488. ServiceRequest.supportingInfo.display

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Short Text alternative for the resource

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

490. ServiceRequest.specimen

Definition

One or more specimens that the laboratory procedure will use.

Short Procedure Samples

Comments

Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the Specimen resource points to the ServiceRequest.

Control 0..0*

Type Reference(Specimen)

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

492. ServiceRequest.bodySite

Definition

Anatomic location where the procedure should be performed. This is the target site.

Short Location on Body

Comments

Only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension procedure-targetBodyStructure.

Control 0..0*

For example codes, see SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site|4.0.1
(example to http://hl7.org/fhir/ValueSet/body-site|4.0.1)

Codes describing anatomical locations. May include laterality.

Is Modifier false

Summary true

Requirements

Knowing where the procedure is performed is important for tracking if multiple sites are possible.

Alternate Names location

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

494. ServiceRequest.note

Definition

Any other notes and comments made about the service request. For example, internal billing notes.

Short Dodatkowe uwagi.Comments

Control 0..*

Annotation

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

496. ServiceRequest.note.extension

Definition

An Extension

Short ExtensionAdditional content defined by implementations

Comments

Control 0..0*

Is Modifier false

Summary false

Alternate Names extensions, user content

This element introduces a set of slices on ServiceRequest.note.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

498. ServiceRequest.note.author[x]

Definition

The individual responsible for making the annotation.

Short Individual responsible for the annotation

Comments

Organization is used when there's no need for specific attribution as to who made the comment.

Control 0..01

Type Choice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

500. ServiceRequest.note.time

Definition

Data wprowadzenia uwag.

Indicates when this particular annotation was made.

Short Data wprowadzenia uwagWhen the annotation was made

Control 0..1

dateTime

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

502. ServiceRequest.note.text

Definition

Treść uwag.

The text of the annotation in markdown format.

Short Treść uwagThe annotation - text content (as markdown)

Control 1..1

markdown

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

504. ServiceRequest.patientInstruction

Definition

Instructions in terms that are understood by the patient or consumer.

Short Patient or consumer-oriented instructions

Control 0..01

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

506. ServiceRequest.relevantHistory

Definition

Key events in the history of the request.

Short Request provenance

Comments

This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.

Control 0..0*

Type Reference(Provenance)

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be foundhere

0. ServiceRequest

Definition

A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.

Short A request for a service to be performed

Control 0..*

Is Modifier false

Summary false

Alternate Names diagnostic request, referral, referral request, transfer of care request

Invariants dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
prr-1: orderDetail SHALL only be present if code is present (orderDetail.empty() or code.exists())
REG.20194: Zarejestrowanie zaakceptowanego wniosku możliwe tylko przy przekazaniu do POZ (%server.isCreate() and status='completed' implies performerType.coding.code = 'phc')
REG.20196: Do wniosku o zmianę świadczeniodawcy składanego w trybie 'proposal' należy dołączyć świadczenie o statusie 'planned' (%server.isCreate() and intent='proposal' implies %server.read('Encounter', %resource.encounter.reference).status = 'planned')
REG.20215: Do wniosku o zmianę świadczeniodawcy składanego w trybie 'proposal' należy wskazać typ wskazujący na przejęcie pacjenta (%server.isCreate() and intent='proposal' implies code.coding.code = 'assumption-of-care')
REG.20216: Do wniosku o zmianę świadczeniodawcy składanego w trybie 'order' należy wskazać typ wskazujący na przekazanie pacjenta (%server.isCreate() and intent='order' implies code.coding.code = 'transfer-of-care')

2. ServiceRequest.id

Definition

Identyfikator logiczny zasobu nadawany przez system w ramach rejestracji zasobu. Przyjmuje wartość: '{liczba naturalna}'

Short Identyfikator logiczny zasobu (wartość nadawana przez system P1)

Comments

Nadany identyfikator nie podlega aktualizacji. W ramach aktualizacji zasobu należy wskazać wartość identyfikatora zasobu, którego dotyczy aktualizacja.

Control 0..1

Is Modifier false

Summary true

4. ServiceRequest.meta

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Short Metadane zasobu

Control 1..1